A 69-year-old man with type 2 diabetes on Metformin, Gliclazide and insulin glargine is found unconscious at home. Paramedics measure capillary glucos...

Question

A 69-year-old man with type 2 diabetes on Metformin, Gliclazide and insulin glargine is found unconscious at home. Paramedics measure capillary glucose of 1.9 mmol/L. After intravenous dextrose he regains consciousness. What is the most important next step in his diabetes management?

Accepted Answer

Review and reduce sulfonylurea and/or insulin doses and investigate causes of hypoglycaemia

Answer

Stop Metformin permanently

Answer

Switch to a higher dose of insulin to stabilise glucose

Answer

Add an SGLT2 inhibitor

Answer

Change to once-daily long-acting sulfonylurea

uk-plab-1 MCQ (SBA): Severe hypoglycaemia in type 2 diabetes

A 69-year-old man with type 2 diabetes on Metformin, Gliclazide and insulin glargine is found unconscious at home. Paramedics measure capillary glucose of 1.9 mmol/L. After intravenous dextrose he regains consciousness. What is the most important next step in his diabetes management?