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Managing Illness-Summary

BG
< 4.0 
mmol/L
BG
4.0 – 10.0 
mmol/L
BG
10.0 – 14.0 
mmol/L
 BG
> 14.0 
mmol/L
  • Decrease insulin
  • Push sugar fluids
  • Call diabetes nurse/doctor
With vomiting, diarrhea, or loss of appetite
With vomiting, diarrhea, or loss of appetite
 Check Urine or Blood for Ketones
  • Decrease insulin
  • Push sugar-containing fluids
  • Call diabetes nurse/doctor if:
* Dehydrated

* Vomiting > 2 times in 4 hours

* Frequent diarrhea
  • Usual insulin
  • Push sugar-containing fluids if on N/NPH
  • Call diabetes nurse/doctor if:
* Dehydrated

* Vomiting > 2 times in 4 hours

* Frequent diarrhea
Urine Ketones negative
Blood Ketones < 0.6
 
Urine Ketones positive
Blood Ketones 0.6-3.0
 
Blood Ketones > 3.0
 
With or without vomiting, diarrhea, loss of appetite:
With or without vomiting, diarrhea, loss of appetite: 
With or without vomiting, diarrhea, loss of appetite: 
 

 

 

 

 

 

 
  • Usual insulin
  • Push sugar-free fluids
  • Call diabetes nurse/doctor if:
* Dehydrated

* Vomiting > 2 times in 4 hours


* F
requent diarrhea

 
  • Give extra insulin
  • Push sugar-free fluids
  • Call diabetes nurse/doctor if:
* Dehydrated

* Vomiting >
2 times in 4 hours

* F
requent  diarrhea

* Ketones do not clear after 2 extra doses of insulin
  • Give extra insulin
  • Push sugar-free fluids
  • Contact medical help! Your child may have diabetic ketoacidosis
 

 

 

 
Eating normally, no vomiting, no diarrhea
Eating normally, no vomiting, no diarrhea
  • Usual insulin
  • Push sugar-free fluids
  • Usual insulin
  • Push sugar-free fluids




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The above information was adapted with permission from The Alberta Children’s Hospital Diabetes Clinic information handouts.

The above information was reviewed for content accuracy by clinical staff of the Alberta Children’s Hospital Diabetes Clinic.

This material has been developed from sources that we believe are accurate, however, as the field of medicine (in particular as it applies to diabetes) is rapidly evolving, the information should not be relied upon, as it is designed for informational purposes only. It should not be used in place of medical advice, instruction and/or treatment. If you have specific questions, please consult your doctor or appropriate health care professional.


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