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<blockquote data-quote="Juicyj" data-source="post: 444541" data-attributes="member: 53162"><p>Hi Brandon - I don't think you can send a private message until you've done a certain number of posts in the forum.</p><p></p><p>In regards to sick day rules for your son - do you have any ketone test strips or urine test strips ? This is important to check for when someone is ill as they can become more resistant to insulin and the BG can rise, checking for ketones can prevent ketoacidosis. </p><p></p><p>Generally if his blood glucose is more than 13 mmol/l - then test for ketones. If none are present then continue to monitor every 4-6 hours, using a correction dose when raised even if not eating, increase by 1-2 units if unwell for more than a day.</p><p></p><p>If ketones are present and between 1.5 - 3 mmol/l on Optium meter, then calculate his total daily dose (TDD) from the previous day (include background and quick acting) and give 10% of TDD as quick acting insulin every 2 hours plus the usual quick acting for food if eating and his background insulin as normal/</p><p></p><p>If ketones are over 3 mmol/l on Optium then give 20% of his TDD as quick acting insulin every 2 hours + usual QA for food and usual Background Insulin.</p><p></p><p>He should be drinking sugar free fluids at least 100ml/hour.</p><p></p><p>Hope he's feeling better soon - try not to panic, complications occur with raised blood glucose levels over a prolonged period of time, we all get ill, have infections, raised levels and don't panic too much it's just remembering to take care of the illness and the rest should fall into place - let me know if what i've said is straight forward, hopefully not too complicated, it's alot to take in so here if you need any help :thumbup:</p></blockquote><p></p>
[QUOTE="Juicyj, post: 444541, member: 53162"] Hi Brandon - I don't think you can send a private message until you've done a certain number of posts in the forum. In regards to sick day rules for your son - do you have any ketone test strips or urine test strips ? This is important to check for when someone is ill as they can become more resistant to insulin and the BG can rise, checking for ketones can prevent ketoacidosis. Generally if his blood glucose is more than 13 mmol/l - then test for ketones. If none are present then continue to monitor every 4-6 hours, using a correction dose when raised even if not eating, increase by 1-2 units if unwell for more than a day. If ketones are present and between 1.5 - 3 mmol/l on Optium meter, then calculate his total daily dose (TDD) from the previous day (include background and quick acting) and give 10% of TDD as quick acting insulin every 2 hours plus the usual quick acting for food if eating and his background insulin as normal/ If ketones are over 3 mmol/l on Optium then give 20% of his TDD as quick acting insulin every 2 hours + usual QA for food and usual Background Insulin. He should be drinking sugar free fluids at least 100ml/hour. Hope he's feeling better soon - try not to panic, complications occur with raised blood glucose levels over a prolonged period of time, we all get ill, have infections, raised levels and don't panic too much it's just remembering to take care of the illness and the rest should fall into place - let me know if what i've said is straight forward, hopefully not too complicated, it's alot to take in so here if you need any help :thumbup: [/QUOTE]
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