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Author Topic: Stomach bug/ketone ranges  (Read 1586 times)

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Offline SarahMay

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Stomach bug/ketone ranges
« on: November 29, 2014, 08:52:15 PM »
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  • Stomach bug in the house.  <puke> Isaiah vomited almost unceasingly for an hour this afternoon. (There have been stomach bugs going around among extended family; I'm fairly certain we picked it up on Thanksgiving.)

    Have not given much insulin because he still had some on board from lunch and it was a struggle to keep him in a high enough range (kept down some glucose gel at one point).

    Now he's running in the 150s so I keep giving small correction boluses and trying to get some liquids into him (popsicles, gatorate).

    Still getting my mind around blood ketone ranges and what should be a red flag. Was negative at first, 0.4 a couple hours later, 0.9 a couple hours after that, and 0.4 just now. What range is a concern? Or okay as long as it's dropping instead of rising? Called the endo this afternoon, but don't want to call again if I can manage this myself.
    « Last Edit: November 29, 2014, 08:55:57 PM by SarahMay »
    Sarah - wife to Aaron, mom to
    Matthew (9) non-D
    Jonah (8) DX 02/05/14 (Animas Ping, Dexcom)
    Isaiah (8) DX 01/10/13 (Animas Ping, Dexcom)
    Gideon (5) non-D


    Offline oddangela

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    Re: Stomach bug/ketone ranges
    « Reply #1 on: November 30, 2014, 02:59:01 AM »
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  • Our strips have a range on them with green, yellow, and red ranges.  Do yours have that?  If I recall correctly under .6 is green and no worries (I mean, it's info, use it, but no freak outs  lol)  At .9 I would definitely be pushing fluids and carbs to increase insulin but Savannah feels really badly with ketones. 
    Angela- Mom to S- 8/9/04 (dx 5/4/11)  G- 6/4/08 and L- 4/3/12 and W- 3/18/15

    Offline SarahMay

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    Re: Stomach bug/ketone ranges
    « Reply #2 on: November 30, 2014, 06:08:32 AM »
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  • Yes, ours does have the color-coded range but i wasn't sure what to do at each threat level.  <roflmao>

    Called the endo at 1:00 AM cause they were up to 1.3. Gave a little stronger correction and decided to let him sleep. Will see how the morning goes. :)
    Sarah - wife to Aaron, mom to
    Matthew (9) non-D
    Jonah (8) DX 02/05/14 (Animas Ping, Dexcom)
    Isaiah (8) DX 01/10/13 (Animas Ping, Dexcom)
    Gideon (5) non-D


    Offline oddangela

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    Re: Stomach bug/ketone ranges
    « Reply #3 on: November 30, 2014, 10:46:06 AM »
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  • We have hit the yellow a bunch of times and I've never called.  I know what to do and as long as I can get fluids in her and bg isn't crazy stubborn low I just keep at it.

    Hope everyone feels better soon!
    Angela- Mom to S- 8/9/04 (dx 5/4/11)  G- 6/4/08 and L- 4/3/12 and W- 3/18/15

    Offline Mich*09

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    Re: Stomach bug/ketone ranges
    « Reply #4 on: November 30, 2014, 10:52:00 AM »
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  • 1.3 is still in the "small" range. 


    I found this chart online:
    <.5 = negative
    .6-.9 = trace
    1-1.4 = small
    1.5 - 2.4 = moderate
    2.5-2.9 = large
    >2.9 = very large


    Here are our instructions:

    If bg is above 300 and ketones are moderate, take extra insulin equal to 10% of the TDD.
    If bg is above 300 and ketones are large, take 20% of TDD.

    Take the same amount again in 3-4 hours, as long as bg is still over 300 and ketones are moderate/large.

    If the ketones are below moderate or bg is below 300, give insulin as usual.

    Hope that helps.
    Michelle
    Mom to - Jordan 22, Grant (19 dx 9/17/09 MM Revel 6/1/10), Brett 16

    Offline andrea

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    Re: Stomach bug/ketone ranges
    « Reply #5 on: November 30, 2014, 11:27:38 AM »
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  • We find it helpful to do a temp basal increase over a period of time.  Depending on the size Of the ketones sometimes +25% or +50% over an hour or two

    Mom to Annelies, 14 (Dx 18 Mar 08~Pumping MM Oct 08-May 12, Omnipod May 12-Aug 13. tSlim Aug 13+ ~Dexcom Oct 11), Katy, 18 (non-D) and Jory (non-D/US Navy)
    God created wine to keep Army Wives from taking over the world
    My blog

    Offline SarahMay

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    Re: Stomach bug/ketone ranges
    « Reply #6 on: November 30, 2014, 12:53:23 PM »
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  • 1.3 is still in the "small" range. 


    I found this chart online:
    <.5 = negative
    .6-.9 = trace
    1-1.4 = small
    1.5 - 2.4 = moderate
    2.5-2.9 = large
    >2.9 = very large


    Here are our instructions:

    If bg is above 300 and ketones are moderate, take extra insulin equal to 10% of the TDD.
    If bg is above 300 and ketones are large, take 20% of TDD.

    Take the same amount again in 3-4 hours, as long as bg is still over 300 and ketones are moderate/large.

    If the ketones are below moderate or bg is below 300, give insulin as usual.

    Hope that helps.

    This is exactly what I was looking for! Thank you. Our endo has us call for anything over 0.6 and I think that's excessive.

    He's much improved today. Ketones are gone and keeping food down. Now we need to get me better and hope no one else catches it...
    Sarah - wife to Aaron, mom to
    Matthew (9) non-D
    Jonah (8) DX 02/05/14 (Animas Ping, Dexcom)
    Isaiah (8) DX 01/10/13 (Animas Ping, Dexcom)
    Gideon (5) non-D




     


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