Paediatric Diabetes Workbook

Diabetes

Hypoglycaemia

It is impossible to 'switch-off' the action of exogenous (artificial) insulin and so Diabetes patients on insulin are at increased risk of hypoglycaemia. Patients and their carers should all be aware of what hypoglycaemia is, what it looks/feels like and how to manage it prior to discharge from hospital.


Definition of Hypoglycaemia

  • In a person not taking glucose lowering medication such as insulin = blood glucose < 2.7 mmol/L
  • In diabetes patient on insulin = blood glucose <4 mmol/L

Treatment

  • Fast sugar

          E.g. 50ml (orange) lucozade; 100ml (non diet) coke; lucozade tablets; glucogel

  • Slow sugar

          E.g. Biscuit, small cereal bar, meal

Open Question

Newly diagnosed patients with diabetes require a significant amount of education prior to discharge, this includes how to check their blood sugar, how to give their insulin, how much insulin to give and how to recognise a 'hypo'.


If you were explaining hypoglycaemia to a child/parent, what would you tell them to look for?