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What Causes Dizziness And Right Hand Cramping After Taking An Humalog Shot?

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Posted on Tue, 31 May 2016
Question: I am a type 1 diabetic. I am also suffering from a severe case of bronchitis. My blood sugar was 400 when I awoke, and, despite bolusing a large amount of insulin, my bg levels XXXXXXX to over 600. I changed my pump set, and directly inject 30 units of humalog. An hour later, my bg has dropped to 581. I have directly injected another 30 units, but I am also now suffering from light dizziness and my right hand is cramping badly. Should I head to the hospital now?
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Answered by Dr. Dr. Abhay A Mali (15 minutes later)
Brief Answer:
You should go to ER.

Detailed Answer:
Hi,

Thanks for choosing HCM.
Noted your concern.

With such a high levels of blood sugar level I may suggest you should go to ER without delay.

There is a need for urgent Arterial blood gas & urine ketone assessment and accordingly there is a need for intravenous insulin infusion with frequent monitoring of blood sugar level.

Meanwhile please try to drink water as much as possible..

Simultaneously following investigations may be suggested-

- Complete Blood Count.
- Renal Function test including urea, creatinine, electrolytes, uric acid.
- Liver Function Test.
- Chest X-ray.
- Urine examination.

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetologist.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 807 Questions

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What Causes Dizziness And Right Hand Cramping After Taking An Humalog Shot?

Brief Answer: You should go to ER. Detailed Answer: Hi, Thanks for choosing HCM. Noted your concern. With such a high levels of blood sugar level I may suggest you should go to ER without delay. There is a need for urgent Arterial blood gas & urine ketone assessment and accordingly there is a need for intravenous insulin infusion with frequent monitoring of blood sugar level. Meanwhile please try to drink water as much as possible.. Simultaneously following investigations may be suggested- - Complete Blood Count. - Renal Function test including urea, creatinine, electrolytes, uric acid. - Liver Function Test. - Chest X-ray. - Urine examination. Hope this helps you. Regards, Dr. Abhay Mali. Diabetologist.