Hypoglycaemia

Question 1

Hypoglycaemia is the limiting factor to what?

Answer 1

Good glycaemic control

Question 2

What are the symptoms of hypoglycaemia?

Answer 2

Hunger     weakness 
shaking     dizzy
fatigue       anxiety 
nervousness 
tremulousness 
profuse sweat
fast heartbeat 
impaired vision 
headache 
irritability

Question 3

Define severe hypoglycaemia?

Answer 3

Hypoglycaemia that leads to seizures, unconsciousness or the need for external assistance

Question 4

What is the immediate treatemnt for hypoglycaemia?

Answer 4

Consume 15-20g glucose or simple carbohydrates
recheck BG at 15 mins - if hypo repeat
Once returned to nromal, eat a small snack if next planned meal/snack is >1 hour away

Question 5

Give examples of 15-20g of carbohygrate that could be used?

Answer 5

Glucose tablets
Gel tube (Glucogel)
1/2 cup regular coca-cola

Question 6

How is severe hypoglycaemia treated?

Answer 6

Glucagon 1mg injection into buttock/ arm or thigh

Question 7

What is impaired hypoglycaemia awareness?

Answer 7

When hypoglycaemia occurs (4.0-3.5mmol/l) and individual feels no change in symptoms

Question 8

How can hypoglycaemia be avoided?

Answer 8

Exclude contributing conditions
Educaional review
Insulin management
Frequent lgucose monitoring
Structured education programme (TIM/ DAFNE)
Continous glucose monitoring if available