Help please

[Mark T]

This is wrong! Any insulin user is at risk of ketoacidosis! I am shocked that a doctor and a DSN do not know this! 😱 It's only Type 2s that are NOT injecting that ketones will not present a problem to, since their own pancreas will be producing insulin.

To expand on this a bit.

If I go for a jog/brisk walk before lunch then my body will be burning my fat reserves as I eat a moderate to low carbohydrate diet. Because fat is being burned there will be an amount of ketones released (ketogenesis).

If I test with urine strips after I did the exercise I can get a + or a ++. This is not DKA. If I measure my blood glucose it will be in the 5?s or maybe 6's.

 

[Marier]

How you feeling today and what Sugars like
Marie

 

[Northerner]

To expand on this a bit.

If I go for a jog/brisk walk before lunch then my body will be burning my fat reserves as I eat a moderate to low carbohydrate diet. Because fat is being burned there will be an amount of ketones released (ketogenesis).

If I test with urine strips after I did the exercise I can get a + or a ++. This is not DKA. If I measure my blood glucose it will be in the 5?s or maybe 6's.

Quite. You have a functioning pancreas, so the ketones will not reach a level that is dangerous.

 

[mcdonagh47]

This is wrong! Any insulin user is at risk of ketoacidosis! I am shocked that a doctor and a DSN do not know this! 😱 It's only Type 2s that are NOT injecting that ketones will not present a problem to, since their own pancreas will be producing insulin.

The opposite is usually stated, DKA is extremely rare in T2s becaus they always have a some endogenous insulin. Those T2s injecting exogenous insulin risk HONK not DKA if they become dehydrated.

 

[mcdonagh47]

Even if you were T2, the fact you are on insulin means you do need test strips. From what others have posted on here you need test strips if you are driving because you are required to test before driving.

Even some of the medications for T2 require testing because they can cause hypos.

If sounds like your GP is a bit of a ninny and if isn?t doing a very job in helping you to get your HbA1c below the NICE recommendation of 6.5% Do you have any options to get rid of him?

I think Carole meant the Doc said she didn't need KETONE testing strips not bg strips which she HAS to have on insulin.

 

[mcdonagh47]

Ahh well mayb a wee phone call in morning to speak t him and tell him youd like some 🙂 I didnt know Type 2 could take Insulin How are you feeling now

40% of T2s are injecting insulin i.e. T2s on insulin outnumber all T1s by 4 to 1.😉

 

[trophywench]

40% of T2s are injecting insulin i.e. T2s on insulin outnumber all T1s by 4 to 1.😉

True.

But to be fair, I'd had diabetes for 30 years before I ever met a T2 on insulin.

Plus she was young when diagnosed - GD in her first preg, then arthritis treated by steroids, then GD again which she never recovered from.