DIABETES EMERGENCY FLOWCHART

Type 2 Diabetes — Insulin Dependent / Ketosis History

🚨 STEP 1 — IS THE PERSON CONSCIOUS?

✅ YES     → Go to Step 2: Blood Glucose Check

❌ NO

• Call local emergency services immediately

• Check airway & breathing

• Place in recovery position

• Administer Insta Glucose Paste between gum and cheek

• Prepare for urgent evacuation

🩸 STEP 2 — CHECK BLOOD GLUCOSE

🔻 BELOW 70 mg/dL (LOW)    → Go to Step 3: Hypoglycemia

✅ 70–250 mg/dL

• Monitor symptoms

• Encourage fluids + electrolytes, a piece of hard candy

• Recheck if symptoms change

🔺 ABOVE 250 mg/dL (HIGH)

→ Go to Step 4: Ketosis Risk Path

🍬 STEP 3 — HYPOGLYCEMIA (LOW BLOOD SUGAR)

1. Give Suagry drink or hard candy

• Glucose tabs or gel

2. Wait 15 minutes

3. Recheck blood glucose

4. Repeat once if still <70 mg/dL

⚠️ If unable to swallow or mental status declines:
→ Administer  Insta Glucose Paste between gum and chee
→ Call emergency services

🔥 STEP 4 — HYPERGLYCEMIA / KETOSIS RISK

If BG >250 mg/dL:

1. Check ketones immediately

2. Begin hydration (oral rehydration or electrolytes)

3. Administer insulin per prescribed plan

4. Rest in shade / cool environment
   

🚨 RED FLAGS (ANY = EVACUATE)

• Ketones present

• Nausea or vomiting

• Abdominal pain

• Confusion or fatigue

• Rapid or deep breathing

• Fever or signs of infection

History of ICU-level ketosis = LOW threshold for evacuation