- 0Oct 20, '07 by Toothbrushx2Is metformin long acting med? If someones blood sugar is 49, would you give the med? I read that the onset of metformin is unknown.
- 0Oct 21, '07 by AlibabaHi,
Sorry I do not have an answer but would be extremely interested in what others have to say.
I work noc, and wait to give all my diabetic meds and insulins till the very last possible minute, or until I can see the trays on the hall. For me, that is a bit of reasurance.
- 0Nov 18, '07 by Nrs_angie49 sounds like hypoglycemia to me
personally I would hold the metformin and any other oral hypoglycemic meds
doesn't matter how long acting the med is... it will cause a further drop in blood sugar
if blood sugar comes back up to the 100s around lunch time... then I would give it
- 0Nov 21, '07 by classicdame GuideBetter to act on the side of caution since the onset is not known. Do not give medication. DO EAT. Our hospital policy is to intervene when the bedside glucose is around 70. Two carbs (30 grams) should only raise the BS level a small amount. That could be enough to keep the patient conscious. I would then check BS again in 10-15 min. If still low, call 911.
- 0Dec 10, '07 by RN1989If the pt is in the hospital or LTC where they are receiving glucose checks minimum of ac/hs, the treatment would be different than if the pt is a HH pt and you are not going to be there the rest of the day to monitor the pt. Generally, the pt would be given several glasses of juice which would raise the blood sugar temporarily. Then the pt should be given a snack/meal of more substantial carbs and protein. Fast or rapid acting insulin would be held but po meds and intermediate or long acting insulin would be given after the pt has had their food and repeat blood sugars are at least 80. If the pt is not able to be monitored by the nurse then the nurse would hold meds for safety. Don't forget to include the doctor's orders in your tx of the pt. Doc should be made aware of the sugar, the trends in the sugar, and the meds ordered, any other pertinent data such as pt is/is not eating, NPO by another doc, etc.Last edit by RN1989 on Dec 10, '07