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In this section : Ambulatory Emergency Care
Fast Atrial Fibrillation – ACP Anaemia (Management) – ACP Suspected NSTEMI – ACP Falls – ACP Clinical Suspicion PE – ACP Diarrhoea – ACP Suspected Meningitis – ACP Heart Failure – ACP Anaphylaxis – ACP The AMB Score – ACP Transient Loss of Consciousness (TLOC) – ACP Bell’s Palsy – ACP New Onset Type 1 Diabetes – ACP Paracentesis for Tense Ascites – ACP Idiopathic Intracranial Hypertension – ACP Hypoglycaemia – ACP Haematemesis – ACP Anaemia (Investigation) – ACP Suspected Seizure – ACP Headache – ACP Community Acquired Pneumonia – ACP
Home | Articles | Ambulatory Emergency Care | Hypoglycaemia – ACP

Hypoglycaemia – ACP

Last updated 13th April 2021

Common Causes of Hypoglycaemia

  1.  Inadequate food intake, missed meal
  2. Too much insulin, sulphonylurea
  3. Insulin/sulphonylurea at wrong time
  4. Increased physical activity
  5. Alcohol excess

Further Notes on Hypoglycaemia

  1.  DO NOT omit next dose of insulin, though dose reduction insulin/OHA may be necessary.
  2. Rebound hyperglycaemia will occur – do not treat
  3. Avoid 50% glucose if possible – can cause tissue necrosis is extravasates
  4. Do not use when oral hypoglycarmic agents have caused hypoglycaemia
  5. Glucagon may take up to 15 min to work, may be ineffective in severe liver disease or if undernourished
  6. Long acting sulphonylureas may cause prolonged hypoglycaemia and require dextrose infusion for 24 hours or more.
  7. Metformin does not cause hypoglycaemia

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