system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 47-year-old man is brought to the emergency department by his wife 30 minutes after the onset of nausea, sweating, and palpitations. On the way to the hospital, he had an episode of non-bloody vomiting and intravenous fluid resuscitation has been started. He has no history of similar symptoms. For the past 2 weeks, he has been trying to lose weight and has adjusted his diet and activity level. He eats a low-carb diet and runs 3 times a week for exercise; he came home from a training session 3 hours ago. He was diagnosed with type 2 diabetes mellitus 2 years ago that is controlled with basal insulin and metformin. He appears anxious. His pulse is 105/min and blood pressure is 118/78 mm Hg. He is confused and oriented only to person. Examination shows diaphoresis and pallor. A fingerstick blood glucose concentration is 35 mg/dL. Shortly after, the patient loses consciousness and starts shaking. Which of the following is the most appropriate next step in management?
assistant
Administer intravenous dextrose