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Medical Emergencies · single question

A diabetic patient who ate before appointment has no recent glucose data. What to assess BEFORE treatment?

  1. HbA1c only
  2. Point-of-care blood glucose measurement (glucometer)
  3. Urine ketone test
  4. Require them to fast then measure fasting glucose
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Correct answer: B. Point-of-care blood glucose measurement (glucometer)

Point-of-care BLOOD GLUCOSE (glucometer) = most practical immediate assessment of current glycemic status. Tells you whether safe to proceed (ideally 80-200 mg/dL). Fasting glucose inappropriate (patient already ate). HbA1c = 3-month average, not current status.

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