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My DKA patient from yesterday.. HbA1c came back.. 17.2.

Posted by James Bond (aka Igor) (aka Igor) Mar 23 '16, 19:52

He may need some more insulin ...

Responses:

I check my last labs. I've got a hemoglobin of 5.5%. Is that the same thing? Because I'm always shocked I don't have diabetes. - Mop Mar 23, 20:27 1
- That is the same lab. -- nm - James Bond (aka Igor) Mar 23, 20:30
Jesus... -- nm* - amoxy Mar 23, 20:05
What do I need to know to make this post understandable? -- nm - Max Mar 23, 20:01 26
- TCBY -- nm - David Mar 23, 20:03
- I just grabbed a conversation chart I have. The chart only goes up to 13.5. An a1c of 13.5 corresponds to a 3 month average blood sugar of 403. -- nm - kelly Mar 23, 20:03 17
  - American Diabetes Association's online calculator gave me a average blood sugar of 446 with that a1c. - kelly Mar 23, 20:19 9
    - High sugar can knock you out? I thought it was too much insulin. Get your Son he knows the numbers really well -- nm - Bacon Mar 23, 20:20 8
      - Too much or too little blood sugar can cause you to lose consciousness -- nm* - amoxy Mar 23, 20:21 7
        
        Oh wow. I thought too high just meant damage to eyesight, foot circulation issues, etc. -- nm - Bacon Mar 23, 20:26 6
        
        A possible issue that occurs when blood sugars are too high or out of whack is called diabetic ketoacidosis (dka). DKA can lead to death. -- (link) - kelly Mar 23, 20:29 4
        
        Fruity odar on the breath can be a symptom. That is one I never heard of -- nm - Bacon Mar 23, 20:54 3
        
        Oh yeah, there's a definite change in odor when my blood sugar is high. - kelly Mar 23, 21:03 1
        
        Woah -- nm - Bacon Mar 23, 21:15
        
        I haven't really experienced that but then I also make an effort to not be near a pt's breath. -- nm - James Bond (aka Igor) Mar 23, 21:02
        
        Those are all long term issues from high sugars... but super high sugars in the short term can result in diabetic ketoacidosis which can be deadly. -- nm - James Bond (aka Igor) Mar 23, 20:28
  - In the last few weeks he decided to use juice as a way to quench his thirst. -- nm - James Bond (aka Igor) Mar 23, 20:06 6
    - Was he already a diagnosed diabetic? -- nm - kelly Mar 23, 20:12 5
      - No, brand new. -- nm - James Bond (aka Igor) Mar 23, 20:17 4
        
        Ok, so that's not abnormal then. You're thirsty, you get something to drink! - kelly Mar 23, 20:21 3
        
        I remember when Stephen was super thirsty all the time and this is how he found out. -- nm - Bacon Mar 23, 20:27 1
        
        Yup, and I drank a lot of juice, especially orange juice, because I thought I was just sick, like with a cold or something. -- nm - The Real Death Sceire Mar 23, 20:41
        
        Yeah, he didn't know. It just didn't make things better. -- nm - James Bond (aka Igor) Mar 23, 20:24
- HbA1c of 6.5 means you have diabetes... he is substantially higher. I think the lab may not be able to measure it above 18. -- nm - James Bond (aka Igor) Mar 23, 20:03 5
  - Went to the doctor today. Mine was down to 6.8 from 7.5 -- nm - Dano Mar 23, 20:13 3
    - Woo! -- nm - Epiphany Mar 23, 20:32
    - WTG -- nm - amoxy Mar 23, 20:16
    - That's fantastic!! -- nm - kelly Mar 23, 20:15
  - So he's an Inhuman. -- nm - Max Mar 23, 20:05
- That's basically three times the level that indicates full blown diabetes. -- nm - ReluctantCynic Mar 23, 20:02
Wow. -- nm - ty97 Mar 23, 19:55
Holy shit. -- nm - kelly Mar 23, 19:54

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My DKA patient from yesterday.. HbA1c came back.. 17.2.

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