5.

Visit the Doctor if your blood

sugar >15 mmol/L for 2 Diabetes
readings and with any of the
following conditions: Sick Day Plan
 Fever > 38°C for 2 days
 Difficulty in breathing
 Persistent vomiting & diarrhea
 Urine ketone 2+
 Blood ketone > 0.6 mmol/L

This leaflet is meant for educational purposes and

should not be used as a substitute for medical
diagnosis or treatment. Please seek your doctor’s
advice or if you have any questions related to your
health, physical fitness or medical condition.
Contents in this leaflet are not to be quoted or
reproduced without the permission of National
University Hospital
Sick days can make your
2. Check your blood sugar level
blood sugar hard to control.
Colds and other illnesses put
stress on the body and can
cause your blood sugar to rise.
Symptoms such as vomiting,
diarrhea and signs of
dehydration (dry tongue & skin,
reduced urine output) can be
especially serious.
Therefore, at the earliest sign
of these symptoms, it is
important for you to follow the
guidelines of Sick Day Plan
1. Continue taking your insulin
or oral diabetes medicine
3. Drink plenty of fluids.
at least every 2 to 4 hours
Check your urine or blood
ketone if blood sugar level
> 15mmol/L
4. Eat small, frequent
carbohydrates meal 3–4 hourly
If you do not feel like eating,
substitute your meals with
other types of food such as…
One cup of:
Milk /MILO/ CREAM SOUP
½ a cup of:
SOFT DRINK / FRUIT JUICE
¾ bowl of:
OATMEAL/ PORRIDGE
Others:
1 slice of BREAD
Sip at least a glass of 3 plain CRACKERS
fluids every hour