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Feb 27, 2024 · The day to day management of diabetes can be difficult enough, but managing diabetes when you are sick can be even more challenging. It is important to talk with your diabetes team, including: your family or support people; diabetes educators (nurses, dietitians and pharmacists); and primary care providers (doctors and nurse practitioners, specialists, dentists, etc.).
Aug 15, 2024 · That will keep your body nourished, stop it from making ketones, and prevent your blood sugar from dropping too low. If you’re having trouble eating, try bland foods like the ones listed below ...
Sick-day guidelines. Work with your doctor to write a sick-day plan for how to help prevent high blood sugar when you're sick. Keep your plan in a handy place, and let your family know where you keep the plan. Here are some general sick-day guidelines. Take your diabetes medicines as usual. Keep taking your diabetes medicine, even if you vomit ...
May 15, 2024 · More tips if you get sick. Follow these additional steps when you're sick even if your blood sugar is within your target range: Continue taking your insulin and diabetes pills as usual. Test your blood sugar every 4 hours and keep track of the results. Drink plenty of water to prevent dehydration. Try to eat as you normally would.
- Overview
- What to Expect at Home
- Sick-day Plan
- Drink Lots of Fluids
- Eating When You are Sick
- Diabetes Medicines
- When to Call the Doctor
- Alternative Names
- References
Waiting too long to get medical care when you are sick can lead to getting much sicker. When you have diabetes, a delay in getting care can be life threatening. Even a minor cold can make your diabetes harder to control. Uncontrolled diabetes can lead to more serious health problems.
When you are sick, insulin does not work as well in your cells and your blood sugar level can be higher. This can happen even if you are taking the normal doses of your medicines, including insulin.
When you are sick, keep a close watch on diabetes warning signs. These are:
•High blood sugar that will not come down with treatment
•Nausea and vomiting
•Low blood sugar that will not rise after you eat
•Confusion or changes in how you normally behave
Check your blood sugar more often than usual (every 2 to 4 hours). Try to keep your blood sugar at less than 200 mg/dL (11.1 mmol/L). There may be times when you need to check your blood sugar every hour. Write down all your blood sugar levels, the time of each test, and the medicines you have taken.
If you have type 1 diabetes, check your urine ketones every time you urinate.
Eat small meals often. Even if you are not eating as much, your blood sugar can still get very high. If you use insulin, you may even need extra insulin injections or higher doses.
Do not do vigorous exercise when you are sick.
Drink plenty of sugar-free fluids to keep your body from getting dried out (dehydrated). Drink at least twelve 8-ounce (oz) cups (3 liters) of fluid a day.
Feeling sick often makes you not want to eat or drink, which, surprisingly, can lead to a higher blood sugar.
Fluids you can drink if you are dehydrated include:
•Water
•Club soda
•Diet soda (caffeine-free)
When you have an upset stomach, try to eat small meals. Try carbohydrates, such as:
•Bagels or bread
•Cooked cereal
•Mashed potatoes
•Noodle or rice soup
•Saltines
Most of the time, you should take all of your medicines as you usually do. Do not skip or double up on any medicine unless your provider tells you to.
If you cannot eat your normal amount of carbohydrates, call your provider. You may need to make a change in your insulin dose or in the dose of your diabetes pills or other injections. You may also need to do this if your illness is making your blood sugar higher than normal.
Being sick increases the risk of more serious emergencies seen with diabetes.
Call your provider if you have:
•Blood sugar higher than 240 mg/dL (13.3 mmol/L) for more than 1 day
•Moderate-to-large ketones with your urine tests
•Vomiting or diarrhea for more than 4 hours
•Any severe pain or chest pain
Sick-day management - diabetes; Diabetes - sick day management; Insulin resistance - sick day management; Ketoacidosis - sick day management; Hyperglycemic hyperosmolar syndrome - sick day management
American Diabetes Association. 4. Comprehensive medical evaluation and assessment of comorbidities: standards of medical care in diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S46-S59. PMID: 34964869 pubmed.ncbi.nlm.nih.gov/34964869/.
Atkinson MA, Mcgill DE, Dassau E, Laffel L. Type 1 diabetes mellitus. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 36.
Being sick can make it hard to eat. Having simple carbs handy like regular soda, Jell-O, or popsicles will help keep your blood glucose up if you are at risk for lows. Use the 15-15 rule to treat the lows you may have. Making sure your blood glucose remains in target is one of the best ways to help your body deal with sickness.
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Dos of Managing Diabetes When Sick . You can take certain steps to manage your diabetes effectively while being sick. These steps ensure your blood sugar levels do not spike, causing more trouble. Let’s check all of them out. Monitoring blood sugar levels regularly . Monitoring your blood sugar levels is essential when you’re sick and have ...
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