My Sick Day Plan For Type 1 Diabetes On Mdi (Page 2 of 4) in pdf

My sick day plan for Type 1 Diabetes on MDI

What happens when I am sick? What are ketones?

Step 1

Add up the number of units of all the insulin you take

in a day (both basal and bolus) which is called

When you are sick, your body may make extra sugar to help fight

Total Daily Dose (TDD) _____________.

the fever or infection that is causing your illness. If there is not

enough insulin to turn the sugar into energy, your body breaks

Step 2

Calculate:

10% of your TDD

_________

down fat to use as an energy source. When fat breaks down,

15% of your TDD

_________

ketones are made.

20% of your TDD

_________

Ketones can change your normal body chemistry and can cause a

Step 3

Use the chart below to decide how much bolus (rapid acting)

dangerous state called ketoacidosis.

insulin (Name: ________________) to take every 4 hours

in addition to your insulin dose for carbohydrates eaten.

When you have ketoacidosis you can get very sick,

become dehydrated, have stomach pains, be nauseous

and/or vomit. If left untreated, ketoacidosis can become

Example:

life threatening.

If your usual insulin (u = units) a day is:

To prevent this from happening, you will need to take extra insulin

8 u at breakfast + 8 u at lunch + 10 u at supper + 18 u at bedtime

and drink plenty of fluids.

Step 1

Total Daily Dose (TDD) 8 + 8 + 10 + 18 = 44 units

The next section shows you how to figure out the amount of insulin

you will need to take.

Step 2

Calculate:

10% of your TDD = 4 units or

15% of your TDD = 7 units (round up) or

20% of your TDD = 9 units (round up)

Step 3

If a person is sick at lunch with a blood sugar more than

16 mmol/L and has 0.6 mmol/L ketone level, this person

would take insulin for the carbohydrate in their lunch,

plus 7 units extra because of high blood sugars and ketones.

Prevent DKA

 Check your blood sugars and ketones every

2 to 4 hours.

 Give extra insulin if needed to stop the

production of ketones.

 Drink plenty of fluids.

__________________________________________________________________________________

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My Sick Day Plan For Type 1 Diabetes On Mdi Page 2

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