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5.

Visit the Doctor if your blood


sugar >15 mmol/L for 2 Diabetes
readings and with any of the
following conditions: Sick Day Plan
 Fever > 38°C for 2 days
 Difficulty in breathing
 Persistent vomiting & diarrhea
 Urine ketone 2+
 Blood ketone > 0.6 mmol/L

This leaflet is meant for educational purposes and


should not be used as a substitute for medical
diagnosis or treatment. Please seek your doctor’s
advice or if you have any questions related to your
health, physical fitness or medical condition.
Contents in this leaflet are not to be quoted or
reproduced without the permission of National
University Hospital
Sick days can make your
2. Check your blood sugar level
blood sugar hard to control. at least every 2 to 4 hours
Colds and other illnesses put Check your urine or blood
stress on the body and can ketone if blood sugar level
cause your blood sugar to rise. > 15mmol/L
Symptoms such as vomiting,
diarrhea and signs of
dehydration (dry tongue & skin, 4. Eat small, frequent
reduced urine output) can be carbohydrates meal 3–4 hourly
especially serious. If you do not feel like eating,
substitute your meals with
Therefore, at the earliest sign other types of food such as…
of these symptoms, it is
One cup of:
important for you to follow the
Milk /MILO/ CREAM SOUP
guidelines of Sick Day Plan ½ a cup of:
SOFT DRINK / FRUIT JUICE
1. Continue taking your insulin ¾ bowl of:
or oral diabetes medicine OATMEAL/ PORRIDGE
Others:
3. Drink plenty of fluids. 1 slice of BREAD
Sip at least a glass of 3 plain CRACKERS
fluids every hour