Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Immediate stabilization
Airway protection triggers
GCS < 8
Refractory seizures
Persistent vomiting with aspiration risk
Breathing targets
SpO2 94% to 98%
End-tidal CO2 monitoring if intubated
Circulation priorities
Cardiac monitor
IV access x 1 to 2
If shock, large bore IV x 2
Point-of-care glucose
Altered mental status
Seizure
Syncope
Focal neurologic deficit mimic
Diaphoresis and tremor
Temperature
Hypothermia as contributor
Sepsis consideration if febrile or hypothermic
Bedside decision points
Time-critical decisions
If severe symptoms, treat before full workup
Seizure
Coma
Hemodynamic instability
If no IV access, glucagon pathway
IM glucagon option
IN glucagon option
If on sulfonylurea, octreotide pathway
Rebound risk after dextrose
Prolonged monitoring need
If alcohol use or malnutrition, thiamine adjunct
Wernicke risk context
Coexisting hypoglycemia triggers evaluation
Monitoring and targets
Monitoring plan
Recheck glucose frequency
Every 5 to 15 minutes until stable
Every 30 to 60 minutes after stabilization
Target glucose range after treatment
5.0 to 10.0 mmol/L
Avoid overshoot above 11.1 mmol/L in most cases
Recurrent episode triggers
Repeat neuroglycopenic symptoms
Falling trend despite carbohydrates
Long-acting insulin or secretagogue exposure
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.