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Hypoglycemia — ABFM Board MCQ

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EasyEndocrine/MetabolicHypoglycemiaABFM Board

A 70-year-old man with type 2 diabetes treated with glyburide is brought to clinic confused and diaphoretic. Fingerstick glucose is 48 mg/dL. He can swallow safely. Which of the following is the most appropriate initial treatment?

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

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Correct answer: BGive oral fast-acting carbohydrate

Conscious patients with hypoglycemia who can swallow should receive rapid-acting oral carbohydrate, followed by reassessment.

Reference: ADA Standards of Care in Diabetes 2026: https://professional.diabetes.org/standards-of-care