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Glucose, What's your highest?


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20 replies to this topic

#1 Arctickat

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Posted 25 November 2012 - 05:32 PM

Picked up a patient in a delerium yesterday, a known diabetic under 40 years old. Insulin dependent and not very compliant. He's already lost half of one leg. He was last seen 24 hours previously. Kussmal resps and as mentioned, in a delerious, near coma state. His BGL was 59.2 mmol/L, that's 1067 mg/dl.

That's the highest I have ever seen in my career. What about you guys?
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#2 paramedicmike

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Posted 25 November 2012 - 06:30 PM

Highest I've seen personally was in the 600s. Highest I've seen in a chart was 1000+.

I did have a patient whose A1C was 15.1 just a couple weeks ago.
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#3 Resqmedic

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Posted 25 November 2012 - 06:46 PM

I think my RBS was up around 1000 after the nice old ladies from the church brought by a car load of sweets.
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#4 Secouriste

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Posted 25 November 2012 - 07:37 PM

The highest glucose rate I saw was around 580. It was a lady about 50, we found sitting in the street. She was unable to communicate, but seemed to understand a few things we said. Also, once she was in the ambulance, she would outstretch her arms with her hands like crab-pincers. She didn't say a word nor respond to any "order".

All the other vitals were good.
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#5 paramedicmike

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Posted 25 November 2012 - 08:13 PM

I know the topic here is the highest, but Secouriste's post reminded me of a guy I treated once with a BGL that came up as 10mg/dL on the glucometer. He was sitting up and talking to us coherently. Although, he was not sitting up talking to us for long. We woke him up quickly enough.

Of all the things we can do in EMS as far as treating patients goes, waking up a diabetic is one of the most amazing things. It is still amazing to watch even after all these years.
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