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Dangerous readings on a glucose meter
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<blockquote data-quote="Brunneria" data-source="post: 2347938" data-attributes="member: 41816"><p>Hi [USER=528570]@Stephanie 1233[/USER]</p><p></p><p>what kind of readings are you seeing?</p><p>And are they consistently high? Or do you start with lower readings which escalate during the day?</p><p>Are you finding you are thirsty and drinking a lot?</p><p>Losing weight?</p><p>Feeling very sleepy?</p><p></p><p>focussing on DKA (diabetic ketoacidosis) and ketones are not always helpful in T2s</p><p>it is very important that you do not take make the assumption that your symptoms and T2 issues will be the same as those of T1, and please verify whether the person giving you advice is doing so from the perspective of T1, in which case their advice may be misleading.</p><p></p><p>Some T2s can have low (or zero) ketones, at the same time they experience the symptoms I just described above, whereas ketones are a much better gauge for T1s.</p><p></p><p>The reason for this is because T2s may have sufficient insulin circulating to prevent ketones, but insufficient insulin to keep blood glucose down to safe levels. Sometimes this develops into something called HONK <a href="https://www.diabetes.co.uk/diabetes-complications/hyperglycaemic-hyperosmolar-nonketotic-coma.html" target="_blank">https://www.diabetes.co.uk/diabetes-complications/hyperglycaemic-hyperosmolar-nonketotic-coma.html</a></p><p>Which does not present with high ketones, and may develop into a coma.</p><p></p><p>i strongly suggest that if your blood glucose numbers rise beyond the guide range that your medical team has given you, that you get in touch with them for advice, and please do not interpret ‘the absence of ketones’ as making ‘it all OK’. If you have not been given a guide range for your blood glucose, then ask your team for one.</p></blockquote><p></p>
[QUOTE="Brunneria, post: 2347938, member: 41816"] Hi [USER=528570]@Stephanie 1233[/USER] what kind of readings are you seeing? And are they consistently high? Or do you start with lower readings which escalate during the day? Are you finding you are thirsty and drinking a lot? Losing weight? Feeling very sleepy? focussing on DKA (diabetic ketoacidosis) and ketones are not always helpful in T2s it is very important that you do not take make the assumption that your symptoms and T2 issues will be the same as those of T1, and please verify whether the person giving you advice is doing so from the perspective of T1, in which case their advice may be misleading. Some T2s can have low (or zero) ketones, at the same time they experience the symptoms I just described above, whereas ketones are a much better gauge for T1s. The reason for this is because T2s may have sufficient insulin circulating to prevent ketones, but insufficient insulin to keep blood glucose down to safe levels. Sometimes this develops into something called HONK [URL]https://www.diabetes.co.uk/diabetes-complications/hyperglycaemic-hyperosmolar-nonketotic-coma.html[/URL] Which does not present with high ketones, and may develop into a coma. i strongly suggest that if your blood glucose numbers rise beyond the guide range that your medical team has given you, that you get in touch with them for advice, and please do not interpret ‘the absence of ketones’ as making ‘it all OK’. If you have not been given a guide range for your blood glucose, then ask your team for one. [/QUOTE]
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