Chapter 15 - Sick Day Guidelines - Animas OneTouch Ping Owner's Booklet

CHAPTER 15 - SICK DAY GUIDELINES

CHAPTER 15 - SICK DAY GUIDELINES
During periods of minor illness*, it may be more difficult to maintain good control of your diabetes.
Examples of minor illness are: dental surgery, colds, nausea/vomiting, sore throat, mild infections,
diarrhea, fever. However, you should call your health care team if:
• Illness persists without improvement for 24-48 hours.
• Temperature rises above 100° Fahrenheit.
• Vomiting or diarrhea continues longer than 4 hours.
• There are moderate to large amounts of ketones in urine.
• BG levels continue to run less than 60 mg/dL or above 250 mg/dL (above 130 mg/dL during
pregnancy) after taking extra bolus doses as prearranged by your health care team.
You show signs of ketoacidosis, dehydration or other serious problems such as: increased
•
drowsiness, abdominal or chest pain, difficulty breathing, fruity odor to the breath, dry cracked lips,
mouth or tongue.
• Any uncertainty as to what to do to take care of yourself.
Never omit your insulin! If you are ill and cannot eat, your need for insulin continues and may also
increase.
• Continue your usual basal dose of insulin along with bolus insulin to cover food eaten or to correct
high BG as prearranged with your health care team.
You may need to temporarily increase or decrease your basal rate by using the Temp Basal feature as
•
prearranged with your health care team.
Medication
Always let your health care team know ALL medications you are taking. Even medications you are
taking for other reasons may impact your diabetes management, so it is important that you always let
your health care team know all the medications you are taking.
Blood and Urine Testing
• Check your BG before your usual mealtime and every 2-4 hours if indicated.
Test your blood or urine for ketones at least 4 times a day, or according to instructions from your
•
health care team.
Fluids and Diet
Always follow your health care team's sick day guidelines. Fluid intake is essential with any illness.
Consume 8 ounces of fluid per hour. Every third hour consume 8 ounces of a sodium-rich liquid, such
as bouillon. You need to consume 150-200 grams of carbohydrates daily. If ketones are moderate,
contact your health care team. Develop a sick plan with your health care team prior to illness.
* Mensing C., The Art and Science of Diabetes Self-Management Education. 2006. Chicago: American
Association of Diabetes Educators.
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