A 57-year-old man with type 1 diabetes on basal-bolus insulin tells you he has sweating, tremor, and capillary glucose of 3.2 mmol/L while collecting

Question

A 57-year-old man with type 1 diabetes on basal-bolus insulin tells you he has sweating, tremor, and capillary glucose of 3.2 mmol/L while collecting his prescription. He is conscious and able to swallow. What would you advise the patient?

Accepted Answer

Take fast-acting carbohydrate and recheck glucose after treatment

Answer

Take his next rapid-acting insulin dose with a snack

Answer

Take metformin because it raises blood glucose quickly

Answer

Avoid carbohydrate until a pharmacist checks ketones

Answer

Drive home and eat a full meal when he arrives

Hypoglycaemia management — GPhC CRA MCQ

A 57-year-old man with type 1 diabetes on basal-bolus insulin tells you he has sweating, tremor, and capillary glucose of 3.2 mmol/L while collecting his prescription. He is conscious and able to swallow. What would you advise the patient?