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Glucagon injection for type 1 diabetes in children

Diana Yardley1, Anne Lyddall, Julie Richardson

  • 1Heatherwood and Wexham Park NHS Foundation Trust, Berkshire. diana.yardley@nhs.net

Nursing Children and Young People
|December 15, 2011
PubMed

Insights

Routine glucagon prescription for paediatric type 1 diabetes lacks evidence. Individual risk assessment and family needs are more cost-effective, with training crucial for those who receive glucagon kits.

Area of Science:

  • Pediatric Endocrinology
  • Diabetes Management

Background:

  • Glucagon is commonly prescribed upon diagnosis of pediatric type 1 diabetes.
  • Paediatric diabetes specialist nurses questioned the evidence base for this routine practice.

Purpose of the Study:

  • To examine the evidence supporting the routine prescription of glucagon in pediatric type 1 diabetes.
  • To assess current practices and identify variations in glucagon prescription and use.

Main Methods:

  • A forum of paediatric diabetes specialist nurses conducted a caseload audit.
  • The audit included professional practices and data from families and carers nationally.

Main Results:

  • Prescription of glucagon varies significantly among healthcare teams.
  • Limited evidence supports routine glucagon prescription at diagnosis.
  • Lack of confidence often restricts glucagon use.

Conclusions:

  • Individualized assessment of risk, needs, and preferences of families and carers is recommended.
  • This approach is considered more cost-effective than routine prescription.
  • Regular training is essential for families and carers using glucagon injection kits.

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