A 60 year-old man has long managed his type 1 diabetes effectively with a combination of vigilant blood sugar monitoring, subcutaneous insulin administration, and conscientious eating habits. This morning, however, his wife has noted that he appears pale and clammy and appears to be in a stupor, though he is responsive. She suspects that he has made an error in his insulin administration and that he is experiencing a hypoglycemic episode. Which action should be the wife’s first choice?

The question is incomplete as it lacks the multiple options. The multiple option are as follows;

Careful monitoring for level of consciousness and resolution of hypoglycemia .

IV infusion of 50% dextrose and water solution .

Administration of subcutaneous glucagon

Administration of 15 to 20 g of glucose in a concentrated carbohydrate source

Administration of 15 to 20 g of glucose in a concentrated carbohydrate source.

Explanation:

The insulin and glucagon hormone maintains the blood glucose level in the humans. In case of Type I diabetes a little amount or no amount of insulin is made by the pancreas.

The wife of a man has caused insulin error that creates hypoglycemic condition means the individual has low blood glucose level. The intake of carbohydrates can increase his blood glucose level. The wife should give 15 to 20 g of glucose to make the conditions normal.

Thus, the answer is option (4).