HYPOGLYCAEMIA

Question 1

What levels is considered hypoglycaemic?

Answer 1

< 4mmol/L

Question 2

HYPO symptoms

Answer 2

Sweating
Lethargic
Dizziness
Hunger
Tremor
Tingling Lips
Palpitations
Extreme Moods
Pale

Question 3

First line treatment of HYPO: If patient is conscious and able to swallow

Answer 3

Fast-acting carbohydrate by mouth (10-20g glucose/sucrose)
* 4-5 Glucose tablets
* 3-4 heaped teaspoonfuls of sugar
* 150-200 mL fruit juice
Repeat every 15 mins for 3 cycles

Long-acting carbohydrate or next meal if due to sustain blood glucose levels
- Avoid chocolate/biscuits (fat delays absoprtion)
- Sulphonylurea induced hypoglycaemia

Question 4

HYPO: Oral administration not work / patient unconscious:

Answer 4

• IM glucagon
  then
  IV glucose

Question 5

HYPO: and then if unresponsive after 10 mins

Answer 5

IV glucose

Question 6

HYPO and betablockers

Answer 6

mask the symptoms of hypoglycaemia

Question 7

HYPO and NSAIDs

Answer 7

• NSAIDs have no significant influence on fasting glucose levels or on rates of glucose elimination