Tuesday, February 16, 2010

Sick and Tired

I've been feeling worn down and sick for a little over a week. Moreover, I've been staying up late and having trouble staying asleep. When I'm feeling sick and/or tired, I get unexpected high blood sugar readings. Many doctors will warn diabetics that illness can lead to extra bodily stress and cause elevated blood sugar in diabetics. Being under other kinds of stress can do the same and in some people, taking antibiotics also can make you go high (see comments http://www.tudiabetes.org/forum/topics/being-sick-high-blood-sugar).

The truth is, there's many more things that can raise your blood sugar than can lower it. The advice for diabetics that are feeling under the weather or super stressed is the monitor more frequently (maybe 6-8 times a day instead of the typical 4) and to correct as frequently as needed.

Another cautionary tale is to avoid making changes to basal rates, correction and bolus ratios until you are feeling well again. I know that I have felt the pain of being sick and having high blood sugar in the past and wanted to ignore the problem and hope that the sickness passes soon. Unfortunately, ignoring the high blood sugar can compound the problems of illness and actually make recovery time much longer.

Throughout most of the winter I have this on and off again sick feeling which really messes with my health for a couple months. I don't know that warmer climates would help me throughout the year, but staying inside for 3-4 days in a row because of massive Baltimore blizzards has certainly kept me feeling awful.

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