Jessica Williamson is a 28 year old women with a past history of epilepsy.

Jessica was out socially, drinking alcohol at a dance club. Jessica experienced a seizure whilst
on the dance floor. Upon arrival at the local Emergency Department, paramedic staff reported that she had experienced a full tonic-clonic seizure that lasted for three

minutes, during which she lost consciousness. Jessica was assessed and admitted. During her hospitalization Jessica was
stabilized and discharged from hospital 1 week after the episode. Her discharge medications included an anticonvulsant.
On discharge Jessica was asked her GP for follow-up.
Medical History
Jessica was diagnosed with epilepsy in late adolescence. Initially the seizures were very difficult to control using anticonvulsants but her condition stabilised 5

years ago. Three months ago
she weaned herself off her anticonvulsants as she wanted to fall pregnant. During her hospitalization she was recommenced on her anticonvulsant.
Four years ago Jessica was diagnosed with Type 2 Diabetes Mellitus. Jessica was taught to
control her blood glucose levels using diet and oral hypoglycaemics, this is now decreasingly effective. Her most recent observations include:

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