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Treating ketones while sick.

Discussion in 'Parents of Children with Type 1' started by myshell, Nov 10, 2014.

  1. myshell

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    My son has been sick for almost a week. He is on antibiotics. We have been in touch with his endo. His fever is gone, BG back within range. This morning ketones were small. He has been drinking some water. He tested about 20 minutes ago and now his ketones show moderate. I cant give insulin at this time because I am afraid his bg will go low. What do I do?
     
  2. Sarah Maddie's Mom

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    Is he eating?
     
  3. dpr

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    If he can hold some thing down try Gatorade with some insulin. If his stomach is a bit queasy maybe some regular ginger ale.
     
  4. Megnyc

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    How does he feel? Does he have a stomachache? If he feels fine, personally I would be less concerned than if he still feels sick. You could try some sprite or ginger ale and give insulin with that if he can keep it down. Also, keep in mind the urine ketone sticks are telling you what was going on 2-4 hours ago.
     
  5. myshell

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    He is eating very little. now I just took his temp. It is 100.4. I have him drinking a lot of water. I didn't know the ketone sticks represent 2 to 4 hours previous.
     
  6. wilf

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    You need to get something carby into him, so you can give insulin to cover the carbs and bring down the ketones. Popsicles, tea with honey, flat ginger ale (stirred to take out the fizz) are all carby and also easy on the stomach. :)
     
  7. myshell

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    Last year he had the flu and was better in one week. Is there something else I should be doing or checking? He eats half of an almond butter sandwich whenever he takes medicine. He was drinking ensure and eating yogurt but the nurse said dairy isn't good for his stomach right now. He is a very picky eater and his throat hurts.
     
  8. Sarah Maddie's Mom

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    My money is on starvation ketones which will clear as he begins to eat again. As for the duration, it just sounds like a particularly nasty bug that is taking time to shake. I'd also steer clear of dairy for now and push clear fluids and BRAT foods. Good luck!
     
  9. myshell

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    Thank you.
     
  10. wilf

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    Tea with lemon juice and honey is good for a sore throat and gets some carbs into him.. :cwds:
     
  11. Lori_Gaines

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    We learned at camp (and have also been told by our endo) to give mini doses of glucagon in cases like this. One unit per year of age up to age 15 (after that it is just 15 units). I wish I had had this info last year when my daughter had a horrible stomach virus. It would have probably kept us out of the ER.
     
  12. wilf

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    I don't think this is a mini-glucagon type of situation.
     
  13. Lori_Gaines

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    Maybe I misread the OP, but I thought it was stated that the CWD was presenting ketones but not able to get the BG up enough to give enough insulin to help get rid of the ketones.
     
  14. mmgirls

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    maybe large sustained ketones and low bg?
     
  15. wilf

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    I don't get the impression they've been trying too hard with the carbs, and I also don't get the impression that the ketones are in the danger zone. :cwds:
     
  16. Lori_Gaines

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    Ahhhhh true story. When we went through this last year, she had large ketones for hours that we could not get rid of. I am still traumatized lol.
     
  17. wilf

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    That's awfully scary. We've used miniglucagon once in that sort of situation - it worked like a charm.
     
  18. mmgirls

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    I still have not done a Mini-glucagon, but almost did with a strong antibiotic induced absorption problem that came out of no where. And again when I felt uneasy with giving insulin with normal BG but high ketones, but made it thru.
     

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