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RE: [IPk] Sliding scale vs. pumps



sorry I didnt have my glasses on when I sent that mail It was meant to be 
8-9mmols/l not 98!! Carmel

>From: "Carmel Matthews" <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: RE: [IPk] Sliding scale vs. pumps
>Date: Fri, 26 Oct 2001 14:12:41 +0000
>
>Sliding scale insulin therapy is generally used when people with diabetes
>who take insulin are  unable to absorb insulin or food in the usual way.
>When you are ketoacidotic you become dehydwated as all the body fluids are
>being passed out in the urine.The pottassium levels become depleted so they
>are replaced along with the fluid by intravenous infusion. The insulin will
>not be absorbed so well as the circulating blood thickens and is more
>sluggish which is why the insulin pump may be temporarily discontinued. If
>you continue the pump whilst in this state, once you are rehydrated you can
>sometimes get a crashing hypo as the circulatory sysyem gets into gear
>again. Also they do not generally bring the glucose back to absolute normal
>ie having been in a state of ketoacidosis 98mmols would be accepyable fopr
>the same reason until you start your previous therapy whether it be pump or
>MDI. The aim is not to stabilise you on IV insulin but to correct the 
>keotic
>state the illness has caused. In theory all of us on pumps are treating our
>diabetes with a sliding scale as we match the dose to food actinity etc
>Carmel
>
>
>>From: Julian Doncaster <email @ redacted>
>>Reply-To: email @ redacted
>>To: email @ redacted
>>Subject: RE: [IPk] Sliding scale vs. pumps
>>Date: Fri, 26 Oct 2001 09:31:44 +0100
>>
>>Would someone clarify what "sliding scale" means.
>>
>>Probably another name for something familiar, but I'd like to confirm.
>>
>>Thanks
>>
>>Julian
>>
>> > -----Original Message-----
>> > From: Diana Maynard [mailto:email @ redacted]
>> > Sent: 25 October 2001 09:24
>> > To: email @ redacted
>> > Subject: Re: [IPk] Sliding scale vs. pumps
>> >
>> >
>> > =20?= com>
>> > MIME-Version: 1.0
>> > Message-Id: <email @ redacted>
>> > Content-Transfer-Encoding: 8bit
>> >
>> > On Wednesday 24 October 2001 13:48, you wrote:
>> > > >I don't understand why they took me off my pump and put me
>> > on a sliding
>> > >
>> > > scale for insulin, when the pump was more than capable of
>> > delivering the
>> > > required doses of insulin (6 units/hour initially).
>> >
>> > Well I would guess there are several possible reasons:
>> > (1) insulin delivered intravenously works much faster than
>> > when delivered
>> > subcutaneously.
>> > (2) they didn't know much about pumps so they were happier
>> > dealing with what
>> > they knew
>> > (3) it's possible there could have been a problem with your
>> > pump and it
>> > wasn't functioning properly (of course, you probably knew
>> > that this wasn't
>> > the case, but they didn't)
>> > Di
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>
>
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