Hypoglycaemia

Question 1

Less than what should be treated

Answer 1

4mmol/litre

Question 2

Sx under 4 tx

Answer 2

Small carb snack such as slice of bread or normal meal

Question 3

Under 4 conscious and able to swallow with or without sx tx

Answer 3

Fast acting carb by mouth - glucose liquid, 40% gels or glucogel
Repeat up to 3 times after 15mins
Once above 4 give a long acting carbohydrates eg one slice of bread
Don’t omit insulin but dose may need review

Question 4

If conscious still and blood glucose does not go above 4 after 3 cycles or 45 mins what do you do

Answer 4

IM glucagon or glucose 10% Iv infusion
If alcoholic pt give thiamine too with Iv glucose to minimise wernickes encephalopathy

Question 5

Glucagon may be less effective in pt taking a sulphonylurea

Answer 5

True so in these cases IV glucose will be required

Question 6

Unconscious what should do

Answer 6

IM GLUCAGON OR IV GLUCOSE 10% ( if no response after 10mins)

Question 7

How long should blood glucose monitoring be continued for afterwards

Answer 7

24-48hr