Pediatric Hypoglycemia Date Last Search Run: Aug 01, 2024 Table last updated: May 02, 2021 Data last added: Dec 09, 2015

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)				D50W Glucagon Oral Glucose
	2 (fair evidence exists)	Point of Care Blood Glucose Monitoring
	3 (weak evidence exists)

Interventions

D50W

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Glucagon

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Oral Glucose

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Point of Care Blood Glucose Monitoring

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
II	Supportive (Green)	Detection of hypoglycemia	Process	PH-Paramedic	Lavery RF., Allegra JR., Cody RP., Zacharias D., Schreck DM. A prospective evaluation of glucose reagent test strips in the prehospital setting. Am J Emerg Med 1991; 9(4):304-8. Medline
II	Supportive (Green)	Sensitivity and specificity	Process	ED-MD	Scott PA., Wolf LR., & Spadafora MP. Accuracy of reagent strips in detecting hypoglycemia in the emergency department. Ann Emerg Med 1998; 32(3):305-309. Medline
III	Supportive (Green)	Need for hypoglycemic treatment	Patient	PH-Paramedic	Vilke GM., Castillo EM., Ray LU., Murrin PA., Chan TC. Evaluation of pediatric glucose monitoring and hypoglycemic therapy in the field. Pediatr Emerg Care 2005; 21(1):1-5. Medline
III	Neutral (Yellow)	Accuracy of glucose measurement	Process	ED-MD	Johnson PL., Luther RJ., Hipp S., Stegeman M., Green AJ. A comparative evaluation of bedside capillary blood glucose monitoring devices designed for hospital use. Diabetes Educator 1995; 21(5):420-5. Medline