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Meeting the Challenges: Diabetes Care in Special Settings

The first 300 words of the full text of this article appear below.

Imagine... a 4:00 a.m. phone call to a worried mother. The voice on the other end of the line is that of her son, who is attending college 700 miles away. In a quivering voice, he explains that he has made a poor choice. He and roommates were celebrating his 21st birthday with a little party at their apartment. The combination of alcohol, marijuana, and loud music resulted in a bust by the police, landing him in the correctional facility in Anytown, U.S.A. He has type 1 diabetes and is on an insulin pump. During transportation to the local jail, his infusion set became dislodged and he can see the insulin dripping from the end of the tubing. He does not have any diabetes management supplies with him, and he has just made his only allowable phone call.

Imagine... a Vietnam veteran who has been suffering from posttraumatic stress disorder since returning from active duty more than 25 years ago. During his tour, he was exposed to Agent Orange. Recently, he was diagnosed with type 2 diabetes. He smokes two packs of cigarettes a day, binge drinks up to a 12-pack of beer three times a week, and is 30 lb heavier than when he graduated from high school. Several days ago, he noticed blood on his right sock. Upon inspection of the inside of his shoes, he found a thumb tack, which he had been unable to feel, lodged near the front of the right shoe.

Imagine... a 75-year-old woman with type 2 diabetes, coronary heart disease, hypertension, gout, osteoarthritis, incontinence, and a history of recurrent urinary tract infections. She is widowed and lives alone. She is to be released today from the local hospital after being treated for hyperosmolar hyperglycemic state. If not for a neighbor who had . . . [Full Text of this Article]

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