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- Provide education regarding sick day management to patients with diabetes to prevent DKA.
- Ensure that patients understand the need to continue insulin therapy.
- Educate the public to recognize the signs and symptoms of diabetes mellitus.
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Provide education regarding sick day management to patients with diabetes to prevent DKA.  |
- On sick days:
- Increase the frequency of home blood glucose monitoring
- Measure urinary or fingerstick ketones
- Assure access to health care provider
- Continue insulin and maintain adequate hydration and nutrition
- Proceed to emergency department if nausea and vomiting persist or if home ketone testing is positive or blood glucose remains high
- Review sick day management periodically with patients.
| Background | Back to top
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Ensure that patients understand the need to continue insulin therapy. |
- Inform patients of the serious consequences if insulin therapy is discontinued, even while they are unable to eat.
| Background | Back to top
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Educate the public to recognize the signs and symptoms of diabetes mellitus.  |
- Provide information for teachers, parents, school staff, and caregivers on how to recognize children with undiagnosed diabetes.
| Background | Back to top
| | | FAQs |
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| Ebenezer A. Nyenwe, MD, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Heather Lochnan, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Darren B. Taichman, MD, PhD, Editor, PIER, has received grant support from Actelion Pharmaceuticals Ltd , and honoraria for continuing medical education grand rounds and lectures given. |
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PIER is copyrighted (c) 2010 by the American College of Physicians,
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Diabetic Ketoacidosis
