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She is feeling better now and Ketones are .3 so heading in the right direction - however - her BG is still running higher than normal? She went to bed last night 120 three hours after dinner and woke up this morning at 305??
We just went through this last week. My sympathies. She may have been a little bit insulin resistant because of the high BG, which means it didn't work as well as it should've. I think you really don't need to worry all that much about lows, and you do need to give her additional insulin for the ketones, My endo recommends that on top of any insulin given for correction or food, you give about 10% of the full day's insulin dose to clear up the high ketones, which for Eric is typically about 1.1 to 1.5 units — I get really wigged out doing it, but we don't get too many lows when we do so it must work!
Hope all is better, don't forget to check her ketones again. We spent a night in intensive care last month because I thought it was the flu and it was actually ketoacidosis.
Get her lots of fluids, should help flush everything out. Good luck, and I hope you get some sleep!
Thanks for the quick response - I gave it an hour and just checked her and she is down to 381 - dropped 70pts in an hour so I think I will adjust 2 units and call that good and just get up in a few hours and check her again. I appreciate the response - sometimes it is just good to bounce it off someone else.
@jms1313 - My insulin is pretty much peaked at the 2 hour mark, some people don't peak until 3 or 4. If your daughter usually peaks at the 2 hour mark, I would go ahead and correct. If you are worried, just correct with half the dose. Since you know she has a fever and cough, chances are she has an infection that is messing with her blood sugars. Not sure why the dr is telling you to buy Coke.
Ok - I am frustrated - called the DOC MY DAUGHTER HAS BEEN SICK TODAY - FEVER, high BS and cough. Checked her Keatones - 3.2 0 doc said to give her Coke and cover with insulin - we have never drank Coke or any pop in this house - even before she was diagnosed! So the doc says go buy some! She won't drink it - never has liked it - sooo I fresh squeezed orange juice and measured - 19grms of carbs - a bowl of chicken noodle soup (home made - no can crap) and a pudding - total carbs = 46 - her BG was 251 so I gave her 4 units of Novalog 1 correction and 3 to cover - waited two hours and checked her blood 0 NOW 451!!!!!! What the heck - has anyone had these experiences and know what I should do?? the docs answer is give her more insulin - but I don't want to gamble her going low as it is now 9pm - stressed - confused - worried - any suggestions
THANK YOU FOR EVERYTHING.....MEANS A LOT FOR ME AND IAM SURE FOR MY FRIEND MEANS MORE THEN THAT. Is really sad what it is in MY contry. Im from Romania but now i leave in England my life is here and i wish to help her...shes capable to do everything to help here son...to sell everything for save his life.
I wish I could be of more help in that situation - I live in the US and am blessed to have good health insurance to help me and my son. I have no idea what kinds of hurdles your friend has to "jump through" in Romania to get quality care. :( I would start a new thread in the "discussions" section of this same group asking in general if anyone knows of how to get services in Romania and someone may actually be able to help. Do that instead of using this comments section for more attention to your question. :)
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