Being ill can boost high blood glucose levels, so talk with your doctor about developing a sick day plan. Here are some guidelines to follow when you are under the weather:
Keep eating and drinking. Keep plenty of nonperishable food and drinks on hand and drink plenty of fluids to avoid dehydration. Avoid high carb foods as these may elevate your blood sugar levels more than usual, but keep sugar sources such as juice readily available in case of a low blood sugar.
Stock up the medicine cabinet. In addition to your glucose meter, you should always have ketone-testing supplies on hand, plus basics like a thermometer and medications to treat diarrhea and vomiting. Talk to your doctor about recommendations for the latter.
Stay in touch. Discuss guideline with your doctor about when you should call (e.g., if your blood glucose reaches a certain predetermined number, or if you can't keep food down, or if your exhibit specific symptoms).
Test often. You'll need to test frequently to pick up dangerous highs and lows early.
Don't skip your meds. Keep taking both insulin and oral medications, and if they aren't bringing down your glucose adequately, call your doctor to discuss increasing the dose.
Reviewed by Jason C. Baker, MD. 11/11
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