Our expert says:
This is an emergency. You must take your daughter straight back to the emergency section of the hospital where she was treated before (this is because they should still have her charts and details). She needs help immediately to correct the high sugar levels and you need assistance to know what dose of insulin to give her and when. As soon as she has recovered from this hyperglycaemic crisis, it is essential that she should consult a registered dietitian, because the correct diet is one of the most important factors in the treatment of diabetes, particularly in type 1 diabetes and in patients using insulin. Visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area. The dietitian will take your daughter's diabetes, type of insulin and other conditions such as underweight, into account when working out a diet for her, which will be based on low-fat foods with a low glycaemic index (GI). Click on 'Diet’n Food' at the top of this page and then on 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. Also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes’. Once she has recovered and has regained her energy, ask your doctor what type of exercise your daughter is allowed to do so that she can become more active, e.g. she can start going for brisk walks for about 30 min every day, BUT only if her doctor gives permission. Daily exercise will in future help her to control her diabetes, but it must be carefully controlled using insulin dosage adjustment and the correct foods to achieve the best blood glucose control.
Right now she needs medical attention urgently!
Holding thumbs for you and daughter
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