QQ-3228 Tabitha Taborlin - Nursing – Cinju Varghese – Diabetic Ketoacidosis

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08 April 2018

Dr Sharon Farquad

Endocrinologist

Endocrine Specialist And Associates

115 St Omaha

Dear Dr Farquad,

Re: Ms Tabitha Taborlin, aged 45

Iam referring Ms Taborlin, who has had type 1

diabetes mellitus since childhood, requires

further assessment and management following

her discharge today.

Ms Tabolin was admitted on 02 April 2018 with

Diabetic ketoacidosis, for which intraveneous

fluids and insulin were administered.On

examination, 530mmol/L blood sugar was noted

for her.During hospitilization, she was educated

regarding the importance of glucose testing,

insulin administration and smoking cessation;

however,she has been maintainig non-compliance

and insulin regimen.In addition,discussed

regarding microvascular and macrovascular

complication of diabetes.

Ms Tabolin lives alone and works as a teacher.

She has a history of multiple episodes of diabetic

ketoacidosis and she takes lanctus 45 units at

night and preprandial humalog with 12 units.she

is obese for her age, her body mass index is 18.2

and has habit of smoking.

In view of the above, kindly provide pamphlets

and refills of insulin injection for Ms Tabolin.

It is imperative to provide a strict glycemic

control and possible insulin pump.Please note,an

appointment has been scheduled after one month.

If you have any queries, please contact me.

Yours sincerely,

Registered Nurse

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