6.1.4 Treatment of hypoglycaemia

Guidelines for the management of hypoglycaemia for adults

For NDDH see hospital Intranet (BOB) "Guidelines for the management of Hypoglycaemia in inpatient adults".

Please refer to the BNF for paediatric management.

Conscious patient

  • Initially 10-20g glucose by mouth (if necessary repeated at 10-15 minutes)
    • Glucose tablets = 3 tablets
    • Granulated sugar = 2 teaspoons
    • Sugar lumps = 3 lumps
    • Milk = 200ml
    • Glucose drink = 50-55ml
    • Cola drink (not diet) =90ml
  • Use only glucose/dextrose if patient taking acarbose
Glucagon
  • Injection 1mg vial with prefilled syringe (£11.52)

Indications

  • Acute hypoglycaemia

Dose

  • Adult and child over 8 years (or body-weight over 25 kg), 1mg; child under 8 years (or body-weight under 25 kg), 500 micrograms; if no response within 10 minutes intravenous glucose must be given

Notes

  1. The GlucaGen HypoKit® should be stored at a temperature of 2-8°C. The user can store GlucaGen HypoKit® at a temperature not exceeding 25°C for 18 months provided that the expiry date is not exceeded (as per manufacturer's SPC).
GlucoGel
  • Oral glucose gel, 3x25g tubes (10g glucose) (£7.16)
  • Oral glucose gel, 1x80g bottle (32g glucose) (£6.84)

Notes

  1. May be a useful treatment to be administered by family or carers. It is only appropriate if a patient's carer could not manage to administer a glucagon injection.

 

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