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Urgent help,please!

C

chocoholic

Well-Known Member
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United Kingdom
I'll try to be brief. Beforeevening meal tonight my reading was 4.8. Son bought us Chinese takeaway and I had shredded duck chow mein. Stupidly I forgot to have my insulin. Realised half hour later, so had my normal dose (I'm Type 2 and had 8 units of Novomix30). Hour later developed a corker of a headache and took a reading. BS was 16.9 and monitor was flashing "ketones". Came straight home and have checked ketones with Ketostix and it registered ++ 0.4 (moderate). On reading the leaflet it says in bold letters at this level I should phone docs. I don't wish to do this unnecessarily and have only had a trace of ketones before on diagnosis and I wasn't even sure as aType 2 I would ever have ketones probs. I'm assuming it's 'cause I was late having my insulin/combined with having higher carbs than i have been last few weeks.
I feel like packing into bed now, so do you think I will be okay to put off contacting the docs and just see how my BS are in morning? I hate phoning docs. unless really need to.
 
hI

Im not sure whether you often eat chinese/indian meals, but as they play havoc on blood sugar levels and you are using Novomix twice daily, it might pay you to talk to your dsn about the possibility of also using some fast acting insulin as and when you decide to eat more carbohydrate for a meal. This is quite good as people can stay on twice daily insulin but have a bit more freedom to eat more carbohydrate for a specific meal time if they so wish without having high blood sugar levels.

Before I changed to MDI a few years ago, I used to use Humalog Mix 25/75 twice daily and also carried in my bag a Humalog pen so that I could inject a few units of that according to how much carbohydrate I overate by. It worked quite well as it was not every day that I chose to eat more carb, it was only now and again.
 
iHs,
Thank you for that tip. I may well ask my DN about that. Don't often have Chinese food and was not expecting to last night but it was my son's treat and I tried to pick something off the menu without a sauce that was likely to have too much sugar. I'm finding takeaways are definitely not a good idea generally. You try and be polite and "fit in" and just ending up paying for it in the end.
 
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