Comment by Jennie on April 11, 2010 at 10:07am

Considering I'm far from expert on anything in this field all I can come up with is: RELAX! Drink more water and take more insulin. And btw, why Novolin R and not Rapid? Oh, and keep an eye out for ketones at those levels, but I'm sure you know that after so many years ;)

I just have a feeling relaxing might be important now. Allow yourself to have a day off work and don't let things stress you up. When your stress level goes down, it will hopefully bring your bloodsugar down with it :) Do something that makes you feel relaxed, be it taking a long bath/shower or take a long walk in an area you like it doesn't matter as long as it makes you relax and forget about all those things stressing you up now.

If you need a good vent, just send me a message on here on in Facebook :)

Hope you feel better soon *hugs*

Comment by FatCatAnna on April 11, 2010 at 10:15am

Phew - thanks for pointing out my goof up - because Americans use diff insulin - I have to try to make it relate to them - so YES - am using NovoRapid (must go change link).

Ahhh Jennie - thanks for the * hugs *!

Comment by FatCatAnna on April 11, 2010 at 10:22am

Oh - know about Ketones - but to get the kit (used to use pills to drop urine on them in my younger days) like they can in States is difficult (my endo won't give me prescription for it as he feels it's "unnecessary"). I may just bite the bullet and go to my pharmacy - must first search for what it is in French - as Sunday pharmacist does not speak English very well! And it's sunny here - so a walk will do me good - first - eat some eggs ;)

Comment by kmd on April 11, 2010 at 11:14am

Anna, urine ketone stips (we use Bayer Ketostix for our daughter) are inexpensive - $8.97 for 50. Here's a link to where you can buy them in Canada if you can't get them at your local pharmacy. http://well.ca/products/ketostix_1883.html .

Comment by FatCatAnna on April 11, 2010 at 12:23pm

Thx Karen - can't comment on your page - or send you PM - so only way to say thanks - is via this way. Got them - I registered a beautiful DARK PURPLE. Lois would like that colour, but not good for a diabetic of course.
Am going to hold out until tomorrow - as BG seems to be staying around 13-15 range (I'm usually 4-6). Pharmacist was saying if things get worse tho' to get to ER. Hubby will be home in about 4 hours. So, will see what he thinks. I hate hospitials with a passion (tho' I did like my time as a child when I was 1st diagnosed-they treated me so nice as a 7 year old at the Civic Hospital in Ottawa - ahhh memories of simpler days).

Comment by nel on April 11, 2010 at 12:28pm

Hope you soon feel better, kiddo ...WOW ..you are organized ...having Lantus available in your fridge as a pumper ??...I would need to run out to the Pharmacy first.
Any infections part of your problem ? For me Anna, I need to record on the calender , when I start a fresh bottle of NovoRapid from the fridge ...past 32 days and I have Highs .
What I do , is when I am over 11 ( x 18 ) is a correction shot by needle ...using the pump for me, takes too long to bring it down .
Ketostix are generally not prescription item .

Comment by FatCatAnna on April 11, 2010 at 12:37pm

I have always kept Lantus on hand, for when I travel, I may need it incase my pump stops functioning. Luckily, I only got the prescription in Sep 2009 - and it's good until 2012. Just not sure about the NovoRapid vials - but I use those as well when travellling - so am pretty sure they are even more recent (and I use them to fill up my pump cartridge as they are smaller to transport in my carryon.
That's what I do as well when I'm having to make a large correction - use the pen needle. I have never pumped more then 4 units of insulin - and generally it's a Combo bolus. I may go and change my NovoRapid cartridge to be on the safe side - it seems like maybe like you say - insulin is older then 32 days. I am just afraid to go back on pump, incase this keeps on happening. Will be calling endo tomorrow - hope I can see him FAST - as I have only ever once done an last minute visit to him over the 22 years I've been seeing him.

Comment by Mike Ratrie on April 11, 2010 at 12:46pm

Anna,

Wow, scary. Hope you are making some progress, that Catalina is waiting for you to go sailing.

My basic thoughts are:

1) - work on reducing stress (easy for me to say, right)
2) - try injecting your basal and bolus in very different places from where your infusion sets normally go (I know, I know, you saying, "Mike! I'm Canadian, not dumb, eh?")
3) - with continued BS that high you probably need to have both a higher basal dose and a lower !:C ratio (example - if you're 1:15 try 1:7.5)

Of course, I have to ask the obvious. You have switched NovoRapid vials right? Using a fresh vial? Is the Lantus OK (right, how would you know?), or can you get a fresh vial of that?

Fair Winds,
Mike

Comment by kmd on April 11, 2010 at 3:06pm

Anna, when ketones are that high, we have been directed to correct at a rate of 1.5X normal with rapid acting insulin and to retest in 2 hours and keep doing this until ketones are gone. If they persist, then a call to the endo or an ER visit.

Comment by elaine peterson on April 11, 2010 at 3:18pm

Love your saddle, FCA!

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