Final answer:
In the case of hypoglycemia with a history of Glargine insulin use, immediate steps include taking fast-acting carbohydrates and, if necessary, glucagon. Rechecking blood glucose levels shortly after initial treatment is essential, and further plans should be made with a healthcare provider.
Step-by-step explanation:
In response to hypoglycemia with a history of Glargine (Lantus) insulin use, with blood glucose levels of 60 mg/dL and 54 mg/dL at 3 am, the immediate concern is to raise the blood glucose level to a safe range. The first step should be to consume fast-acting carbohydrates such as glucose tablets or juice, which can increase blood sugar levels quickly. Following treatment for hypoglycemia, rechecking the blood glucose level after 15 to 20 minutes is crucial to ensure it has increased to a safer range. If the person is unconscious or unable to swallow, a glucagon injection may be necessary as it stimulates the release of glucose from cells. Understanding how Glargine insulin works is essential because its action profile is known for having a peakless, long duration, which means that hypoglycemic episodes can be a risk if not managed correctly.
Further management should be discussed with a healthcare provider, considering the individual's overall diabetes management plan. Knowing the normal blood glucose levels is critical when managing diabetes. Post-prandial levels should be between 100-140 mg/100 ml, and fasting levels range from 60-90 mg/100 ml. These values are integral to understanding how well the treatment is working and how dietary and insulin adjustments should be made.