R Hanas, CWD 2003
- Vomiting with diarrhea
or only diarrhea
- Low blood glucose levels
- Always check for ketones
in blood or urine!
- Vicious circle with ketones -
nausea - eats less - more ketones
Gastroenteritis
- Decrease doses if needed:
Low BG prior to the meal - ¯ premeal dose by 1 - 2 U or according to correction dose
Multiple inj. -  ¯ next day basal insulin by 1-2 U
Pump - ¯ basal rate by 0.2 - 0.4 U/hour
Low BG 1-2 h. after a meal - ¯ next premeal dose by 1 - 2 U