At what number do you go into a diabetic coma or complications?
Posted 18 September 2013 - 04:47 PM
(Dx'd 6/24/13...6.8 A1-C / fbg 130)
Current A1c- 5.9 / fbg- 109
2 Metformin 500mgs-1@ breakfast / 1@ supper
Posted 18 September 2013 - 05:07 PM
A coma from DKA has nothing to do with blood sugar levels and everything to do with circulating insulin levels combined with ketone levels. It is extremely rare for a T2 to go into a coma from 'high blood sugar levels' although there is a situation known as HONK where this can happen.
High blood sugars almost never cause a seizure. The danger facing a T2 is more of a slow burn - it's the gradual damage caused to your body from high blood sugar. High being anything over the normal range. You could potentially have a seizure from low blood sugar but it is a heck of a mixed bag as to when this happens. Some people completely lose it the moment their blood sugar goes under the 4.0 (72) mark. Meanwhile, I've been walking and functional with 1.3 (24).
Your body is an organic, analogue system. Your meter has a 20% margin of error. The blood sugar level in your fingers will be different to the blood sugar level in your brain anyway. So it is impossible to define exactly where the boundaries are.
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Posted 18 September 2013 - 05:19 PM
You never know how Strong you are until being strong is the ONLY choice you have!
Posted 18 September 2013 - 05:25 PM
metformin 2550 mg
Moderate carb diet 40-75 carbs a day
3 T of Coconut Oil daily
Vit D, CoQ10, Melatonin, Multi vitamin, zinc, B 12
Chia Seeds , Flaxseeds, fish oil, biotin, occuvite and zinc
Exercise- Tennis - 2 hours/week, Power Walking- 2-4 miles most days, Hiking in the summer on trails and in the mountains
diagnosed Feb 2007
Posted 19 September 2013 - 02:04 AM
"Blood sugar below 70 mg/dL is considered low. Blood sugar at or below this level can harm you."
"Severe hypoglycemia is a medical emergency that may cause seizures and permanent brain damage. Severe hypoglycemia in which you become unconscious is also called insulin shock."
Source: [url=http://www.nlm.nih.gov/medlineplus/ency/article/000386.htm]Hypoglycemia: MedlinePlus Medical Encyclopedia[/url]
Dx 2001/08 T2 13.6 FBS A1C 10.7
2001/11 FBS 5.3 A1C 6.9
2002/06 A1C 5.5 2010 A1C 7.0
2003 A1C 5.6 2011 A1C 7.5
2007 A1C 6.2 2012/03 A1C 8.8
2008 A1C 6.5 2012/06 A1C 10.5
2009 A1C 7.1 2013/03 A1C 6.6
Insulin NovoRapid, 12/2012 pump.
Posted 19 September 2013 - 05:28 PM
...although there is a situation known as HONK where this can happen...
Deus, I'm NOT trying to be a smart-@$$ here, but surely you jest? (Guess I need to go edumacate myself on that...unless you can share with the class?)
I'm a T2 also diagnosed with Celiac Disease &
April 2014 A1c= 5.5
Posted 19 September 2013 - 10:44 PM
dx'd 1985 at age 31
Pumping with MM 522 since 8/2007
CGMS since 12/2007
12/2006 A1c - 9.8
6/2008 A1c - 6.1
Posted 19 September 2013 - 10:56 PM
I'm a T2 also diagnosed with Celiac Disease &
April 2014 A1c= 5.5
Posted 20 September 2013 - 07:03 PM
There is a guy in my support group who claims to be in the mid 20s on a regular bais with no undue problems.
Started Minimed 03/12/10 CGMS 4/29/10
Symlin as needed
Metformin 1000mg x 2
Pravastatin 40mg x 1
Zetia 10mg x 1
Vitamin B, C, D, E, Fish Oil
Posted 20 September 2013 - 11:16 PM
At that point things got pretty strange.
It reminded me of when I dropped some mild acid as a teenager.
But the experience was anything but fun.
My doctor said that when you get to the 500 or 600 levels (or higher)
you can slip into unconsciousness or even coma.
As it was I slept it off thru most of the day.
I'm new to all this so I'm still trying to get a handle on things.
Frequent doctor visits, lab work, and Rx adjustments have been pivitol.
With orals I brought my BGL down to 160's to 200 (giver er take).
With Lantus and this fast acting NovoLog insulin I bring it down even
further to more acceptable levels.
This NovoLog stuff can hit you like a sledge hammer if you deviate
even slightly from the dosage Rx by yer doctor +/- .
And even then it can be tricky.
There is undoubtedly some trial and error to this stuff.
But the bottom line is it works.
Although NovoLog gives me explosive gas which hasn't made me
to popular with my wife and co-workers.
Posted 22 September 2013 - 12:09 PM
.....This NovoLog stuff can hit you like a sledge hammer if you deviate
even slightly from the dosage Rx by yer doctor +/- ......
I'm certain that when we begin insulin therapy we try to adhere to the regimen prescribed by our doctors. However, over time and with experience most people will probably learn to successfully self-adjust their insulin intake - it's known as "diabetes self-management". For more information on this read either or both of these wonderful reference books: Think Like a Pancreas by Gary Scheiner and/or Using Insulin by John Walsh.
In my own case, following the doctor's orders led to several weeks of high highs followed by very uncomfortable excursions into the 30s and 20s. Once I dumped that protocol in favor of following the testing recommendations in Scheiner's and Walsh's books and establishing my correct basal profile, and what my I:C ratio and correction factors are, my blood sugar returned to more stable behavior. Insulin needs are very individualized and can change over time, so learning how to test and modify doses is really the key to success.
Posted 23 September 2013 - 11:29 AM
It is not how low you go but how fast you get there.
Dropping quickly usually feels a lot worse and I usually have no trouble catching those. Slowly dropping low can get me into a lot of trouble. I think I somehow acclimate to the low and just don't feel it, or don't sense the urgency to treat.
MM 522 pump since 05/07; CGMS since 11/07
I discovered I scream the same way whether I'm about to be devoured by a great white shark or if a piece of seaweed touches my foot.
Posted 23 September 2013 - 11:47 AM
Hi Tom, I'm thinking I had the opposite of that when I was dx w/my T2...I was sooooo thirsty that morning; by my 11am appt I had drunk 4 or 5 liters of water (since I woke up about 4:30 that day). I remember the NP saying something about my stopping the water at just the right time (when I went in w/my complaint--excessive thirst; I had the idea it might be D; she saw me down about 1/2 a liter (after I'd drunk 1.5 liters while in their waiting room) she had me STOP the water & drink 1 gatorade. Then I had to curtail the drinking but eat normal until bedtime-then FAST for a GT test the next morning, which is where they got the dx for my D...but at the follow up (when I was dx w/T2) she mentioned that my osmolality (if I'm saying that right) was ALMOST askew (but that my following her directions about the gatorade) kept me from going over the deep end.
I'm curious, did the doctor do a finger stick while you were there drinking all that water? I only get to the point of crazy thirst over around 400 and higher, but I'm sure that's different for everyone. BUT, man, if I was a doctor, I would not have let you walk out that door w/o a finger stick.
Currently 44 years old
Omnipod and humalog
LCHF and intermittent fasting (usually one meal/day)
losing weight! 214/128/130ish
Posted 23 September 2013 - 04:41 PM
"In some ways, being a well-controlled diabetic is an ongoing science experiment" Scratch
Diagnosed 4/11 A1C=10.8
6/11 A1C = 7.8
8/11 A1C = 5.7
1/12 A1C = 6.2
5/12 A1C = 5.9 Finally!
8/12 A1C = 6.1 for NO REASON
4/13 A1C = 5.4
7/13 A1C = 5.8
2/14 A1C = 5.8
8/14 A1C = 5.6 Yay! Finally as expected!
LCHF diet. Metformin 500X2, Ramipril 2.5, Magnesium Citrate, Chromium Picolinate, Milk Thistle.
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