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Imagine this: your diabetic child has just gotten up, had a blood test, received the morning's insulin shot and eaten breakfast. Then, without warning, the child throws up breakfast. She also says that she felt bad when she woke up. What do you do?
Sick Days
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Managing sick days is not as hard as it might seem. Here are a few guidelines:
- NEVER skip an insulin shot, even if your child complains of not feeling well. Illness often causes an increased need for insulin.
- Check your child's blood sugar often -- at least every four hours. Every one or two is warranted if the blood sugar is changing.
- Check for blood ketones. Checking for urine ketones is not as good and will not give you the same insight into your child's health.
- Small amounts of grape juice or regular cola can help keep your child's blood sugar from dropping too low, even if they're reluctant to eat.
- Learn about the Mini-Dose Glucagon Rescue -- it can help prevent a trip to the hospital.
- Call your doctor if your child can't keep any food or liquid down. You might need to take your child to the hospital or doctor's office for a glucose I.V.
For More Information
- Hyperglycemia discusses guidelines for managing high blood sugar
- Hypoglycemia discusses guidelines for managing low blood sugar
- Sick-Day and Surgery Management from Understanding Diabetes, 11th Edition, by H. Peter Chase, MD (PDF)
- Sick Day Management Tips for Parents
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Last Updated: Tuesday December 08, 2009 11:14:17
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