What is the recommended action for a patient who presents with altered mental status and history of diabetes?

Administering IV glucose is a critical action for a patient with altered mental status and a history of diabetes, particularly if there is a suspicion of hypoglycemia. Patients with diabetes are at risk for low blood sugar levels due to factors such as insulin therapy, missed meals, or excessive physical activity. Hypoglycemia can lead to altered neurological function, resulting in symptoms such as confusion, disorientation, and loss of consciousness.

Administering glucose intravenously is the quickest way to raise blood sugar levels and reverse the symptoms associated with hypoglycemia. Immediate treatment is essential because prolonged low blood sugar can result in serious consequences, including seizures or loss of consciousness. This intervention not only provides rapid correction of the hypoglycemic state but also allows for ongoing monitoring and management of the patient’s condition during transport.

In contrast, other options may delay appropriate care or may not provide the necessary intervention in a timely manner. A quick neurological assessment, while important, does not directly address the potential hypoglycemic crisis, and just transporting without intervention could lead to further deterioration. Encouraging oral sugar intake may not be safe or effective, especially if the patient is unable to swallow or has decreased consciousness, which is not advisable in a situation where immediate glucose elevation is needed