Sick Day Rules For Type 1 Diabetes
Coping when you are Ill
Treated With Multiple Daily Injections
It is very important that you know what to do when you are ill. We refer to this as "sick day rules".
Remember - Never stop taking your insulin.
When you are ill your body becomes much more resistant to the insulin you produce or take by injection. This means your blood glucose levels can raise. You therefore need to monitor your blood glucose and ketone levels and decide if you need more insulin. It is likely that you will need to increase your insulin dose (see flow chart for guidance).
Although you may not feel like it, it is very important to monitor your diabetes closely to prevent diabetic ketoacidosis developing.
We divide the sick day rules into those for:
Minor illness- where blood glucose may be within normal range or raised but ketones remain negative ( e.g. minor viral infection or minor injury)
and those for
Severe illness- where blood glucose is raised and ketones are present ( e.g. chest infection or high temperature). For advice on how to manage either of these conditions, see over.
Tips for staying safe during Illness:
For information on the Feeling Unwell Flowchart read the Flow Chart Page
For information on Interpretation of ketones during illness read the Ketones Page
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