Discussion of diabetes management in day to day life





Stroke victim not being insulin

Hello,

My father-in-law has gone into hospital yesterday with a stroke. He is
diabetic so on insulin injections (a few a day).

Now he is hospital, the docters are NOT giving him insulin because they say
he doesn’t need it.

Is it possible that his blood-sugar level is so low that he doesn’t need it,
or, I hate to say it, are they doing this on purpose?

Are there any reasons not to give a stroke victim insulin?

Thanks

posted by admin in Uncategorized and have Comments (10)






10 Responses to “Stroke victim not being insulin”

  1. admin says:

    CQMMAN wrote:

      > Are there any reasons not to give a stroke victim insulin?

    If his BG was too low.

    When my dad was in the hospital recently having TIAs they gave him
    insulin. I think they were keeping him below 140.  My uncle’s 78 yo wife
    is at death’s door right now, having had 2 heart surgeries.  The
    hospital is giving her insulin and she isn’t diabetic.

  2. admin says:

    "CQMMAN" <cqm…@yahoo.co.uk> wrote in message

    news:30v03vF35g5meU1@uni-berlin.de…

    > Hello,

    > My father-in-law has gone into hospital yesterday with a stroke. He is
    > diabetic so on insulin injections (a few a day).

    > Now he is hospital, the docters are NOT giving him insulin because they
    say
    > he doesn’t need it.

    > Is it possible that his blood-sugar level is so low that he doesn’t need
    it,
    > or, I hate to say it, are they doing this on purpose?

    > Are there any reasons not to give a stroke victim insulin?

    Does he have type 1 or type 2?  If type 1, he will die with no insulin.  If
    type 2, he may not need it due to various reasons.


    See my webpage:
    http://mysite.verizon.net/juliebove/index.htm

  3. admin says:

    On Sun, 28 Nov 2004 22:00:29 -0000, "CQMMAN" <cqm…@yahoo.co.uk>
    wrote:

    >Hello,

    >My father-in-law has gone into hospital yesterday with a stroke. He is
    >diabetic so on insulin injections (a few a day).

    >Now he is hospital, the docters are NOT giving him insulin because they say
    >he doesn’t need it.

    >Is it possible that his blood-sugar level is so low that he doesn’t need it,
    >or, I hate to say it, are they doing this on purpose?

    >Are there any reasons not to give a stroke victim insulin?

    >Thanks

    Hard to give a direct answer.

    If they are monitoring is BG levels, and they are in the normal range
    without insulin (not likely but remotely possible in a T2), fine.

    If they aren’t giving him insulin, and they aren’t monitoring his BG
    levels, someone needs to be take out and shot, and you need to have an
    exceptional blunt conversation with the responsible physician, and/or
    the head of the department.

  4. admin says:

    - Hide quoted text — Show quoted text -

    CQMMAN wrote in message <30v03vF35g5m…@uni-berlin.de>…
    >Hello,

    >My father-in-law has gone into hospital yesterday with a stroke. He is
    >diabetic so on insulin injections (a few a day).

    >Now he is hospital, the docters are NOT giving him insulin because they say
    >he doesn’t need it.

    >Is it possible that his blood-sugar level is so low that he doesn’t need
    it,
    >or, I hate to say it, are they doing this on purpose?

    >Are there any reasons not to give a stroke victim insulin?

    >Thanks

        Take a good look at Matt Weber’s post again.  I’ll quote the pertinent
    paragraph:

    ". . . .If they aren’t giving him insulin, and they aren’t monitoring
    his BG levels, someone needs to be take out and shot, and you
    need to have an exceptional blunt conversation with the responsible
    physician, and/or the head of the department.. . ."

        If they are monitoring his blood sugars,  they may have set a very high
    target for blood sugar such that his weakened beta cells can meet the target
    without the help of injected insulin.

    Many hospitals have protocols which call for maintaining a diabetic
    patient’s blood sugar at some value near 200 mg/dL   (11.1 mmol/L).     This
    is an obsolete protocol.    The best docs have found that seriously ill
    patients do much better if the hospital takes the extra effort to maintain
    their blood sugar somewhere around 140 mg/dL  (7.8 mmol/L)

    e.g.

    http://www.diabetesincontrol.com/modules.php?name=News&file=article&s

    ". . .Treatment of Blood Sugar Levels in Intensive Care Patients Reduces
    Mortality 29%. . ."

    You should find out what his blood sugars are.    As Matt says,  if they are
    totally screwing this up,   it’s criminal.

    If they are partially screwing this up,  it’s merely very bad and very
    dangerous.k   (merely ! ! )

    (BTW,  there are no reasons for with-holding insulin from a diabetic stroke
    patient unless by some odd chance, he has normal blood sugars witnout
    insulin injections.)

    Regards
      Old Al

  5. admin says:

    CQMMAN wrote:
    > Hello,

    > My father-in-law has gone into hospital yesterday with a stroke. He is
    > diabetic so on insulin injections (a few a day).

    > Now he is hospital, the docters are NOT giving him insulin because
    > they say he doesn’t need it.

    > Is it possible that his blood-sugar level is so low that he doesn’t
    > need it, or, I hate to say it, are they doing this on purpose?

    > Are there any reasons not to give a stroke victim insulin?

    > Thanks

    Thanks for all the replies. I am not 100% sure if he is type 1 or type 2. He
    lives in a different country and was over here with us a couple of weeks
    ago. While here, he was taking insulin but his BG level was much lower than
    normal so perhaps his body is producing insulin, just not enough.

    Either way, looks like we will have to give them a kick to make sure they
    are monitoring it closely.

    Cheers

  6. admin says:

    "oldal4865" <oldal4…@yahoo.com> wrote in message

    news:30vj1gF3548knU1@uni-berlin.de…

    - Hide quoted text — Show quoted text -

    > CQMMAN wrote in message <30v03vF35g5m…@uni-berlin.de>…
    >>Hello,

    >>My father-in-law has gone into hospital yesterday with a stroke. He is
    >>diabetic so on insulin injections (a few a day).

    >>Now he is hospital, the docters are NOT giving him insulin because they
    >>say
    >>he doesn’t need it.

    >>Is it possible that his blood-sugar level is so low that he doesn’t need
    > it,
    >>or, I hate to say it, are they doing this on purpose?

    >>Are there any reasons not to give a stroke victim insulin?

    >>Thanks

    >    Take a good look at Matt Weber’s post again.  I’ll quote the pertinent
    > paragraph:

    > ". . . .If they aren’t giving him insulin, and they aren’t monitoring
    > his BG levels, someone needs to be take out and shot, and you
    > need to have an exceptional blunt conversation with the responsible
    > physician, and/or the head of the department.. . ."

    >    If they are monitoring his blood sugars,  they may have set a very high
    > target for blood sugar such that his weakened beta cells can meet the
    > target
    > without the help of injected insulin.

    > Many hospitals have protocols which call for maintaining a diabetic
    > patient’s blood sugar at some value near 200 mg/dL   (11.1 mmol/L).
    > This
    > is an obsolete protocol.    The best docs have found that seriously ill
    > patients do much better if the hospital takes the extra effort to maintain
    > their blood sugar somewhere around 140 mg/dL  (7.8 mmol/L)

    > e.g.

    > http://www.diabetesincontrol.com/modules.php?name=News&file=article&s

    Bloody good job our very own insulin expert ("Doctor" Mickey Martin) isn’t
    here reading this Al. After all they say these naughty words

    - Hide quoted text — Show quoted text -

    > ". . .Treatment of Blood Sugar Levels in Intensive Care Patients Reduces
    > Mortality 29%. . ."

    > You should find out what his blood sugars are.    As Matt says,  if they
    > are
    > totally screwing this up,   it’s criminal.

    > If they are partially screwing this up,  it’s merely very bad and very
    > dangerous.k   (merely ! ! )

    > (BTW,  there are no reasons for with-holding insulin from a diabetic
    > stroke
    > patient unless by some odd chance, he has normal blood sugars witnout
    > insulin injections.)

    > Regards
    >  Old Al

  7. admin says:

    "oldal4865" <oldal4…@yahoo.com> wrote in message

    news:30vj1gF3548knU1@uni-berlin.de…

    - Hide quoted text — Show quoted text -

    > CQMMAN wrote in message <30v03vF35g5m…@uni-berlin.de>…
    >>Hello,

    >>My father-in-law has gone into hospital yesterday with a stroke. He is
    >>diabetic so on insulin injections (a few a day).

    >>Now he is hospital, the docters are NOT giving him insulin because they
    >>say
    >>he doesn’t need it.

    >>Is it possible that his blood-sugar level is so low that he doesn’t need
    > it,
    >>or, I hate to say it, are they doing this on purpose?

    >>Are there any reasons not to give a stroke victim insulin?

    >>Thanks

    >    Take a good look at Matt Weber’s post again.  I’ll quote the pertinent
    > paragraph:

    > ". . . .If they aren’t giving him insulin, and they aren’t monitoring
    > his BG levels, someone needs to be take out and shot, and you
    > need to have an exceptional blunt conversation with the responsible
    > physician, and/or the head of the department.. . ."

    >    If they are monitoring his blood sugars,  they may have set a very high
    > target for blood sugar such that his weakened beta cells can meet the
    > target
    > without the help of injected insulin.

    > Many hospitals have protocols which call for maintaining a diabetic
    > patient’s blood sugar at some value near 200 mg/dL   (11.1 mmol/L).
    > This
    > is an obsolete protocol.    The best docs have found that seriously ill
    > patients do much better if the hospital takes the extra effort to maintain
    > their blood sugar somewhere around 140 mg/dL  (7.8 mmol/L)

    > e.g.

    > http://www.diabetesincontrol.com/modules.php?name=News&file=article&s

    That’d be THESE words btw:-)

    The protocol involved intensive monitoring of the glucose levels in patients
    and treating any elevation over 140 milligrams per deciliter (mg/dL) with
    injections of insulin under the skin or continuous intravenous insulin
    infusions, depending on the level of

       ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

    Intravenous? Wouldn’t that kill someone stone dead, even with as little as 2
    units? (According to the "scriptures" it would)

    Beav

  8. admin says:

    en Russell" <kenrussellmy…@optushome.com.au> wrote in message

    news:41aa311f$0$22803$afc38c87@news.optusnet.com.au…

    > One thing you can say for the doc, he doesn’t give up!

    > Must a nice commission in it for him :-)

    > —
    > Ken Russell

    >everting snipped for obvious reasons<

    It will if you keep reposting his drivel

    David etc

  9. admin says:

    - Hide quoted text — Show quoted text -

    batezee wrote:
    > en Russell" <kenrussellmy…@optushome.com.au> wrote in message
    > news:41aa311f$0$22803$afc38c87@news.optusnet.com.au…

    >> One thing you can say for the doc, he doesn’t give up!

    >> Must a nice commission in it for him :-)

    >> —
    >> Ken Russell

    >> everting snipped for obvious reasons<

    > It will if you keep reposting his drivel

    > David etc

    Especially if it gets reposted as a new thread.  I’ve blocked this
    thread 4 times already.  Give it a rest please.

    ——————–
    VBH
    T2/UK/A1c 5.8/ 1000Met/Dx Oct-03

  10. admin says:

    On Mon, 29 Nov 2004 07:12:20 +1100, "Ken Russell"

    <kenrussellmy…@optushome.com.au> wrote:
    >One thing you can say for the doc, he doesn’t give up!

    >Must a nice commission in it for him :-)

    >–
    >Ken Russell

    Then you’d better contact him for your 10% for re-posting the spam that
    my isp or newsservice blocked.

    Cheers, Alan