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Disasters Averted

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Prescription Errors

NovoLog Mix 70/30 Confusion

When prescribing NovoLog® Mix 70/30 analog insulin, health care professionals may write an unclear prescription, or if using an EMR system, inadvertently select Novolin® 70/30 human insulin instead. Be on the lookout...


Fulfillment Errors

NovoLog Mix 70/30 Confusion

When prescribing NovoLog® Mix 70/30 analog insulin, health care professionals may write an unclear prescription, or if using an EMR system, inadvertently select Novolin® 70/30 human insulin instead. Be on the lookout...


Patient Errors

Include Caretakers in Diabetes Patients' Plans to Lower A1c

A married male patient, 68 years of age, has been prescribed long-acting insulin twice a day because once-daily does not work 24 hours for him, and his dose is large. Therefore breaking it into two smaller injections helps bring down his glucose,...


Preparation for Unexpected Events Should Include Finances

It was a beautiful day. A patient of mine who has type 1 and her friends who do not have diabetes decided at the last minute to go out and enjoy it. They walked and walked, ate out for lunch, and walked and walked some more. She walked a lot more...


Diabetes Care and Education Beyond the Clinical Practice Setting

Years ago I was attending an annual AADE meeting in Washington, DC. It was a hot summer day in August and while running between meetings, I got overheated. One of my fellow attendees, a nurse educator who was also a friend and past president of...


Even Experienced Patients Need Reviews of Insulin Injection Technique

A patient came to us on reasonably high doses of basal bolus insulin, using Levemir and NovoLog flex pens. He stated that he had been using insulin for a few months and was referred for more management assistance from his provider. He was seen by...


Exercise Not Guaranteed to Lower Blood Glucose

John, a gentleman in his 70's who has diabetes, always visited my group after he exercised.


Treat the Whole Patient, Not Just Part

We were running a clinical study on erectile dysfunction.


Hypoglycemia Can Impact Job Performance

A 55-year-old woman with type 2 diabetes who was being treated with glimiperide had had a difficult time finding a job.


Using Pens - Keep It In and Hold It Down!

Susan received a phone call from her clinician's office recommending that she start using a pen for her insulin.


Dealing with Difficult Patients

Ricardo, a 35-year-old man newly diagnosed with type 1 diabetes, was hospitalized for diabetic ketoacidosis (DKA).


Not All Insulin Pens are the Same

Recently, a patient of mine called about her post-meal glucose levels which were increasing.


Assessing Insulin Administration Technique

An 83-year-old woman who lived alone and was very active in her community was having wide swings in her glucose levels.


Remote Wireless Monitoring Can Help Patients Newly Diagnosed with T1

A patient of mine was newly diagnosed with type 1 diabetes. 


What's Hiding in that Insulin Box?

Last week in the pharmacy we received an electronic refill authorization for regular and nph insulin.


Treatment Errors

Customer Service Goes Beyond Prescription Delivery

A woman, 59 years of age, was diagnosed with diabetes while in the hospital. She was discharged on basal bolus insulin. The diabetes educator (CDE) was contacted to teach insulin administration via insulin pens upon discharge. The patient was...


Misunderstanding Basal Insulin Requirements Can Be Deadly

In an inpatient setting, a type 1 diabetes patient was scheduled for surgery the next morning. The patient was to be NPO after midnight and so the RN on duty withheld the patient's Lantus. The patient's glucose crept up, but this was not...


When Patients' Symptoms Don't Fit the Diagnosis, Look Deeper

A young man, 32 years of age, with a history of ADHD and being treated with Adderall, was diagnosed with type 2 diabetes. He had symptoms upon diagnosis -- frequent urination, weight loss, and his BMI was 20. He followed a low carb diet, was taking...


Hypoglycemia Can Impact Job Performance

A 55-year-old woman with type 2 diabetes who was being treated with glimiperide had had a difficult time finding a job.


Test Insulin Techniques of New Caregivers

The patient is a 91-year-old female with a 10-year history of type 2 diabetes.


Glucagon Label Contributes to Confusion

From our partners at the Institute for Safe Medication Practices (ISMP.org): A nurse gave orange juice to a patient with a blood glucose level of less than 50 mg/dL, but it did not raise the glucose level much, so he administered a dose of...


NovoLog Mix 70/30 Confusion

When prescribing NovoLog® Mix 70/30 analog insulin, health care professionals may write an unclear prescription, or if using an EMR system, inadvertently select Novolin® 70/30 human insulin instead. Be on the lookout...


Hemoglobin Abnormalities and A1c Testing

I recently saw a patient for a diabetes follow-up and had just gotten her lab values faxed over. Her A1c came back at 9.6 despite the patient telling me that her glucose meter readings were much lower. She even showed me...


Additional Disasters Averted

Patient's Plan to "Stop All of My Medicine" Not a Good Idea...

The patient, a woman, 52 years of age, has type 2 diabetes and is on metformin, a GLP-1 agonist, and a long-acting insulin. Over the past few months, I've received calls and emails from her every now and then to let me know her glucose levels were...


Asking the Question: "Are You Wearing Your CPAP?"

A male patient, 56 years of age, with type 2 diabetes, hypertension, congestive heart failure, and sleep apnea visited. We hadn't seen him for 6 months. His blood pressure was up, in the 140-160/90–102 range, glucose levels were higher than...


SGLT-2 Inhibitors: Teach from the Start and Manage Expectations

A female patient, 42 years of age, with type 2 diabetes, is overweight with a history of vaginal yeast infections with elevated glucose levels. Wanting to better manage her diabetes and lose some weight, the commercials about SGLT-2 inhibitors...


Insulin Before Exercise May Be Needed to Lower Morning Highs

A man with type 1 diabetes started an exercise program to help him manage his early morning highs. He exercised every evening, at which time his glucose levels would drop during and after exercise. Thinking that exercise would lower his early...


Long-Term Follow Up Key to Keeping Patients on Track

A new patient of mine was diagnosed with type 2 diabetes and obesity. We discussed a weight loss treatment to target both her diabetes and obesity, and she followed our mutually agreed upon treatment plan. Things were going well -- she would visit...


Helping Your Patients Choose Alternate Testing Sites Wisely

About one and a half years ago I was evaluating the educational needs of a mid-30's, female, hospital in-patient with diabetes mellitus type 2 (DM2).


Diabetes Misinformation Can Delay Treatment, Advance Complications

Can we "prevent" diabetes with weight loss? Or would it be better to say we can "delay" diabetes with healthy behavior?


Change Language to Combat Feelings of Failure

A patient presented for outpatient diabetes education stating, "I really don't know why I am here. I know I need to lose weight. I don't know what else you can tell me."


CGM Best Fit for Active Type 1 Patients

Janelle, an RN, is 36 years old with type 1 diabetes.


Custom Molded Shoes: If the Shoe Doesn't Fit...

A patient of mine who had diabetes and peripheral neuropathy came home from the hospital after a below-the-knee amputation of her right leg.


New FlexTouch Pens Not the Same as the Old

I was reviewing a client's insulin administration.


IDF Diabetes Atlas - North America and Caribbean


IDF Diabetes Atlas - Africa


IDF Diabetes Atlas - Europe

Diabetes is a huge and growing...


IDF Diabetes Atlas - Southeast Asia

Diabetes is a huge and growing...


IDF Diabetes Atlas - Middle East and North Africa

Diabetes is a...


IDF Diabetes Atlas - Western Pacific

Diabetes is a huge and growing...


IDF Diabetes Atlas - South and Central America

Diabetes is a huge...


All Insulins Not the Same

I recently had a home care patient who had been discharged from a skilled nursing facility with a prescription for regular insulin, and who was put on a sliding scale dosage. The patient was experiencing hypoglycemic reactions. I was called to...


Patient's Method of Figuring Meal-time Insulin Doesn't Quite Work

Recently I assessed an 84 year old inpatient with diabetes for his insulin usage at home. In reporting his dosing he stated that after he checked his glucose before each meal he took the "first two numbers of the...



Navigate through our listing of Disasters Averted articles here.
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227 Total articles for Disasters Averted


Browse our other news categories below.
A. Lee Dellon, MD | Aaron I. Vinik, MD, PhD, FCP, MACP | Beverly Price | Charles W Martin, DD | Derek Lowe, PhD | Dr. Brian Jakes, Jr. | Dr. Fred Pescatore | Dr. Tom Burke, Ph.D | Eric S. Freedland | Evan D. Rosen | Ginger Kanzer-Lewis | Greg Milliger | Kristina Sandstedt | Laura Plunkett | Leonard Lipson, M.A. | Louis H. Philipson | Maria Emanuel Ryan, DDS, PhD | Marilyn Porter, RD, CDE | Melissa Diane Smith | Michael R. Cohen, RPh, MS, ScD, FASHP | Paul Chous, M.A., OD | Philip A. Wood PhD | R. Keith Campbell, Professor, B.Pharm, MBA, CDE | Richard K. Bernstein, MD | Sheri R. Colberg PhD | Sherri Shafer | Stanley Schwartz, MD, FACP, FACE | Steve Pohlit | Steven V. Edelman, M.D. | Timothy S. Hollingshead |

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