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Re: [IPk] ketones- again

Hi Abigail

I too had the same sort of problem earlier this week and again this morning.
I woke to find my BG 18.4 and after all the messing around earlier in the
week decided to change the set straight away.  I have found that what really
helps in this situation is to not only bolus but to set a larger temporary
basal for an hour then check BG again, then reset according to the result.
This morning I came down from 18.4 at 6am to 4.3 at 10.30am using both

Karen Hennessy
ID 36 years 508 2+ months

----- Original Message -----
From: "Abigail King" <email @ redacted>
To: <email @ redacted>
Sent: Saturday, April 12, 2003 10:09 AM
Subject: [IPk] ketones- again

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> I checked my BG at about 5 .30 pm yesterday and as surprised to find it as
> checked bolus history- nothing missed so gave 3 extra units. 90 mins later
> still 18mmols. Changed site, and gave 4 extra units. I felt really
> and lethargic like punching someone but otherise ok ( no thirst or
> etc).Checked urine: large ketones, which surprised me. The old site looked
> athough I had put it in the left side of my abdomen where there are one or
> areas of scar tissue. I gave an additional 2 units to make it up to approx
> of total daily dose. 1 hour later still 17.9 and large ketones. felt the
> so gave 4 units by syringe. 1/2 an hour later : 15.4 mmols. 2 hours later
> and ketones had gone completely( after large volumes of diet coke, salad
and a
> couple of bites of my partner's pizza)
> I think I was a bit careless about checking for air bubbles when I last
> changed cartridge etc. So whether it was due to this or the scar tissue. I
> couldn't see any bubbles when I changed my site. I wonder whether the
> few units had gone in and I just needed large amounts of insulin to
correct a
> large deficit ( 13 units altogether). If the first correction hadn't been
> given or absorbed at all then I assume
> BG would have climbed again rather than stayed constant. Perhaps I should
> check for ketones even on a single high BG reading, I probabley would have
> been showing small to moderate when I first noticed high BG, and could
> solved the problem earlier by correcting more agressively. I have only
> shown up ketones before once since being on the pump. This was on waking
up at
> 16 mmols a couple of yrs ago and noticing air bubbles in the tube: only
> to moderate. However I don't always check although I would usually if 2 or
> more high readings. Makes you feel a bit vulnerable when this happens.
> I was at work then at home . I always carry a few spare supplies but the
> potential for bag to be stolen when away from home is always there
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