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Re: [IP] Chalk one up to stupidity



Michael,

Wouldn't an injection or two of Glucagon have helped here,
even though she was conscious?

... just wondering.



--- Michael <email @ redacted> wrote:

>Time for another Lily story....
> 
> When she was twelve, we were camping on the American
> River. About 
> dusk, Lily gave her little brother a piggy back ride and
> he managed 
> to pop open the door to her pump with is shoe, partially
> flip out 
> the syringe and push in 90 units of Humalog. Lily came
> back to camp 
> and we spent the night eating and taking glucose. I don't
> remember 
> the amount of glucose, but lots + a lot of food as well.
> Basically in 
> addition to several hundred grams of food carb, she ate
> enough 
> glucose to move her bg's to 150 from whatever they were
> at each 
> measure ( usually 40 - 50 ) and she checked every 20
> minutes for 
> about 5 hours. Yes.... Humalog lasts 5 hours. Take a look
> at the 
> activity curve and you will see that the tail is long,
> just not big. 
> However when you take a LOT, it takes a long time to
> absorb. Anyway, 
> by 3 - 4 in the morning all was well and we finally got
> some sleep. I 
> chatted with her doc after the incident and he assured me
> that oral 
> glucose was the fastest and easiest way to counteract
> this kind of 
> problem. Fortunatly, we happened to have plenty of food
> and 4 or 5 - 
> 50 tab jugs of glucose with us. As I recall, the efficacy
> of the 
> insulin in that massive dose was about 50% of what was
> given and the 
> rate of drop of her bg's was about 400 points an hour (if
> there had 
> been no glucose or food). My suggestion under similar
> circumstance 
> would be to very aggressively eat glucose, probably more
> than Lily 
> did in retrospect, perhaps targeting a bg of 200. Be calm
> and have a 
> sandwich and a "real" soda + a few hundred grams (carb
> count) of your 
> favorite goodies.
> 
> Michael
> email @ redacted


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