Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
May 17, 2003
Hyperglycemia and DKA
Question from :
My stepson, just diagnosed with type 1 diabetes, had been running a high fever that later was to be a sinus infection and his blood sugar was labile. They released him from the hospital, and he has been eating the carbs that he is allowed, but ever since he got home, he has been around 260-280 mg/dl [14.4-15.6 mmol/L]. They just put him on a routine the night before so he was eating regular until then, and he has been very tired. Could being back home and the stress from the parents being nervous have an effect on this?
This is a period when you have a particular need to be in very close touch with your stepson’s diabetic team either by telephone, e-mail or fax. The inevitable delays in turnaround make the Internet unsatisfactory for urgent decisions. However, I think that you can do a lot to reinforce your confidence in management by reading one of a number of texts.
Additional comments from Dr. Stuart Brink:
It sounds like he is not yet getting sufficient insulin dosage. His parents should be calling his diabetes team pretty regularly to report to them so that they can help make further adjustments. Sometimes takes a few weeks to “get” the correct insulin dosage shortly after diagnosis but lots of blood glucose testing and staying in close contact with the team will help to bring these high values in better range.