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Re: [IPk] RE Keytones

Hi Julie
Sorry you had such a bad experience. Personally I would avoid going into 
hospital until you've tried everything else.
First step in that situation is to take an injection of shortacting 
insulin to get your BGs down, and drink lots of water. I wouldn't go to 
hospital unless you're either vomiting as well or if you've tried to 
bring your BG down and cannot.
Generally, they don't know about pumps, and will treat you for DKA but 
that's about it - to be honest unless you're really in a bad way, you 
can do that at home. I don't blame them for wanting to take the pump off 
you when they saw your BG though - to them, there was a problem with the 
pump so the solution was to remove it! I've had plenty of people think 
my pump is broken if ever I have a high BG (when usually it's because 
I've not taken enough insulin or got air bubbles or something!).

When I first started pumping I had problems with air bubbles and spent 2 
1/2 days with a BG around 30. I kept taking correction boluses  and 
nothing seemed to change much - of course I should have taken insulin by 
syringe but I wanted to figure out what was happening with the pump so I 
stuck with it. Eventually it became clear what was happening. My point 
is, my Bg wasn't going up, I felt a little rough but not too bad, and I 
was testing regularly so if at any point I felt things had got out of 
control, I would have gone straight to hospital.  I've never been so 
excited to see a BG of 20 as when I finally got it sorted out and my BG 
came down though!!!

Anyway, moral of the story is, avoid A&E unless you really feel out of 
control and can't cope on your own!

julie wrote:
> Type 1  50 years
> Pumping 2 = years
> Hi woke up Sunday morning feeling quite ill, blood sugars wouldnt register
> on machine so high, had keytones quite high.  So I decided to go to
> casualties, bad move.  When I got there people where queuing out of the door
> she said I would have a 2 hour wait on reception, SO I told one of the
> nursing staff my symptoms and she got me straight in.
> The reason my blood sugar ended up that high was the tube must have had air
> in it and I didnt get any insulin all night, the doctors seemed to be
> getting quite cross about the pump not having a alarm to let me know this my
> pump is a Dtron plus.  The last one to deal with me didnt speak good
> English and started talking about getting me back on injections as the pump
> wasnt working, didnt matter how much I tried to explain what had happened.
> Anyway to cut a long story short, my blood sugars started dropping quite
> quickly once they had me on the actrapid, this was after being in casualties
> 6 hours, they then decided to admit me, which I put up a strong fight
> against as I knew if the keytones had gone I would be able to sort myself
> out.  But they would not listen, so I was admitted onto a ward. I once again
> told them I needed some food as I had had nothing all day and my blood sugar
> was now 5 and they where so busy they didnt have time to turn the drip down
> or put a glucose drip up.  In the end I got so upset I discharged myself,
> and they go very cross with me at this point.
> All in all it was a terrible day, I had been taken in too resuscitation as
> there was no cubicles in A & E.  I was in the middle of 2 people, of which
> both died whilst I was there and I was on a bed in the middle of them for 20
> minutes before they decided it was nice for me to see this going on and
> moved me.
> Anyway the point I am trying to make is how bad do your keytones have to be
> before you go in hospital, I was feeling sick and quite poorly when I went
> in, but I feel I made the right decision to discharge my self as I did get a
> good nights sleep and I only had a trace of keytones when I left.  The nurse
> kept on about I needed potassium etc.
> Julie
> .
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