Endocrine

#Hypothyroidism

Chronic.  Well controlled with current medication regimen.  No acute issues at this time.  

-Check thyroid function tests on admission 

-Continue with home medication

#Diabetes Mellitus

Uncomplicated. Goal blood glucose level 140-180 mg/dL while inpatient per NICE SUGAR trial. No acute issues at this time. 

-Check HgbA1c on admission

-Home medications: 

-[WITH DIET] POCT blood glucose checks AC & HS with correctional insulin scale as needed to achieve euglycemia. 

-[NPO] POCT blood glucose check q6 hours while NPO with correctional insulin scale as needed to achieve eyglycemia.  

#chronic steroid use 

PCP ppx? 

DEXA 

#insulinoma 

Sporadic insulinomas tend to occur in patients age 40 years and older; therefore, the diagnosis of insulinoma in a younger patient is cause to screen for multiple endocrine neoplasia type