You are asking good questions about medicines and what a diabetic can take if they have a cold. I would like to take a step back first.

The American Diabetes Association Guidelines recommends that Diabetics get an annual flu vaccine and are up to date with the pneumonia vaccine. Please be sure your mother has these vaccinations. And, be sure your mother follows good infection control prevention measures such as very frequent handwashing and avoids being around obviously sick people. Diabetics have a harder time fighting infections so prevention is always very important.

But, if she gets a cold, she should already know what the doctor wants her to do regarding her medicine, how frequently to do fingersticks, when to call the doctor and what over the counter medicines are safe for her. This is called a SICK DAY plan. Know what to do before your mother is ill.

I would never start an over the counter medicine without first calling the doctor and asking if that is what he wants her to take.

Do not forget that your Pharmacist is an expert in medicines both prescribed and over the counter, and can help you choose cold remedies that will not cause an increase in glucose levels.

If your mother has a fever, please have her evaluated by her doctor.