مريض سكري واعٍ، يتعرق ويرتجف ويشعر بالجوع، والسكر ٥٢. يستطيع البلع. ما الإجراء الأول؟

A conscious diabetic client is sweaty, shaky and hungry with glucose 52 mg/dL and can swallow. What is the first action?

1. 15–20 g of fast sugar by mouth, recheck after 15 minutes
2. An immediate intramuscular glucagon injection before anything else
3. A full fatty meal, then recheck in two hours
4. A small insulin dose followed by juice afterwards

Answer: A) 15–20 g of fast sugar by mouth, recheck after 15 minutes. Rule of 15: fast-acting sugar (juice or glucose tablets), recheck after 15 minutes and repeat if still low, then a snack with starch and protein. Glucagon is for those unable to swallow.