A woman with type 1 diabetes of 14 years’ duration is admitted to a noncritical care unit after presenting to the emergency center with hypoglycemia. According to her family member and emergency medical services personnel, the person’s blood glucose was noted to be 28 mg/dL. Pharmacy records indicate that her treatment regimen before admission included insulin glargine 40 units subcutaneously in the morning and insulin lispro 5 units subcutaneously before each meal, with a correction factor of 24 (1 unit of insulin for every 24 mg/dL above target) and that she received enough blood glucose monitoring supplies to perform four checks per day. Normal organ function is noted, and her A1C is found to have decreased from 9 to 6.2% in the past 3 months. During her 4-day hospitalization, her insulin therapy included insulin glargine 20 units subcutaneously in the morning and insulin lispro with a correction scale of 0–8...
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Spring 2023
Commentaries|
July 08 2023
Glucagon and Its Underutilization in Diabetes Self-Management: A Teachable Moment
Katherine Wolfe;
Katherine Wolfe
1Department of Pharmacy, Spartanburg Medical Center, Spartanburg, SC
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Jennifer Nicole Clements
2Department of Nursing Administration, Spartanburg Regional Healthcare System, Spartanburg, SC
Corresponding author: Jennifer Nicole Clements, jclements1027@outlook.com
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Corresponding author: Jennifer Nicole Clements, jclements1027@outlook.com
Citation
Katherine Wolfe, Jennifer Nicole Clements; Glucagon and Its Underutilization in Diabetes Self-Management: A Teachable Moment. Clin Diabetes 1 April 2023; 41 (2): 286–288. https://doi.org/10.2337/cd22-0015
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