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January 30, 2003

Insulin

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Question from Waupun, Wisconsin, USA:

I have a patient who has brittle diabetes, and his physician ordered blood sugar checks at 7:00am 11:00am, noon 3:00 pm and 8:00 pm. At noon his blood sugar was 45 mg/dl [2.5 mmol/L], and he was told to give 3 units of Regular insulin. However, five minutes later the doctor said he meant to give 2 units of Regular insulin. Is there a danger or problem with the patient receiving the 1 extra unit?

Answer:

From: DTeam Staff

It’s a relatively minor error. Extra insulin can always cause potential hypoglycemia, of course.

SB

[Editor’s comment: It also should be mentioned that the term brittle diabetes is no longer considered as useful.

SS]