Geeeeeeeeeesh... had a lady last night with a BS of 24...yes, they checked again with ANOTHER glucometer... same thing. Earlier in the day was 330. But a few hours later 24 ! Said she had felt it coming on... and she was A/O enough to take the OJ and sugar !
I've read the threads on the controversy of OJ and sugar and the rebounding hypoglycemia.... and the preference of milk/crackers. But our protocol still calls for the old OJ trick. Oh well.
Came up to 74 for a little while, (with the addition of dexrose IVP) but sure enough, not even an hour later was back down in the 20's !!! They gave more dextrose.
Can't believe this woman was even conscious, but she says she has a history of this kind of ups and downs.... guess her body is used to this? Wow.
Specializes in LTC,Hospice/palliative care,acute care.
Originally posted by jnette
Geeeeeeeeeesh... had a lady last night with a BS of 24...yes, they checked again with ANOTHER glucometer... same thing. Earlier in the day was 330. But a few hours later 24 ! Said she had felt it coming on... and she was A/O enough to take the OJ and sugar !
I've read the threads on the controversy of OJ and sugar and the rebounding hypoglycemia.... and the preference of milk/crackers. But our protocol still calls for the old OJ trick. Oh well.
Came up to 74 for a little while, (with the addition of dexrose IVP) but sure enough, not even an hour later was back down in the 20's !!! They gave more dextrose.
Can't believe this woman was even conscious, but she says she has a history of this kind of ups and downs.... guess her body is used to this? Wow.
Good LOrd! What a coincidence-I had a fs of 23 Friday afternoon....She was awake and alert and her usual fiesty self...She drank 240 cc OJ (per our policy) and when rechecked had bounced up to 228...wierd...I would not have believed it if I had not seen it myself-I brought up the values in the memory of the glucometer twice to double check because I was doubting what I was seeing........
When I read the original post... I was thinking that's unusually high but I have seen clients in the 30's that THINK they are fine. LOL! In Canada, we do a different measurement from the States... Our norms for an adult are 4.2 - 6.0 mmol/L.
Specializes in RETIRED Cath Lab/Cardiology/Radiology.
I have a question re: accuracy of glucometer readings that are super-high or super-low. What is your policy when you get one or the other? Do you re-check, draw a stat blood sugar and then treat? How reliable are the glucometers with super-low and super-high readings?? Just curious. Thanks.
I was driving into work not feeling well on evening, and hadn't had anything to eat when I got up. I took my sugar at work just out of curiousity and it read 27. I'm not a diabetic- just hit a low patch I guess. When I ate I almost immediately felt better and my head cleared. I hadn't even noticed that I wasn't thinking well until I felt my sugar go up. Scary. So now I keep cheese and crackers in the glove compartment, and usually drive with a bottle of Pepsi nearby. Never got a reading even close to that since.
I had a similar incident happen to me once. It was when I was still in nursing school and we were having a health fair. I had eaten a lunch probably three hours before that did have carbs in it but anyhow, part of the health fair was glucose/cholesterol checks. At the end we were checking eachothers. Mine was less than 40. (It didn't read any lower) So we checked again, less than 40. I felt fine, maybe a little clammy but otherwise had absolutely no idea. I obviously drank some oj and rechecked and it was in the 80's. I did follow up with my doc and they did a glucose tolerance test and a few other things and could find no cause of the event....
I oversee programming for drivers with health problems for my state. I've seen hundreds of reports from police about people with unbelievably low blood sugars who are still conscious. And driving....badly.
Everyone with diabetes who drives needs to check their blood sugar before they get in the car and always carry food in the car with them. We have more diabetes related crashed than any r/t seizures, dementia or vision problems.
Specializes in ER - trauma/cardiac/burns. IV start spec.
Years ago I had a patient that came in complaining that she "just didn't feel right" after many questions she stated that she kept getting "queasy" and "felt nervous". We ordered baseline CBC and Comp Metabolic. Imagine my surprise when I saw the results. Went back in and asked about history of diabettes. Sitting on the bed and swining her feet she gave long family history - her sugar was 1214. NO JOKE:eek:
Also had LOL come in short of breath. ABG's confirmed O2 Sat of 36. Just when you think nothing will surprise you........
Shamrock, BSN, RN
448 Posts
I have a client that functions well at 600+, with no s/s!! Now, get
him below 80 and he gets somewhat goofy. As you might guess he is quite non-compliant.