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    Advice Diabetes Sick Day Protocol

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    varesh nagrath
    This document provides sick day guidelines for diabetic patients from Dr. Varesh Nagrath. It recommends having a glucometer, ketone testing strips, and taking blood sugar readings every 4 hours when ill. It advises resting, small frequent meals, clear liquids, and light snacks. Medication adjustments should be made by a doctor depending on blood sugar and symptom levels. Patients should see a doctor if illness lasts over 2 days, or if they experience vomiting, diarrhea, high blood sugar over 400 mg/dL, ketones in urine, severe illness, breathlessness or fatigue. The doctor may continue treatment and test blood sugar and ketones every 3-4 hours, and increase insulin doses based on blood sugar readings and presence of ket

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    Advice Diabetes Sick Day Protocol

    Uploaded by

    varesh nagrath
    44 views2 pages
    This document provides sick day guidelines for diabetic patients from Dr. Varesh Nagrath. It recommends having a glucometer, ketone testing strips, and taking blood sugar readings every 4 hours when ill. It advises resting, small frequent meals, clear liquids, and light snacks. Medication adjustments should be made by a doctor depending on blood sugar and symptom levels. Patients should see a doctor if illness lasts over 2 days, or if they experience vomiting, diarrhea, high blood sugar over 400 mg/dL, ketones in urine, severe illness, breathlessness or fatigue. The doctor may continue treatment and test blood sugar and ketones every 3-4 hours, and increase insulin doses based on blood sugar readings and presence of ket

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    Diabetes mellitus Sick day protocol

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    This document provides sick day guidelines for diabetic patients from Dr. Varesh Nagrath. It recommends having a glucometer, ketone testing strips, and taking blood sugar readings every 4 hours when ill. It advises resting, small frequent meals, clear liquids, and light snacks. Medication adjustments should be made by a doctor depending on blood sugar and symptom levels. Patients should see a doctor if illness lasts over 2 days, or if they experience vomiting, diarrhea, high blood sugar over 400 mg/dL, ketones in urine, severe illness, breathlessness or fatigue. The doctor may continue treatment and test blood sugar and ketones every 3-4 hours, and increase insulin doses based on blood sugar readings and presence of ket

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    44 views2 pages

    Advice Diabetes Sick Day Protocol

    Uploaded by

    varesh nagrath
    This document provides sick day guidelines for diabetic patients from Dr. Varesh Nagrath. It recommends having a glucometer, ketone testing strips, and taking blood sugar readings every 4 hours when ill. It advises resting, small frequent meals, clear liquids, and light snacks. Medication adjustments should be made by a doctor depending on blood sugar and symptom levels. Patients should see a doctor if illness lasts over 2 days, or if they experience vomiting, diarrhea, high blood sugar over 400 mg/dL, ketones in urine, severe illness, breathlessness or fatigue. The doctor may continue treatment and test blood sugar and ketones every 3-4 hours, and increase insulin doses based on blood sugar readings and presence of ket

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    GURU KRIPA CLINIC

    ADVICE TO DIABETIC PATIENTS DURING ILLNESS


    Dr.Varesh Nagrath ,M.D.
    SICK DAY PROTOCOL
     Things which you must have preferably at home
     Glucometer
     Ketostix :Which measures urinary Ketones.
     Do frequent Blood Sugar tests at home with your Glucometer ,as frequent as every four
    hours.If you do not have glucometer inform your Doctor/lab for help.
     Get urinary ketons tested 4 hourly (Very important if you have Insulin dependent
    Diabetes )
     once a day (if you have Type 2 diabetes) ,or Lifestyle Modification
     Take full rest.do not exert .
     Diet modification
     Small frequent meals are advised.
     Drink clear liquids frequently ( for eg ½ cup of Clear soup every hour)
     Eat light food if you can. For eg Toast /Juice/ Diet Coke /Namkeen of moong dal.. Recall
    the light snacks you relish and consume them.
     Take candies
     Drug modification
     This should preferably be done by your Doctor.
     This depends upon the level of blood glucose & associated symptoms. Blood glucose might
    be high (due to insulin resistance ) or low (because of low appetite & intake) during sick
    days.
     If you take insulin :
     Your appetitie might be less during sickness,however,do not miss insulin.In fact,the
    requirement of insulin might increase during sickness as it becomes more difficult
    for insulin to be effective.

     If you take Drugs belonging to Sulfonylurea group


     Do not increas the drug.
     Any increase in Blood sugar values is to be controlled by Insulin.
     Decrease the dose if the blood glucose is falling low.
     If you take Metformin
     Stop metformin
     Start insulin for the period of sickness.
     Adjust dose according to blood values.
     You need to show to your Doctor if
     Illness lasts > 2 days
     Vomiting ,Diarrhoes.
     Blood glucose value > 400 mg %
     Ketones appear in the urine.
     You feel very ill or there is an obvious infection
     You feel breathless ,fatigued ,giddy.
     Guidelines for Doctors for Adjustment of Insulin Dose during sick days (
     Continue the previous treatment.
     Do 3-4 hour RBG & Ketonuria testing)
     If there is no ketonuria and
     RBG is 90-160 mg % -Do not add insulin.
     RBG is 180-250 mg % -Add 2 units of fast acting insulin
     RBG is 250-350 mg % -Add 4 units of fast acting insulin in that dose.
     RBG is 350-400 mg % -Add 6 units of Regular insulin

    Dr.Varesh Nagrath .M.D. Page 1 20-Jul-19


    GURU KRIPA CLINIC
    ADVICE TO DIABETIC PATIENTS DURING ILLNESS
    Dr.Varesh Nagrath ,M.D.
     RBG is >400 :Contact your Doctor immediately.

    Dr.Varesh Nagrath .M.D. Page 2 20-Jul-19

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