Type 2 patient on insulin having hypos, over treating then rebounding hyper’s effecting target achievement

The case

Jennifer Lowe, who is 72 years old, lives with her husband. Her daughter and 2 grandchildren live nearby. Jennifer is a retired bus driver

She is obese (BMI 43) and has type 2 diabetes for 24 year-s

Last year she was hospitalized due to a STEMI and she had a primary angioplasty and stent to her right coronary artery.

The last months she keeps having late morning hypoglycemias so has booked an appointment to see her DSN.

Test your knowledge

Note: The views and opinions expressed on this page are those of the author and may not be accepted by others. While every attempt is made to keep the information up to date, there is always going to be a lag in updating information. The reader is encouraged to read this in conjunction with appropriate ESC Guidelines. The material on this page is for educational purposes and is not for use as a definitive management strategy in the care of patients. Quiz material in the site are only examples and do not guarantee outcomes from formal examinations.