Sorry but this is by no means always true. Ketones or rather ketoacidosis can become dangerous in hours rather than days especially if blood sugar is already very high like in this case. Diabetic ketoacidosis can progress very rapidly into a life threatening condition.in my experience for keytones to cause a problem they need to build up over quite a few days or even weeks .in my case i suffered rapid weight loss as an indicator ,levels soon return to normal when you get your BG back under control so try not to worry about one high reading.
Various methods for correcting ketones are taught so use whatever method you are comfortable with. But you will definitely need more than your normal correction dose.If you are correcting by insulin you will need to double your correction doses. Test every hour and if after 4 hours still not down to under 15 then whack in some normal dose correction insulin.
This is totally understandable and I've been there, I've done it myself. But I just want to stress that it is dangerous not to test for ketones when you have high BG and feel **** (exactly the sort of time when you really don't feel like finding the test kit). It's quite possible to have ketones high enough that your normal correction dose will have no effect on your BG. In this case it's imperative to switch to a more aggressive insulin therapy, such as the DAFNE Sick Day Rules. Otherwise the condition can escalate, with both BG and ketones rising.No dka even tested for as I thought I knew reason and could just get it down and also both times felt so bad I literally couldn't be ***** to get out of bed to get the kit out. Certainly wouldn't have read instructions!!
Yes that slow onset DKA is very typical of diabetics at diagnosis - I had the same thing. On diabetics who have been on insulin for some time, DKA can have a much more rapid onset, becoming serious in hours or 1-2 days rather than days or weeks.should probably add that this is what led to me being diagnosed with secondary diabetes because of long term chronic pancreatitis and being put straight onto 4 injections a day which after 3 days brought the keytones down to a safe level.after twelve months im still having problems controlling my condition and in past three months my BG has been in the 13 to 25 range and am having to up insulin doses to try and combat this only just found this forum and have learnt more in last hour than from 12 months with doctor.
Yes do take it easy, and don't be tempted to overcorrect or correct too often, as long as your BG is continuing to head in the right direction, ie down! Sounds like you are going to be totally fine.Its down to 22.4 after novorapid two hrs ago. Will feel better (mentally!) when its heading for the 10's. I guess 4 hrs is a good time fir the 7 units to work their fullest, then might need a bit more.
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