Are your bloods above 14mmol/mol? Have you tested for ketones? If not you must do so now!
How to interpret ketones
Under 0.6mmol/l
Normal; re-check in two hours if blood glucose remains above 10mmol/l.
0.6-1.5mmol/l
Indicates extra fast acting insulin is required, (see correction dose calculator for units of insulin required or follow instructions given by Expert meter). Recheck blood glucose and blood ketones in two hours. Repeat correction dose will be needed if blood glucose remains above 10mmol/l.
1.6 mmol/l or more
Indicates DANGER – risk of diabetic keto-acidosis, this can be life threatening, follow the simple rules and contact your diabetes nurse or the children’s ward for advice.
If you would prefer to talk to a nurse or doctor
- call your diabetes nurses on 01642 854660
- or the children and young people’s day unit on 01642 854896
- or the children’s ward on 01642 854521
Remember
Ketones = Lack of insulin = Danger!