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Sick days are usually rough when you're trying to manage blood sugars. Whether it's a cold or a stomach bug, the stress, medicine, and unusual food intake can really wreak havoc on controlling levels.

Satuday morning, I came down with a stomach virus. This is the second one I've had this year, so I feel like I'm an expert at managing blood sugars when I can't keep anything down for hours.

I don't really keep an active sick day plan. I usually just make changes as needed. Being on the pump has made being sick so much easier since I can decrease or increase basals as necessary and prolong boluses just in case I can't keep food down.

Anytime I'm sick, no matter the source, I make sure to check my blood sugar every 2 to 3 hours. I was running pretty consistently in the 140's. I was sipping on juice and Sprite the whole time, to replace fluids and get some intake of carbs.

I'd had a fever and chills during the early morning, but sometime in the evening, my fever sparked to 101.2 and my blood sugar spiked to 248. I bolused using a dual-wave, just in case. I increased my basal by 0.10 for the next six hours. An hour later, I was only 230. Then 210.

After several boluses and some Cheerios, my blood sugar was down within "sick day range" so I fell asleep. I woke up this morning at 145. I'm still not completely over whatever bug it was, but at least I'm able to eat and keep my blood sugars fairly stable.