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Re: [IP] DKA

In a message dated 7/28/2002 9:20:06 AM Central Daylight Time, 
email @ redacted writes:

> Kim:
>      There is another often-overlooked component to this rule which I had 
> never heard until this past year: anytime you are repatedly vomiting, even 
> if 
> the bgs are NORMAL, an ER visit is critical!! I know of a 26 yr old who was 
> found unconscious in her apt. because she too thought she had the flu, 
> didn't 
> have high bgs, so never checked for ketones.
>     I also heard another story in which a 7 yr old on a pump was vomiting 
> repeatedly, but since her bgs weren't high, her mom never gave ketones a 
> thought. In a matter of a few hours, she was rushed to the ER because her 
> apperance & manner altered so radically. Her dad told me  that the IV 
> solution was changed every 30 minutes, as the nurses changed the contents 
> to 
> adjust for "rebalancing" her out of balance electrolytes, etc. Not sure I 
> explained the medical specifics precisely, BUT the message is clear: 
> diabetes 
> & repeated vomiting which precludes taking in any fluids ( as opposed to 
> one 
> time) is a MAJOR red flag.
> Regards
> Renee (pump mom to Melissa)

Thanks, Renee!!       Another thing I'll be sure to remember!
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