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ceebee
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Date Joined Dec 2006
Total Posts : 401
   Posted 11/5/2007 3:33 PM (GMT -7)   
I also have this. Please help. Will it go way and what can I expect when it does? Nobody explained this to me.

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 11/5/2007 6:13 PM (GMT -7)   
Wait...were you told you have "ketoacidosis" or "ketosis?" They are different.  Are you a type I diabetic?  Normally you'll see ketoacidosis in type I diabetics.  It can also manifest if you are seriously starving yourself.  Either way, if someone told you you were ketoacidotic, I can't imagine that if you had ketoacidosis you would even be able to sit at your computer.  No one would let you leave a doctor's office if you showed signs of ketoacidosis.
 
Ketosis is different.  It can happen when you change your diet from a high glycemic diet to a really low glycemic diet.  Like if you went on the Atkins diet or something like that. 
 
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ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 11/5/2007 9:56 PM (GMT -7)   
Newly diagnosed with diabetes. Er blood sugar was 787 and A1c of 15.2. Yes, ketoacidosis. I was in hospital 4 days and they sent me home with some pills and blood sugar running 400 to 500. Had to take ambulance back two days later and was in 7 days. I almost died from it. I changes doctors because my old one wasn't even doing any test and I was going in sick every week. new doctor took a look at me and ran a blood test and urine test in office and sent me right to er. I am kind of floating here trying to do pills, insulin, and diet. I am going to a dietician and maybe an endoctrinologist(sp) soon. I have to make appointments but I am just really so tired right now. I just don't feel good enough to run around right now...or should I go now? I wasn't starving myself but lost 30 in a month before diagnosis and another 14 since Thursday.

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 11/5/2007 10:51 PM (GMT -7)   

There has to be a social worker or someone at the hospital who can help you coordinate your appointments, etc.  You should NOT be walking around in a ketoacidotic state with blood sugar levels like that.  Ketoacidosis is a life-threatening condition.  I'm just a medical student so maybe I'm just naive but I'd get that endocrinologist appointment, like, yesterday.  Or if you feel really ill, do go to the ER again.

 


Co-moderator - IBS Forum


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 11/5/2007 11:17 PM (GMT -7)   
I thought I need more help...I am keeping blood sugar between 90 and 186 with metformin 1000mg twice a day,lantus 100ml 28 units at night and testing blood 4 times a day and if over 259 take 5 units of novalog(haven't needed this yet). I am new to this and struggling to get it all together. I will call the endoctrinologist tomorrow. I have really bad let and foot cramp too. I also had an asthma attack in hospital with blood ox going to 86 and on oxygen, They said I was a breath away from going on a ventilator. Don't doctors usuallyhelp you more when you just get diagnosed? I am just weaning off prednisone also and that should drop the blood sugar also but what if they go to low? Thanks for your help.

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 11/5/2007 11:38 PM (GMT -7)   

Make sure you tell the endocrinologist's office that you were hospitalized recently and have been told you are in a ketoacidotic state.  Call the ER and ask if the doctor who saw you can make an urgent referral, and see about getting paired with a social worker who can hlp you.  Definitely enlist the help of a friend or relative to come with you to any appointments you have and to make sure you give all the pertinent details and get the help you need. 

When you go to the endocrinologist, make sure to bring a few things with you: a) a list of ALL the medications you are taking and their dosages and the time of day you take them; and b) all of your recent medical records, or at least the phone numbers/names of the physicians you have recently seen for ANY condition, along with any lab results (sounds like you might have a notebook full).

The problems you're facing sound like they stem from a lack of communication and a lack of organization among your providers.  I will always stress the importance of having a family practice doctor above all.  When you have different health issues, it can be hard to keep them all straight, and it's really not your job as a patient to see how the issues fit together - that's what your doctor went through all that education for - but this is where your cooperation is needed, to ensure they are all on board.  This is especially true when you start throwing ER visits and hospitalizations into the mix - things get crazy because you'll likely see a different doctor every time!

Let us know how it goes, I'm hoping for the best for you!


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