Dietary treatment of hypoglycaemia: should the Australian recommendation be increased?
Australian recommendations for treatment of hypoglycaemia are 15 g of carbohydrate repeated at 10-15 min if hypoglycaemia persists. Cited evidence is expert opinion or older studies not pertinent to current insulin regimens. This study aimed to determine the effect of increasing initial treating carbohydrate and decreasing wait-time to retreatment on resolution of hypoglycaemia in 92 free-living adults on current insulin regimens. The results support an initial treatment of 20-g carbohydrate, with a 10-min wait to repeat treatment as an optimal recommendation for the insulin-treated individual self-treating hypoglycaemia.
Department of Endocrinology and Diabetes, Royal Perth Hospital, Perth, Western Australia, Australia. sally.vindedzis@health.wa.gov.au
S
S
Vindedzis
B
B
Marsh
J
J
Sherriff
S
S
Dhaliwal
K
K
Stanton
D000328:Adult; D000368:Aged; D001315:Australia / Q000453:epidemiology; D004040:Dietary Carbohydrates / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000178:diet therapy* / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic / Q000592:standards*; D016896:Treatment Outcome
D004040:Dietary Carbohydrates