SOLVED4623

danny is a 59 year old man who presents to your ED with confusion, dry skin, nausea and blurred vision. his last doctor appointment was 6 years ago where he was diagnosed with diabetes. his fasting blood sugar at that time was 127. he was advised to lose weight but no other actions taken. he does not take his blood sugar at home. he states, what good is knowing the number? we all die sometime. he has gained 30 pounds since his last MD visit. he denies smoking or illicit drugs. he drinks a 6 pack of beer each evening after work. his point of care blood sugar is 866, BP 159/92, pulse 92, temp 98.7
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