Sickness and ketones

[hbarney22]

My son has been vomiting for 6 hours on and off. He hasn`t been able to eat but has sipped water. His blood glucose levels are 12 - 14 and he has ketones of +4. I have injected small amounts of insulin every 2 hours but there has been no change in levels or ketones. Are we doing the right thing?

 

[staffsmatt]

Best bet is to contact his diabetes team and get them to talk you through it.

The DAFNE sickness rules are on the bottom left slide here: http://www.swbhit2.plus.com/Sandwel..._files/Sick-Day rules and type 1 diabetes.pdf (someone else might be alog with a better link soon..

 

[staffsmatt]

TDD is total daily dose by the way (long acting and quick acting when looing at a normal day) so if I had 4 QA in the morning 4 with lunch and 4 with tea then 10 long acting at night my total daily dose would be 22 .

So if I had keytones of 1.5 I would have 2 to 3 QA units every 2 hours if I had keytones over 3.0 I would have 4 QA units every 2 hours. This would stop when glucose leves and keytones drop again.

As I said before though best bet is to contact you diabetes team and get them to talk you through it.

 

[becky.ford93]

With ketones that high you should really ring the nurse and get their advice.

 

[staffsmatt]

Just found this on another thread: http://www.diabetes-support.org.uk/info/?page_id=141

 

[BeccyB]

How did you get on @hbarney22 ? Hope your boy is feeling better today x