Leicestershire Health Community
Medicines Formulary
 
back
6 Endocrine system
06-01-04 Treatment of hypoglycaemia

Glucose oral
First Choice

Use in conscious patients who are able to swallow. Medicinal glucose in water, tablets (Dextro Energy) or liquid (Glucojuice) are suitable. If available fruit juice is also recommended as firstline treatment.


Green View adult BNF  View SPC online
Glucose IV
First Choice
For use in unconscious patients. Give up to 75ml glucose 20% intravenously into a large vein. Avoid extravasation as this is hypertonic and irritant to veins (larger volumes of less concentrated glucose solution may be a safer alternative).

Green View adult BNF  View SPC online
Glucagon (SC/IM/IV)
First Choice
Alternative to glucose in an unconscious patient, particularly where the intravenous route is not available. Sometimes issued to patients' relatives for emergency use at home.

Green View adult BNF  View SPC online
Dextrogel® (oral)
Second Choice
Use if unable to use other forms of oral glucose. Squeeze into the side of the mouth and massage the cheek. Glucose is absorbed from the buccal mucosa. Prescribable by GPs on FP10. Do not use in an unconscious patient as aspiration may occur, with serious consequences. Issued to relatives of patients with a history of serious hypoglycaemia and those who have 'hypoglycaemia unawareness'.

Green View adult BNF  View SPC online