Try to keep good records of your sick days, so you can refer back to them in the future. Sometimes ive had a bit of a sore throat but nothing develops so how do i know then whether to start sick day rules. What to do when you are sick keep taking any medications that are part of your diabetes treatment plan. Because illness and diabetes go together about as good as oil and water, i thought i would share a sick kit that is specific to diabetes sick day management. Initially they were very large, but modern pumps are the size of a pager or mobile phone. Sick day management falls into two different categories. Even a minor cold can make your diabetes harder to control. Sick day rules are guidelines for patients with diabetes providing advice on how to manage blood sugars and insulintablets during times of illness, especially illnesses that lead to reduced food intake andor vomiting. University college hospital sick day rules insulin pump. If you cannot keep food or liquids down, go to the emergency room for treatment.
Talk to your medical team ahead of time so youll be prepared to handle sick days. In general, illnesses associated with a temperature will cause the blood glucose. Check, check, check each person is different, especially when it comes to how the body responds to illness. So its little wonder that were the top diabetes service in the country national paediatric diabetes audit 20112012. It includes an hourtohour monitor of your weight, your blood glucose and ketone levels, your medication dosage and readjustment units, your food intake diary, and your fluid consumption record. Particularly useful for people with type 1 diabetes during the. Sick day managementguidelines diabetes center at ucsf. When you are ill, the following guidelines can help you keep your diabetes under control. Above all, learning to manage diabetes takes time, patience and effort not to mention coping with difficult emotions after diagnosis. However, it is likely that any illness will have an impact on the diabetes control. The second template is designed for individuals who have type 1 diabetes and require intensive management of their sick day progress. Insulin pumps were developed many years ago to administer insulin in the same way as the pancreas would in someone without diabetes. Pickup jc, williams g ed, textbook of diabetes mellitus, 3 rd edn, oxford, uk.
Diabetes ireland is the only national charity in ireland dedicated to helping people with diabetes. Easy to use flowchart with guidelines on how to adjust insulin doses to deal with higher blood glucose levels when unwell. Managing diabetes safely during sick days novo nordisk inc. Having a sick child can be challenginggetting time off work and securing a lastminute doctors appointment isnt always easy. When you have type 1 diabetes and you are unwell, high blood glucose levels increase your risk of developing ketones. University college hospital blood glucose and hba targets. Ask your health care provider to help you develop a sickday plan. Patients on oral hypoglycaemics 3 people with type 2 diabetes who have acute intercurrent illness are at risk of worsening hyperglycaemia.
Implementation of freestyle libre prescribing guidance across the. Insulin pumps are used in people with type 1 diabetes who have not been able to control their blood glucose levels despite using different insulin regimens. If you are unwell, this can affect your blood glucose levels and insulin. Plan ahead for illness by having individually wrapped ketostix and special foods such as regular jello and gatorade on hand. Information courtesy of understanding diabetes by dr.
Sickday guidelines for people with diabetes healthlink bc. Sick day management illness in a child with diabetes can disrupt blood glucose bg control. Talk with your doctor about using insulin when you are sick. Sick day guidelines for patients with type 1 diabetes. Take this same amount of insulin again in 34 hours, as long as the blood sugar is still over 300mgdl and ketones are moderatelarge. Sick day management kit an ounce of prevention is worth a pound of cure visits to the emergency care cen. Every illness is different, so check with your doctor for your specific sickday needs. Substitute sick day foods such as popsicles or apple juice if you cant tolerate regular food 5. See our sick day rules for advice on what action to take if you find your child. Sick day rules multiple daily injections children and young peoples diabetes service children whose diabetes is well controlled should not experience more illness or infections than their siblings or peers without diabetes.
Type 1 diabetes, there is a risk that if untreated, levels of ketones will increase and become too high. When you are sick, keep a close watch on diabetes warning signs. This is because of the physical stress on the body. If you are unsure, contact your diabetes team or nhs 24. If the ketones are below moderate or blood sugar is below.
You may think that your blood sugar will be low because you are not able to eat or drink. Good clear flowchart to advise someone with type 1 diabetes how to manage sick day rules. Managing sick days for type 1 diabetes healthy living nt. Sick day rules insulin pump therapy children and young peoples diabetes service children whose diabetes is well controlled should not experience more illness or infections than their siblings or peers without diabetes. Diabetes can be more difficult to control when you are ill. Dec 02, 2016 written information on sick day rules should be kept with these, such as those available at the diabetes uk website. Above all, were here to deliver a high quality and responsive diabetes service that maximises health and wellbeing for children, young people and families. Sick day rules flowchart from leicester diabetes centre.
But when your sick child also happens to have type 1 diabetes, it presents a separate set of complications relating to insulin and blood glucose blood sugar management. All patients andor their carers should be provided with clear individualised oral and written advice sickday rules about managing type 1 diabetes during intercurrent illness or episodes of hyperglycaemia, including. With careful management, you can help your child to control their condition so it doesnt control them. Children whose diabetes is well controlled should not experience more illness or infections than their. Follow the insulin adjusting flowchart for guidance on how to adjust your insulin when you are ill. Use your test results as a guide and aim to keep your blood glucose between 6 and 10mmoll. Here are helpful tips for days you are sick, and the carbohydrate content of foods that might be a part of your sickday diet. Check, check, check each person is different, especially when it. British society for paediatric endocrinology and diabetes bsped. Follow these additional steps when youre sick even if your blood sugar is within your target range. A4 patient information fact sheet colour camden msk.
Discuss with your diabetes team what to do in the event of illness, how to manage high blood glucose levels, when and how to test for ketones, when you should seek emergency assistance and who to contact if you need advice out of hours. To handle these diabetes control challenges, experts recommend following sickday rules to ensure blood glucose levels stay safe and put you on the road to recovery. Check your blood glucose levels at least four times a day and write down the results in your record book. You will need to test more frequently, at least twice a day. An illness like a cold, the flu, or any condition that makes you throw up. If ketones are large, take 20% of the total daily dose. When you have diabetes, a delay in getting care can be life threatening. Some people will know these as sick day rules youll need to know how to manage insulin or other diabetes. An illness like a cold, the flu, or any condition that makes you throw up or gives you diarrhea can also boost your. Keep a closer watch on diabetes warning signs when youre sick you may need immediate medical attention at an emergency department, especially if you are nauseated, vomiting or dehydrated, your blood sugar is very high or very low, you have ketones, or. Work with your doctor to make a sickday plan for you or your child with diabetes. We achieve this by providing support, education and motivation to everyone affected by diabetes. Sick day management tips when your child has type 1 diabetes.
Work with your doctor to make a sick day plan for you or your child with diabetes. This may cause lifethreatening complications, such as diabetic ketoacidosis or a hyperosmolar hyperglycemic state hhs. Endocrinologists diabetes sickday rules diabetes daily. Diabetic emergencies, diagnosis and clinical management. Having diabetes introduces the need for closer monitoring during sick days. True hobie but bg in the high teens and mega ketones and we still need pen or syringe jabs of our chosen insulin, some place else than the pump cannula to make sure it gets absorbed asap, cos the amount you need is massive in comparison to your normal rate. Every one with diabetes should have a sick day management kit. Diabetes doesnt have to stop your child from living life to the full. People with diabetes need to plan ahead for when they get sick. Establish a plan of action with your doctor before experiencing those telltale signs, says david baidal, md, assistant professor of medicine in the division of endocrinology, diabetes, and metabolism at the university of miami diabetes research institute. Hyperglycemic crises in adult patients with diabetes. During illness, additional insulin may be needed to control blood sugar and prevent ketones from forming.
Following a sick day plan will help you keep your blood glucose in target ranges and feel better faster. Call your pediatrician or family doctor for nondiabetesrelated illness, like a sore throat, earaches, rashes, etc. Following a sickday plan will help you keep your blood glucose in target ranges and feel better faster. Sick day rules for people with diabetes northumbria. When you are sick, stress hormones are produced in the body, which raise blood sugar. To handle these diabetes control challenges, experts recommend following sick day rules to ensure blood glucose levels stay safe and put you on the road to recovery. Keep your results handy so you can report the results to your health care team. Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.
If you are sick, your health care team may recommend the following. If you are needing to give repeated doses then make sure the consultant is aware. Management of type 1 diabetes mellitus during illness in children and young people under 18 years sick day rules pdf 01 february 2018 publisher. These things suddenly become hard to find when youre sick. Keep taking your diabetes medicines, even if you cant eat. If you have already taken your insulin and are sick to your stomach, drink enough liquids with the same amount of carbohydrates that you would normally eat. Blood sugar levels may become hard to control and lead to. Managing sick days living with diabetes diabetes cdc. Sick day rules ketone management for children using insulin. Endorsed guidelines association of childrens diabetes. Every illness is different, so check with your doctor for your specific sick day needs. Managing diabetes can get a bit tricky when illness strikes. Uncontrolled diabetes can lead to more serious health problems.
Continue taking your insulin and diabetes pills as usual. Keep a closer watch on diabetes warning signs when youre sick you may need immediate medical attention at an emergency department, especially if you are nauseated, vomiting or dehydrated, your blood sugar is very high or very low, you have ketones, or you cant control your blood sugar. Managing diabetes during an illness diabetes ireland. See sick day rules pump or injections leaflet if ketones below 0.
Test your blood sugar every 4 hours and keep track of the results. Insulin pumps are used in people with type 1 diabetes who have not been able to control their blood glucose levels despite using different insulin regimens and undergoing intensive education e. Steve edelman, of the edelman report, talks sick day rules for people with diabetes in the short video below. So i finally wised up and created a sick kit of shelf stable items that can help me avoid the middle of the night store runs, when illness does decide to strike.
The stress hormones released during an illness can cause insulin resistance, which leads to higher bgs with or without ketones. If you take two injections per day or use an insulin pump to manage your diabetes, please discuss this with your diabetes team. Add up the total number of units per day and then work out the percentage accordingly i. Sick day guidelines when you have type 1 diabetes any type of illness can raise blood sugar. Waiting too long to get medical care when you are sick can lead to getting much sicker. When you have diabetes, its important to know how to cope when youre unwell. When you have diabetes, sick days often mean more than a runny nose and sneezing. And, eating less, nausea, and vomiting may cause your blood glucose to fall hypoglycemia. We also raises public awareness of diabetes and its symptoms and fund research into finding a cure for diabetes. A consensus statement from the american diabetes association.
Drink extra caloriefree liquids, and try to eat as you normally would. Dec 04, 2018 true hobie but bg in the high teens and mega ketones and we still need pen or syringe jabs of our chosen insulin, some place else than the pump cannula to make sure it gets absorbed asap, cos the amount you need is massive in comparison to your normal rate. University college hospital sick day rules multiple daily. When you have diabetes, even a minor illness can lead to dangerously high blood sugar. University college hospital sick day rules insulin pump therapy. Being ill can upset your diabetes management, so you need to know what to do to keep your blood glucose sugar levels as close to target as possible. Diabetes and being ill managing when youre sick diabetes uk.
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