![]() ![]() Talk with your healthcare provider or diabetes educator about what should be in your kit. Have blood glucose levels over 250 mg/dl for more than two readings with or without ketones.Are vomiting or unable to keep fluids down.Have signs of dehydration such as dry mouth, cracked lips, sunken eyes, skin that is flushed and dry or weight loss.Never hesitate to call if you are worried, but pay particular attention to these signs and symptoms and call your provider for advice for what to do if you: Talk with a dietitian to determine if you need a special sick day diet plan based on your diabetes medicines. Keep some special foods handy for a sick day emergency such as plain saltine crackers, oatmeal, broth based soups, applesauce, juice and popsicles. Check your blood sugar every 4-6 hours, at the first sign of illness. Below is guidance for sick days specific to adults and children, click on each link to learn more. It is important to be prepared for a sick day when living with diabetes. When you don’t feel like eating your usual meals, it may still important to get some carbs to cover the medicines you’ve taken, especially insulin. A sick day can be caused by a cold, flu, surgery, infection, injury, stress or dental work. If you are unable to eat solid food, switch back and forth each hour between sugar-free drinks (water, seltzer, tea, diet soda) and drinks containing carbohydrate (such as juice and regular soda) Drink at least 6 to 8 ounces of water or other fluids every hour while you are awake to prevent dehydration. However, it is important to keep taking your diabetes medicine (unless your healthcare provider tells you not to). When you are not feeling well, you may not feel like eating. ![]() You may need to check if your blood glucose goes above 250 mg/dl. This is always important for people with type 1 diabetes and sometimes recommended for those with type 2. Ask your healthcare provider if you need to check ketones.If glucose is over 250 mg/dl for two readings in a row, call your healthcare provider as you may need a change in your medications. Blood glucose can rise quickly when you are sick and you cannot always tell what’s happening just by how you are feeling. Check it 4 times a day for mild illness (like a cold) or every 3-4 hours for a more severe illness, such as the flu. Follow these guidelines and talk with your healthcare provider about a plan specific for you: Here are examples of situations that are considered a “sick day” and may make blood glucose go up:ĭuring times when you feel sick or are in any of the situations listed above, it is important to pay closer attention to glucose levels as they can change unexpectedly and very quickly. It is important to have a plan in place to be prepared days when someone is not feeling their best. Have a sick day plan and sick day kit ready Talk to your doctor or diabetes educator to help you form a plan before you become sick (see attached sample of personal sick day plan). When someone is not feeling well, their blood glucose can go high even if they are eating less than normal. ![]()
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