MILD HYPOGLYCAEMIA 

1. Assess Capillary blood Glucose (BM) as part of your A-E assessment of the patient and manage ABC as appropriate 

2. The patient is conscious, orientated and able to swallow 

3. Blood Glucose is lower than 4.0 mmoL/L

4. Encourage oral glucose and give the patient 15-20g of quick-acting carbohydrates such as 3-4 heaped teaspoons of sugar dissolved in water, 150-200mL of fruit juice or suitable alternatives

5. Monitor the patient and assess for signs of deterioration and escalate where clinically appropriate to the CAT/CFR desk 

6. Re-check the patient's blood glucose at around 10-15 minutes, either retreat with more glucose or follow post hypoglycemia care bundle 

MODERATE TO SEVERE HYPOGLYCAEMIA - Escalate for time-critical backup where needed 

1. Assess Capillary blood Glucose (BM) as part of your A-E assessment of the patient & Manage ABC as appropriate

2. The patient is unconscious or not orientated/confused AND unable to tolerate oral glucose

3. Blood Glucose is lower than 4.0 mmoL/L

4. Administer the patient's own Glucagon (Hypostop kit) as per guidelines and training

5. Monitor the patient and assess for signs of deterioration and escalate where clinically appropriate

6. Re-check the patient's blood glucose at around 10-15 minutes, either retreat with more glucose or follow post hypoglycemia care bundle 

POST HYPOGLYCAEMIA CARE

1. Blood Glucose levels should now be above 4 mmol/L 

2. Give a starchy snack (e.g. a few slices of toast, a few biscuits or a carbohydrate-containing meal )

3. Update CAT/CFR desk as needed 

NB patients who have received IM Glucagon may need substantially larger portions post hypoglycaemic episode