A 54-year-old woman with type 1 diabetes has recurrent episodes of asymptomatic hypoglycaemia detected on CGM and no longer recognises low glucose sym...

Question

A 54-year-old woman with type 1 diabetes has recurrent episodes of asymptomatic hypoglycaemia detected on CGM and no longer recognises low glucose symptoms. What is the most appropriate strategy to address hypoglycaemia unawareness?

Accepted Answer

Relax glycaemic targets and reduce insulin doses to avoid hypos

Answer

Increase basal insulin to maintain more stable glucose

Answer

Add a sulfonylurea to smooth glucose levels

Answer

Advise her to ignore low readings if she feels well

Answer

Start high-dose prednisolone to increase glucose

au-racp MCQ (SBA): Hypoglycaemia unawareness management

A 54-year-old woman with type 1 diabetes has recurrent episodes of asymptomatic hypoglycaemia detected on CGM and no longer recognises low glucose symptoms. What is the most appropriate strategy to address hypoglycaemia unawareness?