When reviewing the medical record of a hospital patient before meeting with her for a diabetes consult, I noted that the doctor had ordered 46 units of Lantus to be given daily at bedtime....

During a recent phone follow-up call to one of my patients, a co-worker and I avoided a "Diabetes Disaster." My patient told me that she had received her mail-order refill for "ASPART," but the bottle didn't look the same....

A female patient, 68 years of age, newly diagnosed with type 2 diabetes, had her initial visit with her endocrinologist and diabetes educator. Her second visit was then scheduled for two weeks later. However, the patient was a no-show for her second appointment....

 Over the years, I have had many patients come into the pharmacy requesting a replacement bottle of insulin because they’ve accidentally dropped a bottle. Recently, a patient shared one such experience....

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 infusion set. The problem was noted when he went to the cannula fill amount....

A man 79 years of age was referred to me to start insulin. As a diabetes educator, I don't always have a full history and comprehensive labs given to me from the PCP. I met the patient and his family who told me his history, medications, lifestyle, etc....

I have a patient I introduced to using Lantus insulin (including why, injection technique, storage, etc.). She would then see her family doctor, get the prescription and return the next week to review titration and any new questions before she started. I saw her a week later at our supervised diabetes walking group. She reported that she had started using the insulin three days prior and started at ten units and stated she was now 20 units! (She had only had two doses). 

A patient, 62 years of age, with type 2 diabetes, obesity, and an intellectual disability disorder, had been a patient at our clinic for over ten years. Treatment included metformin and insulin. He met regularly with his endocrinologist and diabetes educator. He often spoke about wanting to lose weight....

I recently saw a patient for a diabetes follow-up and had just gotten her lab values faxed over. Her A1c came back at 9.6, despite the patient telling me that her glucose meter readings were much lower. She even showed me the meter, and upon doing some averaging, it appeared that her A1c should be a lot lower....

Female, type 1 diabetes for 42 years, 58 years of age, lives with husband and dog. The patient has hypoglycemic unawareness. We regularly readjust her treatment plan and have recommended CGM for this patient on numerous occasions. Still, she refuses, stating her dog wakes her up if and when she has hypoglycemia. She called to let us know her dog passed away....