Courses and programs

Qstream - Preventing and managing hypoglycaemia


Welcome to Qstream - Preventing and managing hypoglycaemia.

Describes hypoglycaemia and its signs and symptoms.
Outlines the causes of hypoglycaemia in hospital as well as prevention and management.

A certificate is issued on completion.


This program supports clinicians to deliver best practise diabetes care, including:

  • Describe what hypoglycaemia is.
  • Name the signs and symptoms of hypoglycaemia.
  • Understand that not all patients will exhibit signs and symptoms of hypoglycaemia.
  • Describe the causes of hypoglycaemia, including:
    • Glucocorticoid or parenteral/enteral feed reduction
    • Infection resolving
    • Increasing mobility
    • Fasting
    • Acute kidney injury
    • Sulphonylurea (medication)
    • Imbalance between insulin and carbohydrate
    • Insulin errors /adverse events
    • Timing of insulin administration
  • Describe the management of acute hypoglycaemia:
    • Steps to take when patient is conscious and able to swallow.
    • Steps to take when patient is unconscious and/or unable to swallow.
    • Describe how to review the cause and prevent further hypoglycaemia episodes.
    • Ensure hypoglycaemia has been resolved
    • Identify why a hypo happened and modify it
    • How and when to adjust insulin
    • Review treatment plan
    • When to refer on.
  • Describe which patient groups are at risk and will need increased blood glucose monitoring.


This training program is designed for all nurses and junior medical officers and may qualify for up to 0.5 hrs of Continuous Professional Development