A patient mistakenly administered too much short-acting insulin. What should she do first?

In situations where a patient has administered too much short-acting insulin, the immediate concern is the risk of hypoglycemia, or low blood sugar levels. Consuming four ounces of fruit juice is an appropriate first response because it provides a quick source of carbohydrates that can rapidly counteract the effects of insulin.

Fruit juice is easily absorbed, and the sugar content in it can help raise blood glucose levels effectively. This action can stabilize the patient while they monitor how they feel or until further assistance can be sought if needed. It’s crucial for individuals with diabetes to recognize early signs of hypoglycemia and to have strategies, like carrying fast-acting carbohydrates, to manage these situations.

While other options may seem reasonable, calling emergency services or driving to an emergency room could delay the crucial first step of addressing the hypoglycemia. Attempting to get a fingerstick also would not provide immediate relief. Therefore, the best immediate action is to ingest something with quick-acting carbohydrates, like fruit juice, to help mitigate the risks associated with the excess insulin.