u/HistorianNatural573

55 year old patient with a very complicated health history. After suffering from DKA, his endocrinologist told him he has brittle diabetes. His blood sugars swing from extremely low to extremely high. He’s on basal and bolus insulin and wears a CGM.

What can I do to manage his sugars? He carries a can of pop with him everywhere in case his blood sugar dips. Sometimes in our appointments he “spaces out” and his glucose reading reflects that. He’s constantly urinating and having disrupted sleep.

Is there any value in having him pee on ketosticks once per day? Since he pees so often anyway?

Any help would be so appreciated!

EDIT: TYPE 2 DM