QuestionSBA
QuestionChoice
This would be an appropriate treatment once the patient;s blood glucose was above 4mmol/L. It equates to 20g of long-acting carbohydrate.
10005383
c
One piece of toast
QuestionChoice
This would be appropriate if the patient was unconscious/fitting, very aggressive, or nil by mouth (NBM).
10005385
e
IV 200ml 10% glucose over 15 minutes
QuestionChoice
This would be an appropriate treatment if the patient was conscious and able to swallow, but confused, disorientated or aggressive i.e. moderate hypoglycaemia.
10005382
b
40% glucose oral gel (2 tubes)
QuestionChoice
The Joint British Diabetes Societies have produced an algorithm for the treatment and management of hypoglycaemia in adults with diabetes mellitus in hospital. It states that if the patient is conscious, orientated, and able to swallow, they have mild hypoglycaemia. This should be treated with 15-20g of quick-acting carbohydrate, such as five to seven Dextrosol tablets, four to five Glucotabs or 150-200ml pure fruit juice.
10005381
a
Four to five Glucotabs
QuestionChoice
This would be appropriate if the patient was unconscious/fitting, very aggressive or nil by mouth (NBM).
10005384
d
1mg IM glucagon
Concept
Chapter
2693
4395
Hypoglycaemia
Topic
221
Endocrine
13623
An 82-year-old type 2 diabetic male complains of feeling lightheaded on the geriatric ward. The foundation doctor reviews him and requests his nurse to check his bedside blood glucose which reads 3.5mmol/L (normal <6.1 mmol/L). He is orientated to time and place, and able to swallow.

Which of the following is the best next step in the management of this patient?
a