High blood glucose or “hyperglycemia” is when your blood glucose is above your target goal. In general, if blood glucose levels go above 160, it is considered too high. If your glucose levels run high, you can feel tired and thirsty. You may urinate more often, or your may not feel any symptoms. However, high blood glucose causes damage over time if it is left untreated. Illness may raise blood glucose. If you have an infection, the flu, undergo a procedure or surgery, or have dental problems, your blood glucose may be higher than usual. It is important to know what to do differently on a sick day, because untreated high blood glucose levels can lead to dehydration and very high blood glucose levels. These are some of the things that can lower glucose: Not enough food -do not skip meals without medication arrangement and discussion with your doctor. Too much diabetes medicine: If you make a mistake with your medicine call your doctor immediately.
More unplanned activity than usual. These are some of the things that can raise your blood glucose level: Alcohol, too much food i.e. if you eat more than planned or special occasions like weddings and other celebrations. If you forget or skip your medication. Illness, surgery, stress and many different medications especially Steroids by mouth or injection. If you have a real change in your activity. If you become sick you should: 1. Check your blood glucose every 3-4 hours. You should continue your diabetic medications as you usually do. You should drink plenty of fluids. If you can eat solids the fluids should be without sugar. If you cannot tolerate solid foods the liquids may contain glucose or calories. Aim for 8 ounces or one cup every hour. CALL FOR HELP. If you can’t take in fluids or can’t keep them down, if your blood glucose is greater than 300 and will not come down after medication, if you have stomach pains that don’t go away; if you have nausea, vomiting or diarrhea; if you have fever over 101° or if you are unsure of what to do. If you cannot keep down any fluid or have fever over 102° go to the emergency room immediately. At any time if you are in doubt you should call 911 and go to the emergency room. If you don’t feel like eating you should try to eat or drink foods containing carbohydrate, such as: apple sauce, apple juice, creamed soup, fruit yogurt, regular ice cream, regular fruit gelatin, regular soda, saltines or other cracker. Even though you may not be eating your usual amount of food when you’re sick, you still need to take your usual dose of diabetes medicine. You might even need to take more, or add insulin. Contact our office for assisstance and inform the staff you are having difficulty with your glucose . Please refer to your advanced training in management of high glucose, if you have received this training.