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Re: [IP] Re: DKA Advice

It sounds to me like you did all the right things. I'm sorry you both 
had to go through that. I know from personal experience how scary that 
can be!

We've been extremely lucky with Shannon's episodes, I guess. Shannon's 
experiences were just like that (all due to a site coming out during the 
night and/or not delivering insulin properly), where she woke up 
vomiting (or was very nauseous w/stomach ache and vomited later), with 
headache, bgs off the meter, and large ketones. We are always aggressive 
from the get-go - 20% of TDD of insulin by injection every 2hrs until it 
resolves (frequently monitoring ketones [usually urine, sometimes blood] 
and bgs of course, and adjusting dose accordingly), and pushing clear 
non-caloric fluids. Thankfully, hers has always turned around within 
4-6hrs, however, there *have* been a couple of times where I was 
considering the ER but, at the last minute, things finally turned (I 
always keep our endo informed and updated about what's going on when 
these things happen and I would definitely go if he advised it). Our 
endo always said she didn't have DKA (even though she was very sick each 
time) but was on the verge of it (I guess he said that because she had 
mild DKA at dx and was MUCH sicker than this, admitted to ICU for it. I 
think the difference was in how much she was dehydrated at dx vs these 
other times. It sounds like your daughter was very dehydrated.)

I don't think there is anything more you could've done to prevent going 
to the hospital. Once things start going down that slippery slope, 
things can take a rapid turn for the worst. I'm glad she is better now!

Kel said:
my daughter Shelby 12, woke me up at 5am this morning throwing up, her 
had come out. We changed the site, gave a shot. drank lots of fluid and 
awhile went back to sleep, woke up around 7:30, throwing up again. b/s over
500.  change insulin, do another shot. still coulnt get b/s down. She 
was not
sick by  the way. Took to the ER, they gave her IV's and her b/s came down
within a  couple of hours. What did I miss?
  DX July 03

Take care, Kerri in western WA
proud mom of 8 (w/Shannon-14, dxd type 1 email @ redacted, pumping[currently 
The LORD bless thee, and keep thee: The LORD make his face shine upon 
thee, and be gracious unto thee: The LORD lift up his countenance upon 
thee, and give thee peace. Numbers 6:24-26
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