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Let’s get back to the basics. Per the American Diabetes Association, insulin is a naturally occurring hormone secreted by the pancreas. Many people with type 1 diabetes are prescribed insulin because their bodies do not produce insulin, and insulin can be necessary for people with type 2 diabetes because their bodies do not use insulin properly. What are the routines?...

Strategies to Minimize Risk of Hypoglycemia We addressed the patient risks of severe hypoglycemia in the part 1 of this series and followed it with the clinical consequences of severe hypoglycemia in part 2. After looking at both scenarios, you may be thinking, how can hypoglycemia be treated and what can be done to minimize the risk of hypoglycemia?’ The...

Clinical Consequences of Severe Hypoglycemia In part 1 of this series, we described a scenario of a patient receiving intensive insulin therapy, and the most frequent critical complication to follow: hypoglycemia. Not only are there patient risks of severe hypoglycemia, there are clinical consequences as well. The clinical effects of hypoglycemia include: Hospital admissions – In a prospective study of...

Patient Risks of Severe Hypoglycemia Edward Mason is an 18-year old male with a height of 175.26 cm (5’9) and a weight of 72.57 kg (160 lbs). Edward is admitted to the emergency department with severe abdominal pain, nausea, vomiting and weakness. He is hyperglycemic with no prior history of diabetes. After examination, Edward is diagnosed with diabetic ketoacidosis (DKA)...

Recent controversies at the National Institute of Health Clinical Center are every hospital administrator’s worst nightmare. According to a June 2, 2016 article in the Wall Street Journal, the Bethesda, Maryland hospital, recognized for its cutting-edge medical research, has an unsafe pharmacy dosing program for patients. In 2015, Federal Drug Administration inspectors found what they termed “serious manufacturing problems” with...