leaving a hospital,having lost 20 lbs of mostly fluid and no instructions on leaving & ending

By JBrianWright Latest Reply 2011-04-01 20:23:34 -0500
Started 2011-04-01 08:14:42 -0500

ending up in another hospital with a reading of 29???? Why do they always change you to R and a sliding scale and not what you are used to and then give no instructions on discgarge.

5 replies

Aaron1977 2011-04-01 20:23:34 -0500 Report

Maybe this is a crazy question but why would you leave a hospital without followup instructions? If you have questions and don't know what to do next - stop your Dr from leaving the room and insist on getting answers.

I can only guess but they probably switched you to R if you had a severe low because the faster acting insulins can cause you to crash quicker.

jayabee52 2011-04-01 09:50:05 -0500 Report

Howdy Brian
Really that is a question which should be addressed to your diabetes care team.
The ONLY thing I can do is GUESS.

I had the same problem when my bride "Jem" would go to the hospital and be discharged with changes in her insulin dosages and other meds. I can only guess that the Hospital Docs thought that there must be something wrong with her meds, or she wouldn't have entered the hospital, so they changed them.

Fortunately with that med. system (Kaiser Permanente) discharges from the hospital would be given an after-care plan where the new regimen of care was spelled out in black and white. That way we had a roadmap of the new plan of care as worked out by the hosp. Drs.

We would then talk to her PCP (who would get the same document electronically) about the changes. Usually the PCP would make little changes here or there, but would rarely give permission to go back to the plan of care Jem was on before.

In your case, I have no idea why your after-hospital instructions weren't provided to you. They should be.

I am thankful that you were able to survive your low, and that you are out of the 2nd hospital and able to post this discussion.

I pray you get your diabetes care plan worked out with your care team and can control your Diabetes well from here on.

Praying God's blessing be upon you and yours

James Baker

Graylin Bee
Graylin Bee 2011-04-01 12:19:59 -0500 Report

Well said, James.
I hope you will be able to get some answers from your Dr to prevent another such traumtic event.

northerngal 2011-04-01 09:36:40 -0500 Report

You need to run that past your MD. A dietician or diabetes educator are best for helping figure out what dose you need based on the carbs you consume. Having lost that much weight will change your requirements, so you'll need to document everything for a while to see how your body reacts. While you were hospitalized, your MD should have been consulted and agreed with the process. If not, you need to make some noise about it. I've found several that are extremely rigid in the protocol and absolutely WILL NOT listen to your concerns. At that point you need to worry about yourself and INSIST that they contact your MD and make sure you get an explaination for why they are changing things. Most people aren't willing to challenge MD's but they are human too, not gods. You are responsible for you and deserve as much information as you can get. Ask every question you need to, and have a friend or relative with you for confirmation of what's being said and done. Some are not nearly as informed about diabetes as you'd hope!!

Harlen 2011-04-01 09:03:47 -0500 Report

If your hitting 29, lows you know you can die from that .
I count carbs and the better I count the better my #'s I havent had a low in a long time .I am on the pump now and it is even harder to keep from having lows
The scale is to keep you from dieing I think .
I use a scale and the book The Calorie King so I know just how menny carbs I am taking in .
Hope this helps
Best wishes

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