Rapilose Gel 3x25g

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When you wake up you may realise you've had a hypo in the night if you feel very tired or have a headache the next morning. When you test your sugar levels they may be higher than expected. Children will need less than this to treat a hypo. Your child’s diabetes team will advise on the amount of hypo treatment they need. If you use an insulin pump, your treatment may be different, so talk to your diabetes team for advice. 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.

Diabetes UK. Having a hypo. Diabetes UK, 2017. https://www.diabetes.org.uk/Guide-to-diabetes/Complications/Hypos/Having-a-hypo.

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Plan ahead when exercising. We've got lots of information on how to look after your blood sugar levels when you exercise. 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 Although widely available, fruit juice has a lower GI (40–50) than other treatments for hypoglycaemia. This explains why it can take longer to raise blood sugar. 22 In addition, it has a high potassium content (150 mg per 100 g) which makes it unsuitable for patients with significant renal impairment. 3, 24 Alternative treatments for glucose tolerance tests Rapilose® Gel must never be given to an individual who has become unconscious due to the risk of choking. 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.

Treat the hypo immediately. You can do this by eating or drinking 15 to 20g of a fast-acting carbohydrate — see examples below.

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Choices. Low blood sugar (hypoglycaemia). 2016. https://www.nhs.uk/conditions/low-blood-sugar-hypoglycaemia/. World Health Organisation. Definition, diagnosis and classification of diabetes mellitus and its complications. Report of a WHO consultation. Geneva: WHO, 1999. 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 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

Lucozade may have originally been used for its improved palatability compared to simple glucose solutions. It is less sweet and therefore causes less nausea. 9 It has also been cheaper to the NHS, particularly where patients provide their own. Changes in sugar content and why Wiener K. The oral glucose tolerance test – an assessment of the quality of its performance. Ann Clin Biochem 1987; 24( Pt 5): 440– 6.

The Soft Drinks Industry Levy (also called the sugar tax) came into force April 2018. This is a levy that will charge soft drink manufacturers for producing soft drinks that are high in added sugar. This may affect the products you use to treat your hypo. We have more information on this sugar reduction and hypo treatments. It can be a good idea to record your hypos, to see if there are any trends or patterns. Knowing this may help your healthcare team to find a better way to manage your blood sugar levels. Understanding Lucozade Sport. 2018. https://www.lucozade.com/news/understanding-lucozade-sport.shtml. The second Lucozade variety, Lucozade Sport, was launched in 1990. The carbohydrate source in Lucozade Sport is also glucose, from its main ingredient glucose syrup. LRS has claimed the isotonic carbohydrate-electrolyte drink enhances physical endurance; 5 however, a systematic review found the group of studies behind this claim to be of poor quality and therefore the author was unable to draw firm conclusions about the effect on performance in exercise. 6

After treating a hypo, you may need something to eat or drink to stop your blood sugar levels from dropping again. Try to eat 15 to 20g of a slower-acting carbohydrate. This could be a: 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). If you’re feeling too drowsy or confused to eat or drink, ask someone for help or get medical assistance. As a result of the UK's new ‘sugar tax' many soft drinks companies, including the manufacturer of Lucozade, are reducing the sugar content of their products. I always make sure the people I’m out with know I have diabetes and what to do if I have a hypo. I don’t always tell every single person, but I make sure a few people I’m with are aware and that they know what to do if there is a problem.”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 World Health Organisation. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia. Report of a WHO/IDF consultation. Geneva: WHO, 2006. Lawton J, et al. Self treating hypoglycaemia: a longitudinal qualitative investigation of the experiences and views of people with type 1 diabetes. Diabet Med 2013; 30( 2): 209– 15. Some people who have diabetes may be at risk of hypo unawareness. This is when you have no symptoms of your blood sugars dropping, and it can be dangerous. We've got more info on hypo unawareness. How to prevent hypoglycaemia Rapilose® Gel should be kept with you, or with a responsible person, at all times. Rapilose® Gel tubes have an 18-month shelf life, and can be safely stored at room temperature, i.e. less than 25°C: