I've been ill with the Coxsackie virus for two days. I am only able to eat 16% of my daily food (all liquid carbs, I'm a muscly person, my normal intake is 3700kcal, 600kcal now), eating produces very intense pain. I am able to manage my BGL at around 160, it's almost the best I can do. But my ketones are fluctuating between 0.6mmol/l and 0.9mmol/l in blood, 1+ (1.5mmol/l) to 2+ (4mmol/l) in urine. With high fever, all my fluid intake gets sweat out. And so it takes 6 or so hours to just get 0.9 to 0.6. 1.5 mmol/l would be suspected DKA.
ER care under my government's public insurance does not include IV dextrose in such cases, only when BGL is < 23.4. Insulin drip if BGL is > 400mg/dl. In my experience, DKA is treated with IV fluids only. As I am PWD, ER provides me with hard food (which I cannot eat). This would cause my health to deteriorate quickly.
Please give me some advice as I am out of my depth. I am armed to my teeth with BGL strips and blood ketone strips. But I can not eat much at all.
EDIT: My TDD has only decreased by 11%, even though I eat next to nothing. I am getting almost the same amount of insulin, it could be that my fat/muscle breakdown has increased. Do you agree or disagree? Can any keto people comment if they have ketones in urine and at what levels usually? I would be grateful beyond words.
EDIT 2: Thank you everyone for helping me come up with a viable strategy for the 7-10 days to come.
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