Managing Sick Days
- Illnesses such as colds, flu, infections, vomiting and diarrhoea can cause blood glucose levels to rise in people with diabetes
- It's important that when people are not well that they take special care of their diabetes
- It may be advisable for people with diabetes to have a flu vaccine in Autumn - check with doctor first
- Always take insulin or diabetes medication (except metformin when vomiting or with diarrhoea)
- Test blood glucose levels every 2 - 4 hours
- Drink plenty of fluids
- When cough medicines or lozenges are needed, the pharmacy will best be able to recommend sugar free brands
Managing Sick Days when on Insulin
- Never stop taking insulin
- Check blood glucose levels every 2 - 3 hours. If elevated extra insulin may be required (discuss this with doctor or diabetes team, preferably before getting sick)
- Check urine ketones (if they are present it indicates a lack of insulin)
- Have something light to eat or drink every 2 - 3 hours, for example half a glass of fruit juice or soft drink (not diet), or soup and toast, or yoghurt
- Drink other fluids at least hourly
- See information on when to contact doctor or diabetes team
When to contact Doctor or Diabetes Team
In the presence of any of the following:
- Vomiting
- Diarrhoea
- Fever
- Infection
- Blood glucose levels above 15 more than twice
- Raised levels of urine ketones (for people on insulin)
- Repeated Hypos
- If there are any special concerns