High sugar and ketones are going up

Nathan1683

Newbie
Messages
1
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
None realy
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
 

ert

Well-Known Member
Messages
2,588
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
diabetes
fasting
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
 
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