Hypoglycaemia 2
The treatment of hypoglycaemia is with glucose.
The guidelines suggest:
- Children should always have access to blood glucose testing equipment and an immediate source of carbohydrate eg. Lucozade, fruit juice (jelly babies are advised in some centres but as this involves chewing, RACH diabetes staff do not recommend this to families)
- If the child is awake and aware:
- give 10-15g immediate acting carbohydrate by mouth (e.g. 100ml Lucozade)
- Recheck blood glucose within 15mins
- follow up with additional complex carbohydrate to maintain normoglycaemia
- If child is uncooperative but conscious:
- Give Glucogel or Dextrogel into buccal cavity
- If the child has a decreased conscious level or is fitting:
- IM glucagon otherwise (parents and carers can be trained in the administration of glucagon)
- IV 10% glucose if in hospital and IV access available
