THE SPRING FESTIVAL IS APPROACHING, MIKE, WHO LIVES IN MANCHESTER, UK, ACCOMPANIED HIS WIFE BACK TO HIS HOMETOWN IN ANSHAN, LIAONING PROVINCE FOR THE NEW YEAR, WHICH WAS A HAPPY REUNION TRIP, BUT HE DIDN'T WANT TO, NOT LONG AFTER ARRIVING IN CHINA, MIKE SUFFERED A LIFE AND DEATH DISASTER.
"Come and save my husband"!
"Director, blood sugar Hi, shallow coma state"!
"Diabetic ketoacidosis, intravenous insulin pumping while rapidly replenishing blood volume"!
"Blood sugar 27.8mmol/l"......
After 8 hours, dozens of units of insulin were injected into the patient's body, and the blood glucose meter finally stopped bursting the table......
MIKE IS A 10-YEAR DIABETIC PATIENT WHO CAME TO CHINA WITH ELEVATED BLOOD SUGAR, DECREASED APPETITE, AND FREQUENT NAUSEA, VOMITING, AND PANTING.
According to the doctor's analysis, the patient was injected with insulin that failed after freezing, which caused blood sugar to lose control, and eventually developed diabetic ketoacidosis. Diabetic ketoacidosis (DKA) is one of the most common serious acute complications of diabetes mellitus, a kind of hyperglycemic crisis, a severe metabolic disorder syndrome caused by hyperglycemia, ketosis, acidosis, insulin insufficiency and antagonistic insulin hormone excess. Diabetic ketoacidosis has a fatality rate, so it is important to seek medical attention as soon as it is detected.
How should insulin be stored?
Unopened insulin: It should be stored in the refrigerator at 2~8°C, never in the freezer, because freezing will denature the insulin and become ineffective. The refrigerator compartment of your refrigerator is an ideal place to store your insulin, but avoid placing it adherently to prevent freezing. Also do not put it on the refrigerator door, as frequent opening of the door may cause temperature fluctuations. Also, do not leave insulin in a hot environment, such as near a windowsill exposed to direct sunlight or a computer, television, rice cooker, etc., which can generate heat. When going out, it is best to carry insulin in an incubator or thermos cup, and try to avoid shock during the carrying.
Opened insulin: can be stored at room temperature (no more than 25 ° C) for up to 4 weeks under these conditions. If the room temperature exceeds 30°C, it is recommended to use a thermos cup or incubator for storage. Opened insulin should also be marked with the date of opening to prevent it from expiring.
Avoid temperatures that are too high or too low at all times. Too high a temperature can denature the insulin and lose its hypoglycemic effect, while too low a temperature may cause the insulin to freeze and destroy its structure. Insulin should be stopped as soon as it is found to have an abnormal appearance, such as becoming cloudy or crystallizing.
In addition, insulin is afraid of the sun and shaking. Therefore, do not leave insulin in direct sunlight and try to minimize shock when using it.
Here, experts remind the majority of sugar friends: it is the Spring Festival, the climate is still cold, and when you need to go out for a long time, you should pay special attention to the preservation of insulin.
Author: Zhang Shu
Source: Shenyang Fourth People's Hospital
Editor: Li He
Proofreader: Li Qian, Chen Zeming
First Instance: Ji Wei
Review: Xu Jiang