Your Patient Is a 24-Year-Old Male with a History of Type

Your patient is a 24-year-old male with a history of type I diabetes. You were called to his place of employment because he was behaving bizarrely. On your arrival he is confused and combative with a blood glucose level of 41 mg/dL. Due to poor vasculature and the patient's combativeness, you have not been able to start an IV. Which of the following is the best course of action?

A) Administer 1 mg glucagon, IM.
B) Administer 5 mg Valium, IM, and attempt the IV again when the patient is less agitated.
C) Administer half an amp (12.5 g) of 50 percent dextrose, IM.
D) Use four-point restraints to restrain the patient and transport. Attempt the IV again if the patient becomes unresponsive.