Sick Days

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Taking Care of Your Diabetes When You're Sick

Take good care of yourself when you have a cold, the flu, an infection, or other illness. Being sick can raise your blood glucose. When you're sick, do the following:

Check your blood glucose every 4 hours. Write down the results.


Keep taking your insulin and your diabetes pills. Even if you can't keep food down, you still need your diabetes medicine. Ask your doctor or diabetes educator whether to change the amount of insulin or pills you take.


Drink at least a cup (8 ounces) of water or other calorie-free, caffeine-free liquid every hour while you're awake.


If you can't eat your usual food, try drinking juice or eating crackers, popsicles, or soup.


If you can't eat at all, drink clear liquids such as ginger ale. Eat or drink something with sugar in it if you have trouble keeping food down.


Test your urine for ketones if
your blood glucose is over 240
you can't keep food or liquids down


Call your health care provider right away if
your blood glucose has been over 240 for longer than a day
you have moderate to large amounts of ketones in your urine
you feel sleepier than usual
you have trouble breathing
you can't think clearly
you throw up more than once
you've had diarrhoea for more than 6 hours
ACTION STEPS

If you use insulin

Take your insulin, even if you've been throwing up. Ask your doctor about how to adjust your insulin dose, based on your blood glucose test results.
If you DON'T use insulin

Take your diabetes pills, even if you've been throwing up.
 

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