🚨 Call Doctor Immediately If:
- Blood sugar >300 mg/dL for more than 2 hours
- Ketones are moderate to large
- Can't keep fluids down
- Breathing is rapid or labored
- Confusion or unusual behavior
- Vomiting more than 3 times
⚠️ Check Every 2-4 Hours:
- Blood sugar level
- Ketones (if blood sugar >250)
- Temperature
- Fluid intake
- Urine output
💊 Medication Adjustments
Never stop taking insulin, even if not eating!
Your doctor may recommend:
- Increased insulin doses (sick day rules)
- Correction doses for high blood sugar
- Basal insulin adjustments
Doctor's sick day instructions:
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🍽️ Food & Fluids
If eating normally: Count carbs and take insulin as usual
If not eating: Take basal insulin + correction doses
Fluids to try:
- Water, sugar-free drinks
- Broth, clear soups
- Ice chips, popsicles
- Ginger ale (if blood sugar is low)
📞 When to Call Doctor
Call within 24 hours if:
- Blood sugar consistently >250
- Ketones present for more than 4 hours
- Fever >101°F (38.3°C)
- Can't keep fluids down
📝 Notes
Date: _________________
Illness: _________________
Blood sugar range: _________________
Ketones: _________________
Notes: _________________
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