,HOSPITAL COURSE: , The patient is a 59-year-old female with multiple medical problems including diabetes mellitus requiring insulin for 26 years, previous MI and coronary artery disease, history of seizure disorder, GERD, bipolar disorder, and anemia. 
,HOSPITAL COURSE : , The patient is a 59 - year - old female with multiple medical problems including diabetes mellitus requiring insulin for 26 years , previous MI and coronary artery disease , history of seizure disorder , GERD , bipolar disorder , and anemia .