• NICE NG28 Type 2 diabetes in adults: management
• NICE NG17 Type 1 diabetes in adults: diagnosis and management
• NG18 Diabetes (type 1 and type 2) in children and young people: diagnosis and management
• Medication for fertility treatment - guidance for primary care prescribers
• NHS Kernow updated guidance for prescribing of SGLT2 inhibitors May 2022
• Glucagon-like peptide-1 (GLP-1) analogue factsheet 2022
• Information for people with questions about the availability of the new medicine Wegovy® (semaglutide)
• Semaglutide (Ozempic) setting pre-set quantities in GP practice systems to prevent overprescribing
• Guidelines for Blood Glucose Monitoring in Adults 2024
  

Guidelines for the management of hypoglycaemia for adults where peripheral glucose < 4 mmol / L:

Please refer to the BNF for paediatric doses.

If conscious give 10 - 20 grams of oral glucose. Note that 10 grams of oral glucose is: 100 mL of fruit juice OR 55 mL of lucozade OR 90 mL of Coca Cola (not diet) OR 5 mL (to be diluted) of Ribena (original) OR 2 - 3 teaspoons of glucose powder, dissolved in a non milky drink OR 2 - 3 teaspoons of sugar, dissolved in a non milky drink.

If the patient is Nil By Mouth: Glucogel squeezed into the side of the mouth. Rubbing the cheek can aid absorption. Repeat peripheral blood glucose in 10 minutes and repeat treatment if peripheral glucose is < 4 mmol / L

If semi-conscious or comatose give i/v injection of 50 mL of 10% glucose. Give further i/v injection 50 mL of 10% glucose every minute until the glucose is > 4 mmol / L

OR give 1 mg of glucagon s/c or i/m.  Repeat peripheral blood glucose in 10 minutes and repeat glucagon administration if peripheral glucose is < 4 mmol / L.

Note that glucagon may be ineffective in episodes of hypoglycaemia precipitated by the ingestion of alcohol.