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Insulin hypoglycaemia — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsInsulin hypoglycaemiaGPhC CRA

A patient using basal-bolus insulin is sweating and shaking in the pharmacy with glucose 3.2 mmol/L and 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: A — Give fast-acting carbohydrate and recheck glucose

This scenario assesses Insulin hypoglycaemia in a UK pharmacy practice context. Conscious hypoglycaemia requires prompt fast-acting carbohydrate followed by reassessment. The best answer is Give fast-acting carbohydrate and recheck glucose because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: BNF; NICE CKS