What is the recommended action when hypoglycemia is suspected in acute stroke?

• A. Delay glucose until blood glucose confirms normal.
• B. Administer glucose only after MRI
• C. Ignore until patient reports symptoms.
• D. Treat promptly with glucose and adjust to maintain euglycemia.

Answer: (D)

Hypoglycemia can worsen brain injury in the setting of acute stroke, so the priority is to correct it promptly. If hypoglycemia is suspected, administer glucose right away and then adjust treatment to keep glucose in the normal range, using repeat checks to guide adjustments. This approach protects brain tissue and helps avoid further injury from ongoing low glucose or from swings into high glucose. Waiting for lab confirmation or imaging before treating would risk prolonging brain exposure to insufficient energy, and delaying management until symptoms are explicitly reported could miss an urgent, reversible cause. The goal is immediate treatment followed by careful monitoring to maintain euglycemia.