مريض سكري على الأنسولين، سكره ٥٢ ملغ/دل، متعرق ومرتجف لكنه واعٍ ويبلع جيداً. ما أول إجراء؟

A diabetic client on insulin has glucose 52 mg/dL; he is sweaty and shaky but alert and swallowing well. What is the first action?

1. IM glucagon, because it acts faster than food
2. Fast oral sugar, then recheck in 15 minutes
3. IV dextrose 50% immediately before anything else
4. A sandwich with protein to prevent another drop

Answer: B) Fast oral sugar, then recheck in 15 minutes. An alert client who can swallow takes 15–20 g of fast-absorbing sugar, such as 150 mL of juice, then rechecks in 15 minutes (the 15/15 rule). IV dextrose and glucagon are for clients who cannot swallow, and protein follows recovery rather than being first-line.