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Hypoglycaemia after glucagon — DipIMC MCQ

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ModerateMedical EmergenciesHypoglycaemia after glucagonDipIMC

A man wakes after IM glucagon for glucose 1.9 mmol/L. Repeat glucose is 4.2 mmol/L and he uses long-acting insulin. What is the most appropriate management?

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

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Correct answer: C — Give oral carbohydrate when safe and arrange ongoing monitoring

Option C is correct because Glucagon response can be temporary, so sustained carbohydrate and observation are needed. Option D is less appropriate because watchful waiting risks deterioration or delays definitive care; option E is less appropriate because the clinical risk exceeds that destination or timeframe. Option B is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option A is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines