80 year old patient with dementia. Doesn’t bring anything to the clinic, no glucometer or CGM read. On insulin. Is also on a couple of oral meds for diabetes but can’t confirm that he is taking them, so I have no earthly idea. When I ask him how much insulin he takes his answer was “four hundred units”. I’ve never had anyone on anything close to that. He was in a nursing home until February but they discharged him because his money ran out. Discharged him on sliding scale insulin where he has to make decisions about how much to take. Our healthcare system is broken.
At one time if you had asked me about some kind of socialized healthcare system I would have been totally against it. But now… we have to fix this and I don’t know how else we can.