- You’ve been sick or had a fever for a couple of days without getting better.
- You’ve been vomiting or had diarrhea for longer than six hours.
- You have blood glucose higher than 240 after taking your extra insulin.
- You have blood glucose higher than 240 for more than 24 hours, though you’ve taken your oral diabetes medications.
- You have moderate to large amounts of ketones in your urine.
- You have any symptoms of diabetic ketoacidosis (DKA) or dehydration such as feeling sleepier than usual, having trouble breathing, fuzzy thinking, fruity odor on your breath, or dry tongue and lips.
Your sick day plan should also include important phone numbers so you can reach your healthcare team members quickly if illness strikes. Important phone numbers—daytime and after hours include doctor, diabetes educator, emergency room, pharmacy, family or friend.