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The Question
09/16/09 03:20 PM

"I am a 51 year old Type 1 diabetic. I just was just told that I have Mono. My blood test results were positive. How will this affect my diabetes?"
Asked By: bernadette  
Category: Type 1

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Expert Answers (1)

09/21/09 02:09 PM

Hello Bernadette: Stress/illness generally will cause the blood sugars to remain higher than usual. Perhaps you have observed this change in your daily monitoring and insulin infusions via your pump. Infections cause counter-regulatory hormones: glucagon, cortisol, epinephrine, nor-epinephrin and some growth hormones to inhibit insulin from doing what it is suppose to do.

Considering your pump therapy, with the presence of infection close monitoring is important (increase frequency and calling the PCP for potential dosing needs maybe needed):

  • Be aware
  • Check for ketones, Ty1 is especially susceptible, too little insulin or perceived 'no' insulin runs the risk of DKA.
  • Ketones can start to build within 1 hour, if the glucose levels are above 250mg/dl, and DKA(diabetic ketoacidosis can develop in as little as 6 hours).
  • Check all connections spots, (catheter sites and etc.), watch for any other areas for signs of infections,(redness or tenderness).

    When to Call Your Doctor

  • 1. Fever greater than 100 degrees for 24 hours that doesn’t improve with Acetaminophen (Tylenol).
  • 2. High blood glucose (over 250 mg/dl) that do not improve with additional Insulin and fluids.
  • 3. Moderate to large urine ketones or blood ketones > 0.6 mmol/L.
  • 4. Diarrhea more than 5 times OR diarrhea for more than 6 hours. 6. Severe abdominal pain, difficulty breathing,
  • 7. Other unexplained symptoms. If in doubt, call your doctor.

    Be your best, thanks for calling on dLife. Regards Sue

    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

    Community Answers (0)

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