Background: Among all hospitalized patients with diabetes mellitus, about 40-50% require insulin at discharge. Insulin is a high-risk medication, associated with many errors including missed dosing, inaccurate dosing, or prescription of the wrong type of insulin. Many of these errors can occur during transitions of care including discharge and in patients with poor diabetes knowledge. [...]

Background: Glucocorticoids are prescribed at high rates in the inpatient setting for various autoimmune and inflammatory conditions. A common complication is steroid-induced hyperglycemia (SIHG), diagnosed when blood glucose levels surpass 140 mg/dL (7.8 mmol/l) in response to steroid exposure. Clinical practice guidelines offer strategies for correction of hyperglycemia among hospitalized patients but lack specific best [...]

Case Presentation: A 63-year-old female with insulin-dependent diabetes was transferred to our hospital for surgical evaluation of a large, ulcerated nodule on her abdomen. The patient had been injecting insulin into the same area on her abdomen for years, causing a nodule to enlarge insidiously over past decades. It ulcerated about two years ago and [...]