B.G., age 58, was diagnosed with type 2 adultonset diabetes mellitus 10 years ago. Although he has type 2 diabetes mellitus, he has needed to take insulin for the last 2 years. He has been recovering,...

B.G., age 58, was diagnosed with type 2 adultonset diabetes mellitus 10 years ago. Although he has type 2 diabetes mellitus, he has needed to take insulin for the last 2 years. He has been recovering, without complications, from a laparoscopic cholecystectomy, but his blood glucose levels have shown some wide fluctuations over the past 24 hours. The physician has changed his insulin from regular to lispro (Humalog) to see if it will provide better control of his blood glucose levels. 1. Before his surgery, B.G.’s hemoglobin A1C level was 9%. What does this value imply regarding his glycemic control? 2. While reviewing the instructions for the lispro insulin, B.G. states, “I took my regular insulin shots about 30 minutes before my meals. Hopefully I can keep that same routine.” How will the nurse respond to this statement? 3. After his discharge, B.G. wakes up one morning feeling nauseated. He gives himself the lispro insulin injection, but then after eating breakfast he vomits and cannot keep any food down. What must he do at this time?