Thursday, October 27, 2005

52 mg/dl and Ketones.

I read Teks' post tonight and felt very overwhelmed. Maybe that's the theme of the O.C. of late.

It's been a difficult 24 hours out here in Rhode Island, medically speaking. I've been sporting moderate ketones for the better part of a day now. Changed the infusion set twice. Injected via syringe once. Haven't eaten much due to fear of high bloodsugars. Actually called out of work today because of the ketone issue and my need to be focused and constantly hydrated.

Feeling exhausted.

Wondering how many times I can test for ketones over the course of a day and still be surprised at the dark pink appearance on the urinalysis strip. Wondering if it was being disconnected from the pump while I was at the gym yesterday that did it. Wondering if it was the combination of a potentially kinked pump cannula and a maybe partially spoiled bottle of insulin that started this chaos. Wondering if I can afford wasting all these test strips, infusion sets, insulin units, and days off from work. Wondering if I will always be working for medical insurance instead of for the love of the job. Wondering if writing this book will bring me peace or make me sad. Wondering how much patience we are allowed per day, and if I've just now reached my cap.

At one point this morning, I was at a bloodsugar of 52 mg/dl and sporting small ketones. Too much insulin after that Rage Bolus, not enough hydration to have flushed out the ketones. Strange feeling, that one, to be dizzy and shaky from the lack of sugar but aching and lethargic from its excess.

My body must be confused. I know I am.

Tomorrow is another try at this. So is the day after. And the day after that.


At October 28, 2005 5:31 AM, Anonymous Anonymous said...

Hi Kerri,

You must eat. If you don't eat, you'll never get rid of the ketones. Remember that ketones are a by-product of fat being burned. If you don't feed your body with carbs, it will continue to burn fat instead and you'll continue to spill ketones. Even non-D's get ketones for this reason.

Ketones can actually be kicked off by an unrecognised hypo at night, because this can also lead to fat being burnt.

Stick with it, I've been in your shoes too many times to count!

At October 28, 2005 7:14 AM, Blogger Johnboy said...

Kerri, I am sorry to hear that you are having this issue. I have not had this problem to date, but after checking around the Internet, it seeems that the previous post contains some relevant info.

Hang in there, Kerri! The O.C. wants you to feel better soon.

At October 28, 2005 1:03 PM, Blogger melissa said...

I will tell you that I have been where you are & it sucks and yes, you should eat and then simply offer you one of my favorite quotes "this too, shall pass" The ketones, not the diabetes which we all wish would simply go away. For good.

At October 28, 2005 1:51 PM, Blogger julia said...

Eat and dose, eat and dose. You generally need 1.5x the amount of insulin you'd usually take in order to get rid of ketones. Lots of water, too.

At October 28, 2005 2:26 PM, Blogger Sandra Miller said...


I really can't add anything more to the excellent suggestions already given... except to say, I'm thinking about you, and hoping you'll get through this soon.

Hang in there, and know that the O.C. is hanging in there right with you.

At October 28, 2005 2:33 PM, Anonymous AmyT said...

A couple of things:

1) Congrats on the book. Can you give us details? Who's your publisher? When will it come out? Is it a guidebook or more of a lifestyle thing?

2) Rage bolus. You have defined one of my biggest frustrations. Thanks. But aaaargh.

3) I had more bad D-days this month than ever since diagnosis. When will it ever stop? I guess it just gets worse, ay? I don't want to be ANGRY, but I am.

So in summary: you say it so well...

At October 28, 2005 3:05 PM, Blogger Jamie said...

Kerri - sounds like you have some great suggestions in here. Have you had this happen to you before? Does it just happen out of the blue or are you sick right now? We haven't had to deal with this yet with Dani, so it's all new to me and I'm trying to learn from others experiences.

Please know I'm thinking about you and hope you get this all cleared up soon so you feel better.

At October 28, 2005 4:02 PM, Blogger d double e said...

Its the freaking "D.O.C."

Kerri. Clifford Noodle Soup.. and don't roll your eyes or I'll sic your mom on you.


At October 28, 2005 4:23 PM, Blogger Kerri. said...

"Clifford" Noodle Soup? I have never heard of such a thing. Is that a B delicasy?

And I called my mom yesterday to tell her what the deal was. She made me feel better.

Thanks... :)

At October 28, 2005 4:24 PM, Blogger Kerri. said...

I spelled "delicacy" wrong. Shame on me.

At October 28, 2005 6:12 PM, Anonymous Anonymous said...

Thinking of you

- Laura

At October 29, 2005 10:33 AM, Blogger Martha O'Connor said...

"Eat and dose, eat and dose. You generally need 1.5x the amount of insulin you'd usually take in order to get rid of ketones. Lots of water, too."

Julia's on the money. You need insulin to get rid of the ketones. If you start throwing up, call your endo on the pager right away. {{{hugs}}}

At October 29, 2005 8:59 PM, Blogger Kerri. said...

Update: The ketones are history. They've been blasted out by the combination therapy of insulin, little snacks, and the seemingly endless patience of The Boy. I just needed to relax, focus, and follow through.

Thanks for checking in on me and offering up the helpful advice.

All Hail the O.C.!

At October 30, 2005 11:21 PM, Blogger julia said...

Glad you're feeling better. Ketones suck ass.

At November 18, 2005 1:15 PM, Blogger Warwriter said...

Hi, Kerri,

Type II, 3 year diagnosed diabetic here in RI; however in so much denial that I mess up my meds so much that I'm probably really in trouble. Blood sugar level? Beats me - haven't tested in months, though I got all the tools. What's ketones? Why should I worry? I take insulin - sometimes. I have five pills but sometimes I take two of them, sometimes three, hardly ever all 5. I blow off the doctor visits because I don't want them to say "You need to take insulin 3x a day".

Yes, I've seen what it did to my mother (juvenile diabetic, died at 52 of a heart attack). I see what it's done to a friend of mine (neuropathy in her legs and feet, now she can't walk without assistance). I suspect it's hitting me too (My pinky finger is perpetually numb and my finger tips are pins-and-needley).

Denial. It's not just a river in Egypt.

At August 22, 2009 8:31 PM, Anonymous Anonymous said...


To get rid of ketones, you must drink plenty of water or clear fluids. I recommend drinking Smartwater because the electrolytes will keep you hydrated while the water will help rid your system of the ketones. It is important to eat to keep your energy up and to help your body get rid of the ketones, but you should not eat foods with too much sugar or too many carbohydrates. Eating cheese, low-carb yogurt, sugar-free jello and other low-carb, low-sugar products will work. Also, if you begin to feel weak, you should drink Pedialyte with the water. Drink one cup of Pedialyte after every three cups of water. This will keep you hydrated and will keep you from losing energy.

Dr. S. McGavock


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