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DKA

C

cranked75

Member
Messages
8
Type of diabetes
Type 1
So i've been pretty bad lately and have went on a bit of a month long binge of sugar and only lantas insulin, thinking i was ok and knew what i was doing but clearly not. for the past couple of days ive had keytones and sugars above 30 and while i am now trying ot get them back down i was just wondering if there is any signs of DKA i should watch out for? i've been having head aches for a couple days but i think thats more related to the dehydration.
 
How long have you had ketones for? Do you have a blood ketone metre - how high are the ketones? What are you doing to get rid of them?

If I were you, I had ketones and my blood sugar was over 30 and I was feeling rough I would seriously consider going to A&E to get some support to safely get my blood sugar down & get rid of the ketones. Especially if my ketones were over 3mmol/L or I only had urine ketone testing (as that doesn't give a very accurate result)
 
catapillar said:
How long have you had ketones for? Do you have a blood ketone metre - how high are the ketones? What are you doing to get rid of them?

If I were you, I had ketones and my blood sugar was over 30 and I was feeling rough I would seriously consider going to A&E to get some support to safely get my blood sugar down & get rid of the ketones. Especially if my ketones were over 3mmol/L or I only had urine ketone testing (as that doesn't give a very accurate result)
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hi thanks for the reply, i only have the urine strips and theyre saying its 0.8 and has been for about 3 days now, im drinking lots of juice and water to get them away but doesn't seem to be doing much
 
cranked75 said:
hi thanks for the reply, i only have the urine strips and theyre saying its 0.8 and has been for about 3 days now, im drinking lots of juice and water to get them away but doesn't seem to be doing much
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If it was me, I'd phone 111 for advice. If you can't get rid of the ketones, you may be best getting medical help and advice, and getting them sorted.
 
111 is the out of hours doctor service in the UK. Failing that, you could go to your nearest A and E.

Best not to take risks with ketones. I've phoned 111 before and the doctor was very helpful.

Take care x
 
azure said:
111 is the out of hours doctor service in the UK. Failing that, you could go to your nearest A and E.

Best not to take risks with ketones. I've phoned 111 before and the doctor was very helpful.

Take care x
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thanks so much for the info, you too.
 
cranked75 said:
hi thanks for the reply, i only have the urine strips and theyre saying its 0.8 and has been for about 3 days now, im drinking lots of juice and water to get them away but doesn't seem to be doing much
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Lots of juice & water won't do anything to get rid of ketones. Juice = glucose. The ketone are there because you have insufficient insulin. What gets rid of ketones is a corrective dose of fast acting insulin, usually 10% of your total daily dose every 2 hours until the ketones go. But if you haven't been taking your insulin much recently it might be difficult to work out your total daily dose - which is why you really should seek advice on it (111 or A&E).
 
Daibell said:
Hi. You don't mention your Bolus (rapid) insulin in your first post - -only the Lantus. Are you taking the Bolus now and carb-counting with it?
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hey, no i'm supposed to be on novorapid but to be honest i havent used it in quite a while and i dont really know how to carb count :( be waiting on the DAFNE course for a couple of years now.
 
cranked75 said:
hey, no i'm supposed to be on novorapid but to be honest i havent used it in quite a while and i dont really know how to carb count :( be waiting on the DAFNE course for a couple of years now.
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Hi again. I think you know that you should be using the Bolus. If you are sensible, you can do carb-counting without DAFNE. My lovely DN explained it to me in 10 minutes and I started carb-counting from my first day on the Bolus. The usual start point for the average person is one unit of Bolus to 10 gm of carb, but we are all different. To be safe and avoid a hypo, you can use a different ratio to start with such as 1 unit to 20gm carbs and use the meter 2 hours after a meal to gradually change the ratio over several days of testing. Some find they use a different ratio for different meals/time of the day.
 
cranked75 said:
hey, no i'm supposed to be on novorapid but to be honest i havent used it in quite a while and i dont really know how to carb count :( be waiting on the DAFNE course for a couple of years now.
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Carb counting isn't hard, but as an alternative you can not count the carbs but have the same meal (exactly the same, weighing items if necessary eg potatoes, pasta, cereal, etc) for a few days, starting on a very low dose of bolus insulin, testing two hours after, and gradually - very gradually - putting the dose up until your two hour test is within range.

How are you feeling today? How are your sugars?
 
cranked75 said:
So i've been pretty bad lately and have went on a bit of a month long binge of sugar and only lantas insulin, thinking i was ok and knew what i was doing but clearly not. for the past couple of days ive had keytones and sugars above 30 and while i am now trying ot get them back down i was just wondering if there is any signs of DKA i should watch out for? i've been having head aches for a couple days but i think thats more related to the dehydration.
Click to expand...


when I had DKA on diagnosis i had thrush extreme thirst,felt drained all the time and drowse,oooo and the need to pee every 15 to 20 mins :) hope you get better soon
 
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