Monday , October 23 2017
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Sliding Scale or Carb Counting

Recently I saw a type 1 diabetes mellitus patient who was diagnosed in 1980 at 15 years of age. She had not seen an educator in quite some time but had changed from NPH/Regular to Lantus & Regular. She was interested in learning more about the insulin pens that were available. As we were discussing her routine she became less responsive in her answers and started digging in her purse but did not know what she was looking for. I decided to check her blood sugar and she was 25….

We were able to avoid a catastrophic event and she was up to 99 after 45 grams of carbs 45 minutes later. After further discussion, I learned she was mixing her Lantus/Regular and was told by her previous PCP that it was okay to do this. She was also dosing her regular insulin based on sliding scale and had not learned carb counting.

Lesson Learned:

Don’t assume that a seasoned individual with DM is injecting without a problem and is up-to-date regarding newer ways to manage DM. Always review their technique to see if there is something they might benefit from and manage differently.

Lynette, RN, BSN, CDE

Copyright © 2014 Diabetes In Control, Inc.

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