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Insulin hypoglycaemia — GPhC CRA MCQ

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HardEndocrine TherapeuticsInsulin hypoglycaemiaGPhC CRA

A patient using insulin glargine and rapid-acting insulin feels sweaty and confused in the pharmacy. A capillary glucose reading is 3.2mmol/L and the patient can swallow. What is the most appropriate action?

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

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Correct answer: E — Give fast-acting carbohydrate and recheck blood glucose

This is hypoglycaemia and the patient is conscious and able to swallow. Immediate fast-acting carbohydrate should be given, followed by reassessment and longer-acting carbohydrate if needed. Giving more insulin or delaying treatment would be unsafe.

Reference: NICE CKS; BNF