Disasters Averted

My colleague and I were working with a client new to insulin. We each saw him separately. He was taking Lantus® and Humalog® by syringe at meals. He had been taught how to use the syringe by his physician’s office staff….

A patient called to report that they had the flu, were vomiting and had diarrhea. The patient was not eating and so assumed, because of this, that….

Surveys indicate that eyesight is the one sense that Americans fear losing most. Several weeks ago, I examined a patient who complained of “sudden” onset vision loss….

I was working with a patient who’d recently had a pump upgrade and although he said he didn’t have problems or issues with infusion set changes, I urged him to change his set while I was present. In the process, he did very well with filling his reservoir and inserting his …

A middle-aged woman, mildly obese, with Type 2 diabetes was hospitalized in the ICU, and the order on her chart was documented “Lispro 90 units at HS,” then the “9” was crossed off and a “6” written above it….

I recently had a pump patient who suddenly started having a problem in the morning with hypoglycemia, 30 minutes after arising but prior to taking her bolus for her breakfast.  We recommended she change her infusion set and insertion area however there was no improvement and she continued to have …

Sometimes, just a simple instruction on the use of an insulin pen can prevent serious problems….

I visited a housebound patient who had uncontrolled blood glucose, in spite of her physician having increased her insulin dose over a period of two weeks to twice her previous dose.  The physician requested that I ask in depth about any factors that might be causing her to need so much more insulin. …

I had a patient who was diabetic and on insulin. He was a young man who liked to go out on weekends. I stressed how he needed to wear a medical ID bracelet and he did purchase one….

I recently started working with a 58 y/o gentleman who had insulin dependent Type 2 diabetes. He was 110 pounds overweight, and was using 120 units of Lantus and 30 units of Humalog daily. His most recent A1c was 8.6….