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OT Doctors
Posted on 1/27/17 at 10:34 pm
Posted on 1/27/17 at 10:34 pm
Calling the doctors of the OT board, I could use some help. My dad is a bad diabetic and for about the past 4-5 days his blood sugar has consistently been between around 200-400 and it will not come down. He's been giving himself insulin at the normal times but it hasn't changed. On Wednesday we took him to the ER and he was dehydrated so they gave him some fluids and sent him home. He's been drinking a shite ton of water since then. But his blood sugar WILL NOT go down. He checked it about 20 minutes ago and it was 410. Any ideas on what could be going on?
7
Posted on 1/27/17 at 10:35 pm to VolInBavaria
Eating habits still the same?
Posted on 1/27/17 at 10:35 pm to VolInBavaria
med school student here and also 20 year type 1 diabetic
has he had any illnesses recently?
what insulin is he taking and is taking any other medicines?
has he had any illnesses recently?
what insulin is he taking and is taking any other medicines?
Posted on 1/27/17 at 10:36 pm to VolInBavaria
Posted on 1/27/17 at 10:36 pm to VolInBavaria
Are you sure the insulin is good? It seems like when my mom had some that had expired or that had been open for too long, it would become less effective at controlling her blood sugar.
This post was edited on 1/27/17 at 10:37 pm
Posted on 1/27/17 at 10:37 pm to phil good
quote:
Eating habits still the same
He's been eating better since Wednesday, but hasn't been eating as much. He's said he doesn't have much of an appetite
Posted on 1/27/17 at 10:37 pm to VolInBavaria
go back to the er.
That happened to a close family member of mine and they died from a stroke. That very day.
Not saying all out panic but, I'll never take "I promise i'll go to the doctor in the morning" as an answer ever again.
That happened to a close family member of mine and they died from a stroke. That very day.
Not saying all out panic but, I'll never take "I promise i'll go to the doctor in the morning" as an answer ever again.
Posted on 1/27/17 at 10:37 pm to Dorothy
highly, highly unlikely the insulin has gone bad
Posted on 1/27/17 at 10:38 pm to VolInBavaria
is he nauseated?
this starting to sound like he is right at the cusp of DKA
what is his age?
I'm shocked they didn't keep him at least over night for IV fluids
this starting to sound like he is right at the cusp of DKA
what is his age?
I'm shocked they didn't keep him at least over night for IV fluids
Posted on 1/27/17 at 10:39 pm to LSUSoulja08
quote:
has he had any illnesses recently?
what insulin is he taking and is taking any other medicines?
No illnesses. And he takes Humalog and Lantice(sp?)
Posted on 1/27/17 at 10:40 pm to VolInBavaria
is he using a sliding scale for the humalog?
what is his diet like?
have you tested his urine for the presence of ketones?
what is his diet like?
have you tested his urine for the presence of ketones?
This post was edited on 1/27/17 at 10:42 pm
Posted on 1/27/17 at 10:42 pm to VolInBavaria
If he's drinking a lot, you know his sugars are up there. I'd be getting him back in the Hospital..
Posted on 1/27/17 at 10:42 pm to VolInBavaria
When was the last time that he beat off?
Posted on 1/27/17 at 10:43 pm to LSUSoulja08
quote:
s he nauseated?
this starting to sound like he is right at the cusp of DKA
what is his age?
I'm shocked they didn't keep him at least over night for IV fluids
No nausea but he has been weak, and he's 71
Posted on 1/27/17 at 10:43 pm to VolInBavaria
with his latest blood sugar, how long ago had he ate?
what is his medical history? Any other medical problems?
what is his medical history? Any other medical problems?
This post was edited on 1/27/17 at 10:46 pm
Posted on 1/27/17 at 10:46 pm to VolInBavaria
quote:Read up on zinc supplements. Great appetite stimulant.
He's said he doesn't have much of an appetite
Posted on 1/27/17 at 10:48 pm to LSUSoulja08
quote:
with his latest blood sugar, how long ago had he ate
He ate at 6:45, and it was around 350 then before he went to bed it was 410 and had given himself insulin right before then
Posted on 1/27/17 at 10:50 pm to VolInBavaria
That's too damn high, jeez.
Posted on 1/27/17 at 10:51 pm to VolInBavaria
the humalog needs about 15-20 mins to act and get a BG down from that high of a level
still, to be that high after, what, 4 hours after a meal is not normal.
IT could be that his lantus dosage needs to upped or that he did not give himself enough humalog with the meal
but to cut to the point, he needs to go to the ER now. At his age, this is not something you chance. If he is headed towards acidosis, he certainly does not need to be going to sleep
still, to be that high after, what, 4 hours after a meal is not normal.
IT could be that his lantus dosage needs to upped or that he did not give himself enough humalog with the meal
but to cut to the point, he needs to go to the ER now. At his age, this is not something you chance. If he is headed towards acidosis, he certainly does not need to be going to sleep
Posted on 1/27/17 at 10:51 pm to LSUSoulja08
What's good Solja
How's your sugar been?
How's your sugar been?
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