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Newbie 1.5 feeling meh

Dudette1

Dudette1

Well-Known Member
Messages
259
Location
England
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Bad attitude
Hi guys, new here, (not on the forum)
I was diagnosed in 2018 as type 2, bit of a shock but I was managing it pretty well, low carb and metformin.
Started eating a few more carbs in my diet, and A1C started creeping up, so was put on jardiance (empaglaflozin)
Like a fool I also low carbed slightly and in august this year I went into DKA :( ketones were 7.4 :/ and blood sugars were in the 6s
Oh my god I’ve never been so poorly!
I’ve had loads of blood tests and well, here I am.
Still in shock with it all, and my legs are still hurting (don’t know why they hurt) they hurt when I went into DKA) I’m now on humulin m3 insulin and still taking metformin.
Just wanted to say hi and I’m glad we aren’t alone.
I’m feeling slightly down at the moment and looking forward to speaking to you guys on here and getting back to feeling myself (as such)
 
Hi @Dudette1 , I posted on your other thread, but just wanted to add on here that now you are on insulin DKAs should hopefully be a thing of the past.


For a T1 on insulin (I assume the empagliflozin is now a thing of the past) DKA is an issue when your blood sugar is both high and you have ketones.

Been T1 for 52 years and I've never had one.... (Though admittedly when I told my endo that a couple of years ago she insisted on giving me a glucometer that also tests for ketones. :) )

Your current insulin is a mixture of short and long acting insulin, which I am guessing is being used to supplement your own supplies. Have your team talked to you about carb counting at all? Adjusting doses?

My guess (and I stress that I am not a doctor and this is just a guess) is that long term, once your own insulin production goes down further, they will switch you to two different insulins: long acting (basal) to cover you when you aren't eating and short acting (bolus) to cover you for meals and correction doses.

My single piece of advice for a new insulin user (whether T1 or T2) is to always have fast acting sugar on you in case of hypos (low blood sugars). Personally I prefer to carry glucotabs because I don't particularly like their taste and so am not tempted to overdose, but if you have more will power than me most sugary sweets will do.
 
Might be worth updating your profile as it still says type 2 and that might cause confusion and get erroneous advice/comments.
 
EllieM said:
Hi @Dudette1 , I posted on your other thread, but just wanted to add on here that now you are on insulin DKAs should hopefully be a thing of the past.


For a T1 on insulin (I assume the empagliflozin is now a thing of the past) DKA is an issue when your blood sugar is both high and you have ketones.

Been T1 for 52 years and I've never had one.... (Though admittedly when I told my endo that a couple of years ago she insisted on giving me a glucometer that also tests for ketones. :) )

Your current insulin is a mixture of short and long acting insulin, which I am guessing is being used to supplement your own supplies. Have your team talked to you about carb counting at all? Adjusting doses?

My guess (and I stress that I am not a doctor and this is just a guess) is that long term, once your own insulin production goes down further, they will switch you to two different insulins: long acting (basal) to cover you when you aren't eating and short acting (bolus) to cover you for meals and correction doses.

My single piece of advice for a new insulin user (whether T1 or T2) is to always have fast acting sugar on you in case of hypos (low blood sugars). Personally I prefer to carry glucotabs because I don't particularly like their taste and so am not tempted to overdose, but if you have more will power than me most sugary sweets will do.
Click to expand...

Thank you for the response I do carry lift glucose tabs in every pocket I own
I was told I will probably have my insulin changed at some point.
When I first started insulin and having hypos I was panicking and eating sweets, never again, the glucose tablets are a life saver. Sweets were really making me feel sick, I’m not a sweet person so it was hell having them.
 
Dudette1 said:
Tried yesterday, wouldn’t let me
Click to expand...

Hmm, thanks for the heads up @HSSS

have you tried going into account details accessed by clicking your avatar at the top of the page? You should be able to change your details there, though you'll need to scroll down a bit before you get the diabetes type option.
 
It keeps saying oops we ran into some problems when I click save
 
Dudette1 said:
Hi guys, new here, (not on the forum)
I was diagnosed in 2018 as type 2, bit of a shock but I was managing it pretty well, low carb and metformin.
Started eating a few more carbs in my diet, and A1C started creeping up, so was put on jardiance (empaglaflozin)
Like a fool I also low carbed slightly and in august this year I went into DKA :( ketones were 7.4 :/ and blood sugars were in the 6s
Oh my god I’ve never been so poorly!
I’ve had loads of blood tests and well, here I am.
Still in shock with it all, and my legs are still hurting (don’t know why they hurt) they hurt when I went into DKA) I’m now on humulin m3 insulin and still taking metformin.
Just wanted to say hi and I’m glad we aren’t alone.
I’m feeling slightly down at the moment and looking forward to speaking to you guys on here and getting back to feeling myself (as such)
Click to expand...
Welcome. I'm sorry you were unwell. DKA is when your ketones go above 25 and your blood sugars are over 13 mmol/l which changes the ph of your blood. It sounds like you were ill but 7.4 and blood sugars at 6 are not DKA. You were producing a lot of insulin at the time to have normal blood sugars. You need to ask to be referred to a specialist and discuss this with them.
 
ert said:
Welcome. I'm sorry you were unwell. DKA is when your ketones go above 25 and your blood sugars are over 13 mmol/l which changes the ph of your blood. It sounds like you were ill but 7.4 and blood sugars at 6 are not DKA. You were producing a lot of insulin at the time to have normal blood sugars. You need to ask to be referred to a specialist and discuss this with them.
Click to expand...

Thanks, my specialist consultant I saw last week says I was in DKA, we discussed this at length and he explained why and how it happened. I’m assuming he knows what he is talking about, so for me who only knows so much, isn’t going to go against his specialist opinion.
 
ert said:
Welcome. I'm sorry you were unwell. DKA is when your ketones go above 25 and your blood sugars are over 13 mmol/l which changes the ph of your blood. It sounds like you were ill but 7.4 and blood sugars at 6 are not DKA. You were producing a lot of insulin at the time to have normal blood sugars. You need to ask to be referred to a specialist and discuss this with them.
Click to expand...

IMG_1414.jpgIMG_1416.jpg
 
Dudette1 said:
Hi guys, new here, (not on the forum)
I was diagnosed in 2018 as type 2, bit of a shock but I was managing it pretty well, low carb and metformin.
Started eating a few more carbs in my diet, and A1C started creeping up, so was put on jardiance (empaglaflozin)
Like a fool I also low carbed slightly and in august this year I went into DKA :( ketones were 7.4 :/ and blood sugars were in the 6s
Oh my god I’ve never been so poorly!
I’ve had loads of blood tests and well, here I am.
Still in shock with it all, and my legs are still hurting (don’t know why they hurt) they hurt when I went into DKA) I’m now on humulin m3 insulin and still taking metformin.
Just wanted to say hi and I’m glad we aren’t alone.
I’m feeling slightly down at the moment and looking forward to speaking to you guys on here and getting back to feeling myself (as such)
Click to expand...
welcome here
 
If a thread has never been made about Euglycemic DKA, maybe one should be made so people don’t tell others they are not in DKA with normal sugars. It’s a false statement and maybe it needs addressing even if it is more of a rare occurrence. It could save someone’s life.
 
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