Sick Day Guidelines
When your child is sick, the blood sugars may go up. However, if your child is vomiting, the blood sugars may go down. It is important to check blood sugar level and ketones often.
When Your Child is Sick, Please Follow These Instructions:
- Check blood sugar and ketones every 2-3 hours.
- Keep checking ketones until they are negative twice in a row.
- Never stop giving insulin!
- Your child might need less insulin, but still needs it even if they can’t eat.
- If your child is vomiting, try giving 1 teaspoon of fluid every 10 minutes (juice, popsicle, regular soda, tea, broth, Gatorade, or water).
- If able to tolerate, slowly increase fluids each hour and switch between sugared and sugar-free fluids.
- If not vomiting, try to drink a cup of fluid every hour.
- Call the diabetes team if your child can’t take fluids, is vomiting, or has moderate or large ketones.
- Phone 510-428-3654 and press 5: Monday to Friday, 9 AM–4:30 PM. If no one answers, do not leave a voicemail. Instead, follow the instructions below.
- Phone 510-428-3000: During after-hours, on weekends and holidays. Ask to speak to the endocrinologist on-call . There is a doctor on-call 24 hours a day.