So I am a new graduate nurse and I can across a situation where I didnt know what to do. I had a patient who has Type 1 Diabetes and was on an insulin pump most of he/she life. But now that he/she is temp. off the insulin pump bc of some health situation say a transplant, he/she still continues to eat whatever he/she wants. He/she sugar level is sky rocking to the 200s. Even though he/she knows this, he/she still wants to eat graham crackers and just ask us nurses to cover it with the insulin pen. What do I say to him, I told him he should lay off the sugar but he just brings up that he/she can eat what he/she wants and has been doing this since 13yrs old and does not want to stop what hes used to be doing.
I am not familiar how the insulin pump works, so I can really explain how insulin pen and the pump differs. Can someone give me some advice.