By OhSoBlessed Latest Reply 2012-01-21 20:05:40 -0600
Started 2012-01-17 11:05:41 -0600

Hello everyone. Haven't been on here in ages dealing with tons of family issues. my daughter's cancer has returned with a vengence after exactly 6 years 360 days in remission making tracking her numbers even more important and a major challenge Her chemo has begun,food has no appeal, the nausea etc. don't make it easier either. Now I need to know what to do when my daughter's glucose number is too low? Also what should be done when shoots waaaay up? Only information we are getting from Dr's & nutritionists is "exercise & watch diet"…

8 replies

Matunuckan 2012-01-21 20:05:40 -0600 Report

For low BS, i recommend fast acting glucose pills. Each one is 4 carbs, & tastes like sweet tarts. There are also small tubes of glucose gel (which is kind of like cake frosting) which is especially useful if she is not lucid enough for pills. For HIGH BS, call the doctor if it is over 230 or so, in order to avoid Diabetic Keto-Acidosis. This can make her very sick on top of everything else!

Old-n-Grey-n-Wiser 2012-01-17 12:39:30 -0600 Report

Looks like Eric has most of your questons answerd, as I am typeII, I would not be much help, but will keep both you and your daughter in my thoughts!

OhSoBlessed 2012-01-17 13:57:55 -0600 Report

All of you here are fantastic! Can't begin to thank you enough. Bet if you look up the word "angels" your photographs would be featured as proof angels do exist. Thank you for helping me and others here cope.

door331 2012-01-17 11:37:03 -0600 Report

If she has Type 1 (which I assumed from the category of this post) she should have an insulin regimen — exercise and diet would not be enough to regulate her diabetes. Does she have an endocrinologist or other diabetes educator to help manage her diabetes?

When her numbers are too low she needs additional sugar- if keeping down food is an issue I find Syrup to be easier to swallow. If her numbers are running high then that would mean additional insulin is required— unfortunately you would need to know her correction ratio to know how much insulin to give her.

Hopefully I have not misread this post and you find this information useful.

OhSoBlessed 2012-01-17 12:00:22 -0600 Report

Eric I thank you so very much. You have answered my questions and because of your doing so I feel better able to be of help to her. Yes, she is Type 1…she does have an endocrinologist whom she has seen only once so far because of being ill & hospitalized for cancer. Now I have a better of idea of not only what should/needs to be done but also what questions to ask her endocinologist. Any more suggests/tips/etc. greatly appreciated. Thank you again for taking time to respond to my post. Barb P.S. Correction ratio? What is that?

door331 2012-01-17 13:51:51 -0600 Report

Oh also, usually she should see her endocrinologist every 3mo— since she is hospitalized that might be an issue but if her team at the hospital could be in contact with her endo then they should be able to collaborate and even run some of her routine lab work at the hospital.

door331 2012-01-17 13:48:48 -0600 Report

You're welcome Barb. So it sounds like she is newly diagnosed? I highly recommend seeing her endocrinologist again if that is possible. They may also refer you to a diabetes educator/nutritionist which I think will help a lot. There is so much information to take in.

Correction ratio determines the amount of insulin to give to correct a high blood glucose reading and get back to the normal target range— such as 1 unit per 40 mg/dl over what you want your numbers to be— this is usually determined by an endocrinologist.

A few other terms include:
Basal - the slow acting or trickle of insulin throughout the day.
Bolus - fast acting insulin taken to counter a meal.
Carb ratio - 1 unit of insulin for X amount of carbs eaten.

You can also get a lot of useful information from websites such as the American Diabetes Association and JDRF. I find the information on this site helpful and easy to read:

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