A 54-year-old man with long-standing type 2 diabetes collapses on the ward. He is found unconscious with a capillary glucose of 2.1 mmol/L. He has a p...

Question

A 54-year-old man with long-standing type 2 diabetes collapses on the ward. He is found unconscious with a capillary glucose of 2.1 mmol/L. He has a patent airway and IV access has been obtained. What is the single most appropriate immediate treatment?

Accepted Answer

Give 150 mL of 10% dextrose intravenously

Answer

Give 1 mg Glucagon intramuscularly and wait 30 minutes before rechecking glucose

Answer

Start an insulin infusion to correct the low glucose

Answer

Give 50 mL 50% dextrose via a central line only

Answer

Offer oral glucose gel between his cheek and gum

uk-plab-1 MCQ (SBA): Severe hypoglycaemia

A 54-year-old man with long-standing type 2 diabetes collapses on the ward. He is found unconscious with a capillary glucose of 2.1 mmol/L. He has a patent airway and IV access has been obtained. What is the single most appropriate immediate treatment?