[marilynmom]

I'm going to be listening in on this discussion as both a nursing student and someone who has had gest. diabetes myself (and I still have a lot of issues with my blood glucose levels) and both my parents are diabetic. My dads a1c has usually been ok (about a 6) but yesterday he got his results back and his a1c was a 10!!! We are trying to get him to go on the pump but he wont do it..."I don't want to wear it all the time".

My mother has diabetic neuropathy because she had diabetes for years apparently and didn't know it I see her in a wheelchair in a few years and it just kills me.

I am worried about getting diabetes myself, it seems everyone in my family has either type 1 or type 2 and no one is overweight, I can only imagine it must be genetic. I do workout a lot and am trying (but not hard enough) to lose about 15 pounds. It's just hard. Thanks for listening.

[truern]

Originally Posted by bjs54321

Sorry to miss lead you, brittle diabetes is diabetes insipidus. No DDAVP for type 1 needed. I was bringing up miss leading information to stimulate the conversation. Whoops, forgive me.

Excuse me, but I don't need to be misled in order to be stimulated to converse. What could have been a GREAT thread just went in the toilet for me

[grannynurse FNP student]

Originally Posted by oldnurse newnurse

PLEASE DO NOT FORGET SEVERE ABDOMINAL PAIN THIS PAIN WILL MAKE A PERSON I AM TYPE 1 AND DKA IS NO FUN.

I didn't. It is generally due to the severe depletion of potassium. Neither state is fun for the individual suffering from them. And suffering from them is not necessarily caused by non-compliance. It is so much easier to blame the patient then to find out why.

GRANNYNURSE

[rn/writer]

Originally Posted by truesn

Excuse me, but I don't need to be misled in order to be stimulated to converse. What could have been a GREAT thread just went in the toilet for me

No one should be posting intentionally misleading information on this or any other thread. There are more than enough legitimate ways to stir the pot without resorting to dishonesty.

Thank you.

[RazorbackRN]

Originally Posted by grannynurse FNP student

I didn't. It is generally due to the severe depletion of potassium. Neither state is fun for the individual suffering from them. And suffering from them is not necessarily caused by non-compliance. It is so much easier to blame the patient then to find out why.

GRANNYNURSE

GRANNYNURSE,
I am just a student, but you seem really knowledgable about this topic. I see where another poster said that DKA can cause life-threatning HYPERkalemia; however, you spoke of abd pain due to HYPOkalemia.
Which one is right?

[RazorbackRN]

Originally Posted by truesn

Excuse me, but I don't need to be misled in order to be stimulated to converse. What could have been a GREAT thread just went in the toilet for me

Totally agree. Why would a nurse, who is supposed to be a professional, do such a thing? What if someone, with no medical background was reading this thread and took your information to heart?

That's just ludicrous...not a great way to make conversation or friends.

[grannynurse FNP student]

Originally Posted by iwannabeanrn

GRANNYNURSE,
I am just a student, but you seem really knowledgable about this topic. I see where another poster said that DKA can cause life-threatning HYPERkalemia; however, you spoke of abd pain due to HYPOkalemia.
Which one is right?

According to my path professor, my textbook and journal articles the abdominal pain is cuased by and related to potassium depletion. There is HYPERglycemia present but the accompanying dehydration results in the depletion of potassium from the body. And that generally causes the abdominal pain. The hyperkalemia comes into play because a patient with hyperglycemia is prevented from absorbing of potassium into the cells-hence hyperkalemia in the blood. The lack of potassium intercellularly causes the pain. When insulin is administered, in treatment, the potassium moves from the extracellular spaces to the intercellular causing blood potassium levels to drop. Confusing isn't it

Grannynurse

[RazorbackRN]

Originally Posted by grannynurse FNP student

According to my path professor, my textbook and journal articles the abdominal pain is cuased by and related to potassium depletion. There is HYPERglycemia present but the accompanying dehydration results in the depletion of potassium from the body. And that generally causes the abdominal pain. The hyperkalemia comes into play because a patient with hyperglycemia is prevented from absorbing of potassium into the cells-hence hyperkalemia in the blood. The lack of potassium intercellularly causes the pain. When insulin is administered, in treatment, the potassium moves from the extracellular spaces to the intercellular causing blood potassium levels to drop. Confusing isn't it

Grannynurse

Very confusing, but you explained it in a way that makes sense.

Thanks!

[lsyorke]

Originally Posted by bjs54321

Sorry to miss lead you, brittle diabetes is diabetes insipidus. No DDAVP for type 1 needed. I was bringing up miss leading information to stimulate the conversation. Whoops, forgive me.

Nope, "brittle" diabetes and diabetes insipidus are two completely different diseases.

[rn/writer]

Originally Posted by iwannabeanrn

Totally agree. Why would a nurse, who is supposed to be a professional, do such a thing? What if someone, with no medical background was reading this thread and took your information to heart?

That's just ludicrous...not a great way to make conversation or friends.

This matter has been addressed behind the scenes with a satisfactory result.