Valeria C., a 44-year-old Cuban woman with diabetes requiring pills and insulin, received dangerously inconsistent care at Camp East Montana. She was usually woken at 4 a.m. for her first insulin dose, disrupting her sleep. She rarely received her second dose or accompanying pills. The irregular insulin schedule caused her blood sugar to spike and then drop to dangerously low levels. She experienced severe headaches, fatigue, and nausea as a result of missing medication.