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A 58-year-old Caucasian male patient attended the emergency department with hypoglycaemia (2.3 mmol/L). This was identified by paramedics following an episode of reduced responsiveness while the patient was at home with his wife. This was successfully treated with 500 mL of intravenous glucose 5%.
The patient had a medical history of diabetes mellitus type 2, hypertension, hypercholesterolaemia, gastro-oesophageal reflux disease and bilateral knee osteoarthritis. His home medications included Humulin M3, irbesartan, simvastatin, ramipril, omeprazole and tramadol. He reported excellent glycaemic control (most recent—haemoglobin A1c 49 mmol/mol), with no recent change in …
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