Hemegroup Posted April 29, 2011 Share Posted April 29, 2011 Anyone ever seen such a thing? Had a pt this morning who has been to the ER 4 times this week for serious hypoglycemic episodes (46, the last time). On Lantus at night and Novolin R before meals ... says he drops hard after the Lantus, which I obviously cut out. He said he hasn't taken his insulin in days, he threw it all away after the last visit to the ER. And his random today was 240, with his A1C at 7.7. So ... I left him on the Novolin per heavy sliding scale, and started him on some Metformin. Am I crazy? He's been on insulin for 14 years, started at age 21. Link to comment Share on other sites More sharing options...
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