Colleen Fletcher
20 Jul 2022 · Coroner Fiona Butler · Rutland and North Leicestershire
The coroner's concerns
1. lack of pre-issued rapid acting insulin for non-volatile patients
“I understand that patients who have volatile glucose levels have the availability of pre-issued prescriptions for rapid acting insulin.”
2. delayed ambulance response to hyperglycaemia
“I was told that raised glucose levels in and of themselves would not be considered an emergency for the ambulance service until a patient went into a state of hyperglycaemic collapse”
3. absence of standby bolus insulin provision for stable patients
“I consider that this is an essential tool for nurses on the front line to have at their disposal in treating effectively rising glucose levels and preventing hyperglycaemia and subsequent death”