Handling Special Situations; Sick Days - OmniPod CAT45E Guide De L'utilisateur

9
Living with Diabetes
• Check blood glucose again after 2 hours. If blood glucose
level has not declined, immediately call your healthcare
provider for guidance.
If you need emergency attention, ask a friend or
family member to take you to the emergency
room or call an ambulance. Do NOT drive yourself.

Handling Special Situations

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Sick days

Any physical stress can cause your blood glucose to rise, and
illness is a physical stress. Your healthcare provider can help you
make a plan for sick days. The following are only general
guidelines.
When you are ill, check your blood glucose more often (at least
once every 2 hours) to avoid DKA. The symptoms of DKA are
much like those of the flu. Before assuming you have the flu,
check your blood glucose to rule out DKA (see "Diabetic
ketoacidosis (DKA)" earlier in this chapter).
To handle sick days
• Treat the underlying illness to promote faster recovery.
• Eat as normally as you can.
• Adjust bolus doses, if necessary, to match changes in meals
and snacks.
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• Always continue your basal insulin, even if you are unable to
eat. Contact your healthcare provider for suggested basal rate
adjustments during sick days.
• Check your blood glucose every 2 hours and keep careful
records of results.
• Check for ketones when blood glucose is 13.9 mmol/L or
higher.
• Follow your healthcare provider's guidelines for taking
additional insulin on sick days.
• Drink plenty of noncaffeinated fluids to prevent dehydration.
If you are well enough to eat, drink sugar-free
beverages. However, if you are too sick to eat solid
foods, alternate between sugar-free beverages and
those containing sugar.
• Call your healthcare provider immediately if you have:
• Persistent nausea
• Vomiting for more than 2 hours
• High blood glucose or ketones that stay high even though
you take extra insulin
• Low blood glucose with nausea and vomiting