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Diabetes Sick Day Management: High and Low Blood Glucose Levels
Diabetes Sick Day Management: High and Low Blood Glucose Levels
Diabetes Sick Day Management: High and Low Blood Glucose Levels
2. Stay Hydrated If you are vomiting, having diarrhoea, and/or eating or drinking
very poorly, STOP SGLT-2 inhibitors (canagliflozin,
Drink plenty of water (if you are not on fluid restriction).
dapagliflozin, empagliflozin).
Sip at least half a cup of water or sugar-free fluid every
hour.
If your appetite is very poor, do speak to your healthcare
provider regarding adjustments to your diabetes medication.
If you are unable to eat, and your blood glucose is Recurrent high blood glucose (more than 20 mmol/L)
between 4 and 10 mmol/L, take any of the following every 1
Severe or persistent vomiting and inability to take in food
to 2 hours to maintain your blood glucose levels:
• Half a cup of fruit juice Severe or persistent abdominal pain
• Half a cup of cordial
Feeling of breathlessness
If your blood glucose drops to below 4 mmol/L, treat
Persistent diarrhoea
hypoglycemia according to the 15/15 rule. Refer to the
patient information leaflet on hypoglycemia.