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Worried! DKA
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<blockquote data-quote="Oldvatr" data-source="post: 2604862" data-attributes="member: 196898"><p>Phew! It shows your kidneys are clearing out the ketones adequately. I have CKD so that is not so much a given for me. Beware of getting a UTI or kidney infection, or dehydration while on those meds. </p><p></p><p>But I am worried because I was unable to convince my GP to report my event in the Yellow card System. He would not because he had no evidence (medical tests) showing my condition, and it was therefore anecdotal. Even though your doctor observed his own tests, again, it was not n emergency event, and the readings were within recognised normal expectations.</p><p></p><p>The problem we have is what happens next time? If we see a reading of 8 mmol on our weestix, do we ignore it and wait for full blown DKA to develop? That is what I did in my case, but I was putting myself at risk. But my GP refuses to provide blood test strips even after my episode. As it happens I had one ketone test strip sample for my meter and it read 3.2mmol/l when my weestix registered 4.9</p><p></p><p>I am concerned that the recent licencing of Ozempic through WeightWatchers being able to prescribe over the phone or online without needing evidence of good kidney function. But that audience is not being warned of DKA or the need to monitor ketones. I am not sure if they triage on diabetes either. From the application form I saw it was simply height and weight. It seems our GP's are doing the same for us diabetics. Save the pennies on test strips and kidney tests, expend pounds on blue light taxis and hospital stays, because it is not the GP budget that carries that expense.</p><p></p><p>I note that Dapagliflozin is also being prescxribed for heart failure, and CKD in non diabetics. Trulicity is also being prescribed for general obesesity patients - again non diabetics. At least we diabetics get an annual review and screenings that are not the norm in the general populace.</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 2604862, member: 196898"] Phew! It shows your kidneys are clearing out the ketones adequately. I have CKD so that is not so much a given for me. Beware of getting a UTI or kidney infection, or dehydration while on those meds. But I am worried because I was unable to convince my GP to report my event in the Yellow card System. He would not because he had no evidence (medical tests) showing my condition, and it was therefore anecdotal. Even though your doctor observed his own tests, again, it was not n emergency event, and the readings were within recognised normal expectations. The problem we have is what happens next time? If we see a reading of 8 mmol on our weestix, do we ignore it and wait for full blown DKA to develop? That is what I did in my case, but I was putting myself at risk. But my GP refuses to provide blood test strips even after my episode. As it happens I had one ketone test strip sample for my meter and it read 3.2mmol/l when my weestix registered 4.9 I am concerned that the recent licencing of Ozempic through WeightWatchers being able to prescribe over the phone or online without needing evidence of good kidney function. But that audience is not being warned of DKA or the need to monitor ketones. I am not sure if they triage on diabetes either. From the application form I saw it was simply height and weight. It seems our GP's are doing the same for us diabetics. Save the pennies on test strips and kidney tests, expend pounds on blue light taxis and hospital stays, because it is not the GP budget that carries that expense. I note that Dapagliflozin is also being prescxribed for heart failure, and CKD in non diabetics. Trulicity is also being prescribed for general obesesity patients - again non diabetics. At least we diabetics get an annual review and screenings that are not the norm in the general populace. [/QUOTE]
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