امرأة عمرها ٦٢ سنة مصابة بالسكري، تأخذ إنسولين، صارت تنسى أحياناً هل أخذت جرعتها، ووُجدت مرتين مشوشة وسكرها ٤٥. تعيش وحدها. ما التدخل الأنسب؟

A 62-year-old woman on insulin sometimes forgets whether she has taken her dose and has twice been found confused with glucose 45. She lives alone. What is the most appropriate intervention?

1. Simplify the plan, assess memory, use reminders, involve family
2. Increase her insulin dose to make up for the missed doses
3. Ask her to take two doses each time to be safe
4. Stop insulin entirely without an alternative

Answer: A) Simplify the plan, assess memory, use reminders, involve family. Recurrent hypoglycaemia with forgotten doses is dangerous. Simplify the regimen, relax glucose targets for older adults, use reminders and dose-logging pens, involve family and assess cognition.