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Hyperglycemia and DKA

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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How should I deal with my dawn phenomenon highs? I go low when I take more Lantus.

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Last night, I was awakened by a noise and soon had a very low blood sugar. After treating it, I was somewhat high in the morning. I was also high after lunch. Are these bouncing numbers related to my low? Could the low have been caused by the fact that I was startled?

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My dad has been admitted to the ICU in DKA after 10 years with diabetes. His blood sugar is now normal, but he is still out of it. Is that normal? Will he recover from this?

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For two years, my daughter has been hospitalized for vomiting and DKA. She often has signs of an infection, but no one can identify the infection. Is it possible the infection and her diabetes are connected somehow? What can she do to stop these episodes?

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My daughter has never had great control, even though she is on multiple daily injections. She weighs only 26 kilograms (57 pounds), seems to produce ketones really easily, and can go into DKA really fast. Could there be an underlining problem with her kidneys that is making her become dehydrated faster and produce ketones so quickly? Would a pump help?

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Scenario: my son is doing homework, he tests, is high, and we correct with insulin. Should I give him a break from homework until the correction takes effect or insist that he gets back to homework (which is not his favorite past-time even when blood glucose s are normal)?

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