icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
CWD Answers Archives

Review the entire archive according to the date it was posted.

CWD_Answers_Icon
May 18, 2005

Hyperglycemia and DKA, Insulin Analogs

advertisement
Question from Verona, New Jersey, USA:

Just before bed, my daughter had a blood glucose of 325 mg/dl [18.1 mmol/L] this evening. She had her Lantus and a small low carbohydrate meal. She appears to be getting a cold. She has a stuffy nose and some coughing. Should she have been given another shot of the short-acting insulin and then her long-acting insulin or should she have been given the long-acting insulin, then checked in an hour? She takes Lantus and Humalog.

Answer:

From: DTeam Staff

Our recommendation in such circumstances would be to check for urinary ketones and, if moderately or strongly positive, a “sick day” bolus of fast-acting insulin, such as. Humalog, should be given. Your diabetes team can advise you about the appropriate dose, but a safe rule of thumb is a seventh of the total daily insulin dose.

KJR