Hi
@SianyG, I hope you are not feeling too unwell. Not fun being there!!
Good on you for posting and checking BSLs and ketone levels !!
As a T1D, not as professional advice or opinion:
1) The accompanying graph , posted by someone a while back, is really useful, shows you where your ketone level is. in the scheme of things
2) Do you have a 'sick day plan', one made with your DSN or doctor?
For example mine (and yours could be quite different) is:
a)
Ring DSN or doctor to discuss and work through a list to check off and discuss:
(including HOW much insulin, which insulin, how often etc)
b)
reasons for this high BSL and ketones:
(i)
illness - flu, urine infection (not always symptoms), tooth problem etc
---> need more insulin and some carbs and medical review
(ii)
other - vaccination, monthly cycle (not me personally but in there for completeness sake),
stress/worry, (?? rebound after severe hypo) ---> insulin/some carbs
(iii)
food: excessive eating and then fasting overnight ---> insulin and ? how much carbs
(iv)
insulin: in date, not been frozen or kept over 30 degrees C ---> replace insulin, may need new script filled a.s.a.p.
(v)
insulin delivery: missed doses, no leaking penfill ampoule?, pen plunger not advancing the rubber stopper?, injection into scar tissue?, pump not delivering insulin ? battery ? software? ?, blocked cannula --> check and replace faulty equipment if possible, re-inject in new site, change cannula , revert to mdi
c)
review results over 2 hours depending on ketone level done hourly - discuss with DSN/doctor or medical advisory service
d) consider injecting small doses of short-acting insulin ( I have the
syringe and longer needle +
the expertise) sometimes the DSN/Dr/Advisor might suggest
small regular doses of intramuscular insulin)
d) ketones still rising, bsl not settling ---> call ambulance (Better to be Safe than Sorry)
e)
extreme ketones with high BSL at anytime --.> ambulance a.s.a.p.
I really hope that things settle quickly and easily for you. Your health team is your best ally in this.
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