All patients presenting with a blood glucose level (BGL) ≥11.1 mmol/L should have blood ketones tested on a capillary sample using a bedside Optium TM meter. If this test is positive (>0.6 mmol/L), assess for acidosis to determine further management, see Diabetic Ketoacidosis (DKA).

BGL should return to the normal range within 10-15 mins and remain so for 1 hour. Ideally, the child should start to feed and BGL should be rechecked within 30 mins. For emergency advice and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650.

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BSL, ketones (if BSL <4 mmol/L or >11 mmol/L): most well children with isolated vomiting do not require any other investigations. If you are unsure consult with a senior clinician. If BGL less than 2.6 mmol/L (<1.5 mmol/L in newborns), treat with 2 mL/kg of glucose 10%.

40% glucose oral (buccal) gel is the first-line treatment for hypoglycaemia in well infants ≥ 34 weeks’ gestation. An episode of hypoglycaemia should last no longer than two hours without medical evaluation. There is no need to measure BSL in well, term infants with no risk factors or clinical signs of hypoglycaemia.

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Diagnosing hyperglycaemia in primary care is simple and inexpensive with a simple finger prick glucose test. A random blood glucose result greater than or equal to 11 mmol/L is highly suggestive of type 1 diabetes in children under the age …

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Blood glucose level (BGL): Blood glucose measurement from a bedside glucometer, which is less accurate at low readings. Most neonates with hypoglycaemia are initially asymptomatic, and therefore, early detection of hypoglycaemia is based on surveillance of neonates who have risk factors for hypoglycaemia.

2022年10月13日 · It includes new key points, background, assessment and management sections. There is additional detail on assessment and management of central versus nephrogenic causes of diabetes insipidus, as well as the inclusion of a new table to help differentiate causes. The key points for the CPG are.