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Type 2 diabetes

A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.

A 73-year-old man with type 2 diabetes is found unresponsive by his wife. His glucose is 1.9 mmol/L. He takes insulin. What should his wife do while waiting for paramedics?

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The answer is B: Give glucagon by nasal spray or injection.

A person who cannot swallow safely must not be given food or drink because of aspiration risk. Glucagon (intranasal or injection) raises glucose within minutes and should be prescribed to anyone on insulin at risk of severe hypoglycemia.

This question comes from Week 4 of MCC Vault: Endocrine, diabetes and metabolic. That week has 124 more exam-style questions like it, 5 short lessons and 155 flashcards. The course starts free with Week 1 and reaches this topic in week 4, as part of a five-month plan with full mock exams along the way.

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