I am writing to refer Ms Tabtha Taborlin, a 45- year-old patient, who is a poor
control
type one diabetes with intermittent diabetic ketoacidosis (DKA). She requires your assessment and management for the rigid glycemic Use synonyms
control
and Use synonyms
insulin
pump insertion as you deem appropriate.
Ms Taborlin has been struggling with diabetes since she was 7 years old. she is a noncompliant patient with recurrent ketoacidosis and admission. 4 days back she was admitted with dehydration and a glucose level of 530 mmol/l on admission. She was taking Use synonyms
insulin
with the dose of 45 units of Lantus and 12 units of Humalog nightly and an additional pre-prandial correctional scale with the Humalog, Use synonyms
however
, she had not used it regularly.
She does not exercise and she smokes 2 cigarettes per day. She is underweight and she has essential hypertension as well.
Despite discussing the necessity of strict glucose Linking Words
control
and regular Use synonyms
insulin
injections, she still doesn’t use Use synonyms
insulin
regularly and does not follow the recommended diet.
It would be great if you could visit her and give us your valuable opinion about an alternative treatment plan for better glycemic Use synonyms
control
Use synonyms
such
as Linking Words
insulin
pump.
Yours sincerely,
DoctorUse synonyms
ali.homayoni93