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Type 1 Diabetes
Lantus - what's protocol here?
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<blockquote data-quote="mirror" data-source="post: 940285" data-attributes="member: 26795"><p>its complicated</p><p>we went to the diabetes consultant appt on friday morning (4th sept) </p><p>everything wonderful.</p><p>liver function done on the monday - fine</p><p>hba1c better than the last one (still a bit rubbish)</p><p>back needing insulin - after the co-amoxyclav finished.</p><p>on 18 lantus for 3 nights and fine on novo - 1 for 10 g carbs</p><p>fast forward to this morning. i go in and check her pre work - 7 ish. bit wierd seeming - like maybe high. go and get meds, and ask her to check bm.</p><p>ignores me, i go to her room. shes vomiting in bed. check bm - 11. blood ketones 0.2</p><p>fast forward.bm 7, 6, 5, to midday. then massive hypo - cold sweats etc - a and e. 1.7 bm.</p><p>a bag of 10% glucose later a seizure. 2.5 bm</p><p>tonight - still no insulin. all day.still nauseous. no ketones. (but low potassium on coming in and on drip for that too)</p><p>seeing docs for diabetes tomorrow (on the friday the consultant for diabetes said if she had been an inpatient previously with the wierd stuff hapenning he would have done a c-peptide and tested for insulin in blood. mentioned insulinoma possibility.</p><p>who knows. he did agree though we did the right things and agreed coming in over bank holiday weekend probably not the best option.</p></blockquote><p></p>
[QUOTE="mirror, post: 940285, member: 26795"] its complicated we went to the diabetes consultant appt on friday morning (4th sept) everything wonderful. liver function done on the monday - fine hba1c better than the last one (still a bit rubbish) back needing insulin - after the co-amoxyclav finished. on 18 lantus for 3 nights and fine on novo - 1 for 10 g carbs fast forward to this morning. i go in and check her pre work - 7 ish. bit wierd seeming - like maybe high. go and get meds, and ask her to check bm. ignores me, i go to her room. shes vomiting in bed. check bm - 11. blood ketones 0.2 fast forward.bm 7, 6, 5, to midday. then massive hypo - cold sweats etc - a and e. 1.7 bm. a bag of 10% glucose later a seizure. 2.5 bm tonight - still no insulin. all day.still nauseous. no ketones. (but low potassium on coming in and on drip for that too) seeing docs for diabetes tomorrow (on the friday the consultant for diabetes said if she had been an inpatient previously with the wierd stuff hapenning he would have done a c-peptide and tested for insulin in blood. mentioned insulinoma possibility. who knows. he did agree though we did the right things and agreed coming in over bank holiday weekend probably not the best option. [/QUOTE]
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Lantus - what's protocol here?
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