6.1.4 Treatment of hypoglycaemia
Acute hypoglycaemia is treated by the immediate administration of glucose.
Refer to the Grampian Guidelines for the Management of Diabetes for further details on treatment [link, Full guidance, Website].
Preparations used include:
- Dextrose tablets
- Glucose 40% oral gel
- Glucagon (injection kit)
- Glucose intravenous (10%, 20%, 50%).
Diazoxide (50mg tablets) is used in the management of patients, with chronic hypoglycaemia from endogenous insulin secretion. It has no place in the management of acute hypoglycaemia.
PAEDIATRIC NOTES - TREATMENT OF HYPOGLYCAEMIA
Lucozade, other sugary drinks, and a variety of glucose tablets are readily available oral treatments for moderate hypoglycaemia.
For moderate to severe hypoglycaemia, when liquid may cause choking, glucose 40% oral gel, may be rapidly effective and preclude the need for glucagon or intravenous glucose.
Glucagon may be used in the hypoglycaemic child and neonate. Note half dose (500micrograms) of Glucagon in children less than 25kg.
Glucose 10% infusion is is used to treat severely hypoglycaemic children as per APLS instructions.
A combination of diazoxide and chlorothiazide is used in the management of chronic hypoglycaemia due to excessive insulin secretion.
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