 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Diabetes / August 2007Crashed in the hospital
My wife just got out of the hospital from a routine minor surgery, one-night stay for a bladder repair. But I've come to discover that nothing is routine when you're diabetic. They told her nothing to eat or drink and no insulin after midnight the night before. She was concerned that if her BG was low in the morning, she'd need to eat or drink something to get it up and that would cancel the surgery. So she erred on the high side. Prior to surgery she was at 261. The anesthesiologist gave 8 units of insulin -- WAY too much. Had she taken it herself, she would have done 2. She got through the surgery OK, but crashed in the recovery room. Her BG was down to 21. Convulsions, completely unconscious, sweating profusely. Fortunately the recovery staff caught it quick & gave dextrose through the IV. It dropped again later & was in the 30's (she was conscious but felt low) until they finally decided she could eat something. What should we have done differently? We told just about everyone we talked to about her diabetes, and still the thing I feared most happened. Actually my worse fear was that she would crash during the surgery. In spite of knowing that she hadn't eaten and had received a large dose of insulin, they did not test her blood sugar during the 1-hour surgery. At least it ended well. She stayed longer in recover than expected, but still went home as scheduled and is now at home & doing well. Thanks for listening --Doug On Aug 9, 2:02 pm, "Doug" <dougATloweNOSPAMwriterDOTyou-know-what> wrote: > My wife just got out of the hospital from a routine minor surgery, one-night > stay for a bladder repair. But I've come to discover that nothing is routine [quoted text clipped - 23 lines] > > Thanks for listening You're right, the "worst fear" for my comparatively minor surgeries was just what happened to your wife. I remember when I had my wisdom teeth out and the doc recommended "better sweet than sour" with respect to bg's. The one thing I'd recommend is that all insulin/bg regulation actions be done either with the patient knowing what's going on, or under good, prior-established guidelines from the endo. With very wide degrees of insulin sensitivity and insulin resistance out there it is impossible to make a rule be one-size-fits-all. There have been a large number of articles (both here and in the press) about the importance of regulating bg's while in the hospital or recovering. But very very very few of these articles worry about hypos the way that I worry about hypos all the time. I fear that some of the attention these articles receive may result in more rather than fewer situations like had happen to your wife and that I fear. Tim. > My wife just got out of the hospital from a routine minor surgery, one-night > stay for a bladder repair. But I've come to discover that nothing is routine [quoted text clipped - 25 lines] > > --Doug 8 units? I'm aghast! 8 units would drop me (a *very* average T1) 400 points. If she uses basal insulin, there would have been some of that hanging around in the background even if the shot before surgery was omitted. I'd consult a lawyer. At the very least, your wife should get what happened to her 'on the record' somewhere other than Usenet. Frequent severe hypoglycemia can lead to hypo unawareness. The person that authorized the 8 units needs basic insulin education immediately. Threat of a lawsuit would help to ensure this person does not endanger others. Vicki My sympathies, Doug .. you must have ben terribly worried. But you see, it wouldn't have happend here where I live. Before surgery of any significance, we have an interview with the surgeon and with the anaesthet., We can talk as long as we like about any aspect of the procedure so I would certainly have brought up the subject of dosage. I really hope your wife has recuperated now and received most humble apologies from the anaesthetologist. "Doug" <dougATloweNOSPAMwriterDOTyou-know-what> a écrit ... > My wife just got out of the hospital from a routine minor surgery, > one-night stay for a bladder repair. But I've come to discover that [quoted text clipped - 25 lines] > > --Doug > My wife just got out of the hospital from a routine minor surgery, one-night > stay for a bladder repair. But I've come to discover that nothing is routine [quoted text clipped - 4 lines] > need to eat or drink something to get it up and that would cancel the > surgery. So she erred on the high side. This was the appropriate thing to do. > Prior to surgery she was at 261. The > anesthesiologist gave 8 units of insulin -- WAY too much. Had she taken it > herself, she would have done 2. Standard insulin sliding scale protocol would have been 4 units for someone eating. For someone who is not eating, we would typically half the usual (ie 2 units only). > She got through the surgery OK, but crashed in the recovery room. Not surprisingly. > Her BG was down to 21. Sad to read about this. > Convulsions, completely unconscious, sweating profusely. The brain absolutely requires glucose to function normally. > Fortunately the recovery staff caught it quick & gave dextrose through the > IV. It dropped again later & was in the 30's (she was conscious but felt > low) until they finally decided she could eat something. > > What should we have done differently? It seems there was nothing you did wrong. > We told just about everyone we talked > to about her diabetes, and still the thing I feared most happened. Actually > my worse fear was that she would crash during the surgery. It is possible that in talking with everyone about your wife's diabetes, you inadvertantly conveyed the desire for tight BG control during surgery. Tight BG control does increase the risk of hypoglycemia. > In spite of > knowing that she hadn't eaten and had received a large dose of insulin, they > did not test her blood sugar during the 1-hour surgery. It is not standard practice to test blood glucose during surgery nor should it become standard practice. Instead, greater care should be taken to avoid hypoglycemia perioperatively. > At least it ended well. She stayed longer in recover than expected, but > still went home as scheduled and is now at home & doing well. You both have been blessed. Without HIS blessing, your wife would not have fared as well. > Thanks for listening You are welcome. Thanks be to GOD. Be hungry... be healthy... be blessed: http://TheWellnessFoundation.com/press.asp Prayerfully in Jesus' awesome love, Andrew <>< -- Andrew B. Chung, MD/PhD Cardiologist On Aug 9, 3:54 pm, "Andrew B. Chung, MD/PhD" <and...@emorycardiology.com> wrote: > > In spite of > > knowing that she hadn't eaten and had received a large dose of insulin, they [quoted text clipped - 3 lines] > should it become standard practice. Instead, greater care should be > taken to avoid hypoglycemia perioperatively. If they just administered insulin, they damn well better check bg's. May not be "standard practice" - for my minor surgeries (one under general anasthesia) I did the bg tests myself. Doug's post gets to a good point - anasthesiologists are not endos. Surgeons are not endos. My endo didn't pull my wisdom teeth, and he didn't do my vasectomy. Tim. >On Aug 9, 3:54 pm, "Andrew B. Chung, MD/PhD" ><and...@emorycardiology.com> wrote: [quoted text clipped - 14 lines] > >Tim. this is merely evidence why chung is known as a troll and a nutter. his knowledge of diabetes is what he misunderstood when reading google.  SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . > Andrew in the Holy Spirit, boldly wrote: > [quoted text clipped - 7 lines] > > If they just administered insulin, they damn well better check bg's. It would be wiser for an anesthesiologist to not administer insulin pre-operatively. > May not be "standard practice" - for my minor surgeries (one under > general anasthesia) I did the bg tests myself. It is unlikely that you were able to do your own BG test during your own surgery while under general anesthesia :-) > Doug's post gets to a > good point - anasthesiologists are not endos. Surgeons are not endos. > My endo didn't pull my wisdom teeth, and he didn't do my vasectomy. It remains wiser to simply not receive insulin while not taking anything by mouth (ie around the time of surgery). Be hungry... be healthy... be blessed: http://TheWellnessFoundation.com/press.asp Prayerfully in Jesus' awesome love, Andrew <>< -- Andrew B. Chung, MD/PhD Cardiologist Thanks so much for your response (and all the others)! We have no doubt that she is and has been under God's care through this. >> She got through the surgery OK, but crashed in the recovery room. > Not surprisingly. Can you elaborate on this? We were surprised that the crash didn't happen during the surgery, just based on the timing. She thinks had she given herself that much insulin w/o the surgery, she would have crashed within an hour. --Doug On Aug 9, 4:19 pm, "Doug" <dougATloweNOSPAMwriterDOTyou-know-what> wrote: > Thanks so much for your response (and all the others)! We have no doubt that > she is and has been under God's care through this. [quoted text clipped - 6 lines] > herself that much insulin w/o the surgery, she would have crashed within an > hour. With humalog or novalog, you would have a major kick within the hour continuing on for the next hour or two. With regular insulin, no, it would just begin to show an effect inside the hour. Was the insulin just given subcutaneously or was it IV insulin? Do you know if it was regular, novalog, humalog, ??? Tim. That explains it. This was regular insulin, given by injection just a few minutes before the anesthesia. Debbie normally uses humalog, and Byetta. > On Aug 9, 4:19 pm, "Doug" <dougATloweNOSPAMwriterDOTyou-know-what> > wrote: [quoted text clipped - 19 lines] > > Tim. On Aug 9, 4:41 pm, "Doug" <dougATloweNOSPAMwriterDOTyou-know-what> wrote: > That explains it. This was regular insulin, given by injection just a few > minutes before the anesthesia. Debbie normally uses humalog, and Byetta. Aha - Byetta being part of the equation is particularly important. It greatly increases insulin sensitivity, and in fact the company that makes Byetta tells doctors "the use of Byetta with insulin has not been studied". In fact several here have reported using Byetta along with insulin to great advantage, but the pharmaceutical company refusing to say how they interact may have clouded the information available to the anasthesiologist and confused him with respect to how many units of insulin were needed. If he had some handy-dandy rule of thumb relating body mass, bg's, and units of insulin, that rule of thumb would've been completely inappropriate if Byetta was part of the equation too. Tim. > Thanks so much for your response (and all the others)! We have no doubt that > she is and has been under God's care through this. Laus Deo :-) > >> She got through the surgery OK, but crashed in the recovery room. > > > Not surprisingly. > > Can you elaborate on this? Yes. She received too much insulin immediately pre-operatively and in the cold OR room, the vasoconstriction would have kept the subcutaneous insulin from acting rapidly. > We were surprised that the crash didn't happen > during the surgery, just based on the timing. She thinks had she given > herself that much insulin w/o the surgery, she would have crashed within an > hour. It is possible that the IV fluids in the OR was D5 Ringer's lactate, which would have also kept her from becoming hypoglycemic during the surgery. They would typically stop this out in the recovery room as they get ready to d/c the Foley catheter. Be hungry... be healthy... be blessed: http://TheWellnessFoundation.com/press.asp Prayerfully in Jesus' awesome love, Andrew <>< -- Andrew B. Chung, MD/PhD Cardiologist > My wife just got out of the hospital from a routine minor surgery, one-night > stay for a bladder repair. But I've come to discover that nothing is routine [quoted text clipped - 25 lines] > > --Doug Thank goodness she's okay now! In the future, I'd make sure they have a faxed or other proven delivered copy of her info, with instructions to test her bg during surgery, just prior, and info on her insulin dosing. Susan Doug what a terrible terrib le experience. What would I do I would find the best lawyer in town for this is absolute malpractice. Loretta > Doug what a terrible terrib le experience. What would I do I would > find the best lawyer in town for this is absolute malpractice. Unless there are lasting damages, no one will take it as a malpractice case. I would *definitely* report it to the hospital's chief of medicine's office, the dept. of quality assurance and the state board that oversees physician performance, usually part of the state dept. of health and/or education. Susan > Unless there are lasting damages, no one will take it as a malpractice > case. That is probably true... We don't take med mal cases, as a rule, unless there are real and lasting damages. Several years ago, I was offered a case involving a woman who, while comatose in a nursing home, developed maggots in her throat and upper respiratory tract. What had happened was that the negligent staff had allowed the woman to remain unattended in a room that had a fly problem. The flies apparently entered the woman's mouth and airway, and layed eggs. It was a very odd situtation, because as I understand maggots, they feed only upon dead flesh. The maggots were documented in the hospital, and after a stay of about a week, the woman was returned to the nursing home.... still unconscious in a coma. She later died of causes not related to the maggots. The woman's children wanted me to take it as a malpractice/negligence case against the nursing home. We did not take the case, because there was no permanent injury, and it could not even be proven that the woman suffered any pain or inconvenience.... I did report the incident to the State Board of Medicine, however, and there was an investigation of the nursing home, with the result that several people were reprimanded and/or lost their jobs.... Also, there was an article in the local papers. Some other group of lawyers (friends of mine, actually) did initially take the case, but ended up dropping it...... Will, T2 Will, that is a fascinating case. In my opinion, whether or not the comatose woman knew or felt any pain from th maggots is not really the issue, The care given to this woman was below par and there should be some kind of punishment . Health Care workers or attendants are amongst the lowest paid people in New York so they dont give a damn. Loretta > Will, that is a fascinating case. In my opinion, whether or not the > comatose woman knew or felt any pain from th maggots is not really the > issue, The care given to this woman was below par and there should be > some kind of punishment . Malpractice claims aren't a form of punishment for wrongdoing, they're a means to compensate folks for their losses due to faulty medical care. Sanctions by the state professional licensing board are for punishment. You can't sue just because something went wrong; you can sue if it caused you significant, recoverable damages, not just a bad day. Susan >You can't sue just because something went wrong; you can sue if it >caused you significant, recoverable damages, not just a bad day. Also, I would add that if something goes wrong, and if it is a reasonable and foreseeable risk of a medical procedure of which the patient is informed prior to the procedure, and if the patient nonetheless elects to have the procedure performed, then there is usually no case, merely because there is a bad result... There must be clearly shown what is termed a supervening cause in the way of negligence. Bad results happen everyday that are not necessarily the result of negligence. A few years ago, I had a case of a man who had two of his cranial nerves completely severed in the course of cervical surgery, and two other cranial nerves were stretched and severely damaged, with the result that the patient lost the ability to speak, lost the ability to swallow, lost the ability to taste, and suffered permanent paralysis to over half his face. Also, his sense of smell was severely impaired. The poor man nearly died from strangling upon his own saliva, and he had to have a feeding tube, just to stay alive, because he could not swallow. He lost more than 100 lbs, before he re-learned how to swallow, etc., sufficiently to survive. Before the surgery, he had been a robust waterman.... making his living as a fisherman and oysterman. After the surgery, he was able to do nothing more than stay home and be looked after by his family. In the end, we had no medical malpractice case. Lucky for the client, we got a substantial verdict from the original tortfeasor who caused him to be injured in the first instance. The poor man, who nearly died, is living today on the proceeds of that jury award. It was the largest jury verdict ever awarded in the history of York County, Virginia, and as far as I know the record still stands. Justice was done that day. Will, T2 >Health Care workers or attendants are amongst the lowest paid people in >New York so they dont give a damn. \Well, the extent of it was that some people lost their jobs, and others had bad marks on their employment record... Will, T2 >Will, that is a fascinating case. In my opinion, whether or not the >comatose woman knew or felt any pain from th maggots is not really the >issue, The care given to this woman was below par and there should be >some kind of punishment . that's why people lost their jobs. >Health Care workers or attendants are amongst the lowest paid people in >New York so they dont give a damn. the assumption that people don't care simply because they are considered low paid is false and stereotypical. There are many high paid people who not only don't care but are actually criminally negligent. SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . >There are many high paid people who not only don't care but are >actually criminally negligen Yep, we see it all the time... Will, T2 > the assumption that people don't care simply because they are > considered low paid is false and stereotypical. > > There are many high paid people who not only don't care but are > actually criminally negligent. Very true. I chose to do low paying work with the mentally ill as if their lives depended upon it every day when I was young. Humanity and integrity happen at all income levels. Susan > My wife just got out of the hospital from a routine minor surgery, one-night > stay for a bladder repair. But I've come to discover that nothing is routine [quoted text clipped - 25 lines] > > --Doug I believe I would consult with a malpractice attourney. >> My wife just got out of the hospital from a routine minor surgery, >> one-night [quoted text clipped - 35 lines] >> >> --Doug Scary, but I'm glad she's OK and doing well. Jay >I believe I would consult with a malpractice attourney. for what reason? reporting this to the hospital administration for review would be better. You want them (the entire hospital staff) to learn from the mistakes and improve in the future. SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . >>I believe I would consult with a malpractice attourney. > [quoted text clipped - 3 lines] > better. You want them (the entire hospital staff) to learn from the > mistakes and improve in the future. Please note that I said I would consult with a malpractice attourney - I did NOT say I would institute a suit right away. I agree 100% that I'd be much more concerned with them learning and improving. It is an unfortunate fact of life that people generally pay much more attention when money is involved. > Please note that I said I would consult with a malpractice attourney - I > did NOT say I would institute a suit right away. I can guarantee that you would not be able to institute a lawsuit. I agree 100% that I'd be > much more concerned with them learning and improving. It is an unfortunate > fact of life that people generally pay much more attention when money is > involved. It's not a matter of your concerns; it's a matter of compensable damages, which don't exist in this case. I am compltely sick of litigious impulses and frivolous lawsuits. What happened to the woman was regrettable and negligent, but did not cause damages recoverable in litigation. Susan >x-no-archive: yes > >> Please note that I said I would consult with a malpractice attourney - I >> did NOT say I would institute a suit right away. > >I can guarantee that you would not be able to institute a lawsuit. Thats not true. It's very easy to sue someone over just about anything. "Winning" that suit is another matter entirely. > I agree 100% that I'd be >> much more concerned with them learning and improving. It is an unfortunate [quoted text clipped - 9 lines] > >Susan SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . > Thats not true. It's very easy to sue someone over just about > anything. "Winning" that suit is another matter entirely. In a case where there's about a zero likelihood of winning a cent, you'd have to pay a lawyer a goodly amount up front. Malpractice cases are typically taken only on contingency by lawyers, who select cases by their merits and potential $$$. Susan Just to clarify Susan -- we have no thought of suing anyone. But also to be clear, there is damage done by such negligence. From what I understand, every time you have a severe crash like this, you develop a bit more hypo unawareness. --Doug > x-no-archive: yes > [quoted text clipped - 8 lines] > > Susan > Just to clarify Susan -- we have no thought of suing anyone. > [quoted text clipped - 3 lines] > > --Doug There is a loss of brain cells but the absolute number would be known only to GOD. Glucose is absolutely required for brain cells to survive. Be hungry... be healthy... be blessed: http://TheWellnessFoundation.com/PressRelease Prayerfully in Jesus' awesome love, Andrew <>< -- Andrew B. Chung, MD/PhD Cardiologist > Just to clarify Susan -- we have no thought of suing anyone. I know, I was only responding to responses from others. > But also to be clear, there is damage done by such negligence. From what I > understand, every time you have a severe crash like this, you develop a bit > more hypo unawareness. I understand that there is damage. Not only clinically, but in terms of anxiety, lost trust in medical providers, and suffering at the time. I refer to compensable damages only here. I never meant to suggest that what occurred did not harm your wife in any way. It was unforgivable, IMO, but all too typical. Susan >Just to clarify Susan -- we have no thought of suing anyone. > [quoted text clipped - 3 lines] > >--Doug That can be corrected by simply maintain normal BGs over time. SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . >x-no-archive: yes > [quoted text clipped - 8 lines] > >Susan There are a dozen shiesters for every Will. SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . Those guys are the least likely to take a case with little likelihood of payoff. Susan >x-no-archive: yes > >Those guys are the least likely to take a case with little likelihood of >payoff. > >Susan no, they are not. They are the ones most likely to bill and pad the bill at that, for services rendered. There is NO requirement that a lawyer agree to collect payment if and only if the suit is won. SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . ray <ray@zianet.com> wrote in part: >> My wife just got out of the hospital from a routine minor surgery, one-night >> stay for a bladder repair. But I've come to discover that nothing is routine [quoted text clipped - 27 lines] > >I believe I would consult with a malpractice attourney. But it looks like harm would be impossible to demonstrate. -- Jim Chinnis Warrenton, Virginia, USA > My wife just got out of the hospital from a routine minor surgery, one-night > stay for a bladder repair. But I've come to discover that nothing is routine [quoted text clipped - 25 lines] > > --Doug Eight units of insulin at a BG of 261?!? I would never take that much for that BG. Even two whole units would be pushing it for me. One and a half would be better. Did he consult her before giving the insulin? Did he know what she usually took for insulin? I'm glad it all turned out o.k though. Emily >Eight units of insulin at a BG of 261?!? I would never take that much >for that BG. Even two whole units would be pushing it for me. One and a [quoted text clipped - 3 lines] > >Emily I would be taking 4.7 units via my pump to correct for a 261. SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco" "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . Just to clarify, amongst all the discussion about malpractice & lawsuites -- we are not looking to sue anyone. But we would like to get to the bottom of how such things happen & help protect ourselves and, if possible, others in the future. Thanks for all the info & support everyone! --Doug > My wife just got out of the hospital from a routine minor surgery, > one-night stay for a bladder repair. But I've come to discover that [quoted text clipped - 25 lines] > > --Doug > Just to clarify, amongst all the discussion about malpractice & lawsuites -- > we are not looking to sue anyone. > > But we would like to get to the bottom of how such things happen & help > protect ourselves and, if possible, others in the future. Exogenous insulin should be avoided by type-2 diabetics while fasting except in extreme cases where it is believed that endogenous insulin is inadequate so the DKA might be possible. The latter would be associated with a loss of appetite. > Thanks for all the info & support everyone! Thanks be to GOD. Be hungry... be healthy... be blessed: http://TheWellnessFoundation.com/press.asp Prayerfully in Jesus' awesome love, Andrew <>< -- Andrew B. Chung, MD/PhD Cardiologist |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2009 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.