What could be a consequence of administering D10 too quickly to a hypoglycemic patient?

Administering D10 (10% dextrose solution) too quickly to a hypoglycemic patient can lead to rebound hypoglycemia. When glucose is given rapidly, it causes a rapid increase in blood sugar levels. This sudden spike can trigger a release of insulin from the pancreas, especially in individuals who may have developed an insulin response—potentially due to prior insulin therapy or metabolic adaptations. If insulin is released too soon after dextrose administration, it can lower blood sugar levels again once the immediate effects of the glucose have worn off, potentially resulting in rebound hypoglycemia.

In the context of managing a hypoglycemic crisis, it’s important to administer glucose cautiously and monitor the patient's blood sugar levels closely. Appropriate rates of infusion help prevent complications associated with rapid fluctuations in blood glucose levels. Understanding this mechanism emphasizes the importance of careful administration protocols when treating hypoglycemia in emergency settings.