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Re: [IP] Re:DKA



My doctor has not instructed me to take any given amount of extra insulin if
ketones are present.  It does make sense though since he told me that with
ketones present, my body can't use the insulin properly.

Billie

email @ redacted wrote:

> I have been in DKA a few times. One time when I went into the emergency room
>
> Just wondering .... I hear so much talk about DKA -- if you test your ketones
> and they are high, do you give extra insulin to bring down the ketones?
> Cory's scale has a correction factor for high blood sugar PLUS yet another
> scale that is added to that for ketones -- 1 unit for small, 2 for medium and
> 3 for large.  He tests for ketones, if his blood sugar has been over 240 two
> times in a row, if he is ill or if he has high blood sugar and is complaining
> of a tummy ache, nauseau, headache.  He's had large ketones several times,
> but thus far we've always been able to get him back in line with the extra
> insulin.  He's never needed to go to the emergency room for treatment.  A
> couple of times when he had a viral infection, it was really hard to get
> things cleared up, but thankfully he did get the blood sugar back in line
> before an emergency trip was required.  Please understand I am not saying it
> will never happen to him or that anyone else is not handling the situation
> properly.  I'm just asking if your doctors tell you to give extra insulin for
> ketones.  Each person is different, each doctor is different and even harder
> to handle than that is that things are not always the same in the same person
> each time.  What worked today, may not work tomorrow.
> Life with diabetes is an ongoing battle,
> Susan S.
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