Hypoglycemia (severe)
- Give rapid glucose immediately
- IV dextrose if access; glucagon if not
- Recheck glucose and feed longer-acting carbohydrate
- Sulfonylurea toxicity → add octreotide
- Long-acting insulin may require prolonged observation
- Identify medication, renal + nutrition cause
Use at a glance
- Give rapid glucose immediately
Treatment options
- Long-acting insulin may require prolonged observation
Choosing treatment
- IV dextrose if access; glucagon if not
- Identify medication, renal + nutrition cause
Practical pearls
- Recheck glucose and feed longer-acting carbohydrate
- Sulfonylurea toxicity → add octreotide
Self-check
- What is given promptly for severe hypoglycemia?
Rapid glucose. - What may long-acting insulin require after severe hypoglycemia?
Prolonged observation.
Drugs used for this (1)
All clinical uses · Open Hypoglycemia (severe) in the interactive console ↗