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Updated: Nov 6, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Pneumonia and Poorly Controlled Diabetes
Khaled M Nada1, Shawn Nishi1, Alexander Duarte1
1Department of Pulmonary, Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, TX.
Case Presentation:
A 47-year-old man with poorly controlled diabetes mellitus (glycosylated hemoglobin 12%) presented to the ED with a 1-week history of fevers, productive cough, and dyspnea. The patient was febrile and hypoxemic on presentation; laboratory testing was remarkable for hyperglycemia and ketoacidosis. The initial chest CT scan showed right lower lobe consolidation and ground-glass opacities (Fig 1A). He was admitted to the ICU and administered IV antibiotics (cefepime and vancomycin) for the treatment of community-acquired bacterial pneumonia.
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