Management of Hypoglycaemia

Question 1

Pt w/ type I diabetes attended - struggling to contentrate and becomes shivery/ sweaty.Missed lunch. Dx?

Answer 1

Hypoglycaemia

Question 2

What is type I diabetes?

Answer 2

Chronic condition impairment of metabolism due to insufficient secretion of insulin.
Lack of insulin secretion

Question 3

What is type II diabetes?

Answer 3

Insulin resistance

Question 4

What are signs and symptoms of hypoglycaemia?

Answer 4

Sweating, pallor, increased HR, tremor, anxiety
Confusion, dizziness, drowsy, slurred speech
Headache and nausea

Question 5

How confirm dx in practice?

Answer 5

Finger-prick blood glucose
Hypoglycaemia if less 4mmol/ L

Question 6

Management of hypoglycaemia?

Answer 6

Glucose depending on level of conciousness
Oral glucose if concious
If altered consciousness - IM glucagon 1mg

Question 7

When call 999?

Answer 7

Any LOC
If pt has LOC after 10 mins IM should be given IV

Question 8

How manage diabetic pt in practice?

Answer 8

Give appt after mealtime
Ask prone to attack
Advise to avoid fasting