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Re: [IP] DKA question

In a message dated 6/8/2001 9:38:37 PM Mountain Daylight Time, 
email @ redacted writes:

> Can anyone explain why you are 
>  more likely to get DKA when on a pump then on MDI injections please?

DKA can come on quicker because you have no long acting insulin in your 
system when you're pumping (just Humalog) . . . So if you're insulin supply 
is disrupted without your knowing about it (like an infusion set getting 
knocked loose while you're asleep, the humalog in your system as of that time 
is completely gone from your system in 3-4 hours . . . There is a somewhat 
higher risk of DKA when you pump, but the most recent studies show that the 
difference in actual incidence of DKA in pumpers vs. those on shots is 
getting pretty narrow . . .

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