Aliases
Diabetic coma, insulin shock
Patient Care Goals
- Limit morbidity from hypoglycemia by:
- Describing appropriate use of glucose monitoring
- Treating symptomatic hypoglycemia
Patient Presentation
Inclusion Criteria
- Adult or pediatric patient with blood glucose less than or equal to 60 mg/dL with symptoms of hypoglycemia
- Adult or pediatric patient with altered level of consciousness [see Altered Mental Status guideline]
- Adult or pediatric patient with stroke symptoms (e.g. hemiparesis, dysarthria) [see Suspected Stroke/Transient Ischemic Attack guideline]
- Adult or pediatric patient with seizure [see Seizures guideline]
- Adult or pediatric patient with history of diabetes and other medical symptoms
- Pediatric patient with suspected alcohol ingestion
- Adult patient who appears to be intoxicated
Exclusion Criteria
Patient in cardiac arrest
Patient Management
Assessment
- Monitoring:
- Check blood glucose level
- Secondary survey pertinent to altered blood glucose level:
- Evaluate for presence of an automated external insulin delivery device (insulin pump)
- Constitutional: assess for tachycardia and hypotension
- Eyes: assess for sunken eyes from dehydration
- Nose /mouth/ears: assess for dry mucus membranes or tongue bite from seizure
- Neurologic:
- Assess GCS and mental status
- Assess for focal neurologic deficit: motor and sensory
Treatment and Interventions
- If altered level of consciousness or stroke, treat per Altered Mental Status or Suspected Stroke/Transient Ischemic Attack guidelines accordingly
- If blood glucose is 60 mg/dL or less, administer one of the following:
- Conscious patient with a patent airway:
- Glucose, oral (in form of glucose tablets, glucose gel, tube of cake icing, etc.)
- Adult Dosing: 15 g
- Pediatric Dosing: 1 g/kg, max of 15 g
- Glucose, oral (in form of glucose tablets, glucose gel, tube of cake icing, etc.)
- Unconscious patient, or patients who are unable to protect their own airway:
- Dextrose IV – administer in incremental doses until mental status improves
- Adult Dosing:
- 250 ml of 10% dextrose IVPB Wide Open or IVP
- Pediatric Dosing:
- 5 ml/kg of 10% dextrose IVP
- Adult Dosing:
- Glucagon IM/IN
- Adult dosing: 1 mg IM/IN
- Pediatric dosing:
- 1 mg IM/IN if 20 kg (or 5 yo)
- 0.5 mg IM/IN if less than 20 kg (or less than 5 yo)
- Remove or disable insulin pump if above treatments cannot be completed
- Dextrose IV – administer in incremental doses until mental status improves
- For patients with an insulin pump who are hypoglycemic with associated altered mental status (GCS <15):
- Stop the pump, disconnect or remove at insertion site if patient cannot ingest oral glucose or ALS is not available
- Leave the pump connected and running if able to ingest oral glucose or receive ALS interventions
- Conscious patient with a patent airway:
- Reassess patient
- Reassess vital signs, blood glucose level, and mental status
- If dextrose/glucagon does not achieve euglycemia (glucose 60 mg/dL) and normalization of mental status:
- Continue treatment of hypoglycemia as noted above
- It is acceptable to switch to oral glucose after giving IV dextrose
- Initiate transport to closest appropriate receiving facility for further treatment of refractory hypoglycemia
- Evaluate for alternative causes of altered mental status
- Continue treatment of hypoglycemia as noted above
- Disposition
- If hypoglycemia with continued symptoms, transport to closest appropriate receiving facility
- Hypoglycemic patients who have had a seizure should be transported to the hospital regardless of their mental status and response to therapy
- If symptoms of hypoglycemia resolve after treatment, release without transport should only be considered if all of the following are true:
- Repeat glucose is greater than 80 mg/dL
- Patient takes insulin and/or metformin ONLY to control diabetes
- Patient returns to normal mental status, with no focal neurologic signs/symptoms after receiving glucose/dextrose
- Patient can promptly obtain and will eat a carbohydrate meal
- Patient or legal guardian refuses transport and EMS providers agree transport not indicated
- A reliable adult will be staying with patient
- No major co-morbid symptoms exist, like chest pain, shortness of breath, seizures, intoxication
- A clear cause of the hypoglycemia is identified (e.g. missed meal)