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Editor’s Note, DCMS #138

May 27, 2013

This week in our Homerun Slides we get back to working with medications to focus on the core defects of diabetes and how selecting the right combinations can make a difference in the synergy and results, while our Disaster Averted looks at what happens when there are transcribing and order entry errors. Our Mastery In Minutes video features Martha Funnell with a few ideas on how to motivate your patients.

When patients present themselves in the ER with severe hyperglycemia, it is very important to determine if the patient is in severe ketosis. Many patients that we think would have high ketone levels don’t and the reason could be hyperosmolar non-ketotic hyperglycemia. This needs to be determined early in the ER as treatments for these patients are actually the opposite of what you would expect. Check out this week’s Clinical Text from Diabetic Emergencies: Diagnosis and Clinical Management to learn exactly what to do.