Non-neonatal hypoglycemia (peds)

Revision as of 18:59, 25 March 2015 by Rossdonaldson1 (talk | contribs) (DDX)

Differential Diagnosis

  1. Ingestions (e.g. ETOH)
  2. Metabolic disease^
  3. Sepsis

^Save blood tubes before treatment


  • Glucose
    • Bolus D10W 2mL/kg; then infuse D10W @ 0.06-0.08mL/kg/min
  • Glucagon
    • Used for persistent hypoglycemia despite glucose administration
    • 0.03 mg/kg subq/IV
Age Tx Def
<2mo D10W (glu <40)
2mo-8yrs D25W (glu <60)
>8yrs D50W (glu <70)

Dose all = 2mL/kg IV (may use 4mL/kg for D10W) or use the Rule of 50 (5cc/kg for D10, 2cc/kg for D25, 1cc/kg for D50)

^recheck in all Q5min and repeat dose if low

See Also

Hypoglycemia (Neonatal)