Joe is 43 and unemployed without healthcare benefits. He presents to the Emergency Room in a semi-confused state. His girlfriend states that hes been acting a little wierd for the past day or two, sleeping a lot and now his breath smells funny. She know he isnt drinking alcohol because they cant afford it. His labwork shows a serum glucose of 624. Girlfriend says Is that because he ran out of insulin a few weeks ago? We just cant afford that anymore either. What treatment will he likely start in the ED? What treatment might he begin as an inpatient on a medical floor? How would you evaluate Joe in follow up at the outpatient free clinic?
