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Diabetes

Sick Day Management

Recognizing the Red Flags

Product Statistics
Produced in collaboration with
Catalog #: DB-36
Duration: 14 minutes
Format(s): VHS videocassette DVD Closed Captioned
Language(s): English or Spanish

Summary

Viewers learn why blood sugar rises when you are sick. The video suggests that patients work with the diabetes care team to develop an individualized plan before illness sets in. Covers frequency of blood sugar monitoring, ketone testing, maintenance of a regular medication schedule, and keeping a proper diet.

Details

A certified diabetes educator takes you through the steps involved in managing illness and diabetes.

Illness:

  • special challenge for people with diabetes
  • a plan will help you to stay out of the hospital
  • plan should be in writing

What happens to your body when you get sick?

  • illness, infection and injury are stressors
  • hormones are released to help your body handle the stress
  • these hormones raise your blood sugar, sometimes to dangerous levels
  • high blood sugar makes it harder for your body to fight the illness

Cycle of illness and high blood sugar.

Examples of illnesses:

  • migraine headaches, bronchitis, sinusitis, a serious cold or the flu
  • an injury - having a broken bone, having an ulcer on your foot
  • an infection - urinary tract infections, yeast infections, eye infections, ear infections

Anything that stresses your body and causes your temperature to rise will cause blood sugar to rise.

Wear a Medic Alert bracelet stating that you have diabetes.

Make a sick day plan with your diabetes care team.

Sick day plan:

  • how often you should monitor your blood sugar
  • if you should test for ketones in your urine
  • suggest things to drink, things to eat, and when to call your diabetes care team

Sick day supplies:

  • list of emergency telephone numbers
  • notebook
  • extra medication
  • blood sugar monitor with extra testing strips
  • Ketostix for testing your urine for ketones
  • a written copy of your sick day plan
  • sick day menus and the foods that are in them
  • thermometer

Let someone know when you are not feeling well.

Closely monitor your blood sugar. You may need to test yourself as often as every four hours and check your urine for ketones.

Stay warm, get plenty of rest and drink lots of fluids.

Always take your insulin or diabetes medicine. Medication dose may even need to be temporarily increased.

Type 1 diabetes:

  • your need for insulin may surpass your usual daily dose
  • cells may burn stored fat for energy releasing ketones into your bloodstream
  • ketoacidosis can lead to coma or death

Guidelines on when to call for help:

  • blood sugar readings greater than 240 for a day
  • moderate or large ketones
  • fever of 101 degrees or higher
  • vomiting
  • diarrhea
  • symptoms of dehydration or ketoacidosis
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