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Hypoglycaemia with reduced consciousness — DipIMC MCQ

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EasyMedical EmergenciesHypoglycaemia with reduced consciousnessDipIMC

A 58-year-old man with type 1 diabetes is found confused and sweaty in a parked car. Capillary glucose is 1.8 mmol/L, he cannot swallow safely, and IV access is obtained. What is the most appropriate immediate action?

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Correct answer: A — Glucose 10% IV in titrated aliquots

Reduced consciousness with hypoglycaemia needs parenteral glucose when IV access is available. Oral gel risks aspiration when the patient cannot swallow safely. Glucagon is useful when IV access is unavailable, but it is not oral and may be less reliable in depleted glycogen states.

Reference: JRCALC Guidelines