Symptoms Severe Hypoglycemia | Medical Algorithm

Evaluation

Are you evaluating a patient with diabetes?

Yes

Does the patient have symptoms consistent with hypoglycemia?

Yes

Has the patient required assistance from another person while symptomatic?

Yes

Has the patient had prompt reversal of symptoms after being given glucagon, IV glucose or oral carbohydrate?

Yes

Plasma-referenced glucose during the episode

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of criteria for severe hypoglycemia identified

Does the patient meet the criteria for severe hypoglycemia?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Drugs Capable of Causing Hypoglycemia
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus
Criteria For Diagnosis
Severity, Prognosis, Stage
- Indian Diabetes Risk Score (IDRS)
Complications
Failure Handling, When To Refer
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus

Therapy

Options
- Diabetes Mellitus | Guidelines for Hospital Admission
- Recommendations for Managing a Diabetic in the Hospital
Selection
Drug Interactions
- Drugs Capable of Causing Hypoglycemia
Dosage Calculations
- Glycemic Penalty Index (GPI)
Dosage Adjustments
Administration
Failure Handling And Therapy Escalation
- Troubleshooting Diabetic Patient with Persistently High Hemoglobin A1c
- Patient Management | Type 2 Diabetes Poorly Controlled | Single Oral Hypoglycemic Agent
Prevention

Monitoring

Response To Therapy
- Diabetes Mellitus Performance Measures for Evaluating Outpatient Management
Adverse Effects
Overdose And Reversal
- Prolonged Hypoglycemia | Use of Sulfonylurea and Its Treatment with Octreotide
Disease Progression
Complication Detection
- Risk Factors for Failing to Recognize Hypoglycemia in a Diabetic
- Screening Patients for Drug-Induced Hyperglycemia

Patient Concerns

Travel
- Glycemic Penalty Index (GPI)

Specialty

Endocrinology
Clinical Laboratory

Objective

criteria for diagnosis

ICD-10

E16.2 - Hypoglycaemia, unspecified
E11.8 - Non-insulin-dependent diabetes mellitus with unspecified complications
E11.9 - Non-insulin-dependent diabetes mellitus without complications

Criteria for Severe Hypoglycemia

Purpose: To determine if a diabetic is experiencing an episode of severe hypoglycemia based on the criteria of Riddle et al.