A 45-year-old on basal-bolus insulin for type 1 diabetes has symptomatic hypoglycemia with glucose 52 mg/dL. She is alert. Best immediate treatment?...

Question

A 45-year-old on basal-bolus insulin for type 1 diabetes has symptomatic hypoglycemia with glucose 52 mg/dL. She is alert. Best immediate treatment?

Accepted Answer

Skip treatment; levels will rebound

Answer

Glucagon IM immediately

Answer

15 g fast-acting carbohydrate and recheck in 15 minutes

Answer

IV dextrose 50% now

Answer

Long-acting carbohydrate only

us-abfm MCQ (SBA): Hypoglycemia (Outpatient)