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Insulin hypoglycaemia — GPhC CRA MCQ

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EasyEndocrine TherapeuticsInsulin hypoglycaemiaGPhC CRA

A man with type 1 diabetes becomes sweaty and shaky in the pharmacy. His capillary blood glucose is 3.2 mmol/L. He is conscious and able to swallow safely. 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 10 to 15 minutes

This is hypoglycaemia and should be treated promptly with fast-acting carbohydrate if the patient can swallow. Blood glucose should be rechecked after treatment and longer-acting carbohydrate may be needed once recovered. If consciousness or swallowing is impaired, emergency help and glucagon protocols are required.

Reference: BNF; NICE CKS