Background: Correctional insulin is frequently used in the hospital to optimize blood glucose levels before meals or even before bedtime. Dosages are not set and are instead scaled to the blood glucose level obtained just prior to administration. Insulin is considered a high-risk medication as dosing errors can potentially lead to serious adverse events such [...]

Case Presentation: 73-year-old male had a witnessed fall at home with a minor head injury without loss of consciousness. Later, his wife noted him having new onset convulsive seizures and immediately notified EMS. Upon EMS arrival, he was alert but confused- his fingerstick glucose measured 11 mg/dL. He received oral glucose and was transferred to [...]

Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics [...]

Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma [...]