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"I feel that diagnosis was left to my Diabetes team"

About: Hull Royal Infirmary / Accident and emergency

(as the patient),

Firstly, I had been feeling unwell for a few days with blood glucose (bg's) levels in the high 20'street. I was on my top insulin rate on my pump and was constantly trying to lower my bg's, even resorting to extra bolus injections, without any success. Yesterday I woke up with readings of 19. 8 and they continued to rise to the point my bg meter could no longer put a figure on how high they were. I tested 3 more times and the same result appeared. By this time I had ketones present in my blood of 1. 5, I decided to test again later and they had risen again. I had been to the toilet 6 times in an hour and felt incredibly unwell so decided to call NHS 111 as it was about 5pm on a Saturday night. They advised me to go to Hull Royal A&E, which I did.

After just over 2 hours I was seen by a doctor, who was perplexed when I entered the room without having had any observations done or blood taken. An hour later after discovering my glucose levels were around 26 mmol/l and blood ketones of 1. 9 I was admitted, put onto a saline drip and taken to the AAU ward. There I had my bg and ketones checked and then settled in for the night at roughly 2200, after which I had one set of observations taken since I had been admitted to the AAU, which one nurse (who was fantastic but have forgotten her name) was extremely unhappy about. This nurse had just done some observations on myself at around 0130 and may have noticed something odd with my results. A student nurse then promptly took a blood glucose reading, which showed that I had become hypoglycemic with a reading of 2. 9. So I was given a drink of lucozade and a sandwich to try and increase my bg levels to within the 'normal' range. This nurse then said she would test my glucose levels again in an hour. I was seen by a doctor at 0300 where my glucose levels were 16. 6. This doctor asked questions about how I was feeling and what could have caused the spike in blood glucose and said he may prescribe antibiotics. By this time I had a splitting headache so asked if I could possibly have a painkiller, which he said agreed to. For the remainder of my stay in never received any painkillers and had my blood tested only twice more before I was discharged. The night team were very good. However the day team didn't seem to want too bothered. There was a woman opposite myself who hadn't had any water or painkillers since she had arrived (over 10 hours before).

The doctor on the morning shift said that he wanted my pump to be checked in order to make sure it was working correctly. Needless to say nothing was really really done and I was discharged. My discharge letter stated incorrect details. Overall not a very good experience and feel that because a diagnosis couldn't be found it has been left to my Diabetes care team to deal with.

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