My Sick Day Plan For Type 1 Diabetes On Mdi Page 3
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My sick day plan for Type 1 Diabetes on MDI
My sick day plan for Type 1 Diabetes on MDI
How much insulin will I need when I am sick?
When you are sick
1. Check your blood sugar and ketone levels often.
If you have ketones, you may need to take more insulin than usual to correct a
high blood sugar. Use the chart below to determine how much extra insulin to take.
Check your blood sugar and ketone levels
Your blood
Your blood
Action needed (Bolus Insulin)
Your extra
every 2 to 4 hours to see if they are coming down.
sugar
ketones
dose
Have someone else check it if you are too sick
(mmo/L)
(mmol/L)
would be:
to do it yourself.
Less than
None
No extra insulin. Treat your low blood
3.9
sugar with 15 grams of fast acting
carbohydrate. Do not stop taking insulin.
Write down your blood sugar and ketone levels
Under 7
Less than 0.6 Take your usual* insulin dose.
so that you have them ready if you need to call
Under 7
0.6 or more
Take your usual* insulin dose.
your health care provider.
If you are unable to eat or drink any
carbohydrate containing food or fluids,
go directly to the emergency
department. You CANNOT safely treat
this at home!
2. Take your insulin.
7 to 14
Less than 0.6 Take your usual* insulin dose.
Take your basal insulin dose even if you cannot eat.
7 to 14
0.6 or more
Take insulin dose for carbohydrate eaten,
PLUS
10% (of TDD) extra rapid acting insulin
My basal insulin is: ___________________________
Less than 0.6 Take insulin dose for carbohydrate eaten,
Between
14 and 22
PLUS
Take your bolus (rapid acting) doses of insulin (_____________)
10% (of TDD) extra rapid acting insulin
for any carbohydrate you eat or drink.
Between
Between 0.6
Take insulin dose for carbohydrate eaten,
You may even need to take more insulin when you are sick.
14 and 22
and less
PLUS
For guidelines on how much extra insulin to take, follow the
than 1.5
15% (of TDD) extra rapid acting insulin
chart on page 6 called “How much insulin will I need when
Between
Between 1.5
Take insulin dose for carbohydrate eaten,
I am sick?”
14 and 22
and 3.0
PLUS
15% (of TDD) extra rapid acting insulin
More than
More than
Take insulin dose for carbohydrate eaten,
22
3.0
PLUS
20% (of TDD) extra rapid acting insulin
This is a medical emergency. Recheck
your blood sugars and ketones. If they
have not decreased, go to the
emergency department right away!
*
Your usual insulin dose includes the insulin for carbohydrates eaten, plus correction
dose for high blood sugars if needed.
__________________________________________________________________________________
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