Mr. M. H. S Glucose Level - 2132 Words

It was 2 a.m. when Mr. H, a 52 year old man, arrived to the Emergency Department accompanied by his brother complaining of dizziness and hyperglycemia. Upon arrival Mr. H’s glucose level was 500 mg/dl. It was not the first time for Mr. H to visit the Emergency Department complaining of glucose intolerance; he is a regular visitor. In addition to diabetes, Mr. H has a history of hypertension, dyslipidemia, vision and respiratory problems. He was treated with insulin and put under supervision for 24 hours. Once his glucose reached normal level, he was given brief instructions and discharged. Mr. H. works as an industrial engineer away from his family and he is busy most of the time. Due to his work, he spends most of the time in the†¦show more content†¦The nurse started to ask Mr. H. some questions about his disease and she discovered that he did not have the minimum knowledge about diabetes or how to control it; he did not even know how to use the glucometer to check his blood glucose level. Mr. H’s nurse was trying hard to convince him to attend diabetic lectures and read to gain the knowledge needed to prevent the consequences of diabetes, but again he used the time to make excuses. In 2003, Mr. H was diagnosed with End Stage Renal Disease. Therefore, he had to go to the dialysis unit three times a week. Due to this problem, he decided to retire so he would be able to go to the dialysis sessions. Mr. H was committed in going to his dialysis session, but still according to him, he could not change his lifestyle and eating habits. Three years later, his physician decided to do peritoneal dialysis for him. Mr. H’s daughter was taught how to perform it for him at home. Mr. H’s conditions started to deteriorate and he went into depression since he became dependent on others to an extent that he did not want to take a bath. Mr. H refused to take his insulin dose and his daughter was worried. In fact, Mr. H was much more worried because he knew that two of his daughters were diagnosed with diabetes and he did not want them to suffer. Mr. H continued to resist taking his insulin dose and other medications. In August 13, 2005, Mr. H presented to the Emergency Department complaining of