A 78-year-old man with type 2 diabetes and dementia is brought in drowsy and sweaty. Capillary blood glucose is 2.3 mmol/L. He is conscious but confus...

Question

A 78-year-old man with type 2 diabetes and dementia is brought in drowsy and sweaty. Capillary blood glucose is 2.3 mmol/L. He is conscious but confused and can swallow. What is the most appropriate immediate treatment?

Accepted Answer

Give oral fast-acting carbohydrate such as Glucose gel or sugary drink, followed by longer-acting carbohydrate

Answer

Give intravenous 50 percent Dextrose

Answer

Give subcutaneous Glucagon regardless of swallowing

Answer

Observe only and recheck glucose in 30 minutes

Answer

Stop all diabetic medications and send him home

uk-plab-1 MCQ (SBA): Hypoglycaemia treatment

A 78-year-old man with type 2 diabetes and dementia is brought in drowsy and sweaty. Capillary blood glucose is 2.3 mmol/L. He is conscious but confused and can swallow. What is the most appropriate immediate treatment?