Hypoglycaemia Scenario

You are called to a 49-year-old female insulin dependent diabetic patient who is not responding appropriately. The patient is acting very confused and is unable to get out of bed. The caller states he thinks they are having a ‘hypo’ but can’t manage the patient, hence the call to 999. On arrival, the patient is currently a GCS of 8 (2E, 2V, 4M). You quickly take a blood sugar reading, and it is 1.8mmol/L. No other primary survey deficits present.