Back to Ask the Diabetes Team Ask the Diabetes Team

From Lincoln Park, Michigan, USA:

My cousin and I both have type 1 diabetes and have recently started using insulin pumps. Last weekend, my cousin ran out of insulin and didn't bother to fill his prescription right away. He said he got "busy" and went to bed without reinserting his pump. On Monday he, of course, woke up very high, but still didn't reinsert (He said because he was too tired; in other words, his sugar was so high he'd become quite lethargic and decided to sleep more instead). That evening he did finally call his parents to take him to the emergency room.

Once he was there, it was determined that he was in DKA and had to be admitted. My aunt told me the ER doctor told my cousin it was actually a good thing he hadn't reinserted Monday morning. Why? I thought it would've been better for him to at the very least reinsert if not accompanied that with an injection for correction depending on his correction scale and so forth. I know they gave him an insulin drip but still, wouldn't it have been better for him to have at least attempted some correction at home?


You are right, and the report from the doctor is probably not a correct report. Any insulin when in DKA [diabetic ketoacidosis] would be helpful. Your cousin was very lucky since not taking insulin with DKA beginning is extremely dangerous. People die during episodes of DKA so it should always be taken very seriously.

When using an insulin pump, running out of insulin, insulin clogs in the tubing or pump malfunctions are usually the culprit. Any illness can be associated with the need for more insulin so that not testing means that one does not have the chance to recognize the situation is getting worse. Not testing for ketones (urine and/or blood ketones) is also part of this same problem.


Original posting 5 Jun 2002
Posted to Hyperglycemia and DKA and Insulin Pumps


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:34
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.