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Insulin hypoglycaemia counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareInsulin hypoglycaemia counsellingGPhC CRA

A 32-year-old man collecting insulin aspart says he has had sweating and shaking before lunch twice this week after cycling to work. He treats it with chocolate and then feels unwell again. What would you advise the patient?

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

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Correct answer: B — Use fast-acting carbohydrate for hypoglycaemia and review insulin around exercise with the diabetes team

Hypoglycaemia should be treated promptly with fast-acting carbohydrate, followed by longer-acting carbohydrate if needed. Chocolate is less suitable initially because fat delays glucose absorption. Recurrent episodes around exercise require review of carbohydrate intake, insulin timing and dose with the diabetes team. Extra insulin would worsen the problem.

Reference: BNF; Diabetes UK guidance