Renal Dialysis/HBO/Juice?

Treating a boarder line low blood sugar for HBOT's (112mg/dl) in a IDDM peritoneal dialysis pt.
Since orange juice could elevate potassium levels, is cranberry or apple juice the preferred juice to elevate CBG's? Or, is orange juice still considered ok?

Apr 2, 2018 by Troy.Enneking, RN, CHRN

1 replies

Tiffany Hamm
BSN, RN, CWS, ACHRN, UHMSADS

Hi Troy,
Thank you so much for the question. I have researched this topic and can provide the following information.
For dialysis patients with hypoglycemia, you are correct, do not give orange juice.

For dialysis patients, it is recommended to use any one of the following items, containing 15 grams of carbohydrate, to treat low blood sugar:

3 glucose tablets, or 1 tube glucose gel (available in drugstores)
1 tablespoon or 3 packets of table sugar 
1⁄2 cup apple juice or grape juice (avoid orange juice if you are on a low-potassium diet) 
7 gummy bear candies
1⁄2 cup regular (not diet) Sprite®, ginger ale or 7-Up®
6 Life-Savers®, or 2 to 4 pieces of hard candy 

Let me know if I have answered your question and have a great day.

Tiffany

Apr 2, 2018

* Information provided without clinical evaluation and is not intended as a replacement for in-person consultation with a medical professional. The information provided through Curbside Consult is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

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