Type 1 4 yo with high ketone levels after illness

[Mum of T1 little one]

Hi everyone.
A nightmare week for us started on Monday when our daughter developed a heavy cold which quickly lead to fever. High bms and raging temp lead to an a&e visit on Tuesday. No infection present, sent home with general calpol advice. Xmas eve fever was continuing, high bms and ketones of 5.5, we were admitted to hospital for monitoring but luckily no dka. Her fever has now gone and her bms a lot more stable but ketones around 3 still present. We are encouraging her to drink to flush through but no improvement. Any advice please ? She is bright and very much awake so I'm not too worried but I just wonder how long it takes for ketones to disappear ?

 

[jack412]

what is her blood glucose reading?
is she eating well, again? she may have dietary ketones from inadequate calorie intake for the period

 

[Mum of T1 little one]

Hiya
Her last reading was 6.9 which for her is excellent. She is eating and drinking normally.

 

[Robinredbreast]

You could ring 111, if you get concerned, just to be on the safe side. But couldn't advise anything, as it's a young child.

I hope things settle down very soon and she can enjoy the rest of Christmas

Best wishes RRB

 

[jack412]

I'd ring nhs 24hr for an opinion from a DR,
If my child, I'd watch her keytones and BG for a rise

this pediatric sickday rules may help too, with bringing them down
https://www.ispad.org/sites/default...pad_guidelines_2009_-_sick_day_management.pdf

 

[Mum of T1 little one]

Thanks for your advice. Pleased to say I just checked and ketone reading now 0.2. Will continue to regularly check.

 

[jack412]

Thanks for your advice. Pleased to say I just checked and ketone reading now 0.2. Will continue to regularly check.

that is good news, it takes the worry out of it, as you would know under 0.6 is considered normal