A 63-year-old man with type 2 diabetes on basal-bolus insulin becomes confused with capillary glucose 2.3 mmol/L. He is conscious and can swallow. Bes...

Question

A 63-year-old man with type 2 diabetes on basal-bolus insulin becomes confused with capillary glucose 2.3 mmol/L. He is conscious and can swallow. Best immediate treatment?

Accepted Answer

Oral 10-15 g quick-acting carbohydrate

Answer

IM glucagon 1 mg

Answer

IV 10% dextrose 200 mL

Answer

Wait and recheck in 15 minutes

Answer

Reduce basal insulin next day only

mrcgp akt MCQ (SBA): Hypoglycaemia

A 63-year-old man with type 2 diabetes on basal-bolus insulin becomes confused with capillary glucose 2.3 mmol/L. He is conscious and can swallow. Best immediate treatment?