Blood Glucose Falls Flow Chart When Blood Glucose falls
Hypoglycaemia results from an imbalance between glucose supply glucose utilisation and current insulin levels Hypoglycaemia should be excluded in any person with diabetes who is acutely unwell drowsy unconscious unable to co operate presenting with aggressive behaviour or Hypoglycaemia is the most acute diabetic emergency requiring immediate treatment It is defined as capillary or venous blood glucose below 4 mmols This guidance relates to the care of all patients over the age of 16 in Worcestershire Acute Hospitals NHS Trust Give 2 x 100mls orange juice via enteral tube
Blood Glucose Falls Flow Chart
Blood Glucose Falls Flow Chart
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Blood Glucose Log In Word And Pdf Formats
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Indications Blood glucose BG less than 4 0mmol L irrespective of symptoms Adults including diabetes in pregnancy on insulin and or sulfonylurea as per protocol below Hypoglycaemia in a person with Diabetes Mellitus is defined as a blood glucose level less than 4mmols l Diabetes UK 2012 It can be defined as mild if the episode is self treated or severe of if assistance is required by a third party Diabetes Control and Complications Trial DCCT 1993
Administer Glucagen Glucagen should work within 10 15 mins Monitor blood glucose 2 hourly for next 24 hours Contact your diabetes team Follow the flow chart below if a child young person with Diabetes appears to have any of these signs OR if they are have a reading below 4mmols at a mealtime blood glucose check without these symptoms
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Hypoglycaemia is defined as a blood glucose level that is lower than normal For adult hospital inpatients a blood glucose level of less than 4 0 mmol L should be treated Add 10 glucose 125ml hr if blood glucose falls below 14 momol L Reassess cardiovascular status at 12 hours further fluid may be required Check for fluid overload Action 2 Review biochemical and metabolic parameters At 6 hours check venous pH bicarbonate potassium capillary ketones and glucose
Venous blood gas for pH bicarbonate and potassium at 60 minutes 2 hours and 2 Hourly blood ketones if meter available Hourly blood glucose lab blood glucose if meter reading HI Action 1 Re assess patient monitor vital signs Avoid hypoglycaemia Maintain serum potassium in normal range hourly thereafter Indications Blood glucose BG less than 6 0mmol L OR below the resident s BG target range irrespective of symptoms see Leecare Diabetes Management Plan or Resident s Care Plan Residents with diabetes at risk of hypoglycaemia e g prescribed insulin and or sulfonylurea
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When Blood Glucose falls
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Hypoglycaemia results from an imbalance between glucose supply glucose utilisation and current insulin levels Hypoglycaemia should be excluded in any person with diabetes who is acutely unwell drowsy unconscious unable to co operate presenting with aggressive behaviour or
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Blood Glucose Falls Flow Chart - Indications Blood glucose BG less than 4 0mmol L irrespective of symptoms Adults including diabetes in pregnancy on insulin and or sulfonylurea as per protocol below
