What is considered high blood sugar per SD protocols?

• A. ≥300 mg/dL
• B. ≥350 mg/dL
• C. ≥400 mg/dL
• D. ≥450 mg/dL

Answer: (B)

High blood sugar in SD EMS protocols is defined as a capillary glucose reading of 350 mg/dL or higher. This threshold is used as a practical trigger to escalate care, prompt medical control, and prepare for hospital evaluation for potential diabetic emergencies such as dehydration,DKA, or hyperosmolar states. It helps ensure significant hyperglycemia gets timely attention without overreacting to milder elevations that can occur with stress or recent meals. At or above this level, crews typically step up monitoring, consider IV fluids if indicated, and prioritize rapid transport, while lower readings may not require the same level of escalation.