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Help please

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mnb

Newbie
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Hi everyone,

I'm sorry that my first post on here is a help! and i will get round to introducing myself at a later date but right now i'm very worried about my fiance.

He is 39, he is type 1 and has been since diagnosis in 2000.

He is on novorapid when he eats and takes Lantus of an evening before bed.

Well this morning I get up to him saying he feels awfull and that he 'thinks' he forgot to take his lantus last night and proceeded to test his BG and it was 27!!!!! He has always been a quite high diabetic and approx 5 years ago he got DKA. He recovered very well until last year when he had a massive heart attack.

He has eaten today (2 x weetabix) at about 11am and then 2 x slices of toast at about 2pm.

He came back down to about 17 I believe but about half hour ago tested himself again and his BG was back up to 26!!!!!

I've suggested hospital but like he says all they'll do is put him on a sliding scale for 3 days slowly injecting him with insulin which he can do at home??

He has said that if he still feels poorly tomorrow he'll go to the doctors or hospital but at the moment he says he 'thinks' he forgot to take his Lantus which has only ever happened once before.

I'm REALLY worried but I suffer from Genrelised anxiety disorder so I do worry a lot more than other people!

Thank you for reading and I hope you can help put my mind at rest.

MNB xx
 
Hi mnb,

You are right to worry, with readings this high over a pre-long period will undoubtedly lead to ketoacidosis, which is very dangerous indeed.

Missing his lantus injection would raise his blood glucose the following day, maybe why he has been high all day. I think it would be best for your partner to see his doctor, or speak with his DSN who may offer some advice to keep his bg in single figures. There are courses for type 1's available, one is the DAFNE course, which helps teach people to dose adjust, in other words adjust their insulin to the amount of carbs they eat. It teaches folk to carb count, and as I have done the course I can highly reccomend it.

Good luck

Nigel
 
The possibilty of ketoacidosis is real. Will he test for ketones?

At the very least he needs to test for ketones, give himself a series of novorapid correction shots, and if vomiting occurs or things get worse get to hospital. I know that with road conditions as they are this is no fun.

When diabetics have blood sugars that are either too low or too high they don't think as sensibly as when their sugars are normal. If he remains as stubborn you may need to phone the hospital for advice yourself. Hospital staff would much prefer admitting an ill diabetic than one who is extremely ill.

You are in a very worrying position tonight. I'm glad you have your wits about you.

Best wishes,

Katharine.
 
Thank you Nigel and Katharine.

He is fine now, He took his Lantus last night before bed and has been fine since.

He did test his ketones twice yesterday, the 1st time is was quite high but the 2nd time last night it had come down a lot more.

We know what to look for in DKA as I said yesterday he unfortunatly had this about 5 years ago.

As I said at the top, thank you to Nigel and Katharine who took the time to give some advice rather than the other 93 people who read and ran! :)
 
glad everythings sorted,
i think the reason some run as u call it is they dont know what advise to offer so dont say anything which is understandable, really glad you have got him sorted now :D
 
Hi mbn

Pleased all is well now!

I too often read posts but don't reply, mainly because I can't make a worthwhile contribution, or the subject matter is out of my depth. I feel it is better to let other people who have experience of the problem and advise accordingly, rather than give inappropriate or dangerous advice. Hence why you will find many type 1 questions are answered by type 1's, and likewise with type 2's.

In my experience of the forum, general advice questions get the biggest response, the more complex questions the least. Often the advice is to seek profesional advice, as non of us on the forum are medically qualified. I came to this forum to gain knowledge and a better understanding of how other people cope with diabetes, overall they are not a bad bunch!

Regards

Nigel
 
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