If you are ill, more glucose is released into your bloodstream and your body becomes resistant to insulin, which can mean a rise in your blood glucose levels, so you may need to take a higher dose of insulin.
Use the following ‘sick day rules’ to take extra care of your diabetes.
- Call your healthcare team if you need help.
- Keep taking your insulin and/or other diabetes medications even if you don’t feel like eating. You might need more than usual.
- Test your blood glucose levels more often
- Stay well hydrated. Have lots of unsweetened drinks to avoid dehydration
- Eat little and often, and have carbohydrate-containing drinks if you cannot keep food down.
- Check for ketones, and contact your healthcare team if they are present.
- Diabetes UK. Dealing with illness, https://www.diabetes.org.uk/Guide-to-diabetes/Living_with_diabetes/Illness/
Keeping your blood glucose levels within safe limits is a hugely important part of managing your diabetes, but you also need to think about your physical well-being.
Hypoglycaemia happens when your blood glucose levels drop too low. This is more likely to happen if you treat your diabetes with insulin. If you treat you diabetes with diet or metformin alone, you are generally not at risk.
Hyperglycaemia is caused by blood glucose levels rising too high.
While you are pregnant, you will be at much higher risk of hypoglycaemia – especially in the early weeks. At the same time, you may not have your usual early warning signs (hypo unawareness), and the symptoms may be more severe than usual.
Whatever treatment you were using to control your diabetes before you became pregnant may change. If you were using tablets, you may have to start using insulin.
Managing your blood glucose levels can be much harder after you become pregnant. As your body changes, so do your blood glucose levels.
If you have type 1 or 2 diabetes in pregnancy you will get extra care.
You will need to manage your type 1 or 2 diabetes in pregnancy by checking your blood glucose levels and adjusting your treatment according to the results.
Women with type 1 or 2 diabetes are at higher risk of some complications but the majority have normal pregnancies and healthy babies. There is much you can do to reduce the risks, for you and baby.
Many women with type 1 or 2 diabetes go on to have a healthy birth. But you are at higher risk of complications so your healthcare team will have recommendations for the birth of your baby.
If you have type 1 or 2 diabetes, you should to talk to your healthcare team if you are thinking about having a baby. There are some things you can do now to make your upcoming pregnancy safer.
The fact that you have type 1 or 2 diabetes in pregnancy does not mean that your baby will get it as a child. But they will have an increased risk of getting it later due to genetics.
ℹLast reviewed on September 1st, 2015. Next review date September 1st, 2017.