The patient must be provided with a diabetic card which clearly indicates that he is diabetic and what dose of insulin he takes. It is necessary to control the dose of insulin. In the patient notes a dose of 20 units was administered, where the patient stated she was taking 24 units of insulin. The patient has an emergency box of steroids and opened it a week before admission. This is his third box this year; she was also hospitalized just a month ago with similar symptoms that could indicate poor asthma control. Before taking corticosteroid tablets, the patient should be given, in addition to other asthma medications, inhaled corticosteroids at a high dose, for example Beclometasone dipropionate 0.4-1 mg twice daily. If therapy has been ineffective, regular corticosteroid tablets should be added to the treatment.16 BNF p178If control is achieved, a gradual reduction may be possible. Slowly reduce the dose of inhaled corticosteroids – every 3 months, decreasing the dose by up to 50%. If the patient's flare-ups continue, it is best to refer him to an asthma clinic. Asthma treatment should be reassessed every 3 months. Ste...