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[IP] Re: temporary Lantus - DKA

<Would it not be better for pumpers
<when they get sick (fever-etc.) to take a dose of Lantus plus stay on
<the pump.  This would help with the risk of DKA and one could monitor their
<sugars to ensure the pump is set correctly.  Has anyone ever heard of doing
<this or know anything about this???

>>> I find episodes of DKA so disturbing, I really don't want to
go through it again any time soon!>>>

This is not an expert (ex = has been; spurt = water under pressure)
speaking, but I'd think it'd be very dangerous to do this. What if the
sickness were very short-lived - less than 24 hours, then the Lantus would
be in the system and mess up the basals. Since we can work with minute
amounts of rapid-acting insulin at *will*, why introduce a 24-hr. insulin
that we have no control over once it is injected?

BTW, there is a difference in Ketosis and KetoACIDosis. DKA requires
hospitalization and IVs. One can be ketotic and not have full-blown DKA. DKA
is one step from a coma, then death. Ketosis can be self-treated, not DKA.

This is from a previous IP member:

Many people do not know the distinction between ketosis and
ketoacidosis. You CAN be in ketosis for 2 months, but not in
ketoacidosis.  Ketosis means that your body is burning fat for energy
because it's not getting enough glucose into the cells, whether from
lack of insulin or lack of food. At that level, the blood chemistry is
still relatively normal and the chief symptom is losing weight, with
excessive thirst and hunger. If it goes on long enough, nausea becomes
more frequent than hunger. Nearly every Type 1 (or their parents) can
remember those kinds of symptoms before diagnosis, and sometimes they DO
last for weeks or months before going into crisis. You also see ketosis
in starvation, extremely low-carb weight-loss diets, and severe

Ketoacidosis, on the other hand, is when the process has
gone wild, and the blood chemistry has become distinctly abnormal, with
a build-up of excess acid products. Symptoms include nausea, heavy
breathing, dehydration, stupor, coma, and finally, death.

Ketoacidosis is a life-or-death emergency. In a Type 1 diabetic, ketosis
is also an emergency, primarily because it will turn into ketoacidosis,
and is too dangerous to risk. In a non-diabetic, ketosis is not likely
to turn into ketoacidosis because the insulin supply is there, and as
soon as the person gets carbs, ketone production stops.

\(/ Jan (63 y/o, dx'd T-1 11/5/50, pmpg 8/23/83) & Bluda Sue (MM507C 3/99)
Dialyzing since 7/8/02
http://maxpages.com/bludasue  AND http://www.picturetrail.com/dmBASHpics
(including an album of the EVOLUTION OF INSULIN PUMPS)

"If a man insisted always on being serious, and never allowed himself a bit
of fun and relaxation, he would go mad or become unstable without knowing
it." - Herodotus
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