Type 2 diabetic female pt per physician has been on v-go 20 1-2 weeks.The pt reports she had a blood glucose of 11 mg/dl on (b)(6) 2014 about 9:30am.The pt reports she had just fixed her breakfast, was walking to the parlor and passed out.Her husband found her on the floor and called the rescue squad.The rescue squad removed the v-go.She was treated and hospitalized.In the hospital she indicated she had high blood glucose of 248, 300, and 209 mg/dl.The pt reported she did not use the clicks (mealtime bolus) while using the v-go.She indicated she changed the v-go every day at 8am.When asked if she saw insulin left in the v-go when she removed it she reported there was no insulin left.She reported she had blood glucose of 30, 35, 40, 57, and 63 mg/dl while using the vgo and her symptom was shakiness.The pt indicated she had reported these blood glucose readings to her health care provider.The pt also reported her blood glucose was also 1999 and 300mg/dl while using the v-go.The pt indicated she was checking her blood glucose 4x day and the blood glucose could be any level any time; there was no pattern.The pt indicated there was no differences in lifestyle except she was gaining weight.She reported treating the low blood glucose with orange juice.She reported she ate normally the day before the blood glucose of 11 mg/dl.She reported she often does not take bedtime snack but if she does it is peanut butter and crackers.The pt reported she does not know her aic.The pt reports pre-vgo she was taking 20 units of lantas twice a day and novolog of 10 units twice a day.She indicated she took the same oral medications pre-vgo and when using the vgo of 15mg of actos in the am, glipizide 10mg twice a day and metformin 500 mg twice a day.Pre-vgo the pt reports her blood glucose range was 200-500mg/dl.She reported the lowest blood glucose she ever had pre-vgo was 82mg/dl without symptoms.
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