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Old 09-30-2008, 01:17 PM   #1
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Question insulin shots

My mom was on 47 units at home and on mediform but when she got tohe hospital they didnt have mediforim and they dont give her they same units of insulin can anyone tell me why

 
Old 09-30-2008, 01:53 PM   #2
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Re: insulin shots

Diabetes, especially T2 diabetes, is often managed differently in the hospital than at home. For example, most people on oral medications only get treated with insulin while in the hospital; many hospitals treat with NPH and Regular, or Regular only. When you say your mother was on 47 units of insulin...what type of insulin? They may have switched insulins to achieve better coverage while in the hospital.

Ruth

 
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Old 09-30-2008, 05:03 PM   #3
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Re: insulin shots

Hi Ruth,
I know at home the name of insulin was Lantus her poor legs are so big
from retaining fluid. And the stent they put in kills her too. Could she live with one kidney?????

Last edited by lizsweatpea44; 09-30-2008 at 05:14 PM. Reason: added on more?

 
Old 09-30-2008, 09:18 PM   #4
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Re: insulin shots

Okay...if she was taking Lantus at home, they may have switched her to NPH and Regular at the hospital. She probably wasn't on the correct regimen for her diabetes anyway...if she had to take 47 units of Lantus daily, then she probably should have been on less Lantus, but combined with some rapid-acting insulin before each meal. Metformin is probably not helping her any more.

As for kidneys, yes, you absolutely can live a full and healthy life with only one kidney. I know you wrote another thread about her health problems, but I don't remember what you said about her kidneys. If she has something going on with only one kidney (like cysts, nephrosis, tumor, whatever) and her overall kidney function is good, they could take out the one bad kidney and she'd be fine.

Ruth

 
Old 10-02-2008, 09:16 PM   #5
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Re: insulin shots

She gets two shots a day today her level was 320 from 90 and when she was on the medformin it never got that high

 
Old 10-03-2008, 05:26 AM   #6
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Re: insulin shots

Quote:
Originally Posted by lizsweatpea44 View Post
She gets two shots a day today her level was 320 from 90 and when she was on the medformin it never got that high
her sugars are high because of 2 possibilities
1) her body is not producing enough insulin
2) she is insulin resistant and her body is not using the insulin efficiently

if it was #2, would insulin injections even help ?

met helps #2. insulin helps #1. Met was better for her...

I don't know....but if Met was helping and insulin isn't....doesn't that kind of point to #2.

It would be interesting to hear from insulin resistant people on insulin injections.

 
Old 10-03-2008, 11:02 AM   #7
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Re: insulin shots

First of all, while people who are insulin resistant do produce some insulin, for them it takes 2-3 times as much insulin to utilize glucose, so added insulin definitely DOES help. And it's impossible to tell, without some specialized tests, exactly how much insulin a person with T2 is still producing and worse...it's truly impossible to tell exactly HOW MUCH insulin they need in order to utilize glucose. But Type 2 very easily can be, and often is, managed by using insulin instead of oral medications, especially after several years, by which time they're probably not producing enough insulin so the metformin doesn't help as much.

As for why her numbers are so high now, that's very hard to tell given the limited amount of information we have. Stress on the body from illness can absolutely make blood sugar levels go up. Kidney disease also affects blood sugar levels. If she's on prednisone, that would affect it, too.

Liz, I don't know exactly what you mean by "today her level was 320 from 90"...does that mean that her lowest bg of the day was 90 and her highest was 320? If so, then they are not managing her correctly with whatever type of insulin they're giving her. That's another bit of information that would help...exactly what type of insulin are they using?

Ruth

 
Old 10-03-2008, 08:47 PM   #8
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Unhappy Re: insulin shots

I will find out from my dad what type of insulin they are using I have a feeling that they are not managing it right. She was admitted into the hospital on Aug 31, where she almost died being septic. She has been in rehap now for two weeks staight from the hospital. They had to put in another pic line in,
I am getting so scarred for her I wish I understood about this disease but I know nothing. I wish i could talk to a dr or someone to understand why she is not getting better. Or why cant they just take out the bad kidney with the stent in it so she wont be in so much pain, She was crying on the phone to me today because she doesnt get why she isnt getting better either and I am very . I pray every night for a miracle for her.she could use an watching over her too.

 
Old 10-05-2008, 05:08 PM   #9
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Unhappy Re: insulin shots

She is getting anolog insulin but she got admiited into the hospital today she
turned sepis from her UTI infection.

 
Old 10-10-2008, 11:29 AM   #10
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Re: insulin shots

My mother is type 2. Long story. She has been in ER four times since the beginning of September.

first time: complained of stomach feeling 'raw,' light-headed, black stool, no appetite, very weak. Her oncologist told her she was dehydrated and should go to hospital. I called her primary who said 'if she goes in, it will be for a 24 hour iv fluid.' Took her in. Day they were supposed to release her her hemocratit was 24. Did a scope to her intestines (a colonoscopy done a few weeks back was normal). they found a dieulafoy's lesion and a blood clot in her small intestine. They injected the lesion with medication because it was infected. Cauterized it. Removed the blood clot.

second time: still not feeling well. while in ER this time and then admitted, they had nitro patches on for very high blood pressure. Ranged from 275/102, 245/98. Put in a cathedar so she wouldn't have to get up. basically started her on anxiety pills and discharged her. they did do another scope to make sure she wasn't bleeding. also had echo of heart, ct scan which came back fine.

third time: She broke her wrist! just getting out of bed. By this time her anxiety and feeling like she was going to jump out of her skin was real bad. She got worse each day every time she was in the hospital. They put her from ER to EOU (emergency observation unit). Had a psychiatrist see her who adjusted her meds. told us to see a neurologist for her dizzyiness. They found that she had a UTI - from the cathedar at last visit. Started on iv antibiotics every 12 hours and oral. When they wanted to discharge her, we said there is something wrong. They kept saying 'see a psychiatrist' because my mother was so agitated and crying a lot. She would say 'I just want to go to sleep and wake up and be better.' She asked us, as your mom asked you 'when will I be better?' Thankfully my sis from out of state was able to extend her stay to help.

at home: after my sis brought mom home, she gave her the nightly insulin. About an hour later, my mom convulsed. thrashed her arms and legs uncontrollably and whole body shaking violently. Very cold sweat, extreme distress and crying. Sis checked her blood sugar - it was 20! Mind you, mom has a history of getting low bs which she corrected by eating. But she never felt it. This time she did. Sis called aunt who is a visiting diabetic nurse who told her to give her orange juice immediately. They gave her milk and a peanut butter sandwich. sugar went to 220.

From this reaction we concluded that each time mom was in hospital they gave her multiple insulin shots. we are trying to find out exactly how much. We are also going to ask why EOU does not recognize the signs of insulin overdose. which are anxiety, tremors, crying, jumpy feeling.

Next day they called primary who said to cut insulin in half. I should tell you what she was on. Levemir 20 units at night. That night an hour and a half after giving mom insulin, she convulsed again! Fixed it again with food. Went to see the primary who non-chalantly said 'take her off completely.' this was a Friday and we were able to see a diabetic doctor the next Monday. He switched mom to novilin (?). She had to test before each meal. and an epy pen if she got too low. sis had to give her insulin at lunch and dinner. Just a little while after giving it to her, she convulsed and threw up. sis got epy pen and put it in her thigh and called 911.

fourth time: in ER they monitored her and she was actually doing ok. ER doctor admitted her because her heart rate dropped to 35. They were supposed to get all mom's doctors together to figure out what happened. sis thought she gave mom too much insulin since she reacted as she did before when having too much although worse. Turns out at 2am her bs was 319. They determined it was a bad reaction to the new insulin - humulog.

I could go on but the point is, maybe your mother is getting too much insulin. If she is crying like that and anxious, it could be.
If she has decreased kidney function, the insulin is not filtered out as quick.

Mom is home now and going back to the diabetes doc. Don't know what they'll try next but this is very scary stuff.

good luck with your mom. ask how much insulin she was given and if they think it might be insulin shock.
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Old 10-30-2008, 01:34 PM   #11
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Re: insulin shots

Thanks Sawbuck44 soryy I didnt get back to you I was down in florida with my mom she was in the hospital again. She had a drain in her stomache this time for her infection. The day I flew back home the took the drain out and she was sent to rehab again and now 2 days I have been home she is back in hosital with 2 drains in her belly. And a catherdur so my mom is a mess. she has had I dont know how many cat scans for cellulitis I never heard of that,
I never had cts for cellulitias ever just IV antibiotics.

 
Old 10-31-2008, 06:16 AM   #12
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Re: insulin shots

My husband was in the hospital for cellulitis. He never let on how serious it was. It was January 1, 2000. Our sons were very young and I was home alone with them. He was in the hospital for 7 days on iv antibiotics!

It is so frustrating to realize that some of the health issues your mom is experiencing are possibly from just being in the hospital. At one of the times mom was in ER, a doctor told us that they donít like keeping people in the hospital very long because of infections. Wow, eye-opening to say the least. She got different insulin at different intervals when she was in the hospital. Iíd like to see the records to see just how much and what kind.

Too bad we canít exchange personal info. My sister lives in Palm Bay, Florida and is certified in CPR and has cared for elderly in their homes. She is looking for another person to care for. Iím sure your dad is doing okay though. My mom is at home alone and has in-home care come two hours every day. She also has a visiting nurse and physical therapist.

We started taking mom to a diabetes specialist and it has made a world of difference. Her primary had stopped the levemir. So the diabetes doc put her on novalog with a sliding scale. She has to test before each meal so the figure *****ing increased. No fun there. She is finally looking better. I believe that too much insulin over a longer period of time takes a toll on you and it seemed to take a month off of the long-acting levemir to get better. Besides the crying and Ďwhen is it going to get betterÖI pray every night that when I wake up Iíll feel better and I donít.í So sad and hard to hear. You and your family are in my prayers.

I looked this up for you. CT scans are commonly done for cellulitis.
computed tomography scan (Also called a CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays. The extent of the infection is detected by performing a CT scan.

Take Care
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If you open the door even a little bit - the devil will fling it open. Keep it closed with prayer.

Last edited by sawbuck44; 10-31-2008 at 06:18 AM.

 
Old 11-02-2008, 12:34 PM   #13
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Re: insulin shots

Today my mom try to walk the hall she had to stop they checked her blood sugar level it was all the way up to 400 it was never that high in her life. it was early in the am they check it 3 times a day so how can it get this high???
I am so confused and scared I wished I could get emails from people that would be so much more helpful but i no rules are rules. thanks sawbucket

 
Old 11-10-2008, 10:47 AM   #14
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Re: insulin shots

Quote:
Originally Posted by lizsweatpea44 View Post
Today my mom try to walk the hall she had to stop they checked her blood sugar level it was all the way up to 400 it was never that high in her life. it was early in the am they check it 3 times a day so how can it get this high???
I am so confused and scared I wished I could get emails from people that would be so much more helpful but i no rules are rules. thanks sawbucket
Early AM readings (may) he elevated due the 'dawn' effect that occurs at 3am. The liver will release glucose at that time and it could somewhat be a casual effect however, you fail to mention food intake in particular "carbs". A 400 reading is high and insulin is needed. Only a doctor can guide you on this matter as it is the simple solutions that get us into trouble. Reply if you want more info but include more information.

 
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