A 24-year-old man with type 1 diabetes is found unconscious at home. On arrival, paramedics measure a capillary glucose of 2.1 mmol/L. In the emergenc...

Question

A 24-year-old man with type 1 diabetes is found unconscious at home. On arrival, paramedics measure a capillary glucose of 2.1 mmol/L. In the emergency department he is drowsy but rousable and cannot swallow safely. What is the most appropriate immediate treatment?

Accepted Answer

Administer intravenous dextrose 10 percent as a bolus

Answer

Give oral glucose gel buccally and wait for recovery

Answer

Administer intramuscular glucagon

Answer

Start an intravenous insulin infusion

Answer

Give a large meal once he wakes up

au-amc MCQ (SBA): Severe hypoglycaemia

A 24-year-old man with type 1 diabetes is found unconscious at home. On arrival, paramedics measure a capillary glucose of 2.1 mmol/L. In the emergency department he is drowsy but rousable and cannot swallow safely. What is the most appropriate immediate treatment?