Eri is back home. She was discharged today.
So, they took her off the lantus and now she is just on NPH and humalog. She gets 30u of NPH at breakfast and then another 30u of NPH at dinner. She takes the humalog when she has a bgl over 150.
We’re a little bit concerned bc they don’t want her to take any for any carbs and they cut her correction scale to 150-200 1u, 201-250 2u, etc…
She had a really hard time last night … her bgl dropped to 53 and they couldn’t get it corrected w/ even juice, so they had to put her on a dextrose drip.
Even from the IV in her arm, it took 3 tries to get blood, so that site ran it’s course.
They are completely against a port(the endos), but the other docs think it is a great idea. We have surgical consult coming up for that for an outpatient procedure.
Her bgl’s are now in the 200’s, but they aren’t too concerned about that…they want her around 180.
In other news, her GI doc had an xray done. She MAY need to be flushed out again bc of such slow motility, but we’ll find out more about that next week.
She’s in a pretty good mood now that she is home, just gets a bit nervous about the lows.
This is VERY similiar to the regimen she was on when first dx’d, which wasn’t too bad bc her A1c was about 6.1 then.
I guess looking back at this whole thing, maybe the lantus wasn’t good for her bc she’s been on it since she was 11, and that is when all her DKA’s started. I don’t know, it just makes sense.
OK, so that’s about it for now.
Hopefully her body will get used to this and she can have a healthy, DKA-free life from now on.