My Sick Day Plan
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8Sick Day Management for Type 1 Diabetes
Teens and Adults
Asking for Help
When you are sick, controlling your blood
sugar (glucose) can be a challenge. Nausea,
vomiting, illness and changes in eating will
It can be difficult to manage your diabetes on
affect blood sugar levels. Be prepared and
your own when you are sick.
know how to manage your diabetes when
Let a family member or friend know that you
•
you are sick.
are sick and ask them to check in on you. Be
sure someone knows how to test your blood
Important Facts to Know!
sugar and give your insulin if you need help
when you are unwell.
Never omit your insulin.
HealthLine can provide professional health
•
advice and direct you to the best place for
If you are on other medicines, ask your
•
care. Call HealthLine at 811 or your doctor/
doctor or pharmacist what to do when you
nurse practitioner if:
are sick. Certain medicines should not be
taken if you become dehydrated due to
you can’t keep blood sugar above
»
vomiting or diarrhea.
4 mmol/L.
Illnesses such as infections or fever can cause
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your blood sugar stays above 14 mmol/L
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your blood sugars to increase. This may even
for 24 hours after taking extra insulin.
last for a few days after you are feeling better.
you continue to have moderate or large
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Decreased appetite, vomiting and/or diarrhea
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ketones after taking extra insulin.
may lower blood sugar levels but you will
you are vomiting all fluids or diarrhea
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still need some insulin.
continues for more than 24 hours.
you are getting sicker and have signs of
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The stress of being sick can raise your
DKA, e.g. increased thirst and urination,
blood sugar even if you are not able to
weakness, nausea, vomiting, tiredness,
eat or drink anything.
confusion, difficulty breathing or
abdominal pain.
Left untreated, illness and high blood
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you or your support person are unable
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sugars can quickly cause a serious and
to check your blood sugars, inject insulin
life threatening condition called diabetic
or provide carbohydrate and fluids.
ketoacidosis (DKA).
If needed, have someone take you to the
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Physical activity is not advised when you
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hospital emergency room or call 911.
are sick, as it can increase blood sugar
and ketone levels.
You may need to see a doctor to diagnose
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your illness and help you with treatment.
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