A clinical condition due to reduced levels of blood sugar (glucose).
Overdose of insulin or anti-diabetic drugs
Excessive alcohol intake
Operations to reduce the size of the stomach (gastrectomy)
Tumours of the pancreas (insulinomas)
Certain drugs, eg. quinine
Hormone deficiencies (cortisol, growth hormone)
Loss of consciousness
Other causes of loss of consciousness
- to exclude other causes of hypoglycemia
Oral glucose or sugar (before coma sets in) 10-20g in 200mL water (2-4 teaspoons) is usually taken initially and repeated after 15 minutes if necessary or if patient is unconcious, glucose 50% 2050mL IV, followed by 10 % dextrose solution by drip at 5-10 mg /kg/min until patient regains conciousness, then encourage oral sugary drinks. HC3
Where possible, treat the cause of the hypoglycemia.
Educate patients at risk of hypoglycaemia e.g. Diabetics, patients who have had a gastrectomy, on recognition of symptoms of hypoglycemia.
Advise patients at risk to have regular meals and always to have glucose or sugar with them for emergency treatment of hypoglycaemia.