AKT-4725

AKT-4725

You go on a home visit to see an 80-year-old nursing home resident who was found ‘collapsed’ in his room earlier today. The paramedics were called and made a diagnosis of hypoglycaemia. The record of their visit shows that he was drowsy and the blood glucose was 1.8 mmol/l. After giving him an oral glucose paste the patient’s condition significantly improved. A carer from the nursing home is present and reports that he has had regular ‘hypos’ recently.

His current medication is as follows:

Metformin 1g bd
Gliclazide 160mg od
Pioglitazone 45mg od
Aspirin 75 mg od
Simvastatin 40 mg on

What is the most appropriate immediate action?