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Disasters Averted

Disasters Averted are stories submitted by our readers and medical editors from direct experience in the field. Do you have a story? If your story is used, we will send you a $25 Amazon Gift Card! Submissions can be anonymous.

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In Search for Culprit Behind Glucose Swings, Investigate Non-diabetes Medications

Recently I had a patient who was referred to me due to increased glucose levels, which happens all the time. However, this patient was referred because of the recent changes in fasting glucose levels. After attending a group diabetes class, the patient seemed to be improving self care and average fasting glucoses had dropped from around 165 mg/dl to 130 mg/dl. The readings held like this for two months and then started to rise again....

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Think Out of the Box!

A woman in her 60s, extremely insulin-sensitive with type 1 diabetes, came for a review of carb counting and blood sugar logs.  Pt had been running blood sugars above the target range. When asking pt why she thought her blood sugars were running high, she stated she was fearful of having low blood sugars....

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Always Reevaluate Background Therapies When Starting a New Glucose-Lowering Agent

We were asked to consult on a case involving BK, a 74-year-old man with type 2 diabetes (T2D) of 12 years duration. He was a retired restaurant manager who lived with his wife of 52 years. BK had a positive history of tobacco smoking (2 packs per day for 35 years), but he quit ten years ago following his grandson's birth. He monitors his blood glucose level two to three times daily....

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A Common Error with Insulin Pumps

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....

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