Hypoglycaemia

Question 1

define hypo?

Answer 1

glucose <3
(<2.6 kids)
(<4 hospital)

Question 2

causes of hypos?

Answer 2

diabetes Tx
alcohol, infection, ↑insulin + ↑activity, ↓food
Addisons
insulinomas
AI hypoglycaemia

Question 3

Sx hypos?

Answer 3

autonomic: shakes, palpy, nervous, hungry
neuroglycopenia: tingling, numb, fatigues, drowsy, coma, seizures

(or Asx)

Question 4

Tx hypos?

Answer 4

ALERT: eat/drink 10-20g glucose (then carbs when >4)

CONFUSED but can SWALLOW: 2 tubes GlucoGel

UNCONSCIOUS: IV glucose (20:100ml or 10:200ml)

(glucagon 1mg IM/SC if access difficult or at home)

recheck after 15 mins

Question 5

when is IM glucagon inaffective?

Answer 5

ALD
cirrhosis
young/anorexic patients (with no stores in liver)