Type 2 moved to insulin after dka

Debneld said:

Hi
I am 52 and have had type 2 diabetes for fifteen years treated with metformin and dapagliflozin. Three weeks ago I ended up in Hospital with severe dka. Since then I have been put on toujeo insulin.
My real question is I am due to return to work on Monday which involves a 45 min journey at 6:45 in the morning.
I cannot manage a full breakfast at this time, what would you think would be a good level for my blood sugars.
Also what do you keep as in car incase of hypo.
Thanks Deb

Click to expand...

Debneld said:

Hi
I am 52 and have had type 2 diabetes for fifteen years treated with metformin and dapagliflozin. Three weeks ago I ended up in Hospital with severe dka. Since then I have been put on toujeo insulin.
My real question is I am due to return to work on Monday which involves a 45 min journey at 6:45 in the morning.
I cannot manage a full breakfast at this time, what would you think would be a good level for my blood sugars.
Also what do you keep as in car incase of hypo.
Thanks Deb

Click to expand...

Debneld said:

I came home from work on the Friday feeling rough and fell asleep on sofa, woke a couple of hours later and went to bed.
Later that evening was sick but just went back to bed. All that night and through to Sunday morning just got up to drink water and wee husband did make me a couple of dioralyte drinks and had stopped taking meds.
I did do a lateral flow test on Saturday as I have to do them twice a week as work in Hospital.
Sunday morning told husband to book a pcr test as was feeling no better. Got up had shower and came down stairs my breathing was erratic so husband phoned ambulance.
They did ecg which showed tachycardia so they took me to hospital but no urgency.
When I got to hospital they put me in cubical ran tests I can't say how long after I was moved to High dependency unit they caught it just in time so although the ICU doctor came to see me I didn't need to go in. I was in hospital for 3 days.

My blood sugars weren't extremely high 10-11 I know the diabetic nurse used me as a training exercise for the nurses on ward as they had never seen it before.
They don't know why maybe underlying infection and the dapagliflozin which can be a risk factor.
I can honestly say that getting up to go for covid test probably saved me as I would have probably just stayed in bed until I slipped into a coma.
From all accounts the fast breathing is a sign of your body trying to get rid of ketones and the vomiting also you don't always need high blood sugars especially if you are on dapagliflozin.
Hope this helps someone but it is extremely rare.

Click to expand...

Debneld said:

I came home from work on the Friday feeling rough and fell asleep on sofa, woke a couple of hours later and went to bed.
Later that evening was sick but just went back to bed. All that night and through to Sunday morning just got up to drink water and wee husband did make me a couple of dioralyte drinks and had stopped taking meds.
I did do a lateral flow test on Saturday as I have to do them twice a week as work in Hospital.
Sunday morning told husband to book a pcr test as was feeling no better. Got up had shower and came down stairs my breathing was erratic so husband phoned ambulance.
They did ecg which showed tachycardia so they took me to hospital but no urgency.
When I got to hospital they put me in cubical ran tests I can't say how long after I was moved to High dependency unit they caught it just in time so although the ICU doctor came to see me I didn't need to go in. I was in hospital for 3 days.

My blood sugars weren't extremely high 10-11 I know the diabetic nurse used me as a training exercise for the nurses on ward as they had never seen it before.
They don't know why maybe underlying infection and the dapagliflozin which can be a risk factor.
I can honestly say that getting up to go for covid test probably saved me as I would have probably just stayed in bed until I slipped into a coma.
From all accounts the fast breathing is a sign of your body trying to get rid of ketones and the vomiting also you don't always need high blood sugars especially if you are on dapagliflozin.
Hope this helps someone but it is extremely rare.

Click to expand...

Debneld said:

I came home from work on the Friday feeling rough and fell asleep on sofa, woke a couple of hours later and went to bed.
Later that evening was sick but just went back to bed. All that night and through to Sunday morning just got up to drink water and wee husband did make me a couple of dioralyte drinks and had stopped taking meds.
I did do a lateral flow test on Saturday as I have to do them twice a week as work in Hospital.
Sunday morning told husband to book a pcr test as was feeling no better. Got up had shower and came down stairs my breathing was erratic so husband phoned ambulance.
They did ecg which showed tachycardia so they took me to hospital but no urgency.
When I got to hospital they put me in cubical ran tests I can't say how long after I was moved to High dependency unit they caught it just in time so although the ICU doctor came to see me I didn't need to go in. I was in hospital for 3 days.

My blood sugars weren't extremely high 10-11 I know the diabetic nurse used me as a training exercise for the nurses on ward as they had never seen it before.
They don't know why maybe underlying infection and the dapagliflozin which can be a risk factor.
I can honestly say that getting up to go for covid test probably saved me as I would have probably just stayed in bed until I slipped into a coma.
From all accounts the fast breathing is a sign of your body trying to get rid of ketones and the vomiting also you don't always need high blood sugars especially if you are on dapagliflozin.
Hope this helps someone but it is extremely rare.

Click to expand...

Debneld said:

Hi
I am 52 and have had type 2 diabetes for fifteen years treated with metformin and dapagliflozin. Three weeks ago I ended up in Hospital with severe dka. Since then I have been put on toujeo insulin.
My real question is I am due to return to work on Monday which involves a 45 min journey at 6:45 in the morning.
I cannot manage a full breakfast at this time, what would you think would be a good level for my blood sugars.
Also what do you keep as in car incase of hypo.
Thanks Deb

Click to expand...

Debneld said:

I came home from work on the Friday feeling rough and fell asleep on sofa, woke a couple of hours later and went to bed.
Later that evening was sick but just went back to bed. All that night and through to Sunday morning just got up to drink water and wee husband did make me a couple of dioralyte drinks and had stopped taking meds.
I did do a lateral flow test on Saturday as I have to do them twice a week as work in Hospital.
Sunday morning told husband to book a pcr test as was feeling no better. Got up had shower and came down stairs my breathing was erratic so husband phoned ambulance.
They did ecg which showed tachycardia so they took me to hospital but no urgency.
When I got to hospital they put me in cubical ran tests I can't say how long after I was moved to High dependency unit they caught it just in time so although the ICU doctor came to see me I didn't need to go in. I was in hospital for 3 days.

My blood sugars weren't extremely high 10-11 I know the diabetic nurse used me as a training exercise for the nurses on ward as they had never seen it before.
They don't know why maybe underlying infection and the dapagliflozin which can be a risk factor.
I can honestly say that getting up to go for covid test probably saved me as I would have probably just stayed in bed until I slipped into a coma.
From all accounts the fast breathing is a sign of your body trying to get rid of ketones and the vomiting also you don't always need high blood sugars especially if you are on dapagliflozin.
Hope this helps someone but it is extremely rare.

Click to expand...

Debneld said:

I came home from work on the Friday feeling rough and fell asleep on sofa, woke a couple of hours later and went to bed.
Later that evening was sick but just went back to bed. All that night and through to Sunday morning just got up to drink water and wee husband did make me a couple of dioralyte drinks and had stopped taking meds.
I did do a lateral flow test on Saturday as I have to do them twice a week as work in Hospital.
Sunday morning told husband to book a pcr test as was feeling no better. Got up had shower and came down stairs my breathing was erratic so husband phoned ambulance.
They did ecg which showed tachycardia so they took me to hospital but no urgency.
When I got to hospital they put me in cubical ran tests I can't say how long after I was moved to High dependency unit they caught it just in time so although the ICU doctor came to see me I didn't need to go in. I was in hospital for 3 days.

My blood sugars weren't extremely high 10-11 I know the diabetic nurse used me as a training exercise for the nurses on ward as they had never seen it before.
They don't know why maybe underlying infection and the dapagliflozin which can be a risk factor.
I can honestly say that getting up to go for covid test probably saved me as I would have probably just stayed in bed until I slipped into a coma.
From all accounts the fast breathing is a sign of your body trying to get rid of ketones and the vomiting also you don't always need high blood sugars especially if you are on dapagliflozin.
Hope this helps someone but it is extremely rare.

Click to expand...