Insulin Where Does It Go

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How Dka Happens And What To Do About It

Certified Diabetes Educator Gary Scheiner offers an overview of diabetic ketoacidosis. (excerpted from Think Like A Pancreas: A Practical Guide to Managing Diabetes With Insulin by Gary Scheiner MS, CDE, DaCapo Press, 2011) Diabetic Ketoacidosis (DKA) is a condition in which the blood becomes highly acidic as a result of dehydration and excessive ketone (acid) production. When bodily fluids become acidic, some of the body’s systems stop functioning properly. It is a serious condition that will make you violently ill and it can kill you. The primary cause of DKA is a lack of working insulin in the body. Most of the body’s cells burn primarily sugar (glucose) for energy. Many cells also burn fat, but in much smaller amounts. Glucose happens to be a very “clean” form of energy—there are virtually no waste products left over when you burn it up. Fat, on the other hand, is a “dirty” source of energy. When fat is burned, there are waste products produced. These waste products are called “ketones.” Ketones are acid molecules that can pollute the bloodstream and affect the body’s delicate pH balance if produced in large quantities. Luckily, we don’t tend to burn huge Continue reading >>

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Popular Questions

  1. bobshow

    Hi everyone!
    I am a 30 year-old male and have been diabetic for 16 years. I am currently using novorapid and lantus injections to manage my blood sugar. Generally speaking my blood sugar control has been pretty good over the years but just lately I have had some problems where, when I have done a blood test my levels have been very high (15+ in some cases.) I have made an adjustment innjection to bring the levels down but after an hour my levels are still high, sometimes even higher than they were before. It is as though the insulin is not having an effect at all! Has anybody else experienced anything similar?
    I sometimes work abroad and the first time this happened to me was when I was spending a few weeks in South Korea - at first I put it down to something in the food however it has since happened to me back in the UK too. Any help would be greatly appreciated as it's obviously a little unsettling to feel unable to bring my sugar levels back under control!

  2. phoenix

    Two quick thoughts
    a) are you varying your injection sites ? Sometimes if you use a site frequently over many years that area can develop fatty deposits that make insulin absorption less predictable.
    b)As you seem to be travelling a lot is some of your insulin being subjected to extremes of temperature? Have you tried changing to a new pen when this happens>

  3. Archie13

    Hi, I am a 47 year old Type 1 and have been for 33 years. I have always had really good control, apart from the odd blip here and there. I had exactly the same problem as you. It seemed that no matter how much Insulin I gave myself my blood sugars would not go down, I was averaging between 15 and 24, which worried me sick. Then I would drop to about 1.8, it seemed like the insulin wasn't working at all and then suddenly it did and lowered my blood sugars too much. In desperation I contacted my Diabetic Nurse and she gave me guidelines on what dosages to give myself depending on my blood sugar. She also told me not to test too often as I was so worried that I was testing about 12 times a day. Luckily now I am slowly getting back to normal, but it has taken about 5 weeks to get there.

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