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Diabetes Management in Rainy Days: Fawad Aly Shah


People suffering with diabetes are aware of the fact that this disease can cause a number of problems. It can affect various parts of the body, like eyes, kidneys nerves, blood vessels and heart. That is why it is so important for a diabetic to work closely with his doctor to avoid any complications on long term basis. According to Diabetes Control Complications trail research, it shows that with good monitoring of blood glucose level, complications due to diabetes can be reduced to 50percent. This is fine with normal daily routine. But what if a diabetic catch a viral flu or common cold or being sick other than of diabetes? He must be prepared to make adjustments into his diabetes management program. Here are some guidelines for diabetics regarding any sick-day care:

  • Always stick to your diabetes medication fawad-aly-shahplan. Never skip insulin or diabetes pills, even if you are too sick to take anything.
  • Check your blood glucose level thrice in a day.
  • Immediately see your doctor if your blood glucose level exceeds 250mg/dl in two consecutive checks.
  • In case of insulin, you may need an extra injection if your blood glucose is 250mg/dl or higher.
  • Never stop eating or having fluids. If you are unable to follow your diet plan, choose foods or fluids that contain salt.
  • Rest and keep yourself cozy according to the season.

It is very important to treat the disease which made you sick, if you are advised to see an antibiotic for infection, always inform the doctor that you have diabetes. During the sickness period prevent dehydration. In high blood glucose levels our kidneys cannot recycle all the glucose and the remaining spills into the urine. Then this presence of extra glucose in urine draws additional water from our body which causes a diabetic to pass large volumes of urine. Loss of water from diabetic body may lead to dehydration.

Another important aspect is that people with diabetes are much concerned with the notation of sugar-free medications. It is good to do so. Remember it is not the ‘sugar’ which is the problem. It is how a diabetic ‘handle’ that sugar. Normally in medicines the amount of sugar is relatively small. This amount of sugar in regular medicines may elevate blood glucose level which is often less than stress of coughing all night due to unavailability of sugar free cough syrups. Try to use sugar-free medications when possible but if the medication is a must and sugar-free substitute is not available, use what you have.

During the phase of sickness flowing signs must not take lightly and diabetic must immediately contact his doctor:

  • Signs of dehydration, such as dry mouth, cracked lips, weight loss and skin that is flushed and dry
  • Unable to take advisable amount of fluids, persistent vomiting for more than one hour, persistence diarrhea
  • Fever of 1010c or higher.
  • Typical symptoms of ketoacidosis
  • While taking extra doses of insulin in 24 hours blood glucose level is still 250mg/dl or higher.

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