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Hypoglycaemia management — GPhC CRA MCQ

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EasyEndocrine TherapeuticsHypoglycaemia managementGPhC CRA

A patient with type 1 diabetes feels shaky and sweaty in the pharmacy. Their capillary blood glucose is 3.4 mmol/L. They are 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: B — Give fast-acting carbohydrate and recheck blood glucose after treatment

Conscious patients with hypoglycaemia should receive fast-acting carbohydrate promptly, followed by rechecking blood glucose. Longer-acting carbohydrate may be needed after recovery depending on timing of meals and insulin. Insulin would worsen hypoglycaemia. Exercise can further lower glucose and is unsafe during a hypo.

Reference: BNF; NICE CKS