Among the long list of things I probably don't do "right" when it comes to diabetes, getting myself to check for ketones (or even remembering that it's something I'm supposed to be doing in the first place) is pretty up there. It's right by "using the touch bolus button instead of dialing it in like a normal person" and "changing my lancet more than once a month".
I experienced some pretty wicked stomach problems early Sunday morning and throughout the day, with my Dexcom graph showing 200+ results pretty much the whole time. Even after the worst of the Real People Sick symptoms subsided, I still felt awful - flip-floppy stomach, a mild haze resembling but never quite crossing over to a headache, immense exhaustion and a desire to never look at or think about food ever again.
As the day drew to a close, I thought, "Hey, I wonder if I still have some ketone strips hanging around. I should probably test for those." I did, and I did.
I was greeted by a royal purple - somewhere between moderate and large.
Ugh.
And since even being cognizant of ketones is unfamiliar to me, I had to consult Google and some of my fellow PWDs. Large ketones with large glucose numbers seemed to point to an ER visit, but with my numbers staying in the low 200's, I didn't seem to fit that criteria. I drank as much water as I felt comfortable with (I wanted it to stay down, after all), slept a lot, and kept the correction boluses on repeat. I ate a few bits of food here and there, when I thought I could stomach it. At 2:00 am (I made myself get up every 3 hours overnight to check everything again), my blood sugar was down to 99 (YAY!) and ketones were down to small (YAY!).
Unfortunately I then made the dumb mistake of not eating anything then, so I'm now back up to "moderate" ketones as of this morning.
I'm recommencing the chugging of water and eating of crackers as we speak, as well as the self-chiding.
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