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<blockquote data-quote="Katharine" data-source="post: 24219" data-attributes="member: 7958"><p>Hi Zombie Mum,</p><p></p><p>Quite often when you start the day with high blood sugars you end up chasing it all day trying to get it down.</p><p></p><p>If a blocked needle wasn't the cause today, it could be that your daughter is coming down with a virus or infection. My sons sugars go up "for no reason" for two days before every cold. </p><p></p><p>When you are brewing an infection you produce lots of cortisol to fight the infection. Your body knows you are ill before you do! This cortisol works against the insulin making the cells in the body less responsive to the insulin. You are therefore in a relatively insulin deficient state at these times. </p><p></p><p>The way of dealing with this is to correct the blood sugars with enough insulin. This can often be a lot more than you usually need to give.</p><p></p><p>Once the sugars are over 13 you need to check the urine or blood for ketones. Your GP can prescribe these or you can buy ketone testing strips over the counter from the chemist. They are not expensive but expire six months after the lid is opened.</p><p></p><p>If the blood sugar is over 13 with no ketones you give an extra dose of rapid acting insulin to the formula 10% of the total daily insulin dose in units = basal insulin + usual total of all meal insulins.</p><p></p><p>If there are ketones as well you make the correction dose 20% of the total daily dose. </p><p></p><p>Do this every 2.5 hours until her sugars go below 10.</p><p></p><p>You will need to seek help from the hospital team (there is usually a diabetic nurse on call) if you haven't done this before, are not sure why your daughter is ill (if she becomes ill), or if her sugars don't come down with one or two correction shots.</p><p></p><p>I think you have too much to do to go to the playgroup and activity will be likely to push her sugars higher.</p></blockquote><p></p>
[QUOTE="Katharine, post: 24219, member: 7958"] Hi Zombie Mum, Quite often when you start the day with high blood sugars you end up chasing it all day trying to get it down. If a blocked needle wasn't the cause today, it could be that your daughter is coming down with a virus or infection. My sons sugars go up "for no reason" for two days before every cold. When you are brewing an infection you produce lots of cortisol to fight the infection. Your body knows you are ill before you do! This cortisol works against the insulin making the cells in the body less responsive to the insulin. You are therefore in a relatively insulin deficient state at these times. The way of dealing with this is to correct the blood sugars with enough insulin. This can often be a lot more than you usually need to give. Once the sugars are over 13 you need to check the urine or blood for ketones. Your GP can prescribe these or you can buy ketone testing strips over the counter from the chemist. They are not expensive but expire six months after the lid is opened. If the blood sugar is over 13 with no ketones you give an extra dose of rapid acting insulin to the formula 10% of the total daily insulin dose in units = basal insulin + usual total of all meal insulins. If there are ketones as well you make the correction dose 20% of the total daily dose. Do this every 2.5 hours until her sugars go below 10. You will need to seek help from the hospital team (there is usually a diabetic nurse on call) if you haven't done this before, are not sure why your daughter is ill (if she becomes ill), or if her sugars don't come down with one or two correction shots. I think you have too much to do to go to the playgroup and activity will be likely to push her sugars higher. [/QUOTE]
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