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Hypoglycaemia Flowchart

This flowchart provides guidance on treating hypoglycemia in diabetic and non-diabetic patients. For conscious diabetic patients, it recommends a trial of oral carbohydrates such as soft drinks or sugar. If oral intake is not possible or the glucose level remains low, IV glucose or glucagon injection are options. It also differentiates treatment based on patient age, weight, and ability to tolerate oral intake. Follow-up testing is recommended within 15-20 minutes to check the glucose level.

Uploaded by

Mohammad Sultan
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
314 views

Hypoglycaemia Flowchart

This flowchart provides guidance on treating hypoglycemia in diabetic and non-diabetic patients. For conscious diabetic patients, it recommends a trial of oral carbohydrates such as soft drinks or sugar. If oral intake is not possible or the glucose level remains low, IV glucose or glucagon injection are options. It also differentiates treatment based on patient age, weight, and ability to tolerate oral intake. Follow-up testing is recommended within 15-20 minutes to check the glucose level.

Uploaded by

Mohammad Sultan
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Hypoglycemia confirmed

Diabetes Yes

No
See Flowchart
for diabetic
Take Critical blood
patients
samples if possible
(6ml of blood)

Patient is
Yes conscious, able to No
tolerate oral
intake
IV access
available /easy
Trial of oral
to get
carbohydrates

Yes No

Examples
Begin with:
Give IV bolus Give Glucagon IM
• 125-200 ml ordinary soft drink or
of 2-5 ml/kg < 25 kg or < 8 y/o
diluted cordial
of 10% Dext give ½ vial (0.5
or
(rate: 2-3 Unit)
• 2-3 teaspoons of sugar.
ml/min) > 25 kg or > 8 y/o
give full vial (1
Follow up within 15-20 mins (equivalent
Unit)
to 15 gm carbohydrate or 1 exchange):
• 1 slice of bread.
or
• 1 banana or apple.
or
• 1 glass of milk (300 ml).
Glucose still < 2.6
mmol/L in 15 – 20
mins or not
Glucose still < 2.6 recovery of
mmol/L in 15 – 20 mental status
mins

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