Treatment of hypoglycaemia

Estimate Blood Glucose levels by using glucometer or drawing blood sample for lab. tests.If blood glucose is low (< 54 mg/dl) or hypoglycaemia is suspected, immediately give the child a 50 ml bolus of 10% glucose or 10% sucrose (1 rounded teaspoon of sugar in 3½ tablespoons of water). Glucose is preferable because the body can use it more easily.

  • If the child can drink, give the 50 ml bolus orally.
  • If the child is alert but not drinking, give the 50 ml by nG tube.
  • If the child is lethargic, unconscious, or convulsing, give 5 ml/kg body weight of sterile 10% glucose by iV, Followed by 50 ml of 10% glucose or sucrose by nG tube.
  • If the IV dose cannot be given immediately, give the NG dose first. (* If the child will be given IV fluids for shock, there is no need to follow the 10% IV glucose with an NG bolus, as the child will continue to receive glucose in the IV fluids.)
  • Start feeding with ‘Starter diet’ half an hour after giving glucose and give it every half-hour during the first 2 hours. For a hypoglycaemic child, the amount to give every half-hour is ¼ of the 2-hourly amount (refer to Annexure T9 & 10 for calculation of the amount of feed).
  • Keep child warm (described in step-2) as hypoglycemia and hypothermia coexist.
  • Administer antibiotics as hypoglycaemia may be a feature of underlying infection
  • If blood glucose is normal (> 54mg/dl), start giving ‘Starter Diet’, 2 hourly. (Refer to Annexure 13 and 14 for calculation of the amount of feed).