Note: forwarded message attached.
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- To: email @ redacted
- Subject: humalog unable to bring high sugars down.
- From: email @ redacted
- Date: Sun, 3 Sep 2000 09:36:04 EDT
- CC: email @ redactedMy wife, an insulin dependent diabetic for 23 years, went from injections to to the mini-med pump in Jan 00. Since the pump accomodates humalog, she switched to it from regular insulin when going on the pump. She immediately experienced a weight gain even though she actually reduced her food intake due to the fact she is very conscious of her weight. On a day to day basis, her sugars seemed to very well under control by adjusting her bolus relative to carbohydrate intake in addition to the basal rates recommended by her endicrinologist. Periodically ,however, with no explanation, her glucometer readings registered beyond the capacity of the machine (+600) with a message to call the doctor. She then would then give herself a bolus of 10 units and retest her sugar after an hour and give herself another 10 units since the glucometer would still register beyond the machine's capacity. Consistently. nausea from gastroparesis would necessitate a vist to the hospital ER followed by a day or two of IV until the sugars were decreased by her bolus from the pump. She has been hospitalized 6 times since being on the pump with increasing IV times needed for her to return to relatively normal sugars. She was hospitalized two times in August for a total of 17 days, 7 days the first time and 10 days a week later. The Drs cannot determine whether the gastroparesis is causing the sugar to elevate or the high sugars are causing the gastroparesis. When her sugar was tested the last time, in the ER, it registered over 900 and she was taken off the pump and reverted to ultralente injections by needle to replace the pump basal followed by humalog based on her carbohydrate intake at meals. Her sugar readings have been relatively stable over the past week. We are in the process of changing her endocrinologist and have an appointment with another pump knowledgeable endocrinologist next week. Even though her sugars seemed to be under control better than they were prior to the pump, her hospitalization from gastroparesis is much worse than it has ever been. I would appreciate comments. Thank you
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