Question

A 75-year-old man with known type 2 diabetes on insulin therapy is brought to A&E after being found confused and sweaty at home. Capillary glucose is 2.3 mmol/L. What is the most appropriate initial treatment?

Accepted Answer

Intravenous 10% dextrose bolus via large-bore cannula

Answer

Intramuscular glucagon if he can swallow safely

Answer

Oral glucose tablets only

Answer

Stop insulin and observe without treatment

Answer

Administer long-acting carbohydrates only

Practice question

A 75-year-old man with known type 2 diabetes on insulin therapy is brought to A&E after being found confused and sweaty at home. Capillary glucose is 2.3 mmol/L. What is the most appropriate initial treatment?