A 19-year-old woman with type 1 diabetes is on the surgical ward the evening after an appendicectomy. Two hour…

Question

A 19-year-old woman with type 1 diabetes is on the surgical ward the evening after an appendicectomy. Two hours after her usual insulin she becomes sweaty and tremulous and tells you she feels low. She is fully alert and able to swallow. She wears a continuous glucose sensor and shows you the display: the reading is 6.4 mmol/L with a downward trend arrow, and was 9.8 mmol/L twenty minutes ago. Which one of the following should be done first?

Accepted Answer

Perform a capillary blood glucose test

Answer

Document the episode and notify the diabetes team

Answer

Give 15 g of oral glucose

Answer

Give a longer-acting carbohydrate snack

Answer

Recheck the capillary glucose in 15 minutes

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