TR
OU
B
LE
S
H
OO
TI
N
G
Emergency situations
+
For BG of 250 mg/dL or more see: Hyperglycemia Action Plan
+
For BG of 70 mg/dL or less (and/or symptoms) see: Hypoglycemia Action Plan
Throughout an illness
If you have a cold, stomach virus, toothache or other minor illness:
+
Check blood glucose more often (every 2-4 hours or at least 4 times a day)
+
Check ketones—any time BG is 250 mg/dL or more
+
Use temp basal as directed by your healthcare provider
+
Stay hydrated
+
Monitor urine output
+
Keep a record of information (BG, ketone checks, fluids, and time/amount of urine,
vomiting, diarrhea, temperature)
Call your healthcare provider immediately if you have:
+
Persistent nausea and/or if you are vomiting
or have diarrhea over two hours
+
Difficulty breathing
+
Unusual behavior (such as confusion, slurred speech, double vision, inability to
move, jerking movements)
+
Persistent high BG and/or positive ketones after treating with extra insulin and
drinking fluids
+
Persistent low BG that is not responsive to decreasing insulin and drinking
carbohydrate-containing fluids
+
A fever above 100.5°F
+
Moderate to large urine ketones or ≥ 1.0 mmol/L blood ketones
TROUBLESHOOTING |
Sick Day Management
The above general guidelines are drawn from Joslin Diabetes Center. For further guidance please consult with your healthcare provider for individualized advice.
Action Plan
Discuss Sick Day Management with your healthcare provider. Always follow
your healthcare provider’s guidelines for your individual needs. Below are only
general guidelines.
SICK DAY MANAGEMENT
Reminder
The symptoms of DKA (diabetic
ketoacidosis) are much like those
of the flu. Before assuming you
have the flu, check your BG to rule
out DKA. Consult your healthcare
provider for further information.
Always consult with your healthcare
provider when experiencing
hyperglycemia and sick days.
Always follow your healthcare
provider’s guidelines.
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