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201705121

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100

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Adult Hypoglycemia Algorithm

Adult Hypoglycemia Algorithm - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Diabetes and Endocrinology, Related


Adult Hypoglycemia Treatment Algorithm
Patients
with
G-tubes
If
B
lo
od
G
lu
co
se

is
b
et
we
e
n


40
a
n
d
6
9
mg
/d
L








If
B
lo
od
G
lu
co
se

is

le
ss
t
ha
n
40
m
g/
dL










30 grams of carbohydrate =
6 to 8 oz. of juice or
8 glucose tablets
If patient has a G-tube being used for enteral nutrition and patient is conscious, 4-8 oz. juice may be used for initial treatment. If glucose is
less than 70 mg/dL after initial treatment, dextrose 50% or glucagon should be used as indicated below.
Other types of tubes (i.e., NG, Dobhoff, J-tubes) should not be used for hypoglycemia treatment.
15 grams of carbohydrate =
3 to 4 oz. of juice or
4 glucose tablets
Recheck glucose
within 1 hour to
ensure glucose
remains greater than
or equal to 70 mg/dL
Consider rechecking
glucose within1 hour to
ensure glucose remains
greater than or equal to
70 mg/dL
Last updated: 2/23/2017 | Last reviewed: 01/2017
Questions? Contact Diabetes Quality Committee
For revisions, contact Center for Clinical Knowledge Management (CCKM)
Reference: Association AD. Professional Practice Committee for the Standards of Medical Care in
Diabetes-2017. Diabetes Care. Jan 2017;40 Suppl 1:S1-135.