Conversation: The conversation between human and AI assistant.
[|Human|] I am a 72 year old male. Type 2 diabetic for over 3 years. Take Humalog for 1 1/2 year. Had major heart attack last Oct. Misplaced my insulin in car about 3 weeks ago (so have not been taking my sugar level). Decided after eatting that I should find my kit and take it. Took a little more than an hour to take it. Tested at 454. Took 19 units of humalog. After another hour sugar had dropped to 385. Should I just continue taking insulin and get my sugar back under control. Or do I need to go to the ER?
[|AI|]  Hi, Thanks for your question. I can understand your concern after going through your question.  With such high blood sugar levels you should go to ER. There is need for immediate clinical evaluation and blood and urine test to exclude presence of ketones. There may be need for hospitalization for - - Close blood glucose level monitoring. - Intravenous insulin treatment for blood sugar control. - Gradual shifting from intravenous insulin to subcutaneous insulin treatment. I would have preferred basal bolus regime using long acting insulin margin once a day and premeal short action insulin. - Maintaining HY Chat Doctor.  Hope this helps you, if so do vote as helpful.