2nd May 2024

A 58-year-old man with type 2 diabetes presents to the emergency department with confusion, dizziness, and sweating.

A 58-year-old man with type 2 diabetes presents to the emergency department with confusion, dizziness, and sweating. He reports that he missed his regular meal but took his usual dose of insulin. His medical history includes hypertension and hyperlipidemia. On examination, he is pale, diaphoretic, and his speech is slurred.

Investigations:

Capillary Blood Glucose: 2.8 mmol/L (normal: 4.0–7.0)

Which is the most appropriate initial treatment?