Monday , December 18 2017
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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 result," and made that his dosage for meal-time insulin. For example, if the glucose reading was 240, he would take 24 units of Humalog.

I asked him if this was his instruction per his provider and he said, "No, but it was the only thing that made sense to me that I could remember."…

A specific teaching plan with simple dosing was designed for him and a home health evaluation for medication administration safety was also made on his return home.

Lesson Learned: 

This example once again reiterates the importance of having the patient give you a verbal and sometimes a practice demonstration of what they understand to be the practice for medication administration.

Janet Howard-Ducsay, RN, BA/BSN, CDE
Diabetes Nurse Educator