R Hanas, CWD 2003
High blood glucose and ketones
Repeated BG > 270 mg/dl (15 mmol/l) and ketones
- Risk of developing ketoacidosis!!
- 0.1 U/kg with pen or syringe
(preferably Humalog/NovoLog)
- Risk of over-correction - hypoglycemia
- Check BG and ketones every hour
If BG is not decreasing:
 Repeat dose every 1-2 hours
(/2-3 hours with regular insulin)
- The blood ketone level may increase after 1 hour but should be much lower after 2 hours
- Urine ketones stay elevated for many hours