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out of control

tinkatinka

tinkatinka

Member
Messages
7
Type of diabetes
Treatment type
Insulin
Hi my name is Tina,
I have been diagnosed as type 2 steroid induced diabetes, at the moment its very out of control, despite being on insulin, my numbers vary between Hi and 15,
 
Where are you from
You need to contact your dr or A&E now to adjust your dose

Worst case thing
In your bio you said you are on water? If you are sick, do a ketone test with blood or urine strips, if you have ketones over 1.5 or can't test go to the chemist for strips or get to the hospital. If you test and don't have ketones you can relax a bit
Sick day rules
http://www.adea.com.au/wp-content/uploads/2013/08/Sickday_summary.pdf
http://www.diabetes-healthnet.ac.uk...flet_-_Sick_Day_Rules_for_Type_1_-_Nov_13.pdf

It's important to take your humalog to get your BG down and when in range sugar water if that's all you can get down so you don't hypo
 
Last edited by a moderator:
Hope it gets sorted quick.... scary I know
 
tinkatinka said:
Hi my name is Tina,
I have been diagnosed as type 2 steroid induced diabetes, at the moment its very out of control, despite being on insulin, my numbers vary between Hi and 15,
Click to expand...
I am under hospital. They don't seem bothered. But my other hospital said I should be in hosp said I should be in hospital. I am tired anf tachycardia.
 
Yes, you and the hospital should be worried about DKA when your blood sugar goes in the 20s/30s. You must monitor your ketones and have plenty of water. You may also want to review your steroid treatment with the HCPs. Steroids can often be essential but there are times when they are prescribed for more marginal reasons and for a diabetic the harmful downside needs to be considered. Maybe the hospital have done this and discussed it with you?
 
What is your BG now?
Have you had your insulin?
Have you tested for ketones?
Do you have any DKA symptoms?
Symptoms of DKA can appear quickly and may include:
  • frequent urination.
  • extreme thirst.
  • nausea.
  • vomiting.
  • abdominal pain.
  • confusion.
  • breath that smells fruity.
  • a flushed face.
Get off your bottom and get to A&E and let them sort it out
 
Daibell said:
Yes, you and the hospital should be worried about DKA when your blood sugar goes in the 20s/30s. You must monitor your ketones and have plenty of water. You may also want to review your steroid treatment with the HCPs. Steroids can often be essential but there are times when they are prescribed for more marginal reasons and for a diabetic the harmful downside needs to be considered. Maybe the hospital have done this and discussed it with you?
Click to expand...
jack412 said:
What is your BG now?
Have you had your insulin?
Have you tested for ketones?
Do you have any DKA symptoms?
Symptoms of DKA can appear quickly and may include:
  • frequent urination.
  • extreme thirst.
  • nausea.
  • vomiting.
  • abdominal pain.
  • confusion.
  • breath that smells fruity.
  • a flushed face.
Get off your bottom and get to A&E and let them sort it out
Click to expand...
I have to take steroids because of my asthma. My base is 30mg a day. Every timr I get an infection they put the steroids up to 60. I dont know how yo do my keytones. I was in hospital a couple of weeks ago as my heart rate was to high. In turn so was my diabetes. The infection I have is in my throat. I have been on iv antibiotics tabs snd now liquid antibiotics. I have to go to the hosp every few days for review. But they dont seem bothered about the diabetes. They are more concerned about the infection. But my specialised lung hospital say its the diabetes thats kicking off all the problems. So I'm in a whirlwind.
 
tinkatinka said:
I have to take steroids because of my asthma. My base is 30mg a day. Every timr I get an infection they put the steroids up to 60. I dont know how yo do my keytones. I was in hospital a couple of weeks ago as my heart rate was to high. In turn so was my diabetes. The infection I have is in my throat. I have been on iv antibiotics tabs snd now liquid antibiotics. I have to go to the hosp every few days for review. But they dont seem bothered about the diabetes. They are more concerned about the infection. But my specialised lung hospital say its the diabetes thats kicking off all the problems. So I'm in a whirlwind.
Click to expand...
My bloods are 24.8 at the moment. I feel ok. But the shake in my hands and arms means my heart rate is going up again. This is happening on a daily bases.
 
tinkatinka said:
My bloods are 24.8 at the moment. I feel ok. But the shake in my hands and arms means my heart rate is going up again. This is happening on a daily bases.
Click to expand...

Given you were just recently in hospital for similar reasons I think you should book an emergency appointment with your gp, really your diabetes team need to advice you on adjusting your insulin doses so that it brings down your bg levels. I'm a type 1 on insulin but the rules for insulin dose adjustment is somewhat different for type 2's so I don't know of any links to post, better that you get some professional input from your HCP's so they normalise your bg, if your admitted into hospital demand that a DSN (Diabetes Specialist Nurse) comes to see you and reviews your bg control.
 
It's time you went and got your BG sorted today. Your GP, out of hours, A&E
Present with high BG and that's what they'll treat
They may give you a quick acting insulin shot to get your BG down and help you adjust your ongoing dose of what you normally take.

What type of humalog do you take, there are some clever people on insulin here that can help you adjust it. If it doesn't work out for you today

PS
You can get urine ketostrips at the chemist but they should test for them where you go today
 
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Hi! Are you taking salbutamol/ventolin at the moment? That can cause shaking (hands) and tachycardia after administration. With steroids, despite it causing high sugars, it is needed for your asthma management unless specified by your doctor.

Nevertheless i agree with the suggestions of the other posters, please go to your nearest health care facility and have yourself checked for ketones, if you don't have the resources at the moment.
 
noblehead said:
Given you were just recently in hospital for similar reasons I think you should book an emergency appointment with your gp, really your diabetes team need to advice you on adjusting your insulin doses so that it brings down your bg levels. I'm a type 1 on insulin but the rules for insulin dose adjustment is somewhat different for type 2's so I don't know of any links to post, better that you get some professional input from your HCP's so they normalise your bg, if your admitted into hospital demand that a DSN (Diabetes Specialist Nurse) comes to see you and reviews your bg control.
Click to expand...
Thank you. I am seeing my gp tonight. Fingers crossed I will get some help. Many thanks again.
 
Hi and thanks for the update. Yes, obviously steroids are important for asthma. Is the Humalog the unmixed Rapid version? If so I wonder why the hospital haven't put you on daily Basal as well? You may want to discuss this with them if it is just Rapid you are on; if mixed Humalog then fine. Ref diabetes causing some of your problems, if your blood sugar is into the teens and above it can allow infections to breed so it is important to get the blood sugar down one way or another. Blood sugar management is a part of infection control, so you do need to seek urgent assistance to get it under control as others have said.
 
Daibell said:
Hi and thanks for the update. Yes, obviously steroids are important for asthma. Is the Humalog the unmixed Rapid version? If so I wonder why the hospital haven't put you on daily Basal as well? You may want to discuss this with them if it is just Rapid you are on; if mixed Humalog then fine. Ref diabetes causing some of your problems, if your blood sugar is into the teens and above it can allow infections to breed so it is important to get the blood sugar down one way or another. Blood sugar management is a part of infection control, so you do need to seek urgent assistance to get it under control as others have said.
Click to expand...
I am seeking help now. Many thanks for the help. I am on humlog mix 25.
 
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