How do I know if I'm going into DKA?

By BeckyJ Latest Reply 2009-03-24 08:39:06 -0500
Started 2009-03-03 21:02:23 -0600

I'm feeling a little stupid here about this. I went to the Family Doc today for a check-up and told her that I thought I may have a yeast infection. She took a urine sample to make sure and said she would call with the results tomorrow. 4 hours after the sample was sent to the lab I got a call from the other Doc at the clinic. She said my Doc had to leave early but they got back some "concerning" news on my urinalysis. I have yeast, blood & ketones in my urine and the sugar level was around 1000. She immediately had me take 8 units of my Novalog and told me to check BG in 2 hrs…if still over 250 I was to add an additional 5 units to my supper insulin. I was 380 so added the 5 and it only came down to 371. If I start to experience any pain in my abdomen or trouble breathing I'm to call the Doc on call, otherwise I'm to call my Endo in the morning becuase I may be going into DKA. I wondered if there were any other symptoms I should watch out for until I call the Endo in the morning. A little freaked out here.

15 replies

baby dumplin - 31138
baby dumplin - 31138 2009-03-24 08:39:06 -0500 Report

Well if your sugar is high for a long preiod of time then it would be in your best intrest ot go to the hospital and get checked out because you do not want to be in dka for a lond time. I was and wound up in a comma for three months. So be carefull.

baby dumplin - 31138
baby dumplin - 31138 2009-03-09 21:59:02 -0500 Report

Becky speaking from my own experience when that happened to me before getting the pump. Everytime I waould give myself insulin my sugar only dropped a little. I would protest but my husband listening to the doc. Untill I had to go to the hospital for low blood sugar insulin does not work as fast as people would like and it also veries from person to person. My advice is to get to know your body you will know when to take an addictional dose or not. Baby

BeckyJ 2009-03-06 10:07:38 -0600 Report

Well I'm stumped again. The Endo office is closed today so I guess I am going to call the Family MD. The yeast infection seems to be better but even with upping the insulin my fasting was still 400. Now take Lantus 33 at night 17 in AM, Novalog 28 Bkfst, 28 Lunch & 33 Dinner along with Metformin 1000mg x 2 Daily and 4mg Avandia AM. Have been pushing fluids and watching my carbs…not sure what I can do to get them down. After the UA I'm worried to go all weekend with these highs. Endo says that I shouldn't be in danger of DKA but still don't like the highs. I am so TIRED. It's the weekend so my neices and nephew are coming out but I'm not sure I can keep up with them. Just want to sleep all the time.

2009-03-06 16:23:07 -0600 Report

I was tired too. I was working at the bank and would dream of my couch from lunch until 5pm. I walked in every night and sat down my bags, checked on the cocker's and went to sleep. I would sleep until time for bed and head upstairs and right back to sleep. The medication you and I talked about will make you sleep like that… I hope it's just working it's way out of your system. It took me almost 2 months after I stopped it to stop sleeping day and night. I hope you feel better!

BeckyJ 2009-03-06 19:22:33 -0600 Report

Well I've finally come out of the highs. Had to take my Bro to the Doc and afterwards went to Wal-mart to load up on groceries. When we got out of the store an hour later I was amazed to have gone down to 155. Got home and unloaded everything and started feeling a little dizzy…62!!! I guess the aggressive adjustment on insulin worked. I haven't been low since Jan. so I had to raid my neices fruit snacks and regular soda. Just hope I don't rebound back high. Went from fasting this morning of 400 to 62 an hour ago…strange!

2009-03-06 05:28:04 -0600 Report

Ketoacidosis is something I hope an pray I never get again. I had a severe case when I was diagnosed with diabetes. Not only the "normal" yeast infection that nothing over the counter would touch but I let mine go to the point it spread to my nails. My thumb nail broke in half and my nail on my big toe came completely off due to the yeast attacking the body. They are both growing back in at a very slow rate. Not telling this to scare you, but it is something you don't want to mess around with. I noticed my nails that broke and came off turned completely white, cotton white, and then broke and/or came off. Not fun and you don't want to deal with this. Good luck friend! Angie

lipsie 2009-03-06 02:02:55 -0600 Report

I just wanted to say that I am thinking of you and hoping everything turns out for you. I know you must be freaked out, I sure would be. Good luck, keep your chin up. *Hugz* Sheila

jsd2005 2009-03-04 21:27:22 -0600 Report

Ketoacidosis is a type of metabolic acidosis which is caused by high concentrations of ketone bodies in the urine.
Ketoacidosis is an extreme and uncontrolled form of ketosis, which is the normal response to prolonged fasting.
The insulin in the system is just not enough to manage this amount of production of keytones. So, the balance is very offset.

In diabetics, ketoacidosis is usually accompanied by insulin deficiency. hyperglycemia and dehydration. particularly with type I diabetics, the lack of insulin in the system prevents glucose absorption and can cause keytone body production.

Fruity breath, disorientation, sweating, abdominal pain or other unusual type of pain.
Contact your physician with any of these symptoms.
Stress and infection are leading causes in the development of ketoacidosis. Simply because we are ill enough and not eating right. We have to be sure we understand all aspects of what can and may happen so we know how to deal with it.

You can manage an acute illness with Tylenol, fluids and concentrated monitoring. Frequent testing at this time is crucial for diagnosis and treatment. Stay calm and it may pass. Yet, you never can tell. Always follow up with your physician so he/she is aware of what is going on.

Good luck

optimalirish 2009-03-04 20:52:16 -0600 Report

If your Glucose was 1000, they should have told you to go to the ER. My symptoms of DKA are the same symptoms for diagnosis. Thirsty, stomach pains, frequent urination,tired, and my favorite, an extra strong sense of smell. Bread is the worst smelling stuff in the world. HAHAHA

strictly sugar free candy
strictly sugar free candy 2009-03-07 21:07:15 -0600 Report

the extra strong sense of smell is common across the board for all auto-immune disease.
I particularly hate the smell of children in the Summer time!! They smell like wet dirty dogs!!

GabbyPA 2009-03-04 17:39:38 -0600 Report

Sounds like your yeast infection gave you a ride! Wow! I would have been freaked out too. I am so glad that you have lowered it to a safer level, but that is creepy that you got that high to start with. Did it make you feel different?

BeckyJ 2009-03-05 11:11:35 -0600 Report

What's really confusing is that I have not felt any different than normal. I thought it was just another yeast infection…which I seem to get a lot. LOL Have been watching my numbers and keeping in contact with nurse and Endo's office. My BG's are still high though. Just checked and my after breakfast is 386. They've bumped up my insulin nearly double and it doesn't seem to make that much of a difference. It's wait and watch right now.

John Crowley
John Crowley 2009-03-04 00:37:20 -0600 Report

Shortness of breath, severe abdominal pain or headache, and lethargy are signs to watch out for.

One thing we've found that is critical when you're trying to bring down your bs when you've been so high that there are ketones in your urine is to drink lots of water. You are no doubt dehydrated because your body tries to get rid of all the extra sugar through the kidneys and the sugar sucks all the water with it right out of your body. So make sure you're drinking plenty and if you're on a sliding scale with your insulin, you can check every couple of hours to see if you're still high and take additional insulin if needed.

Next Discussion: Exercise and Diet March »