A patient with type 1 diabetes who skipped breakfast becomes shaky, sweaty and confused during treatment but is conscious and able to swallow. What is the most appropriate management?

  • Correct answer

    Give an oral fast-acting carbohydrate such as juice or glucose tablets

  • Administer subcutaneous insulin

  • Administer intramuscular epinephrine

  • Give oxygen only and observe

This question is one of 15 in AFK practice: Pharmacology, local anesthesia and emergencies. Test yourself on all of them.

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Explanations

  • These are signs of hypoglycemia; a conscious patient who can swallow should receive oral sugar. Insulin would lower blood glucose further and worsen the episode.

    Source: Malamed, Medical Emergencies in the Dental Office — oneguy

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