Had a guy come in to the ED yesterday who said that he had been to the doctor on Friday and that he had lab work done as he had been very fatigued lately. He stated that he went home after lab draw and went straight to bed where he slept until Sunday morning only getting up to urinate. Being asleep he missed the message left on his machine Friday afternoon by the office nurse to go straight to the ED as his blood sugar was very high. When he woke up on Sunday morning and checked his messages he got ready and DROVE HIMSELF to the ED. I pulled the lab work that the pt had done on Friday as we have access to our in house cards records. His sugar was 886 on Friday! When we did an accu check his sugar was too high for the machine to register so a serum glucose was drawn. Get this, it was 989! His Hgb A-1C was 14.5! I have never seen any one functioning with a sugar that high. He had no idea what diabetes was. Needless to say he bought an insulin drip and an ICU bed.