Animas IR 1200, User Manual

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Page 81
Chapter 16 Sick Day Guidelines
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During periods of short-term illness, it may be more difficult to maintain good control of your
diabetes. Examples of minor illness are: dental surgery, colds, nausea/vomiting, sore throat,
mild infections, diarrhea, fever. However, you should call your healthcare team if:
•
Illness persists without improvement for 24-48 hours.
•
Temperature rises above 100° Fahrenheit or 38° Celsius.
•
Vomiting or diarrhea continues longer than 4 hours.
•
There are moderate to large amounts of ketones in urine.
•
BG levels continue to run less than 60 mg/dL (3.5 mmol/L) or above 250 mg/dL (13.5
mmol/L) {above 130 mg/dL (7.0 mmol/L) during pregnancy} after taking extra bolus
doses as prearranged by your healthcare team.
•
Signs of ketoacidosis, dehydration or other serious problems such as: increased
drowsiness, abdominal or chest pain, difficulty breathing, fruity odor to the breath, dry
cracked lips, mouth or tongue.
•
Any uncertainty as to what to do to take care of yourself.
Never omit your insulin! If you are ill and cannot eat, your need for insulin continues and may
also increase.
•
Continue your usual basal dose of insulin along with your sensitivity insulin or
supplemental insulin scale as prearranged with your healthcare team.
•
You may need to temporarily increase or decrease your basal rate by using the Temp
Basal feature as prearranged with your healthcare team.
Medication
Always let your healthcare team know ALL medications you are taking.
Blood and Urine Testing
•
Check your BG before your usual mealtime and every 2-4 hours if indicated.
•
Test your blood or urine for ketones at least 4 times a day, or according to
instructions from your healthcare team.
Fluids and Diet
Always follow your healthcare team’s sick day guidelines. Fluid intake is essential with any
illness. You may need to drink 8 ounces of calorie-free liquid every 60 minutes. Examples of
calorie-free items are: water, tea without sugar, instant broth, diet drinks OR eat ice chips,
sugar-free icicle pops, sugar-free gelatin, etc. If vomiting, start fluids 1 to 2 hours after vomiting
and sip slowly. Increase the frequency of BG testing to every 2 to 4 hours as long as BG is
elevated. If BG is over 250 mg/dL (13.5 mmol/L), check for ketones every 4 hours until negative
results are obtained. Follow your healthcare team’s sick day guidelines.