Glucose — severe hypoglycaemia

Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.

Glucose — severe hypoglycaemiaEMERGENCY KITEndocrine Metabolic

Regimens checked: 2026-10-17. Each indication has its own preparation, limits and safety checks.

Glucose — severe hypoglycaemia: indication-specific regimens
Indication	Dose	Route	Frequency	Duration / preparation	Maximum	Monitoring / cautions
Impaired consciousness or unsafe swallowing; never give oral fluid to an unconscious patient JBDS-IP / ABCD / Diabetes UKchecked	20 g glucose: 200 mL of 10% OR 100 mL of 20% solution	IV infusion	Give over 10–15 min; recheck glucose at 10 min and repeat if still <4 mmol/L with reassessment	Acute rescue followed by longer-acting carbohydrate when awake and safe to swallow, or prescribed ongoing infusion · 10% =100 mg/mL; 200 mL =20 g. 20% =200 mg/mL; 100 mL =20 g. Check IV patency and use a limited volume so a whole large bag cannot infuse accidentally	Reassess after each 20 g treatment; recurrent/prolonged hypoglycaemia needs monitored ongoing treatment	Monitor Glucose 10 min after treatment, then serially until stable; consciousness, swallow and IV site Identify missed food, insulin excess, renal failure or infection; do not omit basal insulin in type 1 diabetes Contraindications / cautions Do not give oral sugar when swallowing is unsafe; hypertonic glucose extravasation can injure tissue

Pregnancy safety

Treat severe hypoglycaemia promptly during pregnancy.

Lactation

Acute maternal stabilisation takes priority; review ongoing treatment and infant exposure with the linked source and specialist team.