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Impaired awareness of hypoglycaemia — SCE Endocrinology MCQ

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ModerateDiabetesImpaired awareness of hypoglycaemiaSCE Endocrinology

A 44-year-old man with type 1 diabetes has recurrent severe hypoglycaemia without warning symptoms. He uses basal-bolus insulin and checks glucose frequently. His partner has administered glucagon twice in 6 months. What is the most appropriate management?

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Correct answer: B — Refer for structured education and hypoglycaemia-awareness restoration

Impaired awareness of hypoglycaemia requires structured review, avoidance of hypoglycaemia and specialist education; technology may also be considered. Increasing basal insulin would worsen the problem. The pearl is that strict avoidance of hypoglycaemia can partially restore awareness in some patients.

Reference: NICE NG17