what action is important for a patient with diabetes to take on sick days?

Diabetes is part of your life. You can learn how to take intendance of yourself and your diabetes when yous're sick, when you lot're at school or work, when you lot're away from abode, when an emergency or a natural disaster happens, or when you're thinking about having a babe or are meaning.

When Y'all're Sick

Having a common cold, the flu, or an infection can raise your blood glucose levels. Being sick puts stress on your trunk. Your body releases hormones to deal with the stress and to fight the sickness. Higher hormone levels can too crusade high claret glucose levels. You should have a programme for managing your diabetes when you're ill. The first stride is to talk with your health care team and write down

• how oft to check your claret glucose levels
• whether you should check for ketones in your blood or urine
• whether y'all should change your usual dose of your diabetes medicines
• what to eat and drink
• when to call your doctor

People who are sick sometimes feel as though they can't eat as much or tin't continue food down, which can crusade low blood glucose levels. Consuming carbohydrate-rich drinks or snacks tin can assist prevent low blood glucose.

If y'all are sick, your wellness care squad may recommend the following:

• Check your blood glucose levels at least four times a day and write down the results in your record book. Keep your results handy then you can report the results to your wellness intendance squad.
• Keep taking your diabetes medicines, fifty-fifty if you lot can't consume.
• Beverage at to the lowest degree 1 cup, or viii ounces, of water or other calorie-free, caffeine-costless liquid every hr while yous're awake.
• If you can't eat your usual food, endeavor eating or drinking any of the following to prevent low claret glucose levels:
  • juice
  • saltine crackers
  • dry toast
  • soup
  • broth or bouillon
  • ice pops or sherbet
  • gelatin that isn't sugar-complimentary
  • milk
  • yogurt
  • soda that isn't carbohydrate-complimentary

Your dr. may inquire that yous call right away if

• your blood glucose levels are above 240 even though you've taken your diabetes medicines
• your urine or claret ketone levels are in a higher place normal
• you lot vomit more than once
• you have diarrhea for more than 6 hours
• you accept trouble breathing
• you have a high fever
• y'all can't think clearly or y'all experience more drowsy than usual

You should call your doctor if you lot have questions about taking care of yourself.

When You're at School or Work

Take intendance of your diabetes when you lot're at schoolhouse or at piece of work:

• Follow your healthy eating program.
• Have your medicines and cheque your blood glucose levels as usual.
• Tell your teachers, friends, or close coworkers that y'all have diabetes and teach them about the signs of low blood glucose. You may need their aid if your blood glucose levels drop too depression.
• Keep snacks nearby and behave some with you at all times to treat low blood glucose.
• If you lot have trained diabetes staff at your schoolhouse or piece of work, tell them that you accept diabetes.
• Wear or carry an identification tag or card that says you have diabetes.

Tell your teachers, friends, or close coworkers about the signs of low claret glucose. You may need their assistance if your blood glucose levels drib too low.

When Yous're Abroad from Dwelling

These tips tin can assistance you when yous're away from home:

• Get all your vaccines and immunizations, or shots, earlier you travel. Find out what shot y'all need for where you lot're going, and make sure yous become the correct shots on time.
• Follow your salubrious eating program as much as possible when you consume out. Ever carry a snack with you in example y'all have to expect for a waiter to serve you.
• Limit alcoholic beverages. Ask your health care team how many alcoholic beverages y'all can safely drink. Eat something when you drink to prevent low blood glucose.
• If you're taking a long trip by car, check your blood glucose levels before driving. End and check your blood glucose levels every 2 hours.
• Always carry your diabetes medicines and supplies in the car where you can reach them in case your blood glucose levels drop too low.
• In case you tin't go out for home on time, bring twice the corporeality of diabetes supplies and medicines you ordinarily need.
• Have comfy, well-fitting shoes on holiday. Y'all'll probably exist walking more than usual. Keep your medical insurance carte du jour, emergency phone numbers, and a first assistance kit handy.
• Wear or carry an identification tag or carte du jour that says you lot accept diabetes.
• If you're going to be away for a long time, ask your physician for a written prescription for your diabetes medicines and the proper name of a md in the place y'all're going to visit.
• Don't count on ownership extra supplies when you're traveling, specially if you lot're going to another country. Different countries use unlike kinds of diabetes medicines.

When Yous're Flight on a Aeroplane

These tips can help you when you're flying on a aeroplane:

• Ask your health care team in advance how to conform your medicines, specially your insulin, if yous're traveling beyond time zones.
• Take a letter from your doctor stating you take diabetes. The letter of the alphabet should include a list of all the medical supplies and medicines you need on the plane. In the alphabetic character, the doctor should also include a list of any devices that shouldn't go through an ten-ray machine.
• Carry your diabetes medicines and your blood testing supplies with you lot on the plane. Never put these items in your checked baggage.
• Bring food for meals and snacks on the plane.
• If y'all utilize an insulin pump, inquire airport security to check the device past hand. X-ray machines can damage insulin pumps, whether the pump is on your torso or in your luggage.
• When on a airplane, become up from your seat and walk around when possible.

Read more about planning for travel and travel safety if you have diabetes in Take Diabetes. Volition Travel (319 KB) .

Bring food for meals and snacks on the plane.

When an Emergency or a Natural Disaster Happens

Everyone with diabetes should be prepared for emergencies and natural disasters, such as ability outages or hurricanes. Always have a disaster kit prepare. Include everything you lot need to have intendance of your diabetes, such equally

• a blood glucose meter, lancets, and testing strips
• your diabetes medicines
• insulin, syringes, and an insulated pocketbook to keep insulin absurd, if you take insulin
• a glucagon kit if you lot take insulin or if recommended past your doc
• glucose tablets and other food or drinks to treat low claret glucose
• antibody cream or ointment
• a copy of your medical data, including a list of your conditions, medicines, and recent lab test results
• a list of your prescription names with dosage data and prescription numbers from your pharmacy
• phone numbers for the American Red Cross and other disaster relief groups

Y'all also might want to include some food that doesn't spoil, such as canned or dried nutrient, forth with bottled h2o. Read more than most preparing for an emergency at the Centers for Disease Command and Prevention Emergency Preparedness and Y'all website at www.emergency.cdc.gov/preparedness.

If You're a Woman and Planning a Pregnancy

Keeping your blood glucose levels virtually normal before and during pregnancy helps protect both you and your baby. Even before you become significant, your claret glucose levels should be close to the normal range.

Your health care team can piece of work with yous to get your blood glucose levels nether control before you lot effort to get pregnant. If you're already pregnant and yous have diabetes, see your physician right away. Y'all tin can have steps to bring your claret glucose levels close to normal.

Your insulin needs may change when you're pregnant. Your doctor may desire you to take more insulin and bank check your blood glucose levels more often.

If you plan to accept a baby,

• work with your wellness care team to become your claret glucose levels as close to the normal range equally possible
• see a dr. who has experience taking care of meaning women with diabetes
• don't fume, drink alcoholic beverages, or employ harmful drugs
• follow your healthy eating plan

Exist sure to have your optics, center and blood vessels, blood pressure, and kidneys checked. Your md should also check for nervus damage. Pregnancy can brand some health problems worse.

More than information about diabetes and pregnancy is provided in the NIDDK wellness topic, Diabetes and Pregnancy.

Your health care squad can piece of work with you to get your blood glucose levels under control earlier you try to get meaning. If yous're already pregnant, see your dr. correct away.

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Source: https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes/sick-days-special-times

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