So i have been diabetic for over 4 years now. I dont want anyones pitty just help and advice. I just recently got out of the hospital with dka reason being i was sick with the flu that i just could not get my blood sugar down. I was on my death bed litterly. So what i am asking i need to know what the best way to get my blood sugar down to normal i am checking 8 times a day and taking a lot of insulin. I am eating healthy and etc. I need help to figure out the best way to relax and get this done. So any opinions are needed.

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Back, chest and jaw pains are symptoms of a heart attack. Heart attacks are often mistaken for indigestion or gas, too.

I would call your doctor's office and at least speak to his/her R.N. about it. You may need a trip to urgent care to evaluate what's going on with your body. Take care.

You don't sound like a hypocondriac (I think many of us wonder that, diabetes can make you feel really WIERD sometimes, eh?).

When I've been DKA I felt like an elephant was crushing my back. Had the mouth thing too, know exactly what you mean, freaked me out, still have no idea what it was, it can dissapear "overnight." Can you take some antacid for the heartburn? I hope someone is helping care for you right now. It sucks to be alone when you feel so sick and frightened and can add to your anxiousness.

Having said that... you didn't say how recently you got out of the hospital, maybe they didn't get you stable enough to be discharged. If you think you need to go back to the ER, do it. Especially if you start throwing up. For now, put a cool wet rag on your forehead, try to stay calm, and get some sleep if you can.

i got out of the hospital on saturday. when i was in there my blood sugar would be 400 then it would go down to 129 then right back up up and down up and down.

What is your BG right now?

No idea about the gas, but the tongue problem could be that you're getting oral thrush from the bgs being so high. I like the suggestion of splitting and increasing the lantus as suggested on page 3, as well as Holger Schmeken's suggestions above. Also get a new bottle of lantus, if it's not working right, you're stuffed. As I didn't use much I used the penfills rather than a 10ml vial.

I think you have gotten some good advice, but I am going to give you my secret weapon. Intramuscular (IM) injections. That's right. Right into the muscle. Bernstein recommends it for corrections. I use my quads. An IM injection has a very fast onset and a shorter duration of action, exactly the thing you want if you are correcting. You certainly don't want to overdo it, if you do an IM injection and overbolus, you will have a bad hypo. But when you are sick or you just basically have a very high blood sugar, it just makes no sense to correct and have to wait 3 hours to figure out if you got the dose right. Use an IM injection when you correct and you should see most of the insulin action within an hour. Here is a video by Dr. B on how to do IM injection.

Good advice. I just wonder: is her BG high because after switching from pump to MDI the dosage is not right? You can not fight an insufficient coverage with basal insulin just with corrections. After all it is the basal that should keep you at safe BG levels.

this morning when i work up it was 450 then i took my lantis 22 units and 13 units novolog. Well i came to work and a hour later it was 351 but took more novolog and it went down to 132 but it keeps going right back up. omg this is so frustrating. i can not go to the hospital again because i can not miss any work. i am at work right now. i felt great monday and tuesday now i feel the way i did when i went into the hospital.

hmmm. Well, those swings and highs will certainly make you feel terrible. If your body is still "sick" (it takes time to get over the flue) its not suprising you can't control your BG. And working on top of it. I completely understand not being able to miss work, but you gotta do what you gotta do to get well too. You are between a rock and hard place. Maybe once you get home (hopefully you are off work already or soon off) you can see if you can get things under control, and then if not, well...you know.

Samantha, I'm so sorry that you're having such a rough time. Adding the flu to anything makes everything feel much worse!

Does your hospital have a Diabetes Center? If they do, can you call them and ask to speak to a CDE--a diabetes educator? Maybe they can give you some help over the telephone so that you can get your BG to calm down.

If that's not an option and your BG continues to be super high, please consider going to Emergency. Ask them to put you on IV insulin so that they and you can monitor your BG coming down slowly without fearing a nasty hypo. You won't have to worry about stacking insulin or other problems and it shouldn't take a long time to bring your BG down. Take your meter with you and monitor yourself, testing every 20-30 minutes. If you can stay there for a couple of hours after the BG comes down, you can be sure that it's not going to elevate dramatically again.

If I were you, I'd avoid eating very much so that you don't need to bolus to cover food. Drink lots of water or clear tea. Nothing with sugar in it. You want your basal rate to be steady for awhile before you take in much carbohydrate.

Take a book with you. They should be able to give you this kind of treatment sitting in a chair.

Hello Samantha,

I would add to what have been said before that you have to study yourself. I warn you, it takes time. YOu have to know how do you react to high sugar as well as to low sugar. Not everybody react the same way. You have to learn also how you react to differents types of carbs...and if you haven't learned yet how to count carbs, it could be a good moment to start. Food it is very very important.If you can control your food (and by control I mean to know how many carbs do you eat) you are half way there...I hope I have helped you...

I don't think you sound like a hypochondriac either. High BG will mess you up. My plan is to test a lot. I also cheat by eating pretty lightly during the week. Part of this is b/c I've had some success losing weight (peak of 275, now 180ish...) and am now sort of vain about it. Sure it's horrible, venal, whatever. Eating less food for breakfast and lunch, at least 5 days/ week (when I'm at work...) give me pretty regular habits and I try to skew things towards healthy because it makes me feel better when I push myself when I'm working out. If you have say cereal for breakfast, get up 5 minutes earlier and have eggs for a few days. Very minimal carb load and you can liven them up with salt, pepper, maybe butter although I don't like that as I'm sort of prone to scorching it when I'm a zombie at 6:30 AM. If it helps for a couple of days, you'll have figured something out and can figure other stuff out next? Improving even one "meal" at a time is a great way to make progress towards figuring stuff out and getting control of it and probably feeling quite a bit better?

As far as testing, I came up with:

1) wake up, test bg
2) before eating test BG
3) before driving to work test bg
4) 2 hours after eating test bg
5) lunch test BG
6) 2 hours post lunch test bg
7) drive home test BG
8) get home, run 3 miles...oh wait, don't forget to test your bg!
9) post-exercise maybe, maybe not, maybe eat dinner and, you guessed it, test BG
10) 2 hours post BG, test BG ****AGAIN****
12) stay up late? Maybe squeeze in another one, what if you have errands to run, what if you want to exercise more (when it's nicer out, I'll run 6-7 miles during the week, more on the weekends...a lot of times, I'll run a long run on Saturday and then a 20ish mile bike ride for fun, speed and recovery on Sunday...there's several extra strips in there...).

That's a pretty typical day of most weeks but a few extra tests fill in some "blank spots" and help you fix numbers that are close but need some work to adjust. If I'm partying or whatever in the evening, I might even do another test or two to be safe.

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