Know your normal insulin or diabetes medication, including dosages. Carry a note (or on your phone) of your current treatment plan and diabetes team contact details. Update this when things changes and ask if you are not sure.
Make sure that you have a supply of diabetes medicine in advance so that you do not run out.
And do not ignore if it is not correct (either high or low).
Being unwell with an infection, or dehydrated from not drinking enough, can cause your blood sugars to become too high. This can make you very unwell. So be aware about this issue; and make sure that you have people around you to support you – and help you seek medical support if needed.
Be aware of your hypoglycaemia and hyperglycaemia symptoms. They can be found on the Diabetes UK website:
https://www.diabetes.org.uk/guide-to-diabetes/complications/hypos
https://www.diabetes.org.uk/guide-to-diabetes/complications/hypers.
Even if you are not eating normally (especially ‘long acting’ insulin), unless directed to do so by your doctor or diabetes team.
But. The big BUT. You need to know which other medications that you should not take when unwell. These are called ‘sick day rules’. For example, if you are unwell, especially if you may become dehydrated (say due to an infection), and have CKD, you may need to stop certain tablets for a few days.
Get in touch with you diabetes team, especially if you are unwell.
When you are unwell, check your blood sugar more often (every four hours whilst you are awake). And if you have type 1 diabetes, check your ketones as well.
If you have severe vomiting, or are not able to tolerate drinks, you need urgent medical help. There is a lower threshold to admit people with diabetes to hospital in this situation. You may need an intravenous drip, and/or someone else to give you insulin (if you are on it).
If you do go to hospital and are unwell, even if it is not because of your diabetes, you need to tell those looking after you that you have diabetes straightaway. The illness may be connected. But, even if not, they will need to know about your diabetes and medication.
We have described what are good tips for diabetes. We hope you have found it helpful.
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