Transitioning a patient with a complex insulin regimen from hospital to home

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Northerner

Admin (Retired)
Relationship to Diabetes
Type 1
A glycemic management nurse practitioner was consulted on a patient, aged 67 years, who was hospitalized following lumbar spine surgery on postoperative day two. The patient had a history of uncontrolled type 2 diabetes mellitus and was on four different injectable antihyperglycemic agents at home.

The patient was diagnosed with type 2 diabetes mellitus (T2DM) twenty years ago. His diabetes was complicated by diabetic retinopathy and diabetic nephropathy. His other comorbidities include obesity (Class I), obstructive sleep apnea, hypertension, hyperlipidemia, and gastroesophageal reflux disease (GERD).

http://www.clinicaladvisor.com/comp...to-outpatient-management-plan/article/398953/

Wow, that really is a complicated medication regime 😱 I wonder what is meant by "his meals included baked lean meats, and “special rice for diabetes.”" :confused:
 
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