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Type 1 Diabetes
Don't understand DKA.
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<blockquote data-quote="phoenix" data-source="post: 167822" data-attributes="member: 12578"><p># Is it possible to get DKA when my number is ok?</p><p><span style="color: #0000FF">rare but it is possible if you are vomitting and/or have diarrhoea</span></p><p># What is the difference between having Ketones from not eating (dietary?) and DKA?</p><p><span style="color: #0000FF">there is fundamentally no difference but if you have insufficient insulin (perhaps because of an infection etc) the ketones can develop quickly. Small ketones are not a problem, larger ones are.</span></p><p># How do I know my Ketones are bad ones related to my T1D and not just normal ones occuring from low food intake?</p><p><span style="color: #0000FF">If your blood glucose is over 14mmol/l or if you are ill, test for ketones</span></p><p><span style="color: #0000FF">You test using either a ketone urine strip or if you have an Optimum exceed monitor you can test for them in your blood.If ketones in urine are <strong>negative or small </strong> then drink water and take a correction dose if necessary, as advised by your medical team</span></p><p><span style="color: #0000FF">If ketones are <strong>moderate to large</strong>, drink lots of water and contact your team for advice, taking extra rapid insulin as advised ( <strong> <u>or better still ask them what to do in advance</u>[/</strong>)</span></p><p> <span style="color: #0000FF">Continue to check glucose every 2 hours.</span></p><p># How do I know whether i'm feeling the symptons of DKA or just plain ILL?</p><p><span style="color: #0000FF">symptoms are like those you may have experienced before diagnosis</span></p><p><span style="color: #0000FF">steadily rising blood sugars (usually over a 24–48-hour period) </span></p><p><span style="color: #0000FF">thirst </span></p><p><span style="color: #0000FF">passing large amounts of urine </span></p><p><span style="color: #0000FF">tiredness and weakness </span></p><p><span style="color: #0000FF">nausea and vomiting </span></p><p><span style="color: #0000FF">abdominal pain </span></p><p><span style="color: #0000FF">blurred vision </span></p><p><span style="color: #0000FF">laboured breathing</span></p><p># What on earth are 'sick day rules'? </p><p><span style="color: #0000FF">Basically keep taking the basal insulin,</span></p><p><span style="color: #0000FF">Check glucose frequently.</span></p><p><span style="color: #0000FF">drink plenty of fluids</span></p><p><span style="color: #0000FF">if you can't eat replace solid food with alternatives such as soup, cereals, milk, ice cream, jelly or yoghurt, use rapid insulin for carbs as necessary</span></p><p><span style="color: #0000FF">if your glucose levels are falling sip sugary drinks</span></p><p><span style="color: #0000FF">if they are rising test for ketones as above and give approriate correction doses.</span></p><p></p><p>Riv</p><p></p><p>Note - my control is <em>mighty </em>so what i'm mainly keen to learn about is if it's possible to get DKA in spite of a good number and, DKA during sickness </p><p><span style="color: #0000FF">Unfortunately yes, infections, illnesses can raise the need for insulin, ketones develop quickly when there is insufficient circulating insulin in the body. </span></p><p> <span style="color: #0000FF">Having said that knowing what to do can go a long way to prevent it, particularly in adults (ketones develop even more rapidly in children)</span></p></blockquote><p></p>
[QUOTE="phoenix, post: 167822, member: 12578"] # Is it possible to get DKA when my number is ok? [color=#0000FF]rare but it is possible if you are vomitting and/or have diarrhoea[/color] # What is the difference between having Ketones from not eating (dietary?) and DKA? [color=#0000FF]there is fundamentally no difference but if you have insufficient insulin (perhaps because of an infection etc) the ketones can develop quickly. Small ketones are not a problem, larger ones are.[/color] # How do I know my Ketones are bad ones related to my T1D and not just normal ones occuring from low food intake? [color=#0000FF]If your blood glucose is over 14mmol/l or if you are ill, test for ketones You test using either a ketone urine strip or if you have an Optimum exceed monitor you can test for them in your blood.If ketones in urine are [b]negative or small [/b] then drink water and take a correction dose if necessary, as advised by your medical team If ketones are [b]moderate to large[/b], drink lots of water and contact your team for advice, taking extra rapid insulin as advised ( [b] [u]or better still ask them what to do in advance[/u][/[/b]) Continue to check glucose every 2 hours.[/color] # How do I know whether i'm feeling the symptons of DKA or just plain ILL? [color=#0000FF]symptoms are like those you may have experienced before diagnosis steadily rising blood sugars (usually over a 24–48-hour period) thirst passing large amounts of urine tiredness and weakness nausea and vomiting abdominal pain blurred vision laboured breathing[/color] # What on earth are 'sick day rules'? [color=#0000FF]Basically keep taking the basal insulin, Check glucose frequently. drink plenty of fluids if you can't eat replace solid food with alternatives such as soup, cereals, milk, ice cream, jelly or yoghurt, use rapid insulin for carbs as necessary if your glucose levels are falling sip sugary drinks if they are rising test for ketones as above and give approriate correction doses.[/color] Riv Note - my control is [i]mighty [/i]so what i'm mainly keen to learn about is if it's possible to get DKA in spite of a good number and, DKA during sickness [color=#0000FF]Unfortunately yes, infections, illnesses can raise the need for insulin, ketones develop quickly when there is insufficient circulating insulin in the body. Having said that knowing what to do can go a long way to prevent it, particularly in adults (ketones develop even more rapidly in children)[/color] [/QUOTE]
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