My first DKA.

Rita
By Rita Latest Reply 2010-07-05 15:02:17 -0500
Started 2010-02-20 18:09:39 -0600

Hi guys. I've had the worst time of my life last weekend. I felt so sick, very sleepy, dizzy and i was trowing up all day. My pulse was 135. I never felt that sick in my whole life! Long story short, i finally ended up in the ICU. I'm home now, and feel much better, but my sugar is completely out of control. I mean i need at least 3 times more insulin at mealtime then what i used to have. And my sugar is still high and i need an addition insulin to correct it. I'll see my doc on Monday, Any advice would be very helpful. Thanks for listening.


13 replies

Rita
Rita 2010-07-05 15:02:17 -0500 Report

Thanks for all of you. I wasn't online a quite a while. So sorry i'm a little late. But i have good news! A little recap. I went back to my doc and she said i have to be patient my body is out of whack so it need time to back in control. So my A1C was 10.1 after the DKA and my insulin dosage was 2 or 3 times what i use to take. Last month i went back to see my doc and my A1C was 6.3, my insulin is back to normal, even i take a little less now and my bs is just fine. My daily calorie intake is between 1000 and 1300. I go a little higher in the weekend this is my "me time" . My daily carb between 45-100. My fasting bs between 44-120. It's higher during the weekend. And i'm still smoke free. This month will be my one year anniversary. So all i need is to pick up the exercise routine and shed some extra pounds.
Dear Mays and Harlen. I take insulin eating low carb and exercise. My diet was awful after i quit smoking. And i didn't really take care of my diabetes back then. I think that was the reason i had my DKA. So i'm back on track ever since. Because that was a very scary and very expensive experient( i have no insurace) .
Thanks again for all of you.
RIta

John Crowley
John CrowleyCA 2010-02-23 17:41:33 -0600 Report

Are you still spilling ketones?

We found that after you've had high ketones, it helps to drink lots of extra water to kind of flush out your system.

I hope you get feeling better soon.

John

Rita
Rita 2010-02-21 10:20:07 -0600 Report

Thanks all
I'm a Type 1 diabetic almost 6 years now. I'm taking Apidra on a sliding scale before each meal and Lantus at night time. I quit smoking 7 months ago. I have trouble to control my bs ever since. I used to exercise too, but lately i'm a little lazy.
I hope this changes are just temporary and once i got better everything will be back to normal.

Ms40+pumpuser
Ms40+pumpuser 2010-02-21 11:40:20 -0600 Report

I need a baseline answer here; what does everyone describe as "in control"? Everyone asks us, "Are you in control of your diabetes?" Or, they say that "so and so" isn't in control… but what is that? Never having a high or a low, that's got to be imposible. I am wondering if we diabetics are putting more guilt on us, than we need to? It makes us feel like failures… And, to further this discussion, I had an oral surgeon tell me that if you are taking meds, then you're taking control of it. If you're not taking meds you should be taking, then you are not in control. What do others think of this?
For years, I thought any sugar reading that was out of the 70 - 120 range, was a failure! (Not in "Control") Who needs that guilt?
Anyway, you quit smoking! Awesome! And, lets just agree that yous bs has been different since you quit exercising… Once again, when you DKA, you do tremendous changes to how your body works, don't worry about bloodsugars yet, till your doc says that the rest of your body is functioning propery. He should be telling you that at your appt. tomorrow, it should have only taken a week, I'd be willing to guess. Then, exercise and correct food and it's portions, will all make you feel fabulous! Let us know what the Doc says tomorrow!

HOLYONE
HOLYONE 2010-07-05 10:12:56 -0500 Report

Hi
If you sugars are 70 to 110 you are in control of your sugars. Other than those figures anything over 110 to 150 boraderline diabetic, and 150+ is diabetic.

You sound like you are in control of your sugars. Just eat the proper foods with lots of vegetables and low carbohydrates you will do fine. Your AC1 should be .7 or under which is very good reading.

Remain active and think positive…and you will do just fine. Hope this helps.

Have a nice day!
Henrietta

Sue Turner
Sue Turner 2010-02-22 19:20:23 -0600 Report

Rita how long have you been on the Apidra? That is what I was on, and when I saw my endocrinologist the last time she changed me over to Novolog…She said that there had been a lot of people on the Apidra who were having prblems with their BS going up high and they couldn't get it back down…Just FYI…

Rita
Rita 2010-02-23 17:15:23 -0600 Report

I'm on Apidra about 4-5 years now. I started with Novolog and switched to Apidra. I think Apidra works better for me. Hopefully all this is just the DKA 's after affect and soon everything will be back to normal.

HOLYONE
HOLYONE 2010-07-05 10:09:58 -0500 Report

hi Rita:
How are you? I am type 2 diabetic, and was diagnosed in 1991. I am on insulin, but have been on oral medications before that msesed me up. I am very sensitative to medications. I have tried everything and still no good results. I was on Advandia, that really messed me up. Prior to it, I was on Reszulin, and stop taking it after reading reports that it killed people after all and caused liver damaged. Unfortunately, I discovered that I have a diffused liver…just wondering if it was caused by the Rezulin. Till this day, I don't know. But yes, oral meds can also do more harm than good. I am just staying on Humulin R, and Humilin N insulin. All the oral meds on the market for diabetes do have many side effects and causes problems…eslsewhere. Its a crime nowadays to use oral meds because of the dangers of the side effects. I never dreamed i would be a diabetic. At first after discovering it, I had gotten depressed so bad, that I didn't care about life anymore. I live in PA, and here, you have to pay for all your support groups or any help…to joined. At least in New Jersey, I was able to go to them for Free. I am worried about Kidney disease from the high sugars that I use to have in the past. About 3 years ago, I started to have some foam in my urine, and protien. The doctors never said anything to me about it, but how can I adverse this sympton. Do I have to take special medication for this? Rita, if you can, let me know? I am 61 years old. Is Apidra a new insulin? What is the Characteristics of it, and how does it keep your sugar in control? Is it like Lantus?
I am just wondering if I should switch to it?
Have a nice day and thanks for your advice.
Henrietta

Rita
Rita 2010-07-05 14:34:22 -0500 Report

Hi Henriette!
Thanks for your reply. I'm sorry your having problems with your diabetes. I'm not much of a help with these sorry. You should ask your doc about it. And if she or he not giving you answer or you feel your not getting the treatment from your doc what you think you deserve you should find another doctor right away!
I on Apidra about 5 years now, honestly i "like it".It's a rapid acting insulin i take it 10 minute before meals. My bs in good range and works really good for me. Lantus on the other hand a long acting insulin. I take it before bed time. Apidra covers the food you eat. You have to ask your doc which insulin is right for you. Everybody is different what works for me it might not work for you. It's not much but i hope it helps.

Ms40+pumpuser
Ms40+pumpuser 2010-02-20 22:19:34 -0600 Report

Rita, I DKA'd about 19 years ago… I was 3 days in ICU and 5 "on the floor" learning how to do shots, but mainly getting back to normal. I had been diagnosed as diabetic, but was put on oral med, and I should have been on insulin, thank you, Navy Dr.s…They figrued it out when I DKA'd… Anyway, I wanted to help you, but what I can recall of, was that I know DKAing throws everything in your body out of whack. I remember that my electrolites were off, and I remember drinking potassium; I remember asking a nurse if I could just eat bananas, and her reply was that I'd have to eat a whole tree… Those other people asking what you were eating and what your numbers were, weren't helping you. You should read up on what DKA means, try web md, and I'd find out as much info as you can before you see your Doc on Monday. That way, you'll have more to discuss and understand about. I remember my eyesight was really off for a while too.. Sorry, that just popped into my head… anyway, do everything the doc tells you, read up on everything, but most importantly, pay attention to what your body does. These days, everyone needs to tell Dr.s what their problems really are… And, I never found those little log books to be helpful; I have a blank journal that I use at times, when I need to keep track of everything, each day… what time I get up, when I eat, what I've done during the day, I check my sugars 7- 10 times a day… I've done that so long that it might just make me nuts if I couldn't do it that often! Most importantly, if you haven't been careful about your diet, please do so. It's not a pain, it really will feel better if you eat right! And, try to remember this phrase: "Take care of your body; where else are you going to live?" Listen to the dr getting you back to yourself, after all, if you were like me before DKA'ing, life wasn't real fun… then take care of your "house" after that :) I wish I could help more!
Let us know how it's going, ok?

Danni-the-diabetic
Danni-the-diabetic 2010-02-20 21:41:08 -0600 Report

Oh Rita, I am so sorry to hear that. I myself have been in DKA quit a few times. The best thing you can do is talk to a dietitian and get a healthy diet going and check your sugar often, record them and show them to your Dr. so he can see when you spike up and he can adjust your insulin accordingly. That's what I've started doing. Be careful and take care of yourself.
:) Danni

MAYS
MAYS 2010-02-20 18:22:30 -0600 Report

I'm curious as to what was your diet consisting of during this time period and what other methods (if any) do you utilize to manage your glucose level other than insulin ?

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