A 68-year-old man with type 2 diabetes treated with basal-bolus insulin presents to clinic with symptoms of sweating, tremor and confusion. Capillary ...

Question

A 68-year-old man with type 2 diabetes treated with basal-bolus insulin presents to clinic with symptoms of sweating, tremor and confusion. Capillary glucose is 2.4 mmol/L. He is awake but confused and can swallow safely. What is the most appropriate immediate treatment?

Accepted Answer

Give 15 g of fast-acting carbohydrate orally and recheck glucose in 15 minutes

Answer

Administer 50 mL of 50% dextrose intravenously

Answer

Give 1 mg intramuscular glucagon and call EMS

Answer

Have him eat a normal meal and reassess in 2 hours

Answer

Withhold insulin at the next dose only and monitor capillary glucose at home

ca-mccqe1 MCQ (SBA): Hypoglycaemia management

A 68-year-old man with type 2 diabetes treated with basal-bolus insulin presents to clinic with symptoms of sweating, tremor and confusion. Capillary glucose is 2.4 mmol/L. He is awake but confused and can swallow safely. What is the most appropriate immediate treatment?