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RE: [IPk] Mixed news



Dear Liz - at least you could add some fantastic news. Congratulations. If
anything it sounds like the pump helped you with the whole experience
regardless. jules :)

> -----Original Message-----
> From:	Liz Hawkins [SMTP:email @ redacted]
> Sent:	Wednesday, October 17, 2001 10:24 PM
> To:	Insulin Pumpers Group
> Subject:	[IPk] Mixed news
> 
> Hello All
> 
> I realise I've not been around the group for ages (Busy at work etc) but
> I've had what you might call an exciting week!
> 
> Bad news first - I spent last week in the Northern General Hospital here
> in
> Sheffield with a nasty kidney infection which triggered DKA.  I started
> feeling unwell on Friday 5th Oct.  My sugars were all over the place but I
> kept plugging on with the boluses and they seemed to settle.  I slept all
> day Saturday - not even being awake nought to test, and when I woke on
> Sunday I knew there was something wrong and called the doctor.  By this
> time
> I was vomiting with abdominal pain and a Bg of 22.2 which is as high as my
> meter will read.
> 
> I was admitted with DKA which they tied down to the kidney infection.  I
> was
> taken off my pump which was very much against my wishes and put on a
> sliding
> scale. When like this I am very hard to cannulate as I have very poor
> veins
> and during the next 36 hours first my IV fluids and then my insulin (!)
> were
> turned off because the cannula was failing and setting off alarms on the
> IV
> pump (IVAC).  On the Monday evening after 3 hours without insulin my sugar
> was back at 19.2 and I was severely stressed about the whole thing.  The
> doctor agreed to put me back on my pump on condition that a)I didn't vomit
> anymore, b)I eat properly and c)my sugars came down.  I'm afraid at this
> point these conditions sounded like I was being told I could go back on my
> pump if I *behaved* myself.
> 
> At 2300 that same evening I was transferred to another ward where I was
> allowed to take responsibility for my own control and within 12-18 hours
> had
> my sugars right where I wanted them and had cleared my ketones.  I stayed
> in
> for the rest of the week as my white cell count remained high as I fought
> the infection, and was discharged on Saturday.  I'm staying at home for a
> bit to get my strength back - but I reckon I've got it licked!
> 
> An interesting point (and quite logical) which came to light while I was
> in
> is that DKA can come on a lot quicker in a pumper as there is no backlog
> of
> insulin to delay it's onset.  Needless to day I will be a lot more
> vigilant
> next time I start feeling unwell!
> 
> Last but not least .....  After previous HbA1c results of 14.1%, 13.9%,
> 11.8% and 13.1% I got the results from my first 'fully pumped' test which
> was taken at my September clinic visit.  Drumroll ....... it was 6.3%!!!
> I
> would have been happy with single figures but this is absolutely bang on.
> And people ask if pumping makes a difference?!
> 
> Right, I'll get off my soapbox now 'cos it's time I was in bed!
> 
> Best regards to all
> 
> Liz
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