Cold Sweat Series 2: Hypoglycemia

Consuming too much sugar is not good but having inadequate sugar from too stringent control is indeed harmful.

How do we define hypoglycemia?
Either one of the below:
  1. Low plasma glucose level (<4.0mmol/L)
  2. Development of autonomic/neuroglycopenic symptoms in patients treated with insulin or oral anti-hyperglycemic agents, which are REVERSED by caloric intake
So how does hypoglycemia affect your body?


Can the patient tolerate orally?
If yes, ask patient to drink sweet drinks or to take his/her meal and to check again after 15mins

IF not, to immediately give IV 50cc 50% dextrose and to repeat every 10-15 mins until mental function recovers or glucose level normalize followed by infusion of D5-10%. Continue with D10% infusion for pt who had overdose of long-acting insulin or OHA for 24-48 hours

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