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Re: [IPk] ketones with normal blood sugar

Can I add to that, that there seems to be a definite pattern for Medtronic
users that there can be a morning ketones picture that is connected to the
pattern of release of basal in the Medtronic as opposed to say the Cosmo or
I had similar concerns a year and a half ago, Grace starting pumping and
went with the "probably typical" idea. Following a  conversation recently I
have monitored and am now making a case to possibly change to a Cosmo. Only
some kids seem to respond to the basal release this way.
I am exploring the significance of trace ketones. Other parents have noticed
a similar pattern.
I'll let you know when I establish more.
All the best
Mum to Grace 7yrs pumping 19mths
----- Original Message -----
From: "Jackie Jacombs" <email @ redacted>
To: <email @ redacted>
Sent: 18 June 2006 15:19
Subject: RE: [IPk] ketones with normal blood sugar
> Sara
> In the set of circumstances that you are now describing, I dont think you
> to worry about these trace/small ketones.  There are other reasons for
> small/trace ketones other than high blood sugars.  Its just that we dont
> normally go around measuring ketones when the blood sugar levels are
>  range and of course people without diabetes probably dont measure at all.
It is
> common for children to have small ketones first thing in the morning
>  there having been a problem with insulin delivery or high blood sugars.
> overnight can produce small/trace ketones.   Also if you haven't been
> much carb recently.  It just may be something to do with the problem that
>  had with the bent canular yesterday. If your blood sugars are now within
> ranges and stay that way then all is probably well with the new canula.
> didn't say whether you are using Xceed meter to check the ketones or urine
>  testing. If you are urine testing then the results will be showing
ketones from
> hours before and not what the blood ketones are at the moment.  If you
> got an Xceed meter its best to get one.  The electrode strips are much
> expensive that blood testing strips and come in packs of 8 only
electrodes.  So
> our GP only gives us two boxes at a time.  We did test for ketones more
> when Sasha first started pumping last year, but very rarely have to test
> ketones now.  If we do get a once off 16 mmol reading and the BG levels
>  been normal prior to this we would possibly skip the ketone test and just
> a
> correction.  If the blood sugar level had not dropped in an hour we would
> for ketones.  You will get to know which situations that its best to
> When you start pumping do everything by the book, that way you will know
> you are safe and you will learn a lot about how to manage diabetes on a
> It is all very worrying at first and one can be very tense and anxious all
>  time and the set changes seem a big hurdle. However in a few months
things will
> be a lot easier.
>  In rarer circumstanses it is possible to have worrying levels of ketones
> for
> the blood sugar levels to be in range, usually during an illness,  but I
> think this is the situation we are talking about at the moment.  There
>  quite a few posts on this subject that you can find in the archives
> under
> ketone blood testing strips and this was during February this year.
> As I said I dont think, from the information that you have given that you
> any worrying problems at the moment
> To find the old mails in the archives go here
> http://www.insulin-pumpers.org/ipsearch.plx#top
> you have to type in your email address and the password is "pumper"
> Tick the box for UK mail archives and type in  "ketone blood testing
> (without the inverted comas).  There were lots of posts on the subject of
> ketones, illness and normal blood glucose levels around February this
> Some info below about ketone testing.
> Hyperglycemia and Ketone Testing
> http://www.diabetes123.com/d_0n_030.htm
> Jackie
> > ---
> > Hi
> > Wonder if anyone can help, last night i had a problem with a bent
> >  resulting in ketones (small) and blood glucose of 18.5. Changed
infusion set
> > and
> > bolused with pen and this morning they were down to 8.1(with trace
> > later this morning blood sugars have been in the 7's with no ketones but
> > before lunch i have ketones (small) again with  a blood sugar of 7.3. I
> > worried that the new infusion set is not working properly but then
> > surely blood
> > sugars would be high. i dn't know whether to change whole set again -
> > getting a bit stressed out. I cannot phone my dsn as she is away.
>  > any ideas? I have had ketones before with normal blood suagrs when on
> I'm
> > not ill either so don't think it could be that.
> > sara davies
> > .
> ---
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