this is my first post here, and i’m so glad i found you all while googling dka. i was diagnosed with type 1 about 2 1/2 years ago and have been up and down since then. i have endometriosis which has made it tricky to keep my bs low enough, but have never had moderate or high ketones, even at diagnosis when my blood sugar was 1400. several months ago i hurt my back and was put on oral steroids, which made my numbers high but not unmanagable. then i was given a steroid injection in my spine and within 3 days i was in the icu in dka. for several days i had been throwing up and feeling worse and worse and although i was having trouble controlling my blood sugar and was needing to take a lot more short acting insulin, i thought it was going ok. so when i finally dug out my ketone meter and saw it was 5.8, i was pretty freaked out.
i have been feeling better the past couple days, but yesterday i started feeling nauseaus again, so checked and my meter said the ketones were .8. by the time i went to bed it was up to 1.3. i took extra humalog and drank a ton of water. this morning i was back to feeling very lethargic and slept most of the day, barely eating, and so my blood sugar was fine at 126, but my ketones were up to 3.2!
since i’ve never had to worry about them, i don’t really know what i’m doing now. i have an appt. with my endo tomorrow and am worried she will admitt me again.
i know that in the hospital i was given dextrose along with iv insulin, but am not sure how to handle needing to take extra humalog to lower the ketones without having very high blood sugar at home. if i eat in order to take the extra insulin, how do i figure out how much to take for the ketones and how much to take just to cover what i am eating? (and if i take insulin to cover what i’m eating, will that then not get used to lower the ketones?)
sorry for these crazy questions and if i’m not making too much sense… just so confused!