A patient recently diagnosed with type 1 diabetes mellitus is in clinic for a follow-up evaluation. The provider notes that the patient appears confused and irritable and is sweating and shaking. What intervention will the provider expect to perform once the point of care blood glucose level is known?

Question

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The patient is displaying symptoms of hypoglycemia, which can be quickly corrected by giving a rapid-acting carbohydrate such as juice or candy. Dipstick urinalysis for ketones and performing a hemoglobin A1C are not urgent interventions for hypoglycemia. While administering rapid-acting insulin is a treatment for hyperglycemia, it would be contraindicated in this situation when the patient is displaying symptoms of hypoglycemia.

A Patient Recently Diagnosed with Type 1 Diabetes Mellitus Is