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The Question
Sun Dec 16 08:05:47 UTC 2012

What do you do when you are vomiting can't keep anything down and your blood sugar is going lower? What can be done when this happens?
Asked By: zebedeebears  
Category: Type 2

Background Info Hide
I am on insulin pump with an A1C of 5.3%. I just had a migraine and was vomiting for almost 48 hours. When I drank anything it was coming back up seconds later. The liquids was at room temp and flat. At 22 hours I had a friend take me to the ER. They gave me something for vomiting and pain medication. I was NOT given any fluids. I was still vomiting at the hospital when I was discharged. My blood sugar was 90 when I arrived. When I got home my blood sugar was 82. At home I had tried to get some real soda down and it came back up seconds later. I knew to check my blood sugar every 2 hours due to the vomiting. I do not know how to get blood sugar up without using food/ liquids.
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Expert Answers (1)
2012-12-21 13:10:49.0

Discuss an action plan with your health care provider before this happens again. Sick day PLANNING is a very important aspect of dealing with diabetes. >p > Illness usually causes a rise in blood sugar and the need for more insulin. But, sometimes, severe vomiting can cause lows. I am very glad to hear that you were checking your blood sugars.

Talk with your health care provider to develop an plan to change your basal and/or bolus doses as needed when you are sick. I have read that when this happens to children, some doctors recommend small doses of glucogon to prevent hypoglycemia when vomiting. You also might try glucose tabs or gel.

Keeping a sick day box is recommended to help manage diabetes when you are ill. These are some of the things that should go in it: important telephone numbers (pharmacy, doctor, friend who could help you etc.),list of all current medications and doses, pen, paper, thermometer, alarm clock, cold medicine, tissues, manual can opener, recommended pain/fever and anti-diarrhea and anti-nausea medicine, extra monitoring supplies including ketone strips, glucose gel or tabs, insulin syringes, pump supplies, glucagon kit, shelf-stable foods and liquids (applesauce, canned soup, bottled water, powered gelatin,etc.).

Hope this helps answer your question. Stay healthy for the holidays!

Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
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Community Answers (1)
2014-01-24 11:09:03.0

You are sick; virus last or pass usually in 3 days/nights, so fluid, rest, chicken soup asprin or your favorite analgesic; 2. bacterial infections are associated with your symptoms PLUS fever AND last more than 3 days, but after a week or 10 days you are ready for a doctor visit not ER. your provider knows you, the folks at the ED do not necessarily , and administer gemeral protocals, regardless of pump, or oral diabeties meds, but, what else in that meds field are you taking/? Some meds, when we are sick, MAKE us feel worse, so you and your provider need to sit down and figure it out not the ER or ED folks. fyi, you must take charge, be pro active, possible second opinion if your provider(doctor) is at a loss for help. jerry Z
Answered By: jerzil

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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