Categories:

Glucose below 4mmols

Step 1

Give hypo treatment as per table and

wait 15 minutes.

If your glucose reaches 4mmol before 15mins

Step 2

If Glucose above 4mmol

Eat a follow-on snack containing about 10g of carbohydrate (eg, a plain biscuit) unless you are due to eat a meal within the next 30 minutes.

If you are eating within 30 minutes, no additional snack is needed. Give insulin as usual, bolusing no more than 5–10 minutes before eating

If Glucose still below 4mmol

Check with finger prick to confirm

Return to step 1

  • If your sensor shows hypoglycaemia but you have no symptoms, check with a finger prick before treatment
  • Sit down and relax while waiting 15 minutes

In the event the child is unconscious do not put anything in the child’s mouth. Put child in recovery position and call for an ambulance.

Give Glucagon injection if you are trained to do so

Glucagon Dose:

  • Over 25kg 1mg full dose
  • Under 25kg 0.5 mg half dose  
Treatment  All treatments listed below are gluten free Carbs Pre school Infant school Junior School  Secondary school
3g 5g 10g 15g
Lift Chews 

Lift Chews.png

4 g per chew Not suitable 1 chew 2 chews 3-4 chews
Dextro energy Dextro energy.png 3 g per tablet  1 tablet    1and half tablets   3 tablets 5 tabs
Lift Juice  Lift Juice.png 15 g per bottle

 12ml    20ml    

20ml 40ml   1 bottle
Lucozade sport Lucozade sport.png 6.5g per 100ml 50ml   75ml 150ml  230ml
Glucogel Glucogel.png

10g per tube

a third of a tube        half a tube 1 tube 1 and half tubes
  • Treatment of hypoglycaemia should bring your glucose between 4 and 7mmol. 
  • If your glucose is too high after treatment consider reducing dose next treatment.
  • If you are experiencing frequent hypoglycaemia please contact your diabetes team for review.

Hypo treatments can be prescribed by your GP.
Try and brush your teeth after hypo treatment and see your dentist regularly to maintain good oral health. 

Contact us

If you have any queries relating to this information, please contact the Paediatrics service.

About this information

Service:
Paediatrics

Reference:
P/112

Approval date:
1 May 2026

Review date:
1 May 2029

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Important note 

This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.