I’ve been brushing up on DKA posts. And clearly, testing for ketones is part of figuring that out. But I’m a tad confused. Some people have blood ketone testing meters. There are also urine ketone strips. Many who test for ketones seem to be children? Do adults find themselves doing this?
I ask because we went to dinner at a friend’s tonight. Pump failure. Probably happened before we even left home. BG shot up to 330 at the highest. EH felt like crap, but as it was on the rise, he had been both injecting with his Omnipod and taking Afrezza. The pod eventually failed with an occlusion alarm (rarely happens to us). He took 24u of Afrezza total and 6 units of Novolog IM and had plenty of fluids and basically not much has happened. BG has decreased from 330 down to 230. It seems to be continuing downward slowly, we came home and replaced the pod with a new pod located elsewhere. He doesn’t feel like he’s coming down with an illness, no canker sores, nothing to trigger the immune response requiring more insulin.
Assuming that the pod dying only caused a deficit of 3 units of insulin, which were then injected upon realizing the failure (that pod was fresh at 5pm, it was occluded by 8pm, so it was easy to do the math on), I’m struggling to figure out why this happened. It was hot today, dehydration probably played a role. I think also when BG is really high it’s “sticky” and takes more insulin to reduce it.
When the BG is above 300, it seems like testing for ketones would be good. But of course I couldn’t find the strips (maybe I tossed them as they were opened and old?)
So my next question is what should we have on hand for this situation in the future? Is there a meter and strips for ketones that don’t expire quickly?