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CONDUCT IN HYPOGLYCEMIA
       
           
               
 
If the Capillary Glycemia is between 50 mg/dl and 70 mg/dl
     
         
 
Anticipate the meal (lunch or dinner) or offer a snack (example: milk + sandwich w/cheese and margarine).
 
 
   
       
 
If the Capillary Glycemia is lower than 50 mg/dl
   
       
 
Conscious (awake)
   
       
 
Offer some sugary liquid with approximately 15 grams of CHO (1 tablespoon of sugar
   
 
dissolved in ½ glass of water, or ½ to 1glass of normal soda or fruit juice, or 1 tablespoon
   
 
of honey or 1 glucose sachet.
   
       
 
Repeat the test after 10/15 minutes. If glycemia is higher than 50 or the symptoms
   
 
improve, anticipate the next meal. If glycemia is lower or equal to 50 or symptoms show
   
 
no improvement, repeat the sugary liquid.
   
         
         
 
Unconscious (not responding, very sleepy)
     
         
 
Grab (1 or 2 tablespoons) of sugar or honey with a finger and rub it on the inside of the patient’s cheeks and gums or administer
 
 
½ to 1 ampoule of glucagon (Glucagen®) IM.
 
         
 
Repeat the test after 10/15 minutes. If glycemia is higher than 50 or the symptoms improve, anticipate the next meal. If glycemia is
 
 
lower or equal to 50 or symptoms show no improvement, repeat the sugary liquid.
 
         
 
Once the symptoms improve, it is ok to provide a meal.
     
         
 
If there is no improvement or if the patient has a convulsive crisis: seek emergency medical assistance.
 
         
 
Remember: Hypoglycemia demands immediate action!
 
               
 
 
 
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