Indicate the proper management of the patient with type 2 diabetes mellitus treated with
gliclazide retard, who presents with sweat, fatigue and trembling hands and his blood
glucose concentration as measured by glucose meter is 61 mg/dL:
A. immediately give 1 mg of glucagon i.m. or s.c. and then 500 mL of 10% glucose
solution in intravenous infusion and perform a control measurement of glycemia after 30
minutes.
B. give slow intravenous infusion of 20% glucose solution in 250 mL of normal saline
and perform control measurements of glycemia every 30 minutes.
C. give simple carbohydrates, e.g. sweetened tea and then complex carbohydrates, e.g.
a sandwich of full-grain bread and perform a control measurement of glycemia after an
hour.
D. first give the patient 50 mL of 20% glucose solution i.v. and then 500 mL of 10%
glucose solution with a control measurement of glycemia after 15 minutes.
E. in the case of hypoglycemia related to the use of sulfonylureas it is indicated to use
the rule of 15/15.
Dział:
Interna
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