A patient on metformin and glipizide arrives at her 11:30 a.m. clinic appointment diaphoretic and dizzy. She reports taking her medication this morning and ate a bagel and coffee for breakfast. BP is 110/70 and random finger-stick glucose is 64
How should this patient be treated?
1. 12 oz apple juice with 1 tsp sugar
2. 10 oz diet soda
3. 8 oz milk or 4 oz orange juice
4. 4 cookies and 8 oz chocolate milk
ANS: 3
RATIONALE: Approximately 15 grams of fast-acting CHO is the treatment of choice. Diet soda would not treat hypoglycemia. The other choices would overtreat and cause rebound hyperglycemia.
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