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I'm sick and have ketones in my urine and last BG was 20.7. What do I do?
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<blockquote data-quote="hjm1986" data-source="post: 2174794" data-attributes="member: 499305"><p>I wouldn’t worry overly yet, but if it keeps on increasing post QA insulin then start to worry. My BG readings are regularly over 20 post meal. The way I’ve figured it is like this for me. My QA is Novo Rapid. Since having Libre I’ve discovered my QA peaks at around 4 hours so I don’t see any change in BG until around the 4 hour mark post injection.</p><p></p><p>Being ill is nasty but I’ve done DAFNE and use sick day rules and recover fine - I’ve posted some info below. Are you making sure you are Carb counting and adjusting insulin ratios accordingly?</p><p></p><p>I’ve had DKA severe as a child and nearly lost my life to it and spent so much time in hospital due to overly cautious parents etc so I know it’s rough.</p><p></p><p>But follow sick day rules (see picture) and it works for me. However if you DON’T carb count then probably best not to follow this advice. It takes a bit of time to get to work - again I’m on Novo Rapid and as I said it takes about 4 hours for mine to kick in certainly not half an hour like the diabetes nurses “think” it does. If you want to avoid hospital try this first?</p><p></p><p>At the end of the day - do what is right for you! I’ve been taught to self manage at home but that’s 22 years plus experience with diabetes you might not be as confident / comfortable doing it! Take care! X</p><p></p><p>- Diagnosed 1997 aged 11</p><p>- Type 1 for 22 years</p><p>- 8 different insulin changes</p><p>- Current medication includes; Libre System, Novo Rapid, Humulin i, 500mg Metformin</p><p>[ATTACH=full]36939[/ATTACH] [ATTACH=full]36938[/ATTACH]</p></blockquote><p></p>
[QUOTE="hjm1986, post: 2174794, member: 499305"] I wouldn’t worry overly yet, but if it keeps on increasing post QA insulin then start to worry. My BG readings are regularly over 20 post meal. The way I’ve figured it is like this for me. My QA is Novo Rapid. Since having Libre I’ve discovered my QA peaks at around 4 hours so I don’t see any change in BG until around the 4 hour mark post injection. Being ill is nasty but I’ve done DAFNE and use sick day rules and recover fine - I’ve posted some info below. Are you making sure you are Carb counting and adjusting insulin ratios accordingly? I’ve had DKA severe as a child and nearly lost my life to it and spent so much time in hospital due to overly cautious parents etc so I know it’s rough. But follow sick day rules (see picture) and it works for me. However if you DON’T carb count then probably best not to follow this advice. It takes a bit of time to get to work - again I’m on Novo Rapid and as I said it takes about 4 hours for mine to kick in certainly not half an hour like the diabetes nurses “think” it does. If you want to avoid hospital try this first? At the end of the day - do what is right for you! I’ve been taught to self manage at home but that’s 22 years plus experience with diabetes you might not be as confident / comfortable doing it! Take care! X - Diagnosed 1997 aged 11 - Type 1 for 22 years - 8 different insulin changes - Current medication includes; Libre System, Novo Rapid, Humulin i, 500mg Metformin [ATTACH=full]36939[/ATTACH] [ATTACH=full]36938[/ATTACH] [/QUOTE]
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I'm sick and have ketones in my urine and last BG was 20.7. What do I do?
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