How to Manage Sick Days When You're Diabetic
HealthCentral Editorial Team Mar 26, 2012 (updated Sep 28, 2013)
1 of 6
1 of 6
The most important factor in managing illness if you have diabetes is to have a plan and keep your supplies well stocked. Also, make sure to check your blood glucose much more frequently than usual.
2 of 6
- Test blood glucose every three hours.
- Check ketones daily.
3 of 6
- If BG is elevated and ketones are negative, increase basal or lantus by 50 percent for 24 hours.
- If BG is elevated and ketones are postive, increase basal or Lantus by 100 percent for 24 hours.
4 of 6
8 oz each waking hour, 4 oz for children.
Preferred fluids: clear, caffeine free such as:
- Chicken beef or vegetable broth
- Decaf tea
- Jello, sugar fee or not depending on BG levels
- Caffeine-free soda
- Ice popsicles, sugar free or not, depending on BG levels
5 of 6
- Important to eat carbs such as fruit, bread, crackers, rice, cereals.
- Avoid high fat and high protein food.
- Drink low sugar beverages, which are often easier to tolerate, such as Gatorade, diluted juice, jello or pedialyte for children.
- If needed take a shot of glucogon with an insulin syringe (20 unit dose for adults and 10 unit dose for children)
6 of 6
When to call the doctor
- Large ketones are present, may indicate severe infection.
- BG remains high despite extra insulin (severe infection or dehydration)
- Vomiting multiple meals and or diarrhea for more than 24 hours.
- Persistent high fever, with or without over the counter medications.