Question

A 64-year-old woman on basal-bolus insulin for type 2 diabetes is found confused and sweaty on the ward. Capillary glucose is 2.4 mmol/L. What is the most appropriate immediate management?

Accepted Answer

Give 10–20 g quick-acting oral carbohydrate if safe to swallow

Answer

Give 1 mg intramuscular Glucagon immediately

Answer

Give 75 g oral glucose

Answer

Stop insulin and observe for spontaneous recovery

Answer

Start 10% dextrose infusion at 50 mL/hour without bolus

Practice question

A 64-year-old woman on basal-bolus insulin for type 2 diabetes is found confused and sweaty on the ward. Capillary glucose is 2.4 mmol/L. What is the most appropriate immediate management?