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NP Janet
When I arrived, the member was quite lethargic. As I asked him
questions, he would doze off. I could not get any information about
medical conditions, any medications or contact information. A search
of the immediate area did not turn up anything useful. His vital signs
were stable.

However, when I asked if he was diabetic, he responded, Yes. I then

asked if he took insulin. He said, Yes.

I located his blood sugar meter in a bedroom and found his blood
glucose level at 37 (80130 mg/dl would be more normal).

I called 911. As we waited, I began feeding him some instant breakfast

there was no source of quick sugar anywhere in his apartment.

When the paramedics arrived, his blood sugar was 28. As they
attended to him, I was finally able to find contact information and
reached out to his sister, who lived in another state. I then left a
message with his caregiver.

After about 45 minutes, his blood sugar was 100. He refused to go to

the hospital. He had just been discharged two days ago after being
admitted for low blood sugar. After the paramedics left, the member
asked if I would go ahead with the assessment, which I did. During that
time, his caregiver called and provided me with additional medical
information.

With everything the paramedics did and additional food that was given
to him, the member would be able to maintain his sugar until his
caregiver (who turned out to be a relative) could see him early the next
morning.
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Before leaving, I left a message for his primary care provider (it was
now well into the evening) and the diabetic educator who manages his
blood sugar.