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Rapilose Gel 3x25g

£9.9£99Clearance
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Rapilose Gel is particularly useful if you are eating less (e.g. trying to lose weight, upset stomach), or exercising, or in any situation where meals are delayed, skipped or forgotten. McTavish L, Wiltshire E. Effective treatment of hypoglycemia in children with type 1 diabetes: a randomized controlled clinical trial. Pediatr Diabetes 2011; 12( 4 Pt 2): 381– 7. Choices. Low blood sugar (hypoglycaemia). 2016. https://www.nhs.uk/conditions/low-blood-sugar-hypoglycaemia/. Children may need less than 15 to 20g of a slower-acting carbohydrate. Your child's diabetes team will advise on this. Treating severe hypoglycaemia A glucose load can be made by mixing glucose powder in water but for convenience a premixed glucose drink has been used for many decades. Lucozade has been widely used since at least the 1980s 9 but was first recommended in international guidelines in 1999 when the World Health Organisation recommended the use of ‘partial hydrolysates of starch of the equivalent carbohydrate content' as an alternative to 75 g of anhydrous glucose or 82.5 g of glucose monohydrate for the glucose load for an OGTT. 10

First launched as Glucozade in 1927, it was marketed for medicinal purposes. 1 The distinctive sweet citrus-flavoured drink underwent significant rebranding in 1983, when the slogan ‘Lucozade aids recovery' was replaced by ‘Lucozade replaces lost energy' to change its association with illness to good health and wellbeing. Lucozade as a treatment for hypoglycaemia

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There are now two types of glucagon injections available to treat severe hypos. These are the GlucGen Hypo kit® which contains glucagon power and water and needs to be mixed before it is injected, and Ogluo® which contains a premixed solution ready for injection. Hypoglycaemia at night Heneghan C. Forty years of Lucozade sports performance research and little insight gained. BMJ 2012; 345: e4797. Please note that parcels weighing over 2kg may be sent via courier due to Royal Mail weight restrictions. Walden E, et al. The hospital management of hypoglycaemia in adults with diabetes mellitus. NHS Diabetes, September 2013. A low blood sugar level, also called hypoglycaemia or a ‘hypo"’ is where the level of sugar (glucose) in your blood drops too low, below 4mmol/l.

Baldwin EJ, Feher MD. Sweets, fluids and foods in the treatment of mild hypoglycaemia. Pract Diabetes Int 2006; 23( 5): 218– 20.University of Sydney. GI foods advanced search. 2017. Last updated: 2 May 2017. www.glycemicindex.com/foodSearch.php?num=2085&ak=detail. The OGTT relies on giving a standard glucose challenge with measurement of glucose both fasting and 2 hours after the glucose challenge. Diabetes is then defined by a fasting plasma glucose (FPG) of 7.0 mmol/L or more or a 2-hour glucose of 11.1 mmol/L or more. 8 The same test can be used to diagnose impaired fasting glucose (FPG 6.1–6.9 mmol/L) and impaired glucose tolerance (2-hour glucose 7.8–11.0 mmol/L). During pregnancy, gestational diabetes is diagnosed when the glucose values fall above 6.0 mmol/L fasting or 7.8 mmol/L at 2 hours.

In the community, patient choice for the treatment of hypoglycaemia is wide including glucose tablets, sweets, fruit, fruit juice, full sugar fizzy or non-fizzy drinks, biscuits, chocolate bars and crisps. 4 For patients in hospital, any of these treatments may be used by the patient self-treating hypoglycaemia. Where patients are not able to self-treat, current NHS guidelines recommend fruit juice, Lucozade, dextrose or glucose tablets or sugar dissolved in water. 3 Where oral treatment is inappropriate, for example in an unconscious patient, hypoglycaemia is treated with intramuscular glucagon or intravenous dextrose. Most hospital wards and departments as well as GP surgeries are encouraged to keep a ‘hypo box' containing treatments for hypoglycaemia for emergency use. 3

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doing a lot of exercise without having extra carbohydrate or without reducing your insulin dose (if you take insulin) National Institute for Health and Care Excellence. Diabetes (type 1 and type 2) in children and young people: diagnosis and management. NICE Clinical guideline NG18. NICE, August 2015 (last updated: November 2016). Alternatives for OGTTs include Polycal and Rapilose. Polycal liquid is marketed as ‘Food for special medical purposes' to increase calorie intake. It contains a mixture of polysaccharides, glucose and maltose. It is available in 200 ml servings of which 113 ml are required to obtain 75 g of glucose equivalent. This is made up to 200–300 ml with water. Rapilose OGTT solution is specifically marketed for use in OGTT and comes in a pre-mixed pouch. It contains both glucose syrup and glucose monohydrate providing 75 g of glucose equivalent in 300 ml. Polycal is cheaper than Rapilose but less accurate in providing exactly 75 g glucose because of the difficulties in measuring precisely 113 ml. Conclusions

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