Many acute illnesses or infections can lead to hyperglycaemia in people with diabetes, with a subsequent risk of serious consequences. A clear written plan is essential so that patients know how they may need to adjust their usual diabetes management if they are sick from another cause and what to do in the event of a diabetes emergency.
- Sick-day management is important for people with diabetes to avoid possible serious consequences of acute illness or infection.
- Patients are best served with a written sick-day plan of diabetes therapy adjustments that may be needed when they are unwell.
- Risk and management of hyperglycaemic emergencies, including diabetic ketoacidosis associated with use of sodium-glucose cotransporter-2 (SGLT-2) inhibitors, need to be incorporated in each patient’s plan.
- Certain medications, such as metformin and SGLT-2 inhibitors, may need to be temporarily stopped in patients with severe dehydration.