Question

A 58-year-old man with long-standing type 2 diabetes on Metformin and Gliclazide presents with confusion and sweating. Capillary glucose is 2.1 mmol/L. He is conscious but drowsy and can swallow. What is the most appropriate immediate management?

Accepted Answer

Give 15–20 g of fast-acting oral carbohydrate (e.g. glucose tablets)

Answer

Give 10% Dextrose 200 mL IV bolus immediately

Answer

Give 1 mg Glucagon IM and then withhold all oral intake

Answer

Advise him to eat a normal meal only

Answer

Stop Metformin permanently without further action

Practice question

A 58-year-old man with long-standing type 2 diabetes on Metformin and Gliclazide presents with confusion and sweating. Capillary glucose is 2.1 mmol/L. He is conscious but drowsy and can swallow. What is the most appropriate immediate management?