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Dr. David
Dr. David, Other
Category: Endocrinology
Satisfied Customers: 42859
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If a patient has a 374 blood glucose reading at 9pm and

Customer Question

if a patient has a 374 blood glucose reading at 9pm and passes away around 1230am would it be possible for their blood glucose to be 190 at 215am and then spike to 376 at 255am? Suppose insulin was taken in the amount of 16 units of the fast acting variety at 9pm and the patient is normally on a well controlled non insulin dependent regiment.
Submitted: 1 year ago.
Category: Endocrinology
Expert:  DrThomasMd replied 1 year ago.
Hello
Anything is possible.
Even stress can sudden raise blood glucose.
So, it certainly is possible.
It is less likely if fast acting insulin was received, but depending on other factors, still possible.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here
Customer: replied 1 year ago.
What kind of stress can raise blood glucose? And if patient normally gets 1-3 units would 16 units significantly impact his system?
Expert:  DrThomasMd replied 1 year ago.
Infection
Adrenal disease
Many other possible problems.
Of course 16 units would have an effect if 3 units it the normal dose.
This situation needs to be examined, with the patient, by the patients doctor.
please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.
post mortem blood glucose rising from 190 to 376 in 45 mins doesn't strike you as odd? Thank you for your time
Expert:  Dr. David replied 1 year ago.
This is Dr. David

I am another expert here

I see you have opted out the other expert

"Due to continuous consumption of glucose by surviving cells postmortem, blood glucose levels decrease rapidly"

so after death, glucose levels in the blood drop rapidly. they would not rise

http://www.ncbi.nlm.nih.gov/pubmed/19167848

so either he didn't die at 12:30 or those are the wrong glucose measurement

blood glucose levels would not rise after death