PMC6601479_01
Trend of A1c and glargine insulin dose.
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fig1
Glargine then was stopped and patient was advised to continue taking correctional aspart insulin to administer 3U if glucose>150 (Figure 1). Patient was taking glargine 8U at bedtime and Humalog 4 U if glucose was <150 and 7 U if glucose was 250-350 (Figure 1).
Second abdominal CT showing worsening pancreatitis.
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fig2
Repeat CT abdomen with contrast (Figure 2) was concerning for necrotizing pancreatitis.