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DKA - Type 2
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<blockquote data-quote="HSSS" data-source="post: 2280957" data-attributes="member: 480869"><p>Far too much guesswork going on here. </p><p></p><p>The emergency gp talking about potentially fatal dka without acting to check it??? Ignorance of the condition or negligence by not acting? </p><p></p><p>No meter from consultant or gp whilst on hypo potential meds? No meter reading or checking to see what was happening at the time in question or what is happening I gotta since meds were reduced? </p><p></p><p>I’m surprised a consultant is even involved with a type 2 to be honest, unless there’s some additional issues. Reducing metformin wouldn’t usually make a significant difference, certainly nothing Dka inducing as it’s a mild drug that doesn’t actively reduce glucose levels, merely prevent liver dumping. Removing dapagalaflozin might make more difference though, dka still unlikely but possible. </p><p></p><p>How long has hb1ac been around 40? from where? Anything else managing levels apart from meds? Was the weight loss intentional and over how long? Any particular diet? It is often perfectly possible to reduce meds in type 2 if those meds have been made redundant by other lifestyle changes such as going low carb but usually drs need to know this is the case before reducing them. </p><p></p><p>what preceded the “episode”? Fasting? A heavy carb meal? Any particular reason to suspect it was or wasn’t diabetes related?</p></blockquote><p></p>
[QUOTE="HSSS, post: 2280957, member: 480869"] Far too much guesswork going on here. The emergency gp talking about potentially fatal dka without acting to check it??? Ignorance of the condition or negligence by not acting? No meter from consultant or gp whilst on hypo potential meds? No meter reading or checking to see what was happening at the time in question or what is happening I gotta since meds were reduced? I’m surprised a consultant is even involved with a type 2 to be honest, unless there’s some additional issues. Reducing metformin wouldn’t usually make a significant difference, certainly nothing Dka inducing as it’s a mild drug that doesn’t actively reduce glucose levels, merely prevent liver dumping. Removing dapagalaflozin might make more difference though, dka still unlikely but possible. How long has hb1ac been around 40? from where? Anything else managing levels apart from meds? Was the weight loss intentional and over how long? Any particular diet? It is often perfectly possible to reduce meds in type 2 if those meds have been made redundant by other lifestyle changes such as going low carb but usually drs need to know this is the case before reducing them. what preceded the “episode”? Fasting? A heavy carb meal? Any particular reason to suspect it was or wasn’t diabetes related? [/QUOTE]
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