A 60-year-old man with type 2 diabetes on basal-bolus insulin therapy becomes sweaty, anxious and confused at home. Capillary glucose is 2.4 mmol/L. H...

Question

A 60-year-old man with type 2 diabetes on basal-bolus insulin therapy becomes sweaty, anxious and confused at home. Capillary glucose is 2.4 mmol/L. He is conscious and able to swallow safely. What is the most appropriate immediate management?

Accepted Answer

Give 20 g of fast-acting carbohydrate orally, such as sugary drink, and recheck glucose in 10–15 minutes

Answer

Give intramuscular Glucagon and call an ambulance

Answer

Give 10 units of rapid-acting insulin subcutaneously

Answer

Ask him to eat a high-protein meal and recheck in the morning

Answer

Do nothing as his body will correct the low glucose

uk-plab-1 MCQ (SBA): Hypoglycaemia management

A 60-year-old man with type 2 diabetes on basal-bolus insulin therapy becomes sweaty, anxious and confused at home. Capillary glucose is 2.4 mmol/L. He is conscious and able to swallow safely. What is the most appropriate immediate management?