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What are the treatment options for hypoglycemia if the patient is not alert (hospital and home)?

a. Intravenous glucose in hospital, oral sugar at home
b. Subcutaneous glucagon in hospital, call emergency services at home
c. Oral sugar at both hospital and home
d. Intramuscular insulin in hospital, call emergency services at home

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Final answer:

For hypoglycemia in an unresponsive patient, intravenous glucose is used in hospitals, while at home emergency services should be called. Glucagon can be administered subcutaneously in both situations.

Step-by-step explanation:

The treatment options for hypoglycemia when the patient is not alert differ depending on whether the patient is in a hospital or at home. If the patient is in the hospital, intravenous glucose is administered directly into the bloodstream to quickly raise the blood sugar levels. At home, the situation is more complex since intravenous glucose is not an option. In case a patient becomes unresponsive due to hypoglycemia, it is important to call emergency services immediately. In both settings, subcutaneous or intramuscular glucagon can be administered if the patient is unable to safely swallow oral glucose. Glucagon works by stimulating the liver to release glucose into the bloodstream, raising the blood sugar levels.

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