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fracture) General advice for managing diabetes during intercurrent illness (1) S (Sugar) Blood glucose levels can rise during illness even if the person is not eating Advise to increase blood glucose monitoring if the person has access to it Diabetes medications (sulfonylureas and insulin doses) may need to be increased temporarily during illness to manage these raised glucose levels I (Insulin) NEVER stop insulin or oral diabetes medications* Insulin doses may need to be increased during illness, especially if ketones are present Specific advice for people on insulin therapy is presented below C (Carbohydrate) Ensure the person maintains hydration and carbohydrate intake If the person is not able to eat or is vomiting, advise to replace meals with sugary fluids If blood glucose levels are high, maintain fluid intake with sugar-free fluids If blood glucose levels are low, encourage regular intake of sugary fluids K (Ketones) In type 1 diabetes, advise to check for ketones every 24 hours Give extra rapid-acting insulin doses (in addition to regular doses) based on total daily insulin dose if ketones are present see insulin algorithm below Advise to drink plenty of water to maintain hydration and flush through ketones Medications that Type 1Diabetics should stop if unwell (4): TYPE 1 DM Encourage adequate dietary and fluid intake: maintain an adequate fluid intake of approximately 1 glass (100-200ml) of sugar-free liquids every hour maintain a regular intake of carbohydrate - if unable to take solid foodstuffs, but tolerating fluids, encourage the person to take carbohydrate in other forms i.e

A faster metabolism allows the body to burn calories efficiently