QuestionSBA
QuestionChoice
This would be an appropriate first-line option if the patient was unconscious without IV access.
10035529
c
IM glucogen
QuestionChoice
This is viscous and hypertonic so it is not recommended for the treatment of hypoglycaemia, unlike 10% or 20% glucose.
10035531
e
IV glucose 50%
QuestionChoice
This is not appropriate as the high fat content of biscuits may delay gastric emptying and they have a lower sugar content than oral glucose gel. They are better given as a snack to provide a form of long-acting carbohydrates in patients once their blood glucose increases above 4mmol/L.
10035528
b
Chocolate biscuits
QuestionChoice
This would be an appropriate first-line option if the patient was unconscious and had IV access.
10035530
d
IV glucose 10%
QuestionChoice
In a conscious patient, oral glucose gel is the most appropriate first option to manage hypoglycaemia. If this fails after 3 treatment cycles or 30-45 minutes, then IM glucogen or IV glucose should be considered.
10035527
a
Oral glucose gel
Concept
Chapter
2693
6137
Hypoglycaemia
Topic
337
Endocrinology
19509
For conscious patients with low blood sugar, using oral glucose gel is the best first step to quickly restore blood sugar levels.
A 22-year-old female with type 1 diabetes presents to the GP feeling dizzy, flushed and extremely fatigued. She has recently been diagnosed with type 1 diabetes and is still getting used to her insulin regimen. When she checks her blood sugar, it is 2.6mmol/L (normal fasting range 3.5-5.3 mmol/L).

What is the most appropriate initial management?
a