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Insulin Therapy Center

Insulin Therapy for Diabetes: Diabetes in Control answers key questions about the uses and challenges of insulin in diabetes management, including:
– How insulin is used to treat diabetes
– How/when a healthcare professional should consider insulin therapy for diabetes patients
– What a healthcare professional needs to know about making insulin therapy safe and effective

Patient Query Helps to Catch Dosing Error

I was working as a diabetes nurse in a hospital when a patient I was seeing asked me to find out why she experienced two recent hypoglycemic episodes. She came into the hospital…on a mixed insulin (75/25 ) 25 units before breakfast and 15 units before dinner. On reviewing her chart, I saw where the doctor had changed her insulin to Novolog before each meal, dose based on her blood sugars, and Lantus 30 units at bedtime.

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Pump Setting Changes May Go Unnoticed

Recently a pump user reported a sudden increase in her glucose levels lasting a couple of days. Her blood sugars were elevated to 275-320mg/dL, with no ketones present.  Changing her infusion sets did not help. Nor did rotating to a new injection site or even using a fresh vial of insulin. After reviewing her insulin pump we noticed a symbol on her “home screen” saying that a special feature was running.

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