[timdmb]

i had a pt last night who is recieving diaylsis m-w-f at 9p his bs was 111 he was scheduled for lantus 30units at 9.... at 2 he became very diaphretic so i checked bs and it was in the 20's pushed d50 it came up to 175 a half hour later, he then again bottomed out arounf 5 d50 pushed again with same result, i was told it was common for this to happen from time to time in dialysis pts' anyone have this experience or can help explain to me why this is a common occurence... i thought it may have been just due to the lantus but this pt had been recieving this dose for awhile and to my knowledge has not had the same problem..