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Inpatient hypoglycaemia — SCE Endocrinology MCQ

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EasyDiabetesInpatient hypoglycaemiaSCE Endocrinology

A 70-year-old man with diabetes is found confused on the ward. Capillary glucose is 2.4 mmol/L and he is unable to swallow safely. He has intravenous access. What is the most appropriate management?

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

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Correct answer: E — Intravenous glucose with reassessment of capillary glucose

Severe hypoglycaemia with impaired consciousness and IV access should be treated with intravenous glucose, followed by reassessment and prevention planning. Oral carbohydrate is unsafe if swallowing is impaired. The episode should trigger review of insulin, nutrition and renal function.

Reference: JBDS Hypoglycaemia Guideline; BNF