Sick Day Rules For Pumper

hello, I'm feeling pretty rough with a chest infection. I went to A&E as I knew I needed medicine asap. I had 'elevated inflammatory markers' in the blood test which I think means I have protein showing I've got an infection.

For a week, my insulin hasn't really worked and I'm on an increased basal of 190% and double bolusing for carbs which is helping. Only trace ketones.

I've been Type 1 for 27 years and the only other time my insulin didn't work as well was also for a chest infection 16 years ago and without the pump, I ended up in DKA coma and ICU for ages. So, I'm very glad as I know I couldn't manage this time without my pump.

I'm now on antibiotics (for 24 hours) and I'm worried about keeping my insulin soooo high - would love it if anyone could advise what they've done?

Panicking the antibiotics suddenly kick in and I'm on the largest amount of insulin ever resulting in hypo I can't treat as I've got too much insulin in me. Or alternatively, I reduce insulin and end up on the other end of the spectrum.

Diabetic dilemma! Xx

Setting alarm now! Thank you! Have already changed sets etc as never been on such an increased dose before, can't quite believe it.

himtoo said:

bless you hun !!!!!
your post has me really concerned -- have you got somebody with you ?

sick day rules do work but only to a point and realistically you are winging it beyond the rules
hopefully the antibiotics will improve things gradually !

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I'm ok and not alone. I did mention my concerns to A&E and asked to go on sliding scale as I'm so sensitive normally to insulin and if I suddenly become better, I'd love a glucose IV! They should have a mini glucose vial in the pump Yeah, agree RE winging it!

himtoo said:

ok -- take care and hope you get some rest tonight
please post tomorrow AM with how you are doing - big trouble if you don't

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I'm ok! Just woke up! Still on double insulin...