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Hypoglycaemia management — GPhC CRA MCQ

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EasyEndocrine TherapeuticsHypoglycaemia managementGPhC CRA

A patient taking gliclazide feels shaky and sweaty at the pharmacy counter. A capillary glucose reading is 3.2 mmol/L and he is conscious and able to swallow. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Give fast-acting carbohydrate and recheck blood glucose after about 10 to 15 minutes

The patient has symptomatic hypoglycaemia and can swallow, so fast-acting carbohydrate is appropriate. Blood glucose should be rechecked and further carbohydrate given if needed. A longer-acting carbohydrate snack may be needed afterwards depending on meal timing and treatment. Glucagon is reserved for situations where the patient cannot safely take oral carbohydrate or is severely impaired.

Reference: NICE CKS; Diabetes UK guidance