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Glucose Roller Coaster.
Sharpe BA. AHRQ WebM&M [serial online]. July 2004.
A woman hospitalized for congestive heart failure (with no history of diabetes) is given several rounds of insulin and D50 after repeated blood tests show her glucose to be dangerously high, then dangerously low. As it turns out, the blood samples were drawn incorrectly and the signouts were incomplete.
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