Cholecystectomy with complications

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Reference no: EM133849150

Question

1. A 37 year old female with a 20 year history of DM is post cholecystectomy with complications. She has been on four time daily blood sugar testing with sliding scale insulin coverage. She is preparing for discharge and wanted to return to her previous blood sugar management. Her pre-hospitalization insulin regime included:

NPH insulin 16 units in AM and 8 units in PM

Regular insulin 8 units in am and 3 units in PM

2. She resumed this regime 2 days ago. Upon rounding this am, the patient tells the NP that she has woken up feeling awful. She is sweaty and shaky during the night and lethargic in the morning. The NP reviews her blood sugar readings and discovers this:

0300 0700 1200 1700 2100
62 196 109 90 146
64 203 82 100 150

What is your working diagnosis for this patient?

Reference no: EM133849150

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