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Help! I'm Sick. How Do I Handle My Diabetes?
Runny nose. Upset
stomach. Whatever illness it is, it can make you feel miserable. It is hard
enough to be under the weather but it is even more difficult to handle
being sick if you have diabetes.
According to the American Diabetes Association (ADA), people with
diabetes who develop an illness are at risk for serious complications if
they don't take care of their diabetes. Blood glucose levels can increase
or decrease to dangerous levels if left unchecked. Ketones, a waste product
created when the body begins to use stored fat for energy, can build up,
especially in those with type 1 diabetes, if a person does not take insulin
at regular intervals. Left unmonitored, high ketone levels can lead to
ketoacidosis, which can lead to coma or death.
"People with diabetes have special considerations when they are under
the weather," commented Ann Albright, Ph.D., RD, American Diabetes
Association President, Health Care & Education. "It is important to have a
plan with your health care team in place before you become sick, to avoid
getting worse. It is also critical to get a flu shot every year to
potentially avoid getting influenza."
The American Diabetes Association offers tips to manage diabetes if you
are under the weather:
-- Check, please! - Check blood glucose levels every 3-4 hours. Also,
if you have been instructed by your health care team, check for ketones in
your urine every few hours.
-- Don't stop insulin or medications - Unless your health care provider
tells you otherwise, continue taking insulin to balance out the battle your
body's stress hormones are fighting.
-- Nourish a cold - Even if you have lost your appetite, it is
important to try to eat. The ADA recommends 15 grams of carbohydrates every
hour or so.
-- Stay hydrated - If you are vomiting or have diarrhea, or have a
fever, try to drink a cup of fluid each hour to prevent dehydration. If
your blood glucose level is too high, try sugar-free liquids like water,
tea, or broth. If your blood glucose level is low, try drinking liquids
with approximately 15 grams of carbohydrates in them, such as 1/2 cup of
apple juice or 1 cup of milk.
-- OTCs? - Talk to your health care team before taking any
over-the-counter cold or flu medicines. Some medicines can raise your blood
glucose or blood pressure levels.
-- Call the Doctor - Contact your health care provider if there is a
rise in ketones or if there are ketones in your urine for more than 12
hours; if you are vomiting or have diarrhea for more than six hours; if you
have a fever that keeps going up or one that lasts more than a day; if you
are having abdominal pain; or if you cannot control your blood glucose
levels.
American Diabetes Association
http://www.diabetes.org
Ajuta! Sunt bolnav. Cum mã Trataþi Diabetul meu? - Help! I'm Sick. How Do I Handle My Diabetes? - articole medicale engleza - startsanatate