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NP Janet

When I arrived, the member was quite lethargic. As I asked him questions, he
would doze off. I could not get any information about medical conditions, any
medications or contact information. A search of the immediate area did not
turn up anything useful. His vital signs were stable.

However, when I asked if he was diabetic, he responded, Yes. I then asked


if he took insulin. He said, Yes.

I located his blood sugar meter in a bedroom and found his blood glucose
level at 37 (80130 mg/dl would be more normal).

I called 911. As we waited, I began feeding him some instant breakfast


there was no source of quick sugar anywhere in his apartment.

When the paramedics arrived, his blood sugar was 28. As they attended to
him, I was finally able to find contact information and reached out to his
sister, who lived in another state. I then left a message with his caregiver.

After about 45 minutes, his blood sugar was 100. He refused to go to the
hospital. He had just been discharged two days ago after being admitted for
low blood sugar. After the paramedics left, the member asked if I would go
ahead with the assessment, which I did. During that time, his caregiver
called and provided me with additional medical information.

With everything the paramedics did and additional food that was given to
him, the member would be able to maintain his sugar until his caregiver
(who turned out to be a relative) could see him early the next morning.

Before leaving, I left a message for his primary care provider (it was now well
into the evening) and the diabetic educator who manages his blood sugar.