[flightnurse2b]

lowest on a concious and very alert pt was 13.... lowest on a pt unconcious was 7...

[nrsman1]

Wow those are shockingly low. The lowest I have ever seen was 45, so you all have me beat.

[Elvish]

In a newborn, the lowest I've seen was 20.
In an adult the lowest I've seen was 27. Walkie-talkie, too.

[Miami NightNurse]

I have to put my in here because I am a Diabetic. I think the lowest I ever saw a blood sugar is 20. But what I want people to know is that a person will feel the symptoms of a low blood sugar when it has gone below their normal range not the book's normal range. When I was out of control & my bood sugar ran >200, if it went below 110 I would start to shake and feel like I was going to pass out, I required sugar when my blood sugar was near 110. This is something they don't seem to teach and one other thing my co-workers sure know if a Diabetic is really really grouchy and nasty-check their blood sugar it is probably really high. And every Diabetic I've asked say they are very nasty when their blood sugar is high also, but I have never seen that give as a symptom of a high blood sugar. If they are just slightly irritable then it's low.

[caliotter3]

When working in LTC, we were all gathered around a LOL who was tanking, doing the group effort thing. Her BS was 22. Relayed this info to the doc who was acting like a donkey. He said he didn't believe us.

[NICU_babyRN]

Lowest I've seen from a lab draw and was correlating to the glucometer was a 3. yikes!

[Silver_Girl]

Lowest I've seen was 10 on an awake but agitated/disoriented patient who was terminal and obviously going to die pretty imminently. Got an amp of D50, brought it up to 30. Got another amp of D50, but by then his sugar was the least of his worries.

[Kymmi]

Originally Posted by AmyB

I thought my yesterday at work was impressive. BS 30. Recheck after 6 oz of oj and 6 sugar packets - BS 28. No order for glucagon, so had to keep on with the oj and sugar. MD was unable to be contacted after numerous attempts. She finally called back 4 hours later asking what the problem was. WTH?!?

Found out at the end of my shift that the resident's BS the previous morning was 29, verified by the lab. No mention in report or anything.

Gotta love LTC.

Just wondering do you not have standing orders for glucagon for a blood sugar less than 50 or 60? What would you have done in this situation if the patient was unable to take any po fluids?

[SaraO'Hara]

Lowest I've heard of was 6... from a diabetic med-surg nurse. He said he remembered feeling funny, then waking up the next day in MICU.

I've yet to see one below 60, but I'm still a student.

[talaxandra]

We have a policy of Glucatol (oral) for a BSL <3.5mmol/L (63mg/dl) plus complex carbs +/- juice/milk w/sugar - if they're unconscious we put out a MET call, and the patient's cannulated, given 50%dextrose and (of course!) reviewed