The Toxicology Committee developed the new oral hypoglycaemic poisoning CPG.

The Key points for the CPG are

1. The two groups of oral hypoglycaemic agents used in adolescents are the Sulfonylureas and Biguanides. This review focuses on sulfonylurea overdose
2. Sulfonylurea overdose and symptomatic hypoglycaemia should be treated with both intravenous dextrose and octreotide
3. Any child with possible sulfonylurea exposure should be observed for 24 hours, as delayed hypoglycaemia may occur
4. A single sulfonylurea pill (as small as 2 mg) can cause hypoglycaemia in young children

For 24 hour advice, contact the Poisons Information Centre 13 11 26