A 65-year-old female with prolonged history of type 2 diabetes mellitus comes in for her regular recall appointment. She reports she did not have time for breakfast this morning, but took her insulin on time. During the dental procedure, the hygienist observes the patient to be confused and shaky with some sweating. What should the dental hygienist do first?

Question

Quizplus · Accepted Answer

The patient is exhibiting symptoms of hypoglycemia (low blood sugar), which can be a medical emergency if left untreated. The dental hygienist should stop the procedure immediately and provide fast-releasing glucose, such as glucose tablets or a sugary drink, to quickly raise the patient's blood sugar levels. Continuing the treatment, activating the emergency response system, or trying to complete the appointment quickly can worsen the patient's condition and put their health at risk. Once the patient's blood sugar has stabilized, the dental hygienist should consult with the patient's physician and discuss any necessary changes to the patient's diabetes management plan.

A 65-Year-Old Female with Prolonged History of Type 2 Diabetes