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HIGH

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Im not type 1 but that is extremely high! The only thing I can suggest would be to drink plenty of water, test for ketones if you can and possibly call 111 for advice. Hopefully a friendly type 1 will be along soon.
 
Hi Karen, you've not given us a lot to go on. What Insulin regime are you on, and how long have you been diagnosed? Do you have a contact number for whoever looks after your diabetes care? ( DSN, Surgery nurse, or whoever) It may be that the best option is to ring them urgently and say your levels are very high, and you don't know how to reduce them yourself. Or ring 111 and ask for advice, they may say, get yourself to hopsital.
 
Hi Karen. How long have your levels been like that.
Are you testing for keytones? If so what is the level.
Are you on basal bolus inadulins, ie a background insulin once or twice a day and a bolus insulin for mealtimes ? If so have you been told how about correction doses. Sorry for all the questions
Tbh Honest I think you need to contact your diabetic team asap. Or off to A&E
At that level you must be feeling pretty rough too
 
Hi Karen welcome.
If my levels were that high id not even be able to be on a laptop id be in a hospital getting it sorted hun.
 
Robin said:
Hi Karen, you've not given us a lot to go on. What Insulin regime are you on, and how long have you been diagnosed? Do you have a contact number for whoever looks after your diabetes care? ( DSN, Surgery nurse, or whoever) It may be that the best option is to ring them urgently and say your levels are very high, and you don't know how to reduce them yourself. Or ring 111 and ask for advice, they may say, get yourself to hopsital.
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So the problem is for my dad. He is 77 type 1 since 1979 so 38 years. He lives in South Africa. I have been here for the last six weeks to help out and have been met with a very chaotic diabetes situation. They will be returning to the uk in the near future but he has to regain his strength first.
He was recently in hospital for a blood clot in his groin which he was going to have peripheral bypass for but after many DKA episodes he has lost the leg and the drs have decided to put him on a new insulin regime to avoid lows. Which they seem to think are a lot more dangerous than the highs.
Before this he was on protophane 20 units in morning, 20 units midday and 30 units nighttime. That alone is high doses in my opinion.
Now they have sent him home on 10 units in the morning and 10 units in the evening. And said IF the sugars go up above 20. Then 10 units of actrapid is the only thing we can give him.
This morning his sugars were 33.3 and after 10 units of protophane only went down to 33. So I'm baffled and we can't seem to get the sugars under control. There is no diabetic team to contact and he only has a follow up appointment in two weeks after now being discharged from the general hospital. The health care in South Africa is not what we take for granted in the U.K.
 
I'm sorry to hear of your fathers problems. I'm afraid I have no experience of his insulin regime. I believe protaphane is also known as NPH, which may ring a bell with other members, but it's not an insulin that's used very often, If at all, in the UK. I believe it is quite slow to get going, and then lasts up to 10 hours. The actrapid insulin will work much more quickly to bring levels down, did you give any of that, as advised by the hospital? If you have followed their advice, and it isn't working, all I can suggest is that you contact the hospital, being very persistent if necessary, and either get his appointment brought forward, or get some interim advice. We cannot give medical advice on this forum, only share our own experiences. I hope you can sort something out for him, and get him strong enough to travel.
 
Robin said:
I'm sorry to hear of your fathers problems. I'm afraid I have no experience of his insulin regime. I believe protaphane is also known as NPH, which may ring a bell with other members, but it's not an insulin that's used very often, If at all, in the UK. I believe it is quite slow to get going, and then lasts up to 10 hours. The actrapid insulin will work much more quickly to bring levels down, did you give any of that, as advised by the hospital? If you have followed their advice, and it isn't working, all I can suggest is that you contact the hospital, being very persistent if necessary, and either get his appointment brought forward, or get some interim advice. We cannot give medical advice on this forum, only share our own experiences. I hope you can sort something out for him, and get him strong enough to travel.
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Thank you for your advice. I was thinking of testing his sugar levels every two hours and administering 10 units of actrapid every time until the levels are below 20. But that might involve a lot of insulin.
 
karen grotz said:
Thank you for your advice. I was thinking of testing his sugar levels every two hours and administering 10 units of actrapid every time until the levels are below 20. But that might involve a lot of insulin.
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Testing every two hours is a good idea, then you can see how things are going, but, bear in mind that Actrapid takes about half an hour or so to start working, and some will still be in the system and working 4-5 hours later ( although it reaches its peak sooner) so dosing every 2 hours is risky.
 
Robin said:
Testing every two hours is a good idea, then you can see how things are going, but, bear in mind that Actrapid takes about half an hour or so to start working, and some will still be in the system and working 4-5 hours later ( although it reaches its peak sooner) so dosing every 2 hours is risky.
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You were absolutely right. I would have caused a low. Which his drs have said is more dangerous than a high
 
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