30th April 2024

You are asked to see an 80-year old man on the stroke ward

You are asked to see an 80-year old man on the stroke ward out of hours on a Sunday evening. He was admitted 2 days ago with an MCA infarct and has been on NG feed since then. He is known to be a type 2 diabetic and is on Metformin 1g BD.  His blood sugars have been 12 – 14 mmol/L over the last 48 hours and the nursing staff are concerned about his hyperglycaemia.

What is the most appropriate course of action?

Select the SINGLE most appropriate option from the list below. Select ONE option only.