A patient has a glucose level of 360 mg/dL; what is the next appropriate step?

In a situation where a patient presents with a glucose level of 360 mg/dL, the condition indicates severe hyperglycemia, which can pose significant health risks, including diabetic ketoacidosis or hyperglycemic hyperosmolar state. The next appropriate step is to consult a medical professional.

This step is critical because managing elevated blood glucose levels may require immediate medical intervention and monitoring that goes beyond the scope of dental practice. Dental professionals must prioritize patient safety and ensure that any underlying medical issues are addressed by a qualified healthcare provider.

While administering immediate treatment might seem like a direct response, treatment for hyperglycemia should be done in a medical setting where the patient can receive proper assessment and management. Additionally, performing a full dental procedure is not advised without stabilizing the patient's condition, as dental treatment could exacerbate their health status. Ignoring the elevated glucose level is not an option since the patient's well-being is at risk.

Overall, consulting a medical professional facilitates the best course of action in managing the patient's elevated glucose and ensures comprehensive care.