Question

A 68-year-old man with long-standing type 2 diabetes on basal-bolus insulin presents after being found confused and sweaty at home. Capillary blood glucose is 2.6 mmol/L. What is the most appropriate immediate treatment?

Accepted Answer

Administer 50 mL of 50% dextrose intravenously

Answer

Give his usual rapid-acting insulin dose

Answer

Offer water orally and recheck glucose in 30 minutes

Answer

Advise him to eat a high-protein meal only

Answer

Withhold all carbohydrates to avoid rebound hyperglycaemia

Practice question

A 68-year-old man with long-standing type 2 diabetes on basal-bolus insulin presents after being found confused and sweaty at home. Capillary blood glucose is 2.6 mmol/L. What is the most appropriate immediate treatment?