Sick day rules

Question 1

SICK

Answer 1

Sugar
Insulin
Carbs
Ketones

Question 2

Sugar

Answer 2

Check every 3-4 hours, even at night
Monitor even when feeling better - can take time for blood glucose to go ack to normal.
- Remains uncontrolled = see GP
Monitoring not needed in Type 2 unless on insulin

Question 3

Insulin

Answer 3

Never stop
Monitor blood glucose and adjust dose according to requirements

Question 4

Carbs

Answer 4

Maintain normal meals.
Cant eat = replace meals with carbohydrate containing drinks (e.g. milk, fruit juice)
3L of fluid a day
Seek urgent help if:
- Drowsy
- Cant keep fluids down
- Persistent vomiting and diarrhoea

Question 5

Ketones

Answer 5

Check ketones (blood + urine) every 3-4 hours, even at night
See GP if:
- Urine ketone = 2+
- Blood ketone = >3mmol/L

Question 6

Metformin

Answer 6

Stop if dehydrated due to increased risk of lactic acidosis

Question 7

Gliflozins

Answer 7

Stop if dehydrated, can cause volume depletion