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<blockquote data-quote="phoenix" data-source="post: 299266" data-attributes="member: 12578"><p>Where did you read that? Levels of 15-25mml/l are very high.</p><p>Heres typical advice from Abbott</p><p><strong>0.6–1.5mmol/l </strong> </p><p>Test your blood glucose after 1 hour. Continue regular insulin regimen.</p><p>Consider increasing insulin after 1 hour. If blood glucose and ketones are falling retest hourly until ketones are below 1.1mmol/l.</p><p><strong>1.5–3mmol/l </strong></p><p> Take additional short- or rapid-acting insulin. If you do not have this type of insulin </p><p>use your usual premix insulin. Take the amount shown below or take 1/5 of YOUR total daily dose. If this is above 10 units only take 10 units. Drink 1 cup of sugar free clear liquid every 15 minutes (500ml per hour)</p><p>Retest ketones and blood sugar in 1 hour</p><p>If blood ketones not falling contact professional advice.</p><p><u><strong>Above 3mmol/l </strong></u> </p><p> SEEK SPECIALIST ADVICE IMMEDIATELY </p><p>and/or continued vomiting Take additional short- or rapid-acting insulin. If you do not have this type of insulin </p><p>and unable to tolerate fluids use your usual premix insulin. Take amount shown below or 1/5 of YOUR total daily dose. If this is above 10 units only take 10units.</p><p></p><p> A blood ketone result of 3.5 mmol/L yielded 100 percent specificity and sensitivity for the diagnosis of DKA.</p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/17975686" target="_blank">http://www.ncbi.nlm.nih.gov/pubmed/17975686</a></p><p></p><p> Whilst it is true that most people will have blood glucose levels above 14mmol/l , there are cases at lower levels. You will find cases on this forum of people who have had DKA below that level and case studies on the net. </p><p> Most involve some other factor such as sickness or pregnancy(when essentially 2 brains require glucose) alcohol or starvation . </p><p>As I implied in the earlier post most diabetologists will be dealing with people who don't produce enough insulin to limit ketone production.</p></blockquote><p></p>
[QUOTE="phoenix, post: 299266, member: 12578"] Where did you read that? Levels of 15-25mml/l are very high. Heres typical advice from Abbott [b]0.6–1.5mmol/l [/b] Test your blood glucose after 1 hour. Continue regular insulin regimen. Consider increasing insulin after 1 hour. If blood glucose and ketones are falling retest hourly until ketones are below 1.1mmol/l. [b]1.5–3mmol/l [/b] Take additional short- or rapid-acting insulin. If you do not have this type of insulin use your usual premix insulin. Take the amount shown below or take 1/5 of YOUR total daily dose. If this is above 10 units only take 10 units. Drink 1 cup of sugar free clear liquid every 15 minutes (500ml per hour) Retest ketones and blood sugar in 1 hour If blood ketones not falling contact professional advice. [u][b]Above 3mmol/l [/b][/u] SEEK SPECIALIST ADVICE IMMEDIATELY and/or continued vomiting Take additional short- or rapid-acting insulin. If you do not have this type of insulin and unable to tolerate fluids use your usual premix insulin. Take amount shown below or 1/5 of YOUR total daily dose. If this is above 10 units only take 10units. A blood ketone result of 3.5 mmol/L yielded 100 percent specificity and sensitivity for the diagnosis of DKA. [url=http://www.ncbi.nlm.nih.gov/pubmed/17975686]http://www.ncbi.nlm.nih.gov/pubmed/17975686[/url] Whilst it is true that most people will have blood glucose levels above 14mmol/l , there are cases at lower levels. You will find cases on this forum of people who have had DKA below that level and case studies on the net. Most involve some other factor such as sickness or pregnancy(when essentially 2 brains require glucose) alcohol or starvation . As I implied in the earlier post most diabetologists will be dealing with people who don't produce enough insulin to limit ketone production. [/QUOTE]
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