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After positively identifying my patient (my lab supervisor), and double checking that the insulin type (rapid acting Humalog) was accurate and not expired, I proceeded to uncap the needle, picked up the vial of insulin and then promptly botched the draw by ramming the tiny needle tip into the metal seal of the insulin vial, rendering the needle dirty, dull and useless

The American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE) recommend an A1C level of 6.5% or less for diabetics without concurrent serious illness and low hypoglycemia risk, and a level of about 6.5% - 7% for those with concurrent illnesses or increased hypoglycemia risk (Garber 2020)