OwlGirl
10-29-2006, 11:54 PM
Okay, this may seem like a strange question, but it's the world we've been living in for the past week. My DH was hospitalized in ketosis and we were told he was on his way into DKA (the acetone titer was positive on admittance), but that it was NOT from blood sugars. His blood sugar the night before was 80 and then 117 and on admittance was 241.
The night before he began to get sick but thought it was something that he ate. That morning he is violently ill and goes straight to the er. They run all of these blood tests and determine that he is in ketosis and that he needs to be rehydrated (this is also when they run the acetone titer). They tell us that they are concerned that he will go into DKA so they have to get sugar and insulin into him. A few hours go by, they give him 2 small bottles of gatorade, a couple more hours go by and they try to get him to eat. He never does and throws up the gatorade he had before. They rerun his bloodwork and say that he's getting worse and has to be admitted to intensive care to prevent full-blown DKA.
His doctors there and his endo back home (yes, we were out of town during this!) all agree that this is NOT from blood sugars out of control (plus, he'd spent the entire 4 days before anywhere from 75 to 165, so really doing very well). His b/s' are typically very good anyway and we had no reason to suspect this.
They tested for a heart attack, a pulmonary embolism, etc. before they finally let us leave and get on a plane for home. He was in the hospital for 3 days and they don't know what caused it. His endo at home is very concerned because he says it makes no sense. He ran even more tests and we should hear back from them tomorrow.
One strange thing, his blood calcium is low. It was on the low range of normal when he arrived in the er and then dropped at the next test (right before admittance) and was very low for every test after that. They had been worried about kidney function, but it seemed okay. He did have a mildly elevated D-dimer, but the ct scan ruled out an embolism.
Has anyone here seen anything like this before? The dr's are stumped and are hoping that the blood work will tell us more.
The night before he began to get sick but thought it was something that he ate. That morning he is violently ill and goes straight to the er. They run all of these blood tests and determine that he is in ketosis and that he needs to be rehydrated (this is also when they run the acetone titer). They tell us that they are concerned that he will go into DKA so they have to get sugar and insulin into him. A few hours go by, they give him 2 small bottles of gatorade, a couple more hours go by and they try to get him to eat. He never does and throws up the gatorade he had before. They rerun his bloodwork and say that he's getting worse and has to be admitted to intensive care to prevent full-blown DKA.
His doctors there and his endo back home (yes, we were out of town during this!) all agree that this is NOT from blood sugars out of control (plus, he'd spent the entire 4 days before anywhere from 75 to 165, so really doing very well). His b/s' are typically very good anyway and we had no reason to suspect this.
They tested for a heart attack, a pulmonary embolism, etc. before they finally let us leave and get on a plane for home. He was in the hospital for 3 days and they don't know what caused it. His endo at home is very concerned because he says it makes no sense. He ran even more tests and we should hear back from them tomorrow.
One strange thing, his blood calcium is low. It was on the low range of normal when he arrived in the er and then dropped at the next test (right before admittance) and was very low for every test after that. They had been worried about kidney function, but it seemed okay. He did have a mildly elevated D-dimer, but the ct scan ruled out an embolism.
Has anyone here seen anything like this before? The dr's are stumped and are hoping that the blood work will tell us more.