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Type 1 diabetes, DKA and HHS

A practice question in the style of the PLAB 1 exam. Choose your answer to see the explanation.

A man with type 1 diabetes treated a hypoglycaemic episode with 15 to 20 g of fast-acting glucose, but 15 minutes later his glucose is still 3.1 mmol/L. What should happen next?

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The answer is E: Repeat the 15 to 20 g of fast-acting carbohydrate.

The treatment is repeated if glucose is still below 4 mmol/L after 10 to 15 minutes, and a longer-acting carbohydrate follows once it has recovered.

This question comes from Week 4 of PLAB Vault: Endocrine, diabetes and metabolic. That week has 124 more exam-style questions like it, 5 short lessons and 154 flashcards. The course starts free with Week 1 and reaches this topic in week 4, as part of a four-month plan with full mock exams along the way.

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