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1CRAZYDOG's Photo 1CRAZYDOG Posts: 426,973
12/22/14 7:33 A

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I don't wear a pump so can't help you there (don't have a problem w/ketones either), but I would echo the advice that if the blood sugars are over 300 I'd find another Dr. pronto or go to ER. It needs to be controlled, obviously.

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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
12/22/14 2:45 A

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Thank you both for sharing. You are confirming what I thought. The person I was talking with claimed that sometimes her blood sugar does not go down when using bolus after bolus of fast-acting insulin and she is on medication in addition.

Birgit

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CROYLE55 Posts: 1,456
12/22/14 2:07 A

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I got ketoacididosis 4 1/2 years ago came out of the hospital a diabetic and on 6 shots a day. Note 8 weeks earlier bs was in normal range yearly check up. I thought I had the flu I was told if my blood sugars were over 200 to drink plenty of water and exercise for 15 minutes or go for a fast pace walk for 15 minutes. If blood sugar was over 300 and exercise and water did not bring down go to er. I have been off insulin for 1 year and the endo said last year I should have been off insulin 2 years earlier. I know a type one on insulin who does not take his diabetes seriously takes extra insulin when he plans on over eating. I know two other type twos both have bs over 300 one has passed out several times both refuse to eat right or go on insulin.

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TRAVELLING_MAN's Photo TRAVELLING_MAN SparkPoints: (132)
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12/22/14 1:08 A

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Hi Houndlover,

Insulin pumps allow the wearer to administer a bolus as well as to change the base insulin delivery rate. If it were me, I would start with a bolus of fast-acting insulin (Novolog ) and check my sugar in 2 hours. If the sugar hadn't dropped into a normal range, I would take another bolus and check it again in 2 hours.

The person should know how many points a unit of insulin drops their sugar level and then should be able to administer an appropriate bolus. I would not change the base delivery rate unless the sugars were not coming down after several bolus injections, I had not eaten any carbs, and I had a buddy to keep an eye on me. The pump will continue to deliver the new base rate until it is either changed back or turned off. It can be risky.

Once the sugars return to normal, the body should drop out of ketosis. Having very high sugars is very damaging to the body and results in things like retinal damage, kidney failure and neuropathy.

If I could not get my sugars below 300, then I would be going to the ER.

I've never kept much of an eye on my ketone levels. I pay very close attention to my sugars and A1C, though.

Regards,

TM

Edited by: TRAVELLING_MAN at: 12/22/2014 (01:20)
HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
12/22/14 12:14 A

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I am starting this topic after I talked with someone who has very high blood sugar levels, frequently over 300. The person was told that since she is on an insulin pump she did not have to worry about ketoacidosis or check for it. This did not make any sense to me. I'm curious what people here do as far as checking ketone levels.
I'm also curious if anyone has had extremely high blood sugar levels while on a pump and how they dealt with it.
Thanks,
Birgit

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