UNCONTROLLED WHEN PRINTED
Introduction
  • Rapidly absorbed from oral/buccal mucosa to increase blood glucose concentration.
  • Onset 2-5 minutes, duration 12-25 minutes.

Pharmacology Review

Indications

Demonstrated hypoglycaemia in:

  • Altered conscious state in a known Diabetic.
  • Altered conscious state of unknown medical cause, where blood glucose level is below 4mmol/L.
Contraindications
  • Nil
Precautions / Notes
  • Have patient's airway patent and in lateral position if unconscious.
  • Always consider patient’s airway when administering gel.
  • Even if fully recovered, patients should be encouraged to be transported to a medical facility to ensure effective follow up and review.
  • Will liquefy over 30°C, however it is still useable.
Management

Adult:

  • Squeeze contents of tube (or as much as practical) into lower cheek pouch over gums/cheek and externally massage cheek.
  • Repeat after 10 minutes if still altered consciousness or deteriorating.

Child:

  • Administer small amounts of oral glucose gel into lower cheek pouch over gums/cheek and externally massage cheek.
  • Repeat after 10 minutes if still altered consciousness or deteriorating.
  • Do not delay transport.

Neonate/Infant:

  • Process for buccal administration of oral glucose gel:
    • Wearing a clean glove, gently dry the infant's buccal mucosa with gauze/pad.
    • Place a small amount of oral glucose gel onto gloved finger and gently massage into the infants buccal mucosa.
    • DO NOT administer the gel directly from the tube into the infants mouth.
    • Use only a portion of the tube, titrate to effect.
  • Repeat as necessary after 10 minutes if still altered consciousness or deteriorating.
  • Do not delay transport.
Special Considerations
  • Airway obstruction

References
References
Presentation
15g glucose gel in tube
Glucogel
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