What Is Constant Diarrhea A Sign Of In Elderly Aug 26 2015 nbsp 0183 32 This guideline covers care and treatment for adults aged 18 and over with type 1 diabetes It includes advice on diagnosis education and support blood glucose management
Always consider DKA but raised ketones can simply be a sign of acute illness and highlights the need for an urgent medical review This information explains sick day rules ketone testing and illness management
What Is Constant Diarrhea A Sign Of In Elderly
What Is Constant Diarrhea A Sign Of In Elderly
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If you have type 1 diabetes you should get a blood ketone monitor for free from the NHS If you have high ketone levels in your blood and suspect DKA you should get medical help straight Give a dose of long acting insulin to prevent rebound hyperglycaemia when DKA has resolved and the fixed rate intravenous insulin infusion FRIII is stopped Continue long acting basal
Consider causes e g sepsis steroids nutritional supplements Usually no need for correction dose aim to increase usual doses of insulin If CBG gt 20mmol L on 2 or more measurements DON T RESTART CLOSED LOOP AUTOMATED MODE and ketones every 2 hours Use Sip sugar free fluids at least 100 ml hour Ketones 1 5 to 3 0 mmol L Give 10 TDD as bolus
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Give insulin correction every 2 3 hours if glucose above target Repeat glucose and ketone levels 2 hours after giving insulin Check glucose more frequently e g every 2 hours including Check your blood glucose level every 2 4 hours Check for ketones using a ketone meter or urine ketone strips Drink plenty of fluids such as water sports drink or broth diet or regular
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