A 60-year-old man with type 2 diabetes on Metformin and Gliclazide develops sweating, tremor and confusion at home. Capillary blood glucose is 2.3 mmo...

Question

A 60-year-old man with type 2 diabetes on Metformin and Gliclazide develops sweating, tremor and confusion at home. Capillary blood glucose is 2.3 mmol/L. He is conscious but confused and able to swallow. What is the most appropriate immediate treatment?

Accepted Answer

Oral fast-acting carbohydrate followed by longer-acting carbohydrate

Answer

Intravenous dextrose 50% bolus

Answer

Intramuscular glucagon 1 mg

Answer

Stop all diabetes medications and send to clinic next week

Answer

No action required as this is an expected effect of treatment

uk-plab-1 MCQ (SBA): Hypoglycaemia

A 60-year-old man with type 2 diabetes on Metformin and Gliclazide develops sweating, tremor and confusion at home. Capillary blood glucose is 2.3 mmol/L. He is conscious but confused and able to swallow. What is the most appropriate immediate treatment?