So this morning my set change kinked and threw me into the high 200's. I changed the site again and took some insulin. I've never had a problem with ketones, in the last 6 years, I've only had one positive test and it fell into "trace" amount. I use ketostix. Anyway, I'm feeling super nauseated and tested for ketones. It tells me I'm "moderate" at 40mg/dl. I've never had this many.
I've been sipping water, but I'm not sure how much longer I'll be able to keep it down. All I can think about right now is throwing up. My last test didn't show much improvement in BG (at 290) so I just took another shot.
My question is; when is it time to worry? Is a "moderate" ketone reading something I should be handling on my own? when is it time to call on help?
I've been fighting to keep my water down for fear of becoming dehydrated, but I really, really just want to go ralph.
Does anyone have any suggestions or words of encouragement? Thanks in advance, I'm really glad I have all of you to rely on for help.

Views: 125

Reply to This

Replies to This Discussion

Haha thanks for pointing that out, Dave. I edited my post. I'm usually able to spell it correctly but not feeling that great at the moment. My brain is mushy.

And I don't usually have a problem with the Quick Sets. This is my first kink in years. I will ask for a sample of the Sure-T's though. I like the thought of just moving it instead of having to use a whole new set.
Amanda, How long has it been since you took a correction bolus? If it has not lowered any in the next hour or so you may want to take a correction bolus with a syringe. Test frequently, at least once every 30-40 minutes. If you are still at the same levels, use a syringe or pen; Injected fast-acting insulin will probably work quicker for you., If you continue to spill moderate to large ketones after an injection, it may be time to call your doctor to see what his/.her directives are.
Dave, this young woman is sick, she doesn't need you to rip on her spelling. I make abundant typos as well. Ease off the sarcasm some, my friend., I know you mean well in your Quest to fill the Minimed pumping world with Sure-T users, but there is a time and place for sarcasm...Using it when speaking to a person who is sick will IS NOT the time and place. You know me well enough ,by now, from the other site and this one , to appreciate my candor and convictions.Take care and be kind.

God Bless,
Brunetta
ok so you two fighting isnt helping Amanda at all.
Dave, chill out some, because Brunetta means well.
b
The Original Poster,Amanda, fortunately, did not find the "Joke" offensive, and is now feeling better. I guess we do not all have the same sense of humor: Though I have experienced it Very few tines in my 41 years as a type 1,I still do not find probable/potential DKA in the slightest bit funny,not for myself nor for anyone else. But as I said, we are all different.

God Bless
Brunetta
If you are showing moderate it is time to call your doc's office and see what they suggest.

Everyone is different, I can run 290 for days without issue. Moderate, time to make a call. THey may just suggest increasing basal rate or something.
I have been high(er) for longer periods of time in the past without showing any ketones at all. This is new to me. Even when I was dx'd, I was in the 700's. They kept me for 3 days, brought me down really slowly and I never showed any.
I will probably call, although after my second correction the nausea seems to be fading pretty rapidly. Now i'm just tired & getting a headache.
Glad that you are starting to feel better!

When I know why I have ketones (bad infusion set), then I am less worried than if ketones would show up and you had no idea why.

You don't have to be too high to have ketones, the sudden lack of insulin caused by a bum infusion set is enough to make them show up pretty quickly.

I had problems with kinks with the 9mm quickset, but the 6mm ones work great for me!
I use the 6mm and still have trouble finding sites sometimes. I don't have very much fatty tissue. I really like using my back, though. I get really consistent results and never have site problems. I had tried to move it to my stomach this morning when it kinked.
Have you tried upper, outer thighs? I use my 6mm quicksets there and like it a lot. I usually put an IV300 tape over it to lower the chances of ripping the site out when I pull my pants down.
I have had moderate and high ketones and dealt with them at home (no doctor visit). Ketones will not disappear immediately. Check again in 4-5 hours.

When I had similar events, then it took more insulin than usual to correct the high.

So drink as much water as you can handle and check for ketones and your blood sugar.

Let us know how you are doing!!
Thanks Kristin, I appreciate your advice. I would really prefer to handle it on my own. I don't like to involve extra people unless necessary and I dislike my drs. The nausea is gone, but I feel like I'm gearing up for a pretty decent headache. I'm feeling much more confident in being able to handle this on my own. I was mostly worried about being able to keep the fluids down and I'm doing that without a problem now. It's definitely taking more insulin than usual to get below 200 though. Kinda touch and go.
Yeah, the process your body is going through is exhausting. So take it easy if possible. Lots of water and some rest and you should be back to your good ol' self soon!

RSS

Advertisement



REsources

From the Diabetes Hands Foundation blog...

Together, We Can Get Diabetes Co-Stars to 10,000 Views!

Above is a photo of Diabetes Hands Foundation’s own Manny Hernandez with the stars of the Diabetes Co-Stars Video, “Strength in Numbers.” In case you haven’t heard the news yet, there is a new video making it’s way through the …
Continue Reading

Congratulations Diabetes Advocates Scholarship Recipients!

The Diabetes Hands Foundation and Diabetes Advocates Program is proud to announce and congratulate the members of DA who were granted scholarships to attend diabetes conferences in 2013! Thanks to a generous grant from Novo Nordisk, in 2013 we were …
Continue Reading

TuDiabetes Team

DHF STAFF

Manny Hernandez
(Co-Founder, Editor, has LADA)

Emily Coles
(Head of Communities, has type 1)

Emily Walton
(Business Manager)

Mike Lawson
(Head of Experience, has type 1)

Corinna Cornejo
(Development Manager, has type 2)

Heather Gabel
(Administrative and Programs Assistant, has type 1)

DHF VOLUNTEERS


Lead Administrator
Bradford (has type 1)

Administrators
Lorraine (mother of type 1)
Marie B (has type 1)

Teena (has type 2)

Brian (bsc) (has type 2)

jrtpup (has type 1)

 

LIKE us on Facebook

Spread the word

Loading…

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.

© 2013   A community of people touched by diabetes, run by the Diabetes Hands Foundation.

Badges  |  Contact Us  |  Terms of Service