It’s flu season where we live. I keep hearing from the schools about how many cases of the flu they have. I hope my children with diabetes do not end up with it, since illnesses affect them so much worse.
With diabetes, sickness and infections can wreck havoc on blood sugar levels. Managing diabetes during sickness requires more frequent blood sugar checks and ketone checks. Usually sickness increases blood sugars, though we have seen in our children where they stay low.
Here’s some keys to remember when sick:
1. Check your blood sugar more often, even every 2 hours and overnight. Notify your doctor if you are having high blood sugars that are not coming down.
2. Check your ketones, even if your blood sugar is not high. You can have a normal blood sugar and have ketones when you are sick. Notify your doctor if you are having ketones.
3. If you are vomiting, contact your healthcare professional for instructions.
4. Your insulin doses may need to be adjusted, as extra insulin may be required.
5. Always keep on hand: Regular Gatorade, Sugar-free Gatorade, fluids with sugar and sugar-free fluids so you have what you need depending on your blood sugar levels, and items that you can usually tolerate when you are sick, such as jello/sugar-free jello, etc.
I hope your children do not get sick, but as we parents know, at some point they do. But knowing ahead of time what to do is key. Be sure you talk with your child’s healthcare professional about sickness and how they want sickness handled ahead of time so you know what to do.