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Insulin hypoglycaemia counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareInsulin hypoglycaemia counsellingGPhC CRA

A patient starting gliclazide and basal insulin asks what to carry when leaving home. They have had one episode of shakiness before lunch. What would you advise the patient?

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

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Correct answer: B — Carry fast-acting carbohydrate and diabetes identification

People at risk of hypoglycaemia should carry fast-acting carbohydrate and diabetes identification. Shakiness may be a hypo symptom and should be treated promptly with rapid carbohydrate, followed by longer-acting carbohydrate if needed. Extra insulin would worsen hypoglycaemia. Chocolate is slower because of fat content and is not ideal first-line treatment.

Reference: BNF; NICE CKS