A conscious 62-year-old man with type 2 diabetes is found in the GP waiting room with blood glucose 2.4 mmol/L after missing breakfast and taking his ...

Question

A conscious 62-year-old man with type 2 diabetes is found in the GP waiting room with blood glucose 2.4 mmol/L after missing breakfast and taking his usual gliclazide. He is alert but sweaty and tremulous. What is the most appropriate immediate treatment?

Accepted Answer

Oral 15-20 g of rapid-acting carbohydrate, then longer-acting carbohydrate

Answer

Intravenous dextrose 50% bolus via cannula

Answer

Glucagon intramuscular injection

Answer

No treatment; recheck glucose in 30 minutes

Answer

Start an insulin infusion

au-racgp MCQ (SBA): Hypoglycaemia

A conscious 62-year-old man with type 2 diabetes is found in the GP waiting room with blood glucose 2.4 mmol/L after missing breakfast and taking his usual gliclazide. He is alert but sweaty and tremulous. What is the most appropriate immediate treatment?