At a recent support group meeting, a patient raised his hand and told me that he had been prescribed both Lantus and Levemir, and was taking them both at night.
I advised him that he would not have been prescribed both since they were both long-acting insulins. However the patient insisted he was started on 10 units of Lantus and then was ordered 13 units of Levemir and told to take them both.
After the support group meeting I called his physician’s office and advised them of the patient’s medication regimen. The medical staff person then told me the patients had been switched from Lantus to Levemir due to issues with weight, and it was assumed he understood that he would no longer be taking Lantus. The doctor’s office was very appreciative of my report since the patient had been doing this for 3 months with some low blood sugars in the morning.
When changing drug regimens, make absolutely sure the patient understands what is being discontinued, and what medications are being added as replacement(s).
Jeanine Hinman, RN, CDE
Report Medication Errors to ISMP:
Diabetes in Control is partnered with the Institute for Safe Medication Practices (ISMP) to help ensure errors and near-miss events get reported and shared with millions of health care practitioners. The ISMP is a Patient Safety Organization obligated by law to maintain the anonymity of anyone involved, as well as omitting or changing contextual details for that purpose. Help save lives and protect patients and colleagues by confidentially reporting errors to the ISMP.
And if you have a “Diabetes Disaster Averted” story, please also send it in separately to Diabetes In Control. If we use it you will receive a Visa Gift Card worth $50.00. Click here to let us know the details. (You can use your name or remain anonymous if you prefer.) Please note that ISMP is not associated with this Gift Card promotion.
Copyright © 2012 Diabetes In Control, Inc.
|←Previous Diabetes Disaster Averted
Same Brand, Different Pens
Next Diabetes Disaster Averted →