2,46 Mb - GuÃaSalud
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Appendix 4. Hypoglycaemia treatment<br />
Treatment for a conscious patient (mild/moderate) 1<br />
Conscious patient<br />
10-20 g fast absorption<br />
carbohydrates or pure<br />
glucose<br />
Fast absorption carbohydrates:<br />
• 1 glass of juice or sweetened<br />
drink or<br />
• 2 lumps of sugar or<br />
• 1 sachet of sugar or<br />
• 1 drinkable vial of Glucosmón<br />
50% or 2 tablets of pure<br />
glucose<br />
Improvement<br />
5 - 10 min<br />
10-20 g of fast absorption<br />
carbohydrates<br />
Treated with<br />
sulfonylureas<br />
Treated with<br />
insulin<br />
Give slow absorption<br />
carbohydrates after<br />
10 - 15 mins<br />
Additional supplement<br />
of slow absorption<br />
carbohydrates<br />
YES<br />
10-20 g fast absorption<br />
carbohydrates +<br />
slow absorption<br />
carbohydrates<br />
Improvement<br />
5 - 10 min<br />
NO<br />
Glucose 5-10 %<br />
HOSPITAL<br />
Glycemic profi le<br />
all day<br />
Adjust treatment during<br />
24 hours<br />
• Discontinue<br />
sulfonylureas<br />
• Reduce insulin<br />
1<br />
Does not require aid from a third person. In any case, assess the possible cause of hypoglycaemia (omit a meal,<br />
intercurrent processes, drug interactions, dosage error, etc.).<br />
Adapted from: Diabetes Mellitus tipo 2 en Atención Primaria. Guía de referencia rápida. Servicio Navarro de Salud-Osasunbidea.<br />
Dirección de Atención Primaria. 2006.<br />
142 CLINICAL PRACTICE GUIDELINES IN THE NHS
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