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High sugar and ketones are going up

Nathan1683

Newbie
Messages
1
Location
Fareham
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
 
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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