Dr. J. N. Naidu
General Practitioner
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My wife and I just got married and are on our honeymoon. She has a disease called gastroparesis from her diabetes. She has not had a flare-up in like last three months, but before that six months, she use to have flare-ups every month. she has got periods without flare-ups, then periods with consistent monthly flare-ups. Now she is in the middle of a flare-up. I took her to the emergency, they did fluids, and got her all good. She was released this morning and is continuing to vomit. Her blood sugar is starting to come back down from the peak. It is hard to maintain with vomiting. So I am just concerned about maintaining her sugar level so that she does not go it diabetic ketoacidosis. We are trying to avoid taking her to the hospital as we leave in a couple of days. We have been through flares before, and I can get through that, but the diabetic side concerns me. She is taking Reglan, Benadryl. But I am scared if she falls into a deep sleep, she would not be able to communicate her blood sugar. She has lowest motility. Please guide me.
Hi,
Welcome to icliniq.com.
Understand that diabetic ketoacidosis is due to insufficient insulin. When blood glucose levels go beyond 300 mg/dL continuously, the chances of DKA (diabetic ketoacidosis) will increase. I think she is on insulin treatment, and she is a type one diabetic patient. You have to see that her glucose levels do not go above 300 mg/dL by giving an appropriate insulin dose. Also, note if excess insulin is given, blood glucose levels may decrease, and it may cause hypoglycemia (decrease in blood sugar which is dangerous). It is safe to maintain blood glucose levels between 100 and 200 ideally.
1) Give small quantities of fluids frequently.
2) Give boiled potato, banana, boiled egg, etc., in small quantities more frequently.
3) Dont lie down immediately after eating or drinking water.
4) Ondansetron 4 mg tablet, one tablet in the morning, and one tablet in the night for three days or as and when needed for preventing vomiting.
I hope this was helpful.
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General Practitioner
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