[AmyB]

I thought my yesterday at work was impressive. BS 30. Recheck after 6 oz of oj and 6 sugar packets - BS 28. No order for glucagon, so had to keep on with the oj and sugar. MD was unable to be contacted after numerous attempts. She finally called back 4 hours later asking what the problem was. WTH?!?

Found out at the end of my shift that the resident's BS the previous morning was 29, verified by the lab. No mention in report or anything.

Gotta love LTC.

[Lil1Flip]

I have taken care of a resident that would go below the range on glucometer which is below 20 on ours. He is talking making perfect sense. The only reason we check his fingerstick is it is ordered before each meal and at bedtime.
Sandy

[hlfpnt]

When I was working in primary care as a MA we had a pt come in with a BS of 15. She was pretty out of it & we were all stunned to find out she had driven herself to the office! When we finally got her BS back up to 85 she knew who & where she was, but couldn't remember how she got there !

[BmtTXLVN]

I have a Res. at a LTC thats walkie talkie at 15-1500. And can drop 400 points in 1 hr without insulin

[grammyj]

My Mom was diagnosed when she had a BS of 643.

Daughter with OD a few years ago had a BS of 6.

Those are my extremes.

[new_grad06]

Bs of 11

[NEWATTHIS]

well I myself have gone doown to 22 and thought I was going to die. I couldn't talk,move or anything else for that matter. I am a nurse as well as a diabetic. I saw a pt once at 32, she was almost coming out the bed and kicking at everyone, eyes were buldging, skin clammy and cold. At that time I was a cna but in school for lpn, the nurse acted as if she couldn't understand why the pt was acting like this so I asked well whats her conditions. And lord and behold Dm was one I said well check her sugar she said I never thought about that. Checked it and it was 32. She wanted to give her glucerna, I told her oj with a pack or two of sugar will bring it up faster. At this time I had no ideas that there facility protocals that should have been followed. But you use your own nursing judgement and cover your own ass(cyoa), that was my first crash course as a student nurse.

[ZippyGBR]

seen a blood sugar of 1.1 mmol and had a sensible conversation with the patient ...

not sure what the conversion factor between mmol and the common unit on the other side ofthe water is

[Morettia2]

lowest was a 19 for me, wasn't my pt but another RN..pt was asymptomatic, pushed D50 x's 2, pt had a hx of hypoglcemia, lowest on the chart was 12 on another unit..Scary for all the RN's on my floor, when I had the same pt the lowest it dropped was 50 still pushed D50 only for the BS to rise to 75, pt was on q 2 h FS too. All night I was feeding the pt OJ c sugar and snacks to keep the BS stable..pt. was cardiac hospice..nice pt. too but passed a few days later dur to CMP and EF of <20 %..

[husker_rn]

The lowest I've seen was 13; the highest was 1310 and she a&o times 3, no ketones and talking.