رجل عمره ٧٢ سنة مصاب بالسكري، يأخذ إنسولين سريع المفعول (أسبارت) قبل الأكل. الممرضة أعطته الجرعة الساعة ١٢ ظهراً، لكن صينية الغداء تأخرت، وهو الآن متعرق ومرتبك. الساعة ١٢:٤٠. ما الإجراء الأول؟

A 72-year-old diabetic receives rapid-acting insulin aspart before meals. The nurse gave it at 12:00, but lunch was delayed and at 12:40 he is sweaty and confused. What is the first action?

1. Check glucose immediately and give fast sugar if low
2. Wait for the lunch tray, then check the glucose
3. Document it and inform the next shift only
4. Give an extra insulin dose because he has not eaten

Answer: A) Check glucose immediately and give fast sugar if low. Rapid-acting insulin starts in 10–15 minutes and is given when food arrives. Sweating and confusion signal hypoglycaemia needing immediate testing and treatment.