Re: illness and diabetes
Hi hun,
Yes you need to keep a very careful eye on your levels - can you test for ketones ?
At your current levels, because you have flu I would certainly test for ketones and generally when your blood glucose is above 13 mmol/l you should be, particularly over 4 hours after eating as your short acting would of worn off - DAFNE recommends the following sick day rules:
With severe illness you should test every 2 hours, when blood glucose is above 13 mmol/l - sip sugar free fluids at least 100ml every hour. If ketones are present then calculate your Total Daily Dose (TDD) of insulin from the previous day (so include background and short acting).
If ketones are present and between 1.5 - 3 mmol/l on optium meter then give 10% of TDD as QA insulin every 2 hours + usual QA:CP ratio if eating plus Background Insulin.
If over 3 mmol/l ketones are present then give 20% of TDD as QA every 2 hours + usual CP ratio if eating plus usual BI.
I hope this helps - it's important if you dont have ketone strips to get some, they expire after a year so it's always worth keeping them on prescription for events like this.
I hope you feel alot better soon, flu is pretty awful, only had it once and hopefully never again, good luck and let me know how you get on :thumbup:
