Dec 02, 2016 written information on sick day rules should be kept with these, such as those available at the diabetes uk website. Substitute sick day foods such as popsicles or apple juice if you cant tolerate regular food 5. Management of type 1 diabetes mellitus during illness in children and young people under 18 years sick day rules pdf 01 february 2018 publisher. Sick day management children with well controlled diabetes have no greater risk of contracting infections than anybody else. Sometimes ive had a bit of a sore throat but nothing develops so how do i know then whether to start sick day rules. If you are sick, your health care team may recommend the following. Sick day guidelines for patients with type 1 diabetes. Waiting too long to get medical care when you are sick can lead to getting much sicker. Managing diabetes safely during sick days novo nordisk inc.
Particularly useful for people with type 1 diabetes during the. Sick day rules insulin pump therapy children and young peoples diabetes service children whose diabetes is well controlled should not experience more illness or infections than their siblings or peers without diabetes. Following a sickday plan will help you keep your blood glucose in target ranges and feel better faster. Sick days for type 1 diabetes diabetes education online. Every one with diabetes should have a sick day management kit. Insulin pumps were developed many years ago to administer insulin in the same way as the pancreas would in someone without diabetes. Ask your health care provider to help you develop a sickday plan. Follow the insulin adjusting flowchart for guidance on how to adjust your insulin when you are ill. What to do when you are sick keep taking any medications that are part of your diabetes treatment plan. Get the diabetes forum app and stay connected on ios and android grab the app. British society for paediatric endocrinology and diabetes bsped. Sick day rules ketone management for children using insulin. Call your pediatrician or family doctor for nondiabetesrelated illness, like a sore throat, earaches, rashes, etc.
Use your test results as a guide and aim to keep your blood glucose between 6 and 10mmoll. Diabetes doesnt have to stop your child from living life to the full. Managing diabetes during an illness diabetes ireland. Being ill can upset your diabetes management, so you need to know what to do to keep your blood glucose sugar levels as close to target as possible. In general, illnesses associated with a temperature will cause the blood glucose. Following a sick day plan will help you keep your blood glucose in target ranges and feel better faster.
Keep your results handy so you can report the results to your health care team. Some people will know these as sick day rules youll need to know how to manage insulin or other diabetes. Information courtesy of understanding diabetes by dr. Diabetes and being ill managing when youre sick diabetes uk. Blood sugar levels may become hard to control and lead to. So i finally wised up and created a sick kit of shelf stable items that can help me avoid the middle of the night store runs, when illness does decide to strike. Sick day managementguidelines diabetes center at ucsf. Diabetes can be more difficult to control when you are ill. Check, check, check each person is different, especially when it comes to how the body responds to illness. During illness, additional insulin may be needed to control blood sugar and prevent ketones from forming. See our sick day rules for advice on what action to take if you find your child. This article covers some important considerations to keep in mind the next time. If you are needing to give repeated doses then make sure the consultant is aware.
Sick day management falls into two different categories. Sick day rules flowchart from leicester diabetes centre. If you cannot keep food or liquids down, go to the emergency room for treatment. If you are unsure, contact your diabetes team or nhs 24. When you have diabetes, a delay in getting care can be life threatening. Sick day rules for people with diabetes northumbria. Even a minor cold can make your diabetes harder to control. When you are sick, stress hormones are produced in the body, which raise blood sugar. If you are unwell, this can affect your blood glucose levels and insulin. Dec 04, 2018 true hobie but bg in the high teens and mega ketones and we still need pen or syringe jabs of our chosen insulin, some place else than the pump cannula to make sure it gets absorbed asap, cos the amount you need is massive in comparison to your normal rate. Nhse london diabetes clinical networks and the children and young. Drink extra caloriefree liquids, and try to eat as you normally would.
We also raises public awareness of diabetes and its symptoms and fund research into finding a cure for diabetes. Check, check, check each person is different, especially when it. However, it is likely that any illness will have an impact on the diabetes control. University college hospital sick day rules insulin pump therapy. Easy to use flowchart with guidelines on how to adjust insulin doses to deal with higher blood glucose levels when unwell. Discuss with your diabetes team what to do in the event of illness, how to manage high blood glucose levels, when and how to test for ketones, when you should seek emergency assistance and who to contact if you need advice out of hours. Having a sick child can be challenginggetting time off work and securing a lastminute doctors appointment isnt always easy. Having diabetes introduces the need for closer monitoring during sick days. This is because of the physical stress on the body. The second template is designed for individuals who have type 1 diabetes and require intensive management of their sick day progress. An illness like a cold, the flu, or any condition that makes you throw up or gives you diarrhea can also boost your. The stress hormones released during an illness can cause insulin resistance, which leads to higher bgs with or without ketones. Keep a closer watch on diabetes warning signs when youre sick you may need immediate medical attention at an emergency department, especially if you are nauseated, vomiting or dehydrated, your blood sugar is very high or very low, you have ketones, or you cant control your blood sugar. Sick day rules multiple daily injections children and young peoples diabetes service children whose diabetes is well controlled should not experience more illness or infections than their siblings or peers without diabetes.
If ketones are large, take 20% of the total daily dose. Sick day guidelines when you have type 1 diabetes any type of illness can raise blood sugar. Initially they were very large, but modern pumps are the size of a pager or mobile phone. Plan ahead for illness by having individually wrapped ketostix and special foods such as regular jello and gatorade on hand. Insulin pumps are used in people with type 1 diabetes who have not been able to control their blood glucose levels despite using different insulin regimens. But when your sick child also happens to have type 1 diabetes, it presents a separate set of complications relating to insulin and blood glucose blood sugar management. Uncontrolled diabetes can lead to more serious health problems. An illness like a cold, the flu, or any condition that makes you throw up. Follow these additional steps when youre sick even if your blood sugar is within your target range.
Pickup jc, williams g ed, textbook of diabetes mellitus, 3 rd edn, oxford, uk. Managing sick days living with diabetes diabetes cdc. It includes an hourtohour monitor of your weight, your blood glucose and ketone levels, your medication dosage and readjustment units, your food intake diary, and your fluid consumption record. Every illness is different, so check with your doctor for your specific sickday needs. People with diabetes need to plan ahead for when they get sick. You may think that your blood sugar will be low because you are not able to eat or drink. When you have diabetes, its important to know how to cope when youre unwell.
Sick day management tips when your child has type 1 diabetes. And, eating less, nausea, and vomiting may cause your blood glucose to fall hypoglycemia. Steve edelman, of the edelman report, talks sick day rules for people with diabetes in the short video below. Keep taking your diabetes medicines, even if you cant eat. University college hospital sick day rules insulin pump. Diabetic emergencies, diagnosis and clinical management. Because illness and diabetes go together about as good as oil and water, i thought i would share a sick kit that is specific to diabetes sick day management. Insulin pumps are used in people with type 1 diabetes who have not been able to control their blood glucose levels despite using different insulin regimens and undergoing intensive education e. Keep a closer watch on diabetes warning signs when youre sick you may need immediate medical attention at an emergency department, especially if you are nauseated, vomiting or dehydrated, your blood sugar is very high or very low, you have ketones, or. With careful management, you can help your child to control their condition so it doesnt control them. When you have diabetes, even a minor illness can lead to dangerously high blood sugar. Continue taking your insulin and diabetes pills as usual. We achieve this by providing support, education and motivation to everyone affected by diabetes. When you have type 1 diabetes and you are unwell, high blood glucose levels increase your risk of developing ketones.
University college hospital blood glucose and hba targets. Hyperglycemic crises in adult patients with diabetes. Take this same amount of insulin again in 34 hours, as long as the blood sugar is still over 300mgdl and ketones are moderatelarge. Try to keep good records of your sick days, so you can refer back to them in the future.
Sick day management kit an ounce of prevention is worth a pound of cure visits to the emergency care cen. Sickday plan infections, the flu, and even a cold, can cause your blood sugar to rise. Good management during illness can prevent diabetic ketoacidosis and hospital admissions. So its little wonder that were the top diabetes service in the country national paediatric diabetes audit 20112012. Above all, learning to manage diabetes takes time, patience and effort not to mention coping with difficult emotions after diagnosis. You will need to test more frequently, at least twice a day. Diabetes ireland is the only national charity in ireland dedicated to helping people with diabetes. If you take two injections per day or use an insulin pump to manage your diabetes, please discuss this with your diabetes team. Endorsed guidelines association of childrens diabetes. Managing sick days for type 1 diabetes healthy living nt. Work with your doctor to make a sick day plan for you or your child with diabetes. See sick day rules pump or injections leaflet if ketones below 0.
True hobie but bg in the high teens and mega ketones and we still need pen or syringe jabs of our chosen insulin, some place else than the pump cannula to make sure it gets absorbed asap, cos the amount you need is massive in comparison to your normal rate. Work with your doctor to make a sickday plan for you or your child with diabetes. If the ketones are below moderate or blood sugar is below. Talk to your medical team ahead of time so youll be prepared to handle sick days. When you are sick, keep a close watch on diabetes warning signs.
Sick day management illness in a child with diabetes can disrupt blood glucose bg control. Every illness is different, so check with your doctor for your specific sick day needs. University college hospital sick day rules multiple daily. Good clear flowchart to advise someone with type 1 diabetes how to manage sick day rules. Above all, were here to deliver a high quality and responsive diabetes service that maximises health and wellbeing for children, young people and families. Sick day rules are guidelines for patients with diabetes providing advice on how to manage blood sugars and insulintablets during times of illness, especially illnesses that lead to reduced food intake andor vomiting. Implementation of freestyle libre prescribing guidance across the.
When you have diabetes, sick days often mean more than a runny nose and sneezing. A4 patient information fact sheet colour camden msk. Add up the total number of units per day and then work out the percentage accordingly i. All patients andor their carers should be provided with clear individualised oral and written advice sickday rules about managing type 1 diabetes during intercurrent illness or episodes of hyperglycaemia, including. Test your blood sugar every 4 hours and keep track of the results. When you are ill, the following guidelines can help you keep your diabetes under control.
To handle these diabetes control challenges, experts recommend following sick day rules to ensure blood glucose levels stay safe and put you on the road to recovery. Establish a plan of action with your doctor before experiencing those telltale signs, says david baidal, md, assistant professor of medicine in the division of endocrinology, diabetes, and metabolism at the university of miami diabetes research institute. Endocrinologists diabetes sickday rules diabetes daily. To handle these diabetes control challenges, experts recommend following sickday rules to ensure blood glucose levels stay safe and put you on the road to recovery. These things suddenly become hard to find when youre sick. Children whose diabetes is well controlled should not experience more illness or infections than their.
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