The patient required insulin for their diabetes and had been self-administering. However, due to a trapped nerve they had recently been unable to administer their insulin.

NHS (2023) Insulin for type 2 diabetes. Available at https://www.nhs.uk/medicines/insulin/insulin-for-type-2-diabetes/ (Accessed 2 June 2025).

From a staff perspective, a patient experiencing a mental health problem with access to insulin was described as a “huge red flag”.

In this case, the patient’s emergency readmission after not taking his insulin shows the real potential for harm when these systems don’t work as intended.

She had insulin-treated type 2 diabetes and required high-dose insulin (500 units per ml) from an insulin pen device.

These bundles include flush fluid and insulin.

A patient who had recently been discharged from hospital was administered insulin by a community nurse.