OmniPod ENT450 - Handling Special Situations; Sick Days

Living with Diabetes 11
130
11 Living with Diabetes
To treat DKA
• Once you have begun treatment for high blood glucose, check for ketones.
Check for ketones any time your blood glucose is 13.9 mmol/L or above.
• If ketones are negative or trace, continue treating for high blood glucose.
• If ketones are present, and you are feeling nauseated or ill, immediately call
your healthcare provider for guidance.
• If ketones are positive, but you are not feeling nauseated or ill, replace the Pod,
using a new vial of insulin.
• Check blood glucose again aer 2 hours. If blood glucose level has not
declined, immediately call your healthcare provider for guidance.
Handling Special Situations
Sick days
Any physical stress can cause your blood glucose to rise, and illness is a physical
stress. Your healthcare provider can help you make a plan for sick days. e
following are only general guidelines.
When you are ill, check your blood glucose more oen to avoid DKA. e
symptoms of DKA are much like those of the u. Before assuming you have the
u, check your blood glucose to rule out DKA (see "Diabetic ketoacidosis (DKA)"
on page 129).
To handle sick days:
• Treat the underlying illness to promote faster recovery.
• Eat as normally as you can.
• Adjust bolus doses, if necessary, to match changes in meals and snacks.
• Always continue your basal insulin, even if you are unable to eat. Contact
your healthcare provider for suggested basal rate adjustments during sick
days.
• Check your blood glucose every 2 hours and keep careful records of results.
• Check for ketones when blood glucose is 13.9 mmol/L or higher.
• Follow your healthcare provider’s guidelines for taking additional insulin on
sick days.
• Drink plenty of uids to avoid dehydration.
• Call your healthcare provider if symptoms persist.