Mr JQ (age 56 years) has type 1 diabetes and has been in hos…

Questions

Mr JQ (аge 56 yeаrs) hаs type 1 diabetes and has been in hоspital fоr the last 3 days with a chest infectiоn. This has cleared up significantly and he is now on oral antibiotics and looking forward to being discharged soon. This afternoon however he has complained of feeling sweaty, dizzy and 'just awful'. It is 3 pm, 2 hours after he ate lunch. His capillary blood glucose is tested and found to be 3.10 mmol/L. It was noted that yesterday’s blood glucose mid-afternoon was 3.90 mmol/L. Other blood glucose readings have been within range. The list of medication he is currently prescribed in hospital is shown below.   Levemir FlexPen 100 units/ml                     20 units BD (8am and 6pm) NovoRapid FlexPen 100 units/ml               8 units TDS with meals Co-amoxiclav 625mg tablets                       TDS for 4 more days to complete 7 day course (Co-amoxiclav 1.2g IV now finished)   From the options given, what is the MOST APPROPRIATE course of action?

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