Re: [IPk] DKA
Hi Fiona
To me I think you have slow stomach emptying and gastro paresis.and
not IBS. Have you been tested for this? Look on the web and see if
anything there is similar to what you are suffering.
June
----- Original Message -----
From: "Fiona Campbell" <email @ redacted>
To: <email @ redacted>
Sent: Tuesday, February 24, 2009 7:20 PM
Subject: RE: [IPk] DKA
> Hi Deb
> Can I ask if you feel that your other problems are related to your
> diabetes or have an effect on your diabetes.
> Are you on a pump? and do you feel that pump therapy has helped to
> control your diabetes and lessen the effects of other complications you
> may have?
> My DSN has said that it is very unusual for a diabetic to have other
> stomach related problems and that I am just imagining the pain that I
> have. It can't be that bad. (this is despite me being on a morphine drip
> on the occasion she said this)"if I have IBS I am just going to have to
> live with it". She has IBS and says she can cope with it!
> I am really at my wits end and don't know what to do.
>
>
> Kind Regards
> Fiona Campbell
> Crazy Capers
>
> e: email @ redacted
> m: 07722779725
>
>
> -----Original Message-----
> From: email @ redacted [mailto:email @ redacted] On
> Behalf Of deb.wardle123
> Sent: 24 February 2009 18:51
> To: email @ redacted
> Subject: Re: [IPk] DKA
>
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> Hi Fiona
>
> I frequently show high levels of ketones even when bgs are ok. Sometimes
>
> they go as quick as they came other times they can be there for days. My
>
> consultant thinks that becaause I have a lot of on going issues such as
> gastric, kidney and bladder problems plus a lot of pain from arthiritus
> this
> causes the ketones. I find it all very confusing to be honest!
> Deb
> ----- Original Message -----
> From: "Fiona Campbell" <email @ redacted>
> To: <email @ redacted>
> Sent: Tuesday, February 24, 2009 6:24 PM
> Subject: RE: [IPk] DKA
>
>
>> Several members have provided challenge gifts that can double the
>> value of your contribution to Insulin pumpers. Please help support
>> your diabetes forum with a donation to help with this pledge
drive.
>> Give something... whatever you can afford. Visit:
>>
>> http://www.insulin-pumpers.org/donate.shtml#contribute
>>
>> Your contribution will eliminate this reminder from your IP mail
>>
>> Hi
>> I am maybe not the best person to talk about DKA but I regularly
show
>> having large ketones for three or four hours of each day. Have
been
>> admitted to hospital three times alone this month as ketone high
and
> my
>> diabetes team refuses to let me manage this myself. My BM's are
very
>> erratic which is why I am trying to be accepted for insulin pump
>> therapy. I also have problems with pain in the abdomen and some
>> difficulty with digestion.
>> On each admission I have argued that I do not require to be
admitted
> and
>> have stated that I can reduce the ketones by applying the correct
>> correction dose and drinking plenty of fluids. Usually while
waiting
> A&E
>> to be seen by one of the medical team which usually takes around
four
>> hours I can get my blood sugars back down to normal and reduce the
> level
>> of ketones. I hate doing this by my DSN has said that I must not
take
>> correction doses without her authority and when ketones arise I
must
>> contact her immediately. So I am phoning her at least once a day
and
>> being sent to hospital once a week at my protest!
>> This is part of a long going story about the issues I am having
with
> my
>> diabetes and my pursuit of an insulin pump. I take my insulin as
>> directed. I do carbohydrate count faithfully and test my Bm up to
> eight
>> times a day, I attend our local clinic when the pump DSN nurse is
>> available (which approx once every two to three weeks, she is from
>> another hospital and my original team say that they cannot see me
as
>> they are no longer in charge of my case) however the issues that I
> have
>> combining my stomach, bowels and diabetes certainly do not make
things
>> easy!
>>
>>
>> Kind Regards
>> Fiona Campbell
>> Crazy Capers
>>
>> e: email @ redacted
>> m: 07722779725
>>
>> -----Original Message-----
>> From: email @ redacted [mailto:email @ redacted]
On
>> Behalf Of Catherine Deed
>> Sent: 23 February 2009 22:39
>> To: email @ redacted
>> Subject: Re: [IPk] DKA
>>
>> Several members have provided challenge gifts that can double the
>> value of your contribution to Insulin pumpers. Please help support
>> your diabetes forum with a donation to help with this pledge
drive.
>> Give something... whatever you can afford. Visit:
>>
>> http://www.insulin-pumpers.org/donate.shtml#contribute
>>
>> Your contribution will eliminate this reminder from your IP mail
>>
>> Ketones can occur at lower blood sugar levels when you're poorly.
Was
>> told to
>> check for ketones at around 15mmols normally but when poorly start
>> checking at
>> 10-11mmol as they can come on as when blood sugar as low as 9mmol
in
>> some people
>> when they're ill so maybe thats why they came on so quick
>>
>> Catherine
>>
>>
>>
>> ----- Original Message ----
>> From: Marisa <email @ redacted>
>> To: ip-uk <email @ redacted>
>> Sent: Monday, 23 February, 2009 22:18:24
>> Subject: [IPk] DKA
>>
>> Your support for Insulin Pumpers is more important now than
>> it has ever been. In these tough economic time, sponsors have
>> cut back support and now more than ever your help is needed.
>> If you benefit from Insulin Pumpers, now it the time to pay
>> it forward by making a donation to the pledge drive. It does
>> not have to be large, just "something". Visit....
>>
>> http://www.insulin-pumpers.org/donate.shtml
>>
>> Your contribution will eliminate this reminder from your IP mail
>>
>> Hi, I have a question about DKA, Isabella had her first hospital
>> admission
>> since diagnosis 3 years ago on Friday, a horrible experience for
her.
>> She'd
>> had a tummy bug for about 24 hours, not hungry, tummy pains,
vomited a
>> couple of times during the night - just like my son earlier in the
> week
>> -
>> and we had been relieved to have kept her bg's stable at about 11
or
> 12
>> through 18 hours of not eating on a low temp basal - higher than
> normal
>> but
>> not swinging about, and no worse than other illnesses which have
> caused
>> much
>> higher bgs. I was horrified to test her blood ketones on Friday
> morning
>> when she woke up and was then vomiting frequently and not keeping
> water
>> down
>> to find her ketones were 3.8. We went straight to hospital and the
>> consultant tried to treat her by hydrating her and keeping her on
her
>> pump
>> at first, but the ketones increased so they started her on an
insulin
>> and
>> saline drip as well. It became clear that the tummy bug was
masking
> the
>> effects of DKA and dehydration. My question is really that I was
>> surprised
>> that DKA could occur in such a short space of time when her bg's
>> l been delivering basal continuously and she
>> wasn't eating, and I still don't really understand how this
happened.
>> Does
>> anyone else have experience of this? With hindsight I wish I'd
tested
>> for
>> ketones earlier, but I attributed her symptoms to the tummy bug.
If
>> ketones
>> are rising but you're not eating, how do you treat this at home,
or is
>> it
>> impossible?
>>
>> Thanks,
>>
>> Marisa, mum to Isabella (5) dx Dec 05
>> .
> .
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