RIP to my BIL

[mustang_revival]

Condolences for your family's loss.

[Whiteboy]

You can drink beer with diabetes. It will lower your blood sugar so eating something while you drink will help keep it from getting to lower.

You cant be out getting pie candy and drinking cokes or mixed drinks

The day I found out that I had it my blood sugar was close to 500 I had just ate a zebra cake and a coke my weight was down to 190 I had dropped 100lbs in a year only thing I had don't when this started was quit drinking 6 pack to 12 a night

my Ac1 test are always good only drink unsweet tea and nothing with sugar
I have fucked up nerve damage and lost most my strength But no biggie there are people out there way worse off! so I cant complain

[blandnuts]

I hope he pulls through mate.

[Jose]

Sorry for your loss Rodney. Reminds me of the shit I went through last year.

[Sean88gt]

Sorry to hear that Rodney.

[davbrucas]

If it is any consolation, Michelle's uncle who was a terminal cancer patient fell over stone cold dead in my living room floor, we did CPR on him for about six minutes until the firemen got here. They took him to the hospital right around the corner and they put him in that hyper therapy state. We got all the horror stories of brain damage and organ failure, it took a few days for him to come around. After about a week he was back to normal. He lived for another two years after that before the cancer finally took him down. He died in his living room in his easy chair one day, no complications, he just shut off.

The difference is he had immediate CPR...Rodney's BIL was down without bloodflow to his brain for several minutes.

[davbrucas]

that is the case here

an update as i was going off of information that was basically a game of telephone. here is the updated group text i received last night, maybe Dr. Dave can chime in and explain it. they basically put him into an induced hypothermia to prevent his organs from shutting down, which is what was happening when we last spoke. today all i received was they are "checking his heart to see when they can check for brain activity."

as of know he is still on life support and the parents wont be here for another few hours.

If he was down for 18 minutes then no amount of hypothermia will bring back the damaged brain cells. Is he an organ donor? Sounds like he was in diabetic ketoacidosis which caused his blood pH to drop really low which, along with his elevated potassium, caused cardiac arrest. I have taken care of several patients that have suffered the same fate. The only one I have seen survive this was an 18yr old Univ of Florida student.

Diabetes is bad news if not properly managed. Hope for the best, but expect the worst.

A little info on diabetic ketoacidosis...

Your body needs insulin to get glucose inside your cells in your body to be used for energy. When insulin is not present, your cells sense the low glucose and initially upregulate glucose synthesis and glycogen breakdown which further exacerbates the condition. The elevated blood sugar causes osmotic diuresis and dehydration. Your body starts using fats as a secondary energy source. The byproduct of this is ketone formation which causes acidosis which your natural buffer system cannot overcome. If not corrected in time, cardiac arrest will happen from the severe acidosis and hyperkalemia.

[Craizie]

I know we say terrible things to each other here, but I'm pulling for you.

[naynay]

thanks man

[Fastback]

Naynay. My BIL ultimately died from diabetes, but he had a close call like this one, which he survived. He was about the same age as your BIL, and he lived to be about 43 after the scare. I am praying for him and for you/ your family.

[naynay]

If it is any consolation, Michelle's uncle who was a terminal cancer patient fell over stone cold dead in my living room floor, we did CPR on him for about six minutes until the firemen got here. They took him to the hospital right around the corner and they put him in that hyper therapy state. We got all the horror stories of brain damage and organ failure, it took a few days for him to come around. After about a week he was back to normal. He lived for another two years after that before the cancer finally took him down. He died in his living room in his easy chair one day, no complications, he just shut off.

thanks for sharing, i really am hoping for the best. this will be a huge impact on my family dynamic.

[naynay]

if someone (don) knows Dr. Dave, will you text him and ask him to chime in on this for me.. they are about to start warming his body up within the hour and i would like some insight to what to expect in reality, whether it be therapy or anything else.

a friend of mines mom was in for a routine surgery just last week at a Presby in recovery when she was found with no pulse. I just talked to her and she said her mom had the same hypodermic therapy but when she came out it was determined she had no brain activity. this was last thursday and as of today her mom is still alive and was moved to a hospice wing a day or two after the decided to pull the life support.

i'm not going to interject my $.02 on the family, but he was a friend of mine through all the bullshit me and his sister have been through.

[Broncojohnny]

If it is any consolation, Michelle's uncle who was a terminal cancer patient fell over stone cold dead in my living room floor, we did CPR on him for about six minutes until the firemen got here. They took him to the hospital right around the corner and they put him in that hyper therapy state. We got all the horror stories of brain damage and organ failure, it took a few days for him to come around. After about a week he was back to normal. He lived for another two years after that before the cancer finally took him down. He died in his living room in his easy chair one day, no complications, he just shut off.

[naynay]

this article mentions this therapy in the case of infants, but highlights that it is a different ordeal for adults. unfortunately it looks like only 6% survival rate, and of those 20% have proper brain function. i am praying for the best.

as i mentioned, i fear what he would have wanted quality of life wise. I think about it for myself, my father was disabled after falling into a coma for 8 months following a brain tumor removal. he was never the same.

how does one go about a medical DNR order?

https://www.americannursetoday.com/therapeutic-hypothermia-after-cardiac-arrest-what-why-who-and-how/

[Craizie]

heres an article about the Induced Hypothermia that explains it all well for anyone interested. It sounds like Baylor is doing a kickass job so far, we just have to see what happens when he warms up.

http://emedicine.medscape.com/article/812407-overview

A friend of mine's infant went through that because he stopped breathing for an unknown reason. He's just like every other toddler now.

Hope it works out for yall.