A 78-year-old woman with long-standing type 2 diabetes on Metformin and a sulfonylurea is found confused and sweaty on the ward. Capillary blood gluco...

Question

A 78-year-old woman with long-standing type 2 diabetes on Metformin and a sulfonylurea is found confused and sweaty on the ward. Capillary blood glucose is 2.4 mmol/L. She is conscious but drowsy and able to swallow. What is the most appropriate initial treatment?

Accepted Answer

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

Answer

Give 75 mL of 20% IV dextrose immediately

Answer

Give 10% IV dextrose infusion at 50 mL/hour

Answer

Give IM Glucagon only

Answer

Withhold treatment and recheck glucose in 30 minutes

uk-plab-1 MCQ (SBA): Hypoglycaemia

A 78-year-old woman with long-standing type 2 diabetes on Metformin and a sulfonylurea is found confused and sweaty on the ward. Capillary blood glucose is 2.4 mmol/L. She is conscious but drowsy and able to swallow. What is the most appropriate initial treatment?