A 68-year-old man with type 2 diabetes on Gliclazide collapses in clinic. He is sweaty and confused. Capillary glucose is 2.3 mmol/L. He can swallow b...

Question

A 68-year-old man with type 2 diabetes on Gliclazide collapses in clinic. He is sweaty and confused. Capillary glucose is 2.3 mmol/L. He can swallow but is disorientated. What is the most appropriate immediate management?

Accepted Answer

Give 15–20 g of fast-acting oral carbohydrate such as sugary drink or glucose tablets.

Answer

Give 1 ampoule of 50% glucose intravenously through a central line.

Answer

Give intramuscular Glucagon and arrange admission.

Answer

Give his usual metformin dose with food.

Answer

Observe for 30 minutes and repeat capillary glucose without treatment.

uk-plab-1 MCQ (SBA): Hypoglycaemia

A 68-year-old man with type 2 diabetes on Gliclazide collapses in clinic. He is sweaty and confused. Capillary glucose is 2.3 mmol/L. He can swallow but is disorientated. What is the most appropriate immediate management?