16-year-old male, type 1 diabetes since 2 years of age, pump therapy. Eats about the same thing daily. Post prandials vary widely. When corrects for highs, gets low.
When checking his meter, it was very dirty. Asked patient if he washes his hands when he checks after meal glucoses. States, “Sometimes.” Reminded him the importance of hands being clean, without food when he checks glucose.
Started washing his hands before checking. Next visit post prandials made more sense and did not have the lows when corrected.
When things don’t make sense:
- go back to the basics. In this case, checking glucose with clean hands.
- ask patient to show you glucose monitoring technique.
- remember, sometimes it’s not so complicated.
If you have a “Diabetes Disaster Averted” story, please let us know! If we feature your Disaster Averted in our Diabetes Clinical Mastery Series e-newsletter, you will receive a $25 gift card. Please click here to submit a short summary of the incident, what you feel you learned from handling the incident, and your name and title. If you prefer to remain anonymous, please let us know, but still give us your name and address (so we can send you the gift card).
Copyright © 2016 HIPER, LLC