Diabetes Spectrum 15:54, 2002
© American Diabetes Association ®, Inc., 2002
Be Prepared: Sick Day Management
Planning ahead can help you stay in control of your blood sugar levels during illness. Being prepared can prevent a hospitalization or emergency room visit.
Complete this checklist of "things to do" with your doctor or diabetes educator before you get sick. Review it once a year for changes.
Know to keep taking your insulin or diabetes medications unless
____________________
____________________
Adjust your insulin by
____________________
____________________
Plan to maintain a meal plan containing 150 grams of carbohydrates. Have on hand for illness the following foods, which contain 15 grams of carbohydrates each in the amounts shown.
- apple juice (1/2 cup)
- regular soda (1/2 cup)
- regular gelatin (1/2 cup)
- crackers (6 squares)
- bouillon (no calories)
- sports drink (1 cup)
- other: __________
Know when to monitor your blood glucose.
____________________
____________________
____________________
____________________
____________________
Know when to monitor your urine ketones:
- When blood sugar level is greater than ____________.
- Regardless of blood sugar level, when vomiting or experiencing diarrhea.
Remember to check the bottle of ketone test strips for an expiration date.
Know when to call your doctor or diabetes educator:
- If your blood sugar level is greater than ________
- If your ketones are _____for more than _____hours or if you do not urinate for more than ______hours
- If vomiting lasts longer than _____hours
- If you are dehydrated. Signs of dehydration include dry tongue and difficulty breathing.
- If surgery or a test is planned that will prevent you from eating normally
- Any time you have a question or concern about your blood sugar level
Know who to call during illness or an emergency:
Doctor ___________________
Daytime phone:
____________________
Evening/Weekend:
____________________
Diabetes educator
____________________
Daytime phone:
____________________
Evening/Weekend:
____________________
Footnotes
Permission is granted to reproduce this material for nonprofit educational purposes. Written permission is required for all other purposes. 2/02

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