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RE: [IPp] RE: something really sad happenned

Actually, any high blood sugar can potentially be dangerous.  When your
sugar is high, ie: the amount of sugar in your blood stream is high, your
blood is thick.  Thick like syrup.  Although rare, it is a potential for
stroke, heart attack, etc.....  In young otherwise healthy children with
diabetes this may not pose an immediate health risk, but it can.  The higher
the blood sugar level, the thicker the blood.  Ever notice that when bs is
very high that it is more difficult to get a small drop of blood?

High blood sugars should always be corrected with more insulin.  People on
pumps have it made, it can be done with just a push of a button.



-----Original Message-----
From: email @ redacted
[mailto:email @ redacted]On Behalf Of Maria Oyaski
Sent: August 13, 2003 10:09 PM
To: email @ redacted
Subject: [IPp] RE: something really sad happenned

When Sigrid's blood sugar is high, we give her more insulin.  We don't
restrict her food intake.  Temporary high blood sugar may make her
cranky (or thirsty) but it isn't dangerous.  High blood sugar is a
symptom of insufficient insulin.   Also, it means  that the body isn't
able to use the food it has already taken in.  So a person with high
blood sugar could, quite legitimately, still be hungry.  It took us
quite a while to get used to the idea that our daughter's blood sugar
really had nothing to do with whether she needed food or not.

What about DKA, you might say?  High sugar is a symptom of DKA, but not
the cause - DKA is caused by insufficient insulin.  Since the body
isn't able to get energy through the usual insulin pathways, it uses
backup systems which throw off ketones and acid.  The acid is a
problem, and the backup processes aren't very good, so the body is
starving (hence the weight loss in undiagnosed diabetics).   In the
long run, it's true that high blood sugar itself is the cause of
blindness, neuropathy, and other complications.  But these are the
result of years of overhigh blood sugars - not of one birthday party.

When we've all been told all our lives that sugar is poison for
diabetics, it's really hard to break out of that thinking.  But as far
as I can tell, this was a shorthand way of explaining the situation in
a time when diabetes management consisted of forcing your life to fit
your fixed insulin dose.  Once you're fluent in pump use, you should
reverse this pattern, and make insulin adjustments to fit your life.
If your doctor and CDE aren't helping you to do this, try getting a
better doctor/CDE.

mom to 22 m.o. Sigrid - dx'd @ 11 mos., pumping since 17 mos.
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