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RE: [IPk] RE Keytones

Hi Julie

Sorry to hear about your terrible expirence.  It really sounded awful.

Perhaps this link can answer some of your questions

Hyperglycemia and Ketone Testing


Treatment of DKA  Note that some of the measurements are in mg/dl rather than


> -----Original Message-----
> From: email @ redacted [mailto:email @ redacted]On
> Behalf Of julie
> Sent: 10 June 2008 13:43
> To: email @ redacted
> Subject: [IPk] RE Keytones
> 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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