Sick Day Care
People with diabetes will get a cold or the flu just like
everybody else. But you will need to take extra care to be
sure your blood sugar stays in target range when you are sick.
You may have to take special care if you have a tooth pulled or
aren't able to eat. Having a flu shot each year is one way to
keep from getting sick.
What can I do to take care of myself when I am sick?
On sick days you will need to pay close attention to your blood sugar,
check it every four hours and record on a Sick Day log page (pdf
or doc). If your
temperature is high you will need to drink extra fluids.
What about my meal plan?
When you are ill, it is important to eat about the same amount of
carbohydrate as normal. You may need soft foods if your throat is sore
and it is hard to swallow. If you are sick to your stomach or vomiting
you will need to take mostly fluids. Space the liquids out over the
day. Ty taking a few sips every 10 - 15 minutes. The Sick Day
log page has a list of foods and liquids you can take (pdf or
doc).
What about my medicine?
An illness can cause your blood sugar to go up. It is important to
test your blood sugar level and take your medicine as usual. If you
take insulin, take your normal dose. Take your normal pills except for
medicine that is taken only with meals, like Precose, Starlix or Prandin.
When should I call my doctor?
Call your doctor if
- your blood sugar levels are above 250
- you have vomiting for more than a day
- you have a fever (above 101.5)
- you are sick for more than 2 days
- you can not eat for more than a day
When you call have your Sick Day log handy so you can report your blood
sugar levels. If you can not get in touch with your doctor, g to the
emergency room. If you family notices you seem confused they should
take you to the ER.
What about when I feel better?
Even as you feel better you will need to keep close watch on your blood
sugar levels. You may want to continue the liquids and soft foods
until your appetite is back.