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Was in hospital last week Ketoacidosis..now?

MillieT

MillieT

Well-Known Member
Messages
266
Location
Northamptonshire
Type of diabetes
Type 2
Treatment type
Other
Hello all,
I was in hospital last with with supposed ketoacidosis?-hyperglycemia, when i went in there was nothing to measure my blood sugars, after two large pumped syringes via cannula my sugars came down to 56mmol, discharged Friday. Now I have been taking gliclazide 40mg twice per day though took it three times to get my sugars down, and now am having metformin 80mg once in the morning for a week then twice daily.

Today I had porridge for breakfast, took my tablets and 2 hours later am still 30 mmol, it has been really difficult getting them down under 15mmol since i came out of hospital but i really should eat but nothing is working, before this, if I was 7 mmol that was high for me and for the last 3-4 years. oh, my last HBA1C test in August was 53.

I saw my gp and nurse the other day and was told if my bloods go over 30 mmol again to call 111 and ask for advice, I am drinking like gallons of spring water which should bring them down. Has anyone else had this issue and had problems getting their sugars down to normal again? it's just that if i have say, wholegrain toast/burgen with poached eggs my sugars do not rise like the porridge, and then what do i have for dinner because no matter what i eat sends me through the roof again... it has got to the point that i dare not eat for the worry of them going above 30 again. any advice really welcome please.
 
Might be an idea to ring 111 as advised by your gp and check with them - don't let the fact that it is Christmas stop you from contacting them - they may advise you to pop to a NHS centre.
 
I am so sorry that you seem to have been given bad advice on what to eat to control your blood sugars.
I am a very lucky but possibly typical type two.
If I do not eat anything high in carbs that fixes it.
Today I will be eating the turkey, with sweet peppers, mushrooms and courgette stirfry, cauliflower and peas and roasted carrot and parsnip - and two small Yorkshire puddings made with lots of eggs, cream and bread flour - as it is Christmas.
NO porridge, no bread or potatoes - those are all high starch foods, and that is what diabetics can't cope with. Why porridge and wholemeal anything is thought to be even remotely suitable for a diabetic I just dan't fathom.
As you have been prescribed a glucose lowering medication you will actually have to be careful not to go low - eating low carb is very effective.
 
Wow. I always thought ketoacidosis for a type2 was due to no medication or for some of those not even diagnosed yet.
Where you taking your medication from your heath team?
Do you have 'burn out'?

I had burn out but was taking my meds but they just didn't work anymore so I stopped trying to keep my bgs down, I was wasting my time.
However that was pre joining here and finding low carb eating and its great effect on high bgs, even for me. A severe insulin resistant sufferer.
Low carb eating can be as strict as you want to be. Any help to your diet will make a huge difference.
Be careful if your on glicizide tablets on low carbing, you may suffer hypos. Can you manage your meds on a lower BG diet? Do you know what to do and to understand your 8 tests per day til you can rely on your food to keep you well?
 
So sorry to hear that you are having these problems especially at Christmas time. I agree with comments upthread that it may be wise to ring 111 for advice. I hope that you can somehow enjoy the rest of the festivities but getting your bg down must be your priority today. Best wishes.
 
miffli said:
Hello all,
I was in hospital last with with supposed ketoacidosis?-hyperglycemia, when i went in there was nothing to measure my blood sugars, after two large pumped syringes via cannula my sugars came down to 56mmol, discharged Friday. Now I have been taking gliclazide 40mg twice per day though took it three times to get my sugars down, and now am having metformin 80mg once in the morning for a week then twice daily.

Today I had porridge for breakfast, took my tablets and 2 hours later am still 30 mmol, it has been really difficult getting them down under 15mmol since i came out of hospital but i really should eat but nothing is working, before this, if I was 7 mmol that was high for me and for the last 3-4 years. oh, my last HBA1C test in August was 53.

I saw my gp and nurse the other day and was told if my bloods go over 30 mmol again to call 111 and ask for advice, I am drinking like gallons of spring water which should bring them down. Has anyone else had this issue and had problems getting their sugars down to normal again? it's just that if i have say, wholegrain toast/burgen with poached eggs my sugars do not rise like the porridge, and then what do i have for dinner because no matter what i eat sends me through the roof again... it has got to the point that i dare not eat for the worry of them going above 30 again. any advice really welcome please.
Click to expand...

Miffli - If you have had DKA and very high blood sugars, please don't think twice about calling 111 if your numbers remain high.

Cutting back on any carbs you are eating may help a bit, plus ensuring you are drinking enough to help flush the sugars through, but do not ignore numbers in the 30s. DKA is not to be meddled with. It is a very serious condition indeed.

Bearing in mind we are on Christmas Day, feedback here may be slower or limited to normal posting rates, but in any case, we can only give you opinions, not medical advice.

I do hope things improve for you
 
30 is exceptionally high for a medicated type2. Are you going to call 111? You wouldn't be wasting their time as 30s is out of the norm, for sure.
Is gliclizide a new med for you? Is doesn't work for everyone.
 
Thank you all so much for your replies, I was diagnosed type II some 3-4 years ago and have always managed it through diet alone, I have had one or two bouts of where my cholesterol was a little on the high side but nothing serious. Last year I packed up smoking for 20 weeks only to start again due to moving home.

I so wanted to pack up so started on the Champix (beware) some 6 weeks ago, this is where my problems started, I started to become light headed and irritable, could not think straight, wanted the "reward" so to speak and ended up with a terrible thirst I could not stop due to eating chocolate and such. Before I went into hospital I was drinking lemonade, cider, milkshakes, tonic water and just about anything to quench my thirst, in the end i was sucking on packets of orange flavoured ice lollies at 6am and did not even know where I was.

After going to my gp she sent me into the hospital and you all know the rest! Good news is that I really do not wish to be anywhere near a cigarette or the champix but have been left like this for the holiday.

It was my diabetic nurse who said some time ago when diagnosed that I could have porridge etc and I have had it since though before I went into hospital, even a large bowl of the stuff did not take me past 7mmol, in fact I could eat pretty much anything, the worst I have been in the last 3-4 years was 12mmol on one day so I have no idea why they should explode to such levels all of a sudden but i am paying the price of it all. I am sure the tablets are giving me dire tummy aches and nothing tastes very nice anyhow, especially meat as it tastes bone dry. My vision is still not where it was pre hospital either and I am waiting for it to go back to normal.

i have no idea what burn out is though i am sleeping a lot, my sugars have gone down again so i am ok for some dinner, i shall try some chicken but it is doubtful i shall like it but i have done lots of veg and no potatoes- which i must admit i do like, especially roasties but am prepared to try anything, I had recently changed over to all organic produce but this included potatoes, basmati rice and all the carby foods.
 
miffli said:
Hello all,
I was in hospital last with with supposed ketoacidosis?-hyperglycemia, when i went in there was nothing to measure my blood sugars, after two large pumped syringes via cannula my sugars came down to 56mmol, discharged Friday. Now I have been taking gliclazide 40mg twice per day though took it three times to get my sugars down, and now am having metformin 80mg once in the morning for a week then twice daily.

Today I had porridge for breakfast, took my tablets and 2 hours later am still 30 mmol, it has been really difficult getting them down under 15mmol since i came out of hospital but i really should eat but nothing is working, before this, if I was 7 mmol that was high for me and for the last 3-4 years. oh, my last HBA1C test in August was 53.

I saw my gp and nurse the other day and was told if my bloods go over 30 mmol again to call 111 and ask for advice, I am drinking like gallons of spring water which should bring them down. Has anyone else had this issue and had problems getting their sugars down to normal again? it's just that if i have say, wholegrain toast/burgen with poached eggs my sugars do not rise like the porridge, and then what do i have for dinner because no matter what i eat sends me through the roof again... it has got to the point that i dare not eat for the worry of them going above 30 again. any advice really welcome please.
Click to expand...

Please listen to the advice above.

In addition "Today I had porridge for breakfast". Tomorrow, don't.
"but i really should eat" - yes, please do. People get into all sorts of trouble by not eating to try and force their BG down. It usually goes up.

If you like this kind of food, have egg, bacon, mushroom tomato for breakfast. Then test 2 hours afterwards. With luck this should not spike you.

Drinking enough water should help flush the sugars through if you are on gliclazide but drinking too much water won't help. If your gliclazide isn't bringing your BG down and you are eating sufficient low carbohydrate food then you need to go back to your medical team for help. The Metformin won't make much difference in the short term; it is more of a background helper for the long term.

If gliclazide isn't working then the next step may be insulin. Take a deep breath and prepare yourself. However in the mean time make sure that you are eating a sensible amount, which will let the drugs do their work. If you panic and starve yourself then this just makes things worse and messes with your medication.
 
Just to let you know, my sugars are now at 19.1 this is many hours after breakfast and my two tablets and I have drank at least 2 litres of water.
 
What have you eaten?
For breakfast and since?
 
Well I have to return to my gp and hospital next week, if the meds are not working the hospital suggested going on to insulin int he short term
 
miffli said:
Well I have to return to my gp and hospital next week, if the meds are not working the hospital suggested going on to insulin int he short term
Click to expand...

Sensible.

It need not be for the long term once you get yourself settled down again but you probably need to get that BG down.

Have you tried a bit of exercise, like walking, to see if that helps?
 
miffli said:
I had breakfast this morning, this is all as have had a couple of hours sleep again. (was just about to have some dinner)
Click to expand...

OK. What did you have for breakfast?
 
LittleGreyCat said:
Sensible.

It need not be for the long term once you get yourself settled down again but you probably need to get that BG down.

Have you tried a bit of exercise, like walking, to see if that helps?
Click to expand...

Yes, I usually do some daily if I have the energy, only about a mile or so though.
 
miffli said:
First post in the thread..porridge..and went to 30 mmol!
Click to expand...

O.K. - take a deep breath and consider.

At the moment you are living on pure carbohydrates and also starving yourself. Possibly not the best way to get your BG down.:)
 
@miffli I agree with all the above posts. Get off the carbs hun! Stop them NOW.
You wouldnt like insulin. I don't know anyone who does.

You can do this. Stop the porridge, bread, rice and no more than 2 baby potatoes worth of potato. Nibble on cheese, nuts and meat slices. Just for now and keep testing throughout. You will get a great Christmas present from us all here at the forum.
You'll never look back. None of us have.
 
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