#321 Ask Scott And Jenny: Chapter Twelve

DKA Management

Scott Benner and Jenny Smith discuss the importance of managing insulin delivery to prevent diabetic ketoacidosis (DKA). Jenny explains that a deficit in basal insulin can lead to rising blood sugar levels, especially during the night when insulin delivery systems fail 1. She advises against disconnecting from insulin pumps for more than two hours to avoid potential DKA 1. Scott shares his approach to balancing content on the podcast, ensuring listeners receive valuable information without overwhelming them with COVID-19 updates 2.

If you're on basal alone, there's literally nothing else left, such as like an overnight. You go on to bed, your last meal in bolus was around 06:00 it's 03:00 in the morning, and you can see that, like you said before, Arden's friend, she had a bad pump or a bad pod site or whatever it was, and it was middle of the night, you could see blood sugar was rising.

--- Jenny Smith

Scott emphasizes the need for accurate information, especially during the pandemic, to help listeners make informed decisions 2.

   

Insulin Techniques

In exploring insulin adjustment techniques, Scott and Jenny address the challenges of managing blood sugar levels effectively. Scott shares a listener's experience of turning off basal insulin temporarily to manage low blood sugar, highlighting the importance of understanding individual needs and responses 3. Jenny stresses the need for personalized medical advice and the importance of consulting healthcare professionals before making changes to insulin management 4.

If your background insulin, if your basal insulin is dragging you that low, then taking it away for a little while, it's not really gone because you probably have too much to begin with.

--- Scott Benner

They also discuss the broader implications of medical advice and the necessity of focusing on controllable factors to improve health outcomes 4.