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Sick days and high blood sugar
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<blockquote data-quote="hyponilla" data-source="post: 2178943" data-attributes="member: 509037"><p>Hi all,</p><p></p><p>I just got a cold and woke up to a fabulous 14 mmol/l. I've been sick a few times since I got diabetes, and every time I've injected an extra 10-15u of NovoRapid a day to control blood sugar. I wake up sky high, and then spend half the day getting back into range. The insulin resistance is a nightmare, and the blood sugar keeps creeping up during the evening as I jab myself with more insulin. Is there a better way of dealing with this? </p><p></p><p>I've read about increasing the basal on sick days but I don't really understand how to go about it. I take Tresiba (which is active for up to 42 hours) and I'm normally sick with crazy blood sugar for 3-4 days. If I take more basal, then start to feel better by the end of day 2, do I not risk going hypo on day 3? Also, by how much would you increase the dose? I've never increased it by more than 1u every two days, and it would seem to me that I'd need to increase it a lot more than that (considering I'm taking twice my normal bolus dose and I'm still high). I'm not looking for dosing advice but I'm just curious how more experienced diabetics deal with sick days.</p><p></p><p>Thank you for reading.</p></blockquote><p></p>
[QUOTE="hyponilla, post: 2178943, member: 509037"] Hi all, I just got a cold and woke up to a fabulous 14 mmol/l. I've been sick a few times since I got diabetes, and every time I've injected an extra 10-15u of NovoRapid a day to control blood sugar. I wake up sky high, and then spend half the day getting back into range. The insulin resistance is a nightmare, and the blood sugar keeps creeping up during the evening as I jab myself with more insulin. Is there a better way of dealing with this? I've read about increasing the basal on sick days but I don't really understand how to go about it. I take Tresiba (which is active for up to 42 hours) and I'm normally sick with crazy blood sugar for 3-4 days. If I take more basal, then start to feel better by the end of day 2, do I not risk going hypo on day 3? Also, by how much would you increase the dose? I've never increased it by more than 1u every two days, and it would seem to me that I'd need to increase it a lot more than that (considering I'm taking twice my normal bolus dose and I'm still high). I'm not looking for dosing advice but I'm just curious how more experienced diabetics deal with sick days. Thank you for reading. [/QUOTE]
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