JR is hospitalized with influenza. They have a history of prediabetes but now have persistent glucose readings between 220–260 mg/dL and are started on basal-bolus insulin.
JR is upset and states: “I’ve been reading that pancreatic parasites can cause of diabetes. No one is treating my infection.”
What is the BEST response?
- “It sounds like you are worried about a parasite infection. Tell me more about what you’ve read.”
- “Yes. We will be treating that issue soon, but first we need to focus on your insulin doses.”
- “I can see how you would be concerned, but here is no such thing as pancreatic parasites.”
- “Sadly, prediabetes always progresses to diabetes when people are acutely ill, and you will probably be discharged on insulin therapy.
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