The doses of insulin may need to be increased (or decreased in some cases) depending on blood glucose levels.
The increased need for insulin may persist for a few days after the illness has passed
Insulin should be adjusted according to the sick day rules provided.
Frequent blood glucose monitoring
Regular testing is essential
Test 2-3 hourly even overnight and more often if blood glucose levels remain high
Aim to keep blood glucose above 5mmol/l and less than 14mmol/l
Ketone Testing
Ketones must be checked at first sign of sickness (high temperature, feeling sick, abdominal pain etc)
Ketones must be checked if blood glucose >14mmol/l
Give extra fast acting insulin for ketones
If blood glucose level is above 14mmol/L and urine ketones are 1+ or greater, or if blood ketones are 0.6mmol/L, additional fast acting insulin is required.
See flow chart/sick day dose table
Rest
Medications
You can give over the counter or prescribed medications as directed for example paracetamol, antibiotics, sugar free cough syrup
Regular dietary intake
Drink plenty of water and sugar free liquids to prevent dehydration
Normal meal patterns should be maintained if possible
If appetite is reduced, meals can be replaced with carbohydrate containing drinks
If vomiting, encourage to drink small, regular amount of fluids
See ‘Dietary intake during sickness’ for suggestions
Advice for Children & Young People with Type 1 Diabetes
