Two ER visits within two days, thanks to a severe low blood sugar and then non-budging high blood sugars.Both are enough to make anyone with diabetes cringe. This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community.
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As my endo read through the medical chart at a recent appointment, I sat there anxiously waiting for him to tell me my latest A1C. We continue roaming the planet to bring you accounts of diabetes care in various countries for our Global Diabetes series.
While I often shake my head in disbelief at these sorts of stories, we don't really know the situation. Improving your sleep quantity and quality will not only help you feel refreshed in the morning, but it can also make it easier for you to lose weight. Fiber helps you lose belly fat by keeping you full for a longer period of time, which can help you eat less.
Even if you use effective fat burner supplements, you may still struggle with belly fat if you eat a lot of sugar. Insulin is made by the islet cells located in the pancreas, and is responsible for regulating the blood sugar levels. Eating more fiber, consuming less sugar and reducing your sodium intake will help you lose fat. It is mostly prevalent in young children and teens, who must take multiple insulin injections daily to replace the insulin the body is not making.when glucose levels rise (hyperglycemia) the pancreas responds by releasing the hormone insulin to convert the excess glucose into energy for the cells to use as fuel.
From the Diabetes Community stories I've heard, opinions of medical professionals in the diabetes world, and my own experiences visiting ERs on a few occasions through my life, that is what I have come to believe.Sure, it may be more sarcastic than serious to say "the ER is trying to kill me," but there's certainly some real-world trauma weaved into that comment. It scares me to think that could happen.Meanwhile, I'm glad Mom is back home and doing better. And the main primary care doc who was caring for my mom during this second round at the hospital, he didn't see a reason for these delays either. In Type 1 diabetes there is no insulin production, thus depriving the cells of the fuel they need for proper functioning. Water helps fill you up, so you may want to consume a glass of water before a meal. Green tea has catechins.


If blood sugar levels are not brought under control, complications can occur and cause damage to the major organs of the body. But more than that, it scares me that this type of thing could happen to any of us.What Happened?First, it's important to remember that my mom has been living with type 1 since the age of five -- which means it's now about 55 years. She hasn't had an A1C above 6% in at least a decade, and from what I have seen she doesn't often go above 160 for any extended period of time.
Bananas, dark, leafy green vegetables, baked potatoes and dried apricots are all high in potassium.
She has had insulin reactions before, and they've been severe in some cases, but they typically don't last very long and we've all been able to manage them.Early on a recent Sunday morning, my didn't wake up from a hypoglycemic reaction. This is due to damage of the vagus nerve, which is responsible for moving food through the digestive tract.Persons who have been diagnosed with diabetes require specialized care to to stay in the most optimal health. He injected glucagon and got juice and glucose gel into her system, but she still wasn't responding, so he called the paramedics.
It is important to monitor daily blood glucose levels to keep them within normal limits to prevent the many complications that can occur.
They rushed her to the ER -- for what would be the initial visit of this series of mishaps.I live in another state, so I didn't get word until later that afternoon, after my parents had been camped in the hospital for about six hours.
Even though by this time my mom was awake and her blood sugars were in the high 100s to low 200s, she wasn't coming out of it. There is extra work involved as diabetics must do for their bodies what their bodies can't do. When the body ceases to make insulin, or the insulin being produced is not being used effectively, one must take over that job by closely monitoring their glucose levels and administering to the body the insulin that is lacking. There was talk of lingering hypo effects and more serious possibilities like mini-strokes, but no one had any real answers.
And then, despite her still not being back to "normal" mentally, the hospital authorities decided it was best for her to get in to see her own D-management team (affiliated with a different hospital system in the area). Be mindful of your salt intake as too much sodium in the diet can raise the blood pressure.
Consistently high blood pressure causes damage to the major organs of the body leading to added complications of diabetes.Make regular visits with your health care provider to catch any potential problems in their early stages when they are most easily treated. Her blood sugars rose gradually through the rest of that afternoon and evening, and apparently a missed meal bolus and faulty infusion set (or site) didn't register for either of my parents. Despite a correction bolus or two by pump and injection, her sugars weren't dropping and her mental state seemed (by my dad's accounts) to be getting worse.The next morning, a Tuesday, he phoned me even more worried that something more than lingering hypos were afoot.


We agreed that getting her back to the ER was likely the safest bet, and I coordinated to make an emergency trip up to Michigan from where I live in Indy.So, my mom returned to the same ER that discharged her the previous day.
Her blood sugars were in the 300s and 400s, but the hospital staff somehow failed to give her the medicine she obviously needed to help lower those numbers.
Somehow my dad's insistence and constant questioning about where the insulin doses were was simply ignored -- despite multiple doctors and nurses repeatedly claiming that the insulin was "on the way" after they looked at everything else that could possibly be wrong with my mom.
She needed a "tune up" before getting insulin, one doc apparently told my dad without really explaining what that meant.Finally, about an hour or so before I arrived on the scene after a five-hour drive from Indianapolis, my dad let loose on a doctor who was questioning why her blood sugars were still so high. WTF?!Apparently my dad's yelling did the trick, and within five minutes she had a dose of insulin injected. An hour later, her blood sugar had gone up from the high 300s into the 400s, so they shot her up with another seven units. I heard heart problems, mini-stroke, lingering lows, and other medical terms that all seemed to be logical possibilities. Some D-peeps on Twitter and email did reassure me that it could be lingering low impacts, especially for someone who's so "well-managed" most of the time.
Everyone seemed to agree that it was best for her to get to her own D-Care team ASAP, and that we could probably monitor her diabetes health better than the hospital staff could. Ya think?!Yet the hospital endo on call seemed more concerned about his own liability and monitoring every possibility, so she overruled the discharge decision. So we simply chose to leave of our own accord.All of this time while she lay in the hospital, the staff didn't reach out to my mom's actual endo for his thoughts. But because he was in a different clinical system, the hospital staff opted to rely on its own diabetes people instead.The day after her release, my mom's endo (the esteemed Dr. Fred Whitehouse who's been practicing for seven decades and actually trained with the legendary Dr. Joslin) saw her and offered his belief that the mental impact was probably the result of those crazy swings -- from below 50 for hours to more than 400 for many more hours.
Research from the ADA Scientific Sessions this past week includes one study that says severe hypos can have an effect on memory, and that's a topic I'm personally going to be looking at more closely in the future.My mom's endo and her CDE, who's also a longtime type 1, could only shake their heads about our second ER scenario, in which my mom wasn't given any insulin for hours on end. Of course, stress can sometimes temporarily elevate sugar levels and in the absence of ketones, and giving extra insulin can cause hypoglycemia."And if your mom was recently hospitalized for hypoglycemia, the ER staff may have wanted to be conservative to avoid low sugars.



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