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Hyperglycemia and DKA

My two and a half year old daughter passed away, and acute onset of diabetes is the cause we have been given for her death. There were no apparent signs until a few hours before her death. Please help us understand this.

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Recently I had my first experience with my son and DKA. He seems well and back to his old self today. He had two low blood sugar readings and two normal ketone readings today, but just now his blood sugar reading was very high and the urine ketones were large! I’ve administered the appropriate insulin, and I am hoping all will be well. Should I send him to school?

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I am a concerned mum after hearing that a year 12 student recently died from severe diabetes since I have never heard this term used before. Could you explain the differences between type 1 diabetes and severe diabetes, if there are any?

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What percentage of the population of people with diabetes gets severe DKA every year? What is the mortality rate of these patients?

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I have two children with type 1 diabetes and on insulin pumps, and the older child (now of pubertal age) seems to be more prone to ketones during illness or the occasional pump problem than the younger (pre-pubertal) child. Why is it that some children rarely get ketones when others seem to develop them quite rapidly?

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I am 46 years old, have type 1 diabetes, and I have been using a pump for four months. My blood sugar is suddenly very high even though my pump appears to be working and my routine has not changed. Is “poor site absorption” a possibility? What causes it? How do I avoid it?

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A patient’s blood sugar was 1400 mg/dl [77.8 mmol/L], but ketones were negative. How is that possible? How long does it take for ketones to spill into the urine? How long did it take for the blood sugar to reach this level?

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Can high blood sugar affect the brain in terms of judgment and impaired thought processes?

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Periodically, I have trouble with high blood sugars for two to three days before I can get them under control. I cannot determine why it happens. I get bothersome headaches with the highs and no ketones. I use an insulin pump. Do you have any advice?

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I know a three year old whose blood sugars rise during exercise, then drop. Do you have any suggestions on how to handle this?

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