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High sugar and ketones are going up

Discussion in 'Type 2 with Insulin' started by Nathan1683, Oct 8, 2020.

  1. Nathan1683

    Nathan1683 Type 2 · Newbie

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    Hi I’m type 2 on insulin my hba1c is 130 mmol sugar about 30min ago is 17.9 and ketones are 0.6 I have a belly ache and lose stools what do I do
     
  2. ert

    ert Type 1 · Well-Known Member

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    I'm sorry you're unwell. You need to follow sick day rules.
    If you don't know what they are or are worried, you should phone 111 for advice and support.

    Ask 111: Your ketones shouldn't rise above 3 mmol/l if you have insulin on board. At 0.6 you should be safe if you're still taking your insulin

    I hope you feel better soon.

    In the meantime, here is what I learnt on my DAFNE course. Sick day rules:

    If your blood glucose is above 13mmol/L: Increase your usual insulin by 10%
    If no response 2 to 4 hours, stay with the increase of usual insulin by 10% and give an extra dose of quick acting insulin (approximately 10% of total daily insulin) repeat every 2 to 4 hours.

    https://www.northumbria.nhs.uk/sites/default/files/images/PIN451[1].pdf
     
    • Like Like x 1
    #2 ert, Oct 8, 2020 at 10:36 PM
    Last edited: Oct 8, 2020
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