Ketones When To Go To Hospital

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Type 1 Diabetes In Adults: Diagnosis And Management

High blood glucose (hyperglycaemia) that is not treated can lead to a serious condition called diabetic ketoacidosis (or DKA for short). It is caused by the build‑up of harmful ketones in the blood. People with type 1 diabetes are at risk of DKA. You may be advised to test for ketones in your blood or urine as part of sick-day rules. Your blood ketones may be measured by a healthcare professional if it is thought you might have DKA. If you have DKA you will need emergency treatment in hospital by a specialist care team. This will include having fluids through a drip. Questions to ask about DKA Continue reading >>

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Popular Questions

  1. neckhole

    Should I see a doctor?
    I know the answer to this, it's Yes! However, I thought I'd seek some advice first.
    I'm a Type 1 Diabetic, but otherwise I've been blessed with very good health, I'm hardly ever sick. However, for some reason starting today around 11:00 AM, I started having lots of trouble with Hypoglycemia. I kept eating candy and drinking apple juice every 20-30 minutes, but I was still testing out below 70 (typically 50-60).
    Eventually, I just turned suspended my basal insulin and was perplexed why I wasn't bouncing back up when I suddenly fell quite ill. I've been regularly throwing up now for almost 4 hours as well as having other unpleasant bathroom experiences.
    I'm hesitant to go to the hospital for two reasons:
    My company was just acquired by another and my transition to the new benefits is probably complete, but we haven't yet received any of our id cards or anything along those lines.
    The last time I got sick I went to the hospital (food poisoning, they suspected) and it was a terrible experience. I was out of town on vacation, so I got treated as "uninsured" and they did an atrocious job of managing my diabetes. They wound up taking me off my pump and managing me on a sliding scale, but never gave me enough insulin and I wound up having high blood sugar that caused them to not want to release me. Eventually I think I had to tell the doctor that either he let me manage my disease or I was never going to get discharged, sure enough a day later I had everything under control. But it literally took a week to get to that point.
    I'm just trying to avoid a repeat of what I experienced last time. Based on my experience, the best way to avoid that today is to avoid going to the hospital. But, I admit this may not be the wisest approach.
    How about you guys? How long of vomiting/diarrhea and not being able to keep food down before I should head to the hospital? I'm not running a temperature at all, but I do feel a bit feverish. If my pre and post-diagnosis health is any indication at all I'd have this licked overnight.

  2. cyjake111

    if you're not digesting food cuz it goes out b4 it can be digested you're not getting sugars. This sounds like a ticking time bomb waiting to happen. all hospitals are the same. If you have a reputable one close to you, go there. I have several close ones where I live and 2 are my go to hospitals if I ever go to the ER.
    Just go in there and say you can't keep your food down or in and your bg is hypo so you need fluids. they'll hook you up to an iv with sugar and make sure you don't die and keep track of your bg.

  3. wumsel

    Eventually, I just suspended my basal insulin
    It is not still suspended, is it? That can easily lead to DKA.
    Is your blood sugar still low? Are you monitoring ketones? (If they are high, is it because of a ketogenic diet?)
    I know I would try to avoid going to the hospital, but that may not be very wise. (When diagnosed, I was in a very bad shape and had Kussmaul breathing due to avoiding doctors for so long.)

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