Mary went to a café for dinner.

Mary went to a café for dinner. Before going to the café, she drank two glasses of wine at a bar with friends. When the waiter delivered Mary’s meal, he observed that she was slumped in her chair and she was unresponsive. The waiter called the ambulance service. The paramedic noted Mary’s medic alert bracelet ‘type 1 diabetes on insulin’ and a check of capillary blood glucose registered ‘low’. the paramedics administered glucagon, 1 mg IM followed by 50mL of 50% glucose via an intravenous cannula. 1.Explain the actions of the paramedic in relation to his choice of medications administered. Mary rapidly recovered consciousness. She told the paramedics that she had taken 12 units of insulin aspart (instead of her usual 6 units) 15 minutes before her meal arrived because, while at the bar with her friends, she had measured a high reading on her capillary glucose meter. 2. Discuss the effect of alcohol on blood glucose and awareness of hypoglycaemia.

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