Summary
This guide outlines essential protocols for paramedics when caring for patients with diabetes, particularly during emergencies. It emphasizes the importance of recognizing and managing wearable diabetes technologies, such as insulin pumps and continuous glucose monitors (CGMs). Paramedics are advised to inquire about these devices if a patient with diabetes presents, especially if they are unconscious. The guide details the risks associated with insulin pumps and CGMs, including the potential for diabetic ketoacidosis (DKA) if insulin delivery is interrupted. It also stresses the need for accurate blood glucose and ketone measurements, particularly in patients with type 1 diabetes. The document provides specific instructions for handling hypoglycemia and hyperglycemia, including the removal of insulin pumps under certain conditions and the necessity of documenting any changes made to diabetes technology. Finally, it outlines a follow-up pathway for patients who have experienced acute episodes related to their diabetes management.
