A known diabetic presented in medical OPD with a history of altered level of consciousness, lethargy, poor feeding with vomiting, palpitations and anxiety. On examination, he had Tachycardia. His drug history revealed he is on intermediate insulin and has taken the dose in the morning. What would you like to do next with this patient?
  1. Check blood sugar level with glucometer
  2. Will give glucose without checking blood sugar level
  3. Carry out ECG
  4. Send blood complete picture for test
Explanation
Answer: A - Check blood sugar levels with the rapid method using glucometer in this patient because all the symptoms and signs and the Tachycardia fit into hypoglycemia. This test should be done urgently because the brain can be damaged if this condition is prolonged.
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