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LETTER 25

No:25


18 April,2018


Dr Hank  Farquad

Certified Diabetes Educator 

Endocrine Specialists And Associates 

115 Burke St Omaha


Dear Dr Farquad, 


Re: Ms Tabitha  Tabolin, aged 45


I am writing to refer Ms Tabolin who requires education and support from your facility regarding glycemic control and possible insulin pump as she has uncontrolled diabetes mellitus. She is being discharged today. 

  • Wrong purpose 


Ms Tabolin has been diagnosed with type 1diabetes mellitus since for seven years with non-compliance insulin regimens. On 02 April 2018, she was admitted to hospital with multiple episodes of diabetic ketoacidosis with glucose level at 530mmo/L.She was treated with intravenous fluids and insulin therapy such as Lantus 45 units at night and Humalog 12 units respectively. Finally, she was became stable with a normal range of Hba1c; however, she still refuses to take the recommended dose of insulin and diet. 


Ms Tabolin is a school teacher and leave along in her apartment. She has a habit of smoking 2 cigarettes daily;for which,she was attended smoking cessation programme for quite smoking. In addiction her BMI is 18.2 and weight is 48kg.


Kindly provide educational pamphlets and refills for to improve her knowledge regarding Lantus and Humalog insulin. Please note that's she was educated regarding insulin administration glucose testing and further prevention of diabetes complications such as micro vascular (single word) or macro vascular. (single word)


  • Given education could have been written before rather than writing in the final paragraph.


May I remind you that her follow up visit is scheduled after one month.


  • May I remind you is not a good usage for letter


If you have any queries, please contact me.


Yours sincerely, 


Registered Nurse



  • At the end, you have written the purpose correctly that has to be paraphrased in the intro.

  • Read the case note carefully and interpret it.

  • Concentrate on the organisation of case notes.

  • Not necessary to write a certified diabetic educator

  • Good Luck!!!

  • Team OET4U

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