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Delayed Diabetes Treatment – Region Västmanland

The region of Västmanland has reported an event under lex Maria, where the patient was suffering from diabetes.

A man at the age of 50 is in contact with a health center. problems with urination, severe swelling and increased thirst. During medical visits, 30 kg of forced weight loss, severe thirst and high sugar levels and ketones (acid) appear in the urine. The patient's symptoms are considered to be caused by diabetes, but acute blood sugar is not accepted, but the patient is asked to return to two fixed amounts of blood sugar.

Incoming test responses to HbA1c (long-term value of sugar glucose) indicate a very high value of 183, which, however, is not monitored or treated.

The patient contacts the health center again because he does not feel good and has high blood sugar. The patient declares that his colleague declared he smelled acetone. The patient is first asked to visit the emergency department immediately where he is hospitalized. The patient receives a drop, cures insulin and controls, and communicates with a diabetic nurse and nutritionist, and can then be printed with both tablets as insulin therapy to continue to follow the health center.

Among other things, the Health Center has taken a number of steps to prevent a recurrence of the incident. how to take care of test answers.

For more information, please contact

Margaret Ehnebom, Vestmanland's Chief Physician Region

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Every day, 4000 – 5000 visits are made to the Västmanland Care Center. Most contacts work well, patients get good care and good treatment. But in some cases something goes wrong.
Every patient who is injured is too much. Therefore, in the Westmanland region, there is no vision for patient safety – no patient should be hurt in healthcare. Publication of Lex Maria reports is part of the region's long-term and systematic work to improve patient safety.

Lex Maria means that all healthcare professionals are obliged to report serious errors and errors in care or serious harm. Lex Maria's Communication aims to improve health care through investigations, and the Health and Care Inspectorate carries out an objective assessment of the event. Investigations mean that care can learn from the mistakes that do not happen and that the affected patients and their relatives get clarity about what has happened.

The main task of the region is to promote good life for Westerners. We do this by working with health and medical care, dentistry, education, culture, business issues, public transport, regional development and the environment. Västmanland is centrally located in Mälardalen. Here you will find good accommodation, service and communication, as well as good conditions for a rich leisure.

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