Yeah, I really should have rapid acting insulin on hand. I am in the range of what your article calls the “danger zone” most of the time lately.
I only use rapid insulin in my pump. If my insulin pump fails I use a pre calculated amount of emergency short and long acting. Honestly my insulin pump really changed my life. It’s so much better to control. Maybe you can get moved to a pump @Bowens
Checking ketones is critical. Elevated sugars occasionally are okay but DKA is a concern if always high. It’s a constant battle. I wouldn’t wish this on anyone.
I have a drs appt on the 14th. I will tell them about my 380 blood sugar recently and urge them to give me fast acting insulin so I can start bringing it down.
I’m almost always over 200 anymore…
You need way more short acting through the day. Long acting is fine, but once your number is high it doesn’t take it down just holds steady at that high number. The short acting brings down the numbers very quickly temporarily, but the long acting keeps the low numbers at a steady level. It just isn’t designed to lower the numbers if high. They work together. Sorry, I’m nattering but yeah you need more insulin or you will go to dka.
Drink water every hour when your sugars are high to flush out the system to help off set it. It makes a difference.
@Bowens Have you contacted your dr to let them know what has been going on? I know you have an appointment on the 14th but your dr needs to be aware of the situation now.
I have not.
i did order those ketone strips though.
I’ll give them a ring tomorrow I guess…its just so hard to get a message through to the doctors nurse…first you have to get through the automated thing, then you have to deal with the person that transfers you, then the nurse is never there, so you have to leave a message and have them call you back…then you have to wait around all day for them to call back.
I would definitely contact them. Does your dr have email or secure messaging for patients to contact them?
Not that I’m aware of, no.
If you are over 250 and cannot bring it down after a few hours it is best to go to ER or urgent care where they can give you some short acting to get it down. It really cannot be that high throughout the day. If it starts out high in the morning, it will just get higher from there.
Vomiting and nausea is an immediate sign you are entering DKA specifically. If you are vomiting with other high blood sugar symptoms, go to the hospital and not urgent care.
Yeah I’m surprised you do not have any short acting insulin for emergencies. Your doctor is messing up.
Thanks @2Waynez for posting this. This is really useful information
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