Hypoglycemia Management — free guideline decision tool
This tool guides hypoglycemia treatment by consciousness/swallowing status and IV access, applying oral fast-acting carbohydrate for awake patients and glucagon or IV glucose for severe cases.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Consciousness/swallowing status | Awake, able to swallow |
|---|---|
| IV access (when unable to swallow) | Has IV access |
→DispositionOral fast-acting carbohydrate
- Oral fast-acting carbohydrate：Awake and able to swallow: fast-acting carbohydrate [pending update], recheck fingerstick glucose shortly after
- Repeat：Still < 70 mg/dL (3.9 mmol/L) → give more and recheck, repeat until glucose recovers (inpatient target > 80 mg/dL)
- Consolidate：After recovery, eat a small meal with protein + complex carbohydrate to prevent recurrence
| Consciousness/swallowing status | Impaired consciousness/coma/unable to swallow |
|---|---|
| IV access (when unable to swallow) | No IV access |
→DispositionGlucagon IM/SC
- No oral intake (aspiration risk)：Impaired consciousness/coma/unable to swallow: do not feed food or liquids (aspiration risk)
- With IV access：If IV access can be established: glucose IV push [pending update]
- No IV access：Glucagon IM/SC (or nasal spray) [pending update]; may repeat once if not recovered; call emergency services
Common questions
What is Hypoglycemia Management?
This tool guides hypoglycemia treatment by consciousness/swallowing status and IV access, applying oral fast-acting carbohydrate for awake patients and glucagon or IV glucose for severe cases.
How is Hypoglycemia Management calculated? What is the core formula?
Awake/swallowing → fast carbohydrate [pending update], repeat until > 70 mg/dL, then a protein-containing meal. Impaired → no oral intake; IV access → D50; no access → glucagon IM/SC (or nasal).
When is Hypoglycemia Management used?
Use at the bedside to choose route and agent: oral fast-acting carbohydrate when awake and swallowing, IV dextrose when access exists, and glucagon when it does not.
What are the key clinical points for Hypoglycemia Management?
Patients with impaired consciousness must not be fed food or liquids because of aspiration risk — use IV dextrose or glucagon instead. (original synthesis · not guideline verbatim) After recovery, a small meal with protein and complex carbohydrate prevents rebound hypoglycemia, and precipitants should be corrected. Hypoglycemia tends to recur, so monitoring is intensified and the glucose-lowering regimen reviewed.
What are the limits and cautions when using Hypoglycemia Management?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Hypoglycemia Management upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Hypoglycemia Management calculated in practice? Can you show a worked example?
Inputs: Consciousness/swallowing status Awake, able to swallow, IV access (when unable to swallow) Has IV access → Result: Disposition Oral fast-acting carbohydrate（Oral fast-acting carbohydrate: Awake and able to swallow: fast-acting carbohydrate [pending update], recheck fingerstick glucose shortly after, Repeat: Still < 70 mg/dL (3.9 mmol/L) → give more and recheck, repeat until glucose recovers (inpatient target > 80 mg/dL), Consolidate: After recovery, eat a small meal with protein + complex carbohydrate to prevent recurrence） Inputs: Consciousness/swallowing status Impaired consciousness/coma/unable to swallow, IV access (when unable to swallow) No IV access → Result: Disposition Glucagon IM/SC（No oral intake (aspiration risk): Impaired consciousness/coma/unable to swallow: do not feed food or liquids (aspiration risk), With IV access: If IV access can be established: glucose IV push [pending update], No IV access: Glucagon IM/SC (or nasal spray) [pending update]; may repeat once if not recovered; call emergency services）
Run Hypoglycemia Management now
This tool guides hypoglycemia treatment by consciousness/swallowing status and IV access, applying oral fast-acting carbohydrate for awake patients and glucagon or IV glucose for severe cases.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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