Treat and refer CPG hypoglycemia

Question 1

who is this CPG intended for?

Answer 1

Adult paitents with diagnosed diabetes who have fully recovered from an episode of hypoglycemia

Question 2

what can cause/trigger a hypoglycemia epsidoe?

Answer 2

missed meal, strenuopus exercise, or poorly controlled diabetes

Question 3

why do oral hypoglycemicsa cause hypoglycemia in some paitents?

Answer 3

they have a long duration of action- there is a risk to leave these paitents at home

Question 4

what should be done with people who have OD on their medications and why?

Answer 4

transported to hopsital as they need an investigation into why it happened

Question 5

what other serious conditions can trigger hypoglycemia?

Answer 5

drug/alcohol use, liver or endocrine diseas,, turmor or malnurishment

Question 6

what should be given to the paitent after resotring their glucose levels?

Answer 6

a longer acting carbohydrate such as a sandwhich, dried fruit or yoghurt

Question 7

what are some approriate sources of glucose in hypoglycemic episode?

Answer 7

6-7 jelly beans, 1 tablespoon honey, 200ml fruit juice, 150-200ml soft drink, 20g glucose paste

Question 8

what should we tell the paitent to do within 24 hours?

Answer 8

advise their usual diabetes provider about their episode particularly if they are becoming more frequent

Question 9

what is include in the stop box where we cant proceed?

Answer 9

incomplete recovory
risk of prolonged or recurrent hypoglycemia - unwtnessed onset, paitent on oral hypoglycemias, unable to eat further carbs, unable to be monitored for 4 hours
- no diagnosis of diabtes
suspected cause needing investgation
injury or seizure
pregnancy

Question 10

• provide with informatrion sheet

refer pt to diabetes primary care provider withing 24 hpurs

Question 11

what needs to be done prior to departing the scene?

Answer 11

confirm BGL > 4 and remains normal after at least 10 minutes
remove cannula
confirm pt / carer understands the advice