How long to flush ketones?

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Permalink Reply by Courtneyv on January 5, 2009 at 12:23pm

Recently my son had them on and off for four days. You should test every 2 hours, give yourself rapid acting insulin , you doctor should give you your ratio, my son's is 1/6 of his daily Humalog. If your number is over 250 drink sugar free fluid (1 oz per age) if under drink liquid with sugar to accomodate extra insulin. You should repeat this every two hours until you have trace ketones. Continue to drink plenty of fluids.
Again everyone is different, talk to your doctor about ketone dose, and regarding fluid amount, I am dealing with a 9 year old so I'm not sure how far (in years) you take the 1 oz for age theory- you may want to check that one as well.
Your body is telling you to rest, hope you feel better, remember test every 2 hours..........
CourtneyV

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Permalink Reply by Kristin on January 5, 2009 at 12:37pm

Thanks for the advice! I will go drink 26 oz. of fluids now! That sounds like a good rule!

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Permalink Reply by saundra barragan on January 5, 2009 at 1:21pm

Hi Kristin,
I don't have an amount to give you but my kidney doc tells me he wants me to make sure my urine is very light in color Of course I know this means drink plenty of fluids but don't try to over drink what you need. I hope you are feeling better soon

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Permalink Reply by Anthony Holko on January 5, 2009 at 1:14pm

Dear Kristen. How do you test for ketones?

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Permalink Reply by Kristin on January 5, 2009 at 1:30pm

I use Ketostix to test for ketones in urine.

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Permalink Reply by Anthony Holko on January 5, 2009 at 3:02pm

Dear Kristen. Yes found a box in my medicine cupboard that dates from 2003. They have expired. Probably I did not remember this as I probably never found any ketones. At what concentration of Blood glucose should one start measuring for them? Or what conditions? Is a very low carb diet more conducive to forming them?

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Permalink Reply by Dee Meloche on January 5, 2009 at 7:18pm

I am on a low carb diet,not because I want to but because I can't eat alot.I find when I fast for my basal testing I have normal bloodugars but trace amounts of ketones.I normally don't have any.I read that you should drink an 8 oz glass of water each hour to flush them out better.

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Permalink Reply by Preta on January 5, 2009 at 7:42pm

I was told to test for ketones if your BG is over 13.0 (230), just as a precaution. Also if you have had a high two to three times in a row even after correction boluses.

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Permalink Reply by Scott on January 5, 2009 at 1:42pm

I've been told that a trace amount of ketones is normal for anyone. As the ketones are produced by your body and have to be flushed from your system, I think I was once told that 8-12 hours after your body stopped making the ketones, they should return to a normal level, but then your mileage may vary

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Permalink Reply by MelissaBL on January 5, 2009 at 8:12pm

Kristin, I think it's normal. If the ketones persist more than 24 hours, I might call a doctor, but sometimes your body just has to right itself. Lots and LOTS of water to continue to flush your system. Once my sugars are down, I normally have trace ketones for a couple of hours. 12 would be pushing it for me, but not unheard of.

Hope you're feeling better.

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Permalink Reply by Kristin on January 5, 2009 at 8:32pm

Thanks for all the replies!

I have tested negative for ketones ever since. So I think my system is clear.

This was my first experience like this (after 5 years of pumping). I never realized how exhausting it would be. I'm relieved that it's behind me, but I feel like I just ran a marathon!!

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Permalink Reply by Scott on January 5, 2009 at 9:25pm

good to hear Kristin, and it can wear you out. Tired from the sugar being high and from getting dehydrated as the ketones get flushed from your system via urination. Frequent urination is a sign of DKA and is what causes a lot of the weight loss newly diagnosed diabetics experience.

But know you know what it is and how it feels when it is coming on!

Good work!

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