Sick Day Management for Diabetes: How to Plan Ahead – Healthline
When you have diabetes, taking care of yourself during an illness has extra importance — even if the condition is as common as the flu or a urinary tract infection.
To avoid complications, it’s a good idea to plan ahead for how you’ll handle sick days, illnesses, and infections.
This article provides some expert guidance on:
When you have diabetes, an illness or infection can deliver a powerful one-two punch to your body. Here’s how.
One reason to plan ahead is because illness or infection can worsen diabetes symptoms.
Your body reacts to them the same way it reacts to stressful events. It produces a surge of hormones, including cortisol. Cortisol is often called the stress hormone.
When your body is flooded with cortisol, your blood sugar can spike for several reasons:
Both of these actions can mean that when your body is dealing with an illness or infection, you may experience a bump in your blood sugar levels.
If you have diabetes, you may have a higher risk of certain kinds of infection or illness.
If you do get sick, you may face a higher risk of hospitalization. For example,
That’s why it’s so important to work with your diabetes care team to plan ahead, so you’ll know how to handle an illness, injury, or infection if it happens. Your plan can give you some peace of mind now, and it may protect your health later on.
Advocates at the American Diabetes Association and the
Let’s tackle these questions one at a time.
To prepare yourself for the sick days you’re bound to face sooner or later, talk with your diabetes care team about testing, medications, and warning signs.
When you’re sick, your blood sugar may go up for several reasons:
To keep your blood sugar in your target range, keep eating and drinking as close to your usual routine as possible. That may be easier said than done, especially if you have symptoms like nausea, vomiting, or diarrhea.
If you’re having trouble eating and drinking, aim for:
If your blood sugar is too low, you may need to follow the 15-15 rule. That means you’ll need to consume 15 grams of carbs, then test your blood sugar 15 minutes afterward.
Talk with your healthcare team about whether hard candies or glucose tablets would work if you’re not able to keep down food or drink.
Keep a notepad nearby so you have an accurate record to share with your doctor. You don’t want to rely on your memory of the readings at a time when your recall could be clouded by lack of sleep or worsening symptoms.
You may also need to test your urine for ketones. Ketones are a sign that your insulin levels are low and your body is using fat for fuel.
Testing for ketones in your urine can tell you if you’re developing a condition called diabetic ketoacidosis. This condition is life threatening, so it’s important to know in advance how to detect these chemicals in your body.
The NIDDK recommends that you test ketones every 4 to 6 hours during an illness.
It’s also important to track your weight, body temperature, and blood pressure. These metrics are important clues that may tell you if:
It’s especially important for people with type 1 diabetes to test their blood glucose more often when they’re sick. Insulin levels can drop sharply as the body fights an illness or infection.
An illness can change how much insulin you need. Talk with your diabetes care team about when and how much to adjust your dosage of insulin and any other medications you take.
It’s important to keep taking insulin, especially long-acting insulin, on the schedule your doctor recommends. It’s also important to continue taking long-acting insulin even if you’re not eating.
Some over-the-counter (OTC) medications — especially those that treat cough, cold, and flu symptoms — contain sugar. Other types of medication can affect the way your diabetes medications work.
Your diabetes care team may be able to give you a list of medications to avoid when you’re feeling unwell with a common condition.
It’s a good idea to stock up on easy-to-prepare foods, sick-day drinks, medications, and diabetes care supplies so you have these items on hand for those days when you’re not feeling well. Here are some items to include in your sick-day kit:
Keep a ready supply of:
Your sick-day kit should also contain:
Make sure your kit is stocked with:
If you’re experiencing any of the following symptoms, contact your doctor or someone on your diabetes care team right away:
Diabetic ketoacidosis is a medical emergency: It can lead to coma or death. Get medical help immediately if you’re experiencing symptoms such as:
If your employer or insurer offers telehealth services, consider downloading the app or keeping contact information in your phone to make it easier to get advice if you’re not feeling well.
Diabetes can damage your immune system, according to
You can do this by:
Diabetes can make an ordinary illness more challenging — and feeling unwell can make it harder to manage your diabetes.
If you have diabetes, talk with your healthcare team to plan how you’ll respond to an illness or infection. Together, you can decide in advance how to manage your blood sugar when you’re feeling sick.
You can also stock up on food, beverages, testing supplies, and medication you might need.
A good sick-day plan includes information on which medications are safe to take, which to avoid, how best to test your blood sugar, and what steps to follow to keep diabetes or another health condition from sidelining you for longer than necessary.
Last medically reviewed on January 21, 2022
Newcastle single mum of three dies suddenly after eating snack with peanuts – Daily Mail
A single mother-of-three who was allergic to peanuts died suddenly after unknowingly eating a snack containing the allergen.
Hanna Scigala, 31, suffered a fatal anaphylactic attack after eating the snack at her home in Newcastle, on the NSW coast, on January 4.
Her condition spiralled quickly and she went into cardiac arrest, suffered brain swelling and was declared brain dead before passing away on January 7.
She leaves behind a 12-year-old, nine-year-old and three-year-old boy who will now be looked after by their grandparents.
A single mother-of-three who was allergic to peanuts died suddenly after unknowingly eating a snack containing the allergen
Hanna Scigala, 31, suffered a fatal anaphylactic attack after eating the snack at her home in Newcastle, on the NSW coast, on January 4
Her death has come as a complete shock to the family who say the single mother was always careful with the foods she ate.
Ms Scigala had been with her three children at home when she started to feel peckish and she reached for a snack. She had no idea it contained traces of peanuts.
The single mother immediately recognised the signs of an allergic reaction and rushed down the stairs and into the garage for the Epipen she kept in her car.
She administered the dose of adrenaline before calling an ambulance while her horrified nine-year-old son phoned family to come and help.
A neighbour managed to perform CPR until paramedics arrived and wheeled her into an ambulance.
Ms Scigala went into cardiac arrest on the way to hospital but paramedics were successfully able to treat her.
But her condition continued to deteriorate the following day with the single mother suffering from brain swelling before she was declared brain dead on January 6.
Her devastated sister Stephanie as ‘inspiring’ and ‘very fun to be around’.
She leaves behind a 12-year-old, nine-year-old and three-year-old who will now be looked after by their grandparents
‘As a mum, I think her favorite thing to do was to introduce the kids to new things so they could develop new interests,’ she said.
‘Whatever she could think of or saw that she thought they might like she’d get them involved. She’d put them before anyone else.’
Stephanie has launched a GoFundMe to raise money for her children. The campaign was set up to raise $7,000, but has already drawn in $29,792 in donations.
‘With their grandfather retired and grandmother working only part time, this go fund me has been made in hopes to help them be able to financially provide for their grandchildren,’ Stephanie wrote.
‘These funds will also go towards funeral arrangements and any other memorial type of function.’
Published by Associated Newspapers Ltd
Part of the Daily Mail, The Mail on Sunday & Metro Media Group
NJCU Mourns the Passing of Former Board Chairman John J. Moore `56, Board of Trustees Chair Emeritus and Athletics Hall of Famer – Life at NJCU
The Spring 2022 has begun! From January 18 through January 30, all instruction and instruction-related activities will be conducted through distance-learning platforms. The university will remain open with essential services. Learn about current Spring 2022 guidelines for students, faculty, staff, and visitors and get more COVID-19 data on our dashboard.
JERSEY CITY, N.J. | New Jersey City University (NJCU) is mourning the passing of John J. Moore, L.L.M., `56, the former Chair of the Board of Trustees Chair and current Trustee Emeritus and NJCU Athletics Hall of Famer. One of the most influential alumni and leaders in NJCU’s history since arriving on campus in 1952, Mr. Moore died at his home in Teaneck, N.J. on January 14, 2022 — 10 days shy of his 89th birthday.
A teacher, lawyer, and prominent educational advocate, Moore, 88, was appointed to the Board of Trustees of then-Jersey City State College in 1982, was named the Chairman of the Board in 1989, and served for a total of two decades in the pivotal leadership role — longer than any other person in its history — and 27 total years on the Board of Trustees, before stepping down in 2009.
Dr. Sue Henderson, President of New Jersey City University said “John Moore is one of the most distinguished alumni and influential leaders in the history of this university. His deep love for his alma mater was evident in his words and his actions and his vision and foresight for what NJCU could and should be will have a long-lasting imprint. John lived the university’s mission through and through. While he will be missed, John has impacted generations of Gothic Knights through his work and earned the respect and admiration of many. Our thoughts and prayers go out to his wife Carmela, his children and grandchildren and extended family and all who knew and loved him.”
Dr. Carlos Hernandez, NJCU’s 11th President from 1993-2012, fondly remembered his friend and colleague. “John has a unique place in the university’s history and in New Jersey higher education in general. His commitment and love for the students we serve, for public higher education and his steadfast loyalty were the hallmarks of his incredibly wonderful and beneficial leadership of the Board of Trustees of the University. I credit John with my presidency. He convinced me to apply when my predecessor, Bill Maxwell retired. John was always there to support the institution and my vision for its future, and he always had the respect of his fellow board members because of his internal drive to do what was best for the University”
During his tenure, Moore oversaw the expansion and formal transition of the college to New Jersey City University in 1998. He also served as a founding member of the New Jersey Governing Board of State Colleges from 1985-1990 — the precursor of the New Jersey Association of State Colleges and Universities (NJASCU) — the Board’s inaugural Chairman in 1985, and a member of the Board of Higher of Education for the State of New Jersey from 1985-1987, where he worked to secure childcare funding on behalf of single mothers returning to school.
Joseph F. Scott, the current Chair of the NJCU Board of Trustees, said “On behalf of the board, we are eternally grateful for his service to the university. While most of us currently on the Board did not have the benefit of serving alongside John while he was Chair, his devotion and loyalty to NJCU, its mission to provide life-changing social mobility for its students, and his desire for the university to thrive for generations to come, was clear to all who knew him and will certainly live on.”
On November 11 1989, Moore was inducted into the Jersey City State College Athletic Hall of Fame, now known as the Lawrence R. Schiner Athletics Hall of Fame, for his collegiate basketball career at the institution and for his later work as a leading contributor. He was instrumental in promoting support for the renovation of the Tidelands Athletic complex — now known as the Thomas M. Gerrity Athletic Complex — and other athletic projects. He was the board’s leading supporter of increased resources and improved facilities for the athletic program and a strong advocate of the importance of athletics in the life of the college.
On December 7, 2004, upon the recommendation of the University Senate, Moore received the ultimate honor when the university board voted to rename the Athletic and Fitness Center in his honor, officially dedicating the John J. Moore Athletics and Fitness Center on March 22, 2005. Commonly known as ‘The JMAC’, the facility, which opened in 1994, is the focal point for the NJCU athletic department and home court to Moore’s beloved Gothic Knights, including the basketball, volleyball and now wrestling programs. Moore was also a long-time member of the Green and Gold Club, NJCU’s previous athletics booster organization.
“There was no one who cared more about the university than John,” recalled Rafael Perez, Esq., former Chair of the NJCU Board of Trustees [2009-2021], who succeeded Moore in the role after originally joining the Board under Moore’s leadership in 1999. “He was the consummate NJCU supporter and fan and truly personified the good things about the university. John was a caring individual and a warm and funny man who cared about individuals from all walks of life. He was just a wonderful man.”
“He was always very independent and felt the university should act independently too,” Perez added. “Even though he served on other boards that promoted higher education throughout the state, he embraced the idea that the university and Board of Trustees needed to be independent. That legacy has carried on.”
Hernandez noted “John came to the institution as one of the first male students, along with Bill Maxwell, admitted through the GI Bill. He grew up knowing the institution and its importance to our local community and its very special mission. John truly lived that mission. It was his personal journey and life’s work. Even as an attorney, the mission of serving underrepresented individuals was always at the center of what he did. He carried that mission extremely well when he was first appointed as a member of the board of the Development Fund of the College and then certainly in his tenure as chair of the Board of Trustees. He never let the mission down. He adored it and championed it, and when the chips were down in Trenton with any act that might negatively impact the institution, he was one of the first to fight for his alma mater.”
Born on January 24, 1933 in Jersey City, Moore was the oldest of seven children. Known throughout his life for an extraordinary work ethic, he joined the workforce at age seven. He later attended Memorial High School in West New York, N.J. and continued to support his family, at various points leaving school to work double shifts at the embroidery factories.
He applied to then-Jersey City State Teachers College and was accepted on a scholarship, an experience that would change his life forever and light the torch for an eight-decade love for the institution. A standout men’s basketball point guard under Coach Dr. John Reckzeh from 1952-56, he was one of its earliest stars and led the program as a two-year captain, before graduating in 1956 with a Bachelor of Arts in Education.
Shawn Tucker, Associate Vice President and Director of Athletics, said “When I arrived at NJCU in 2018, I quickly learned about the decades-long impact Mr. Moore had on his alma mater, and his passion for NJCU athletics, especially our basketball programs, for which he once starred. While we will mourn his passing, we will continue to celebrate his life as one of the greatest Gothic Knights who ever lived. NJCU will continue to make him proud, and his legacy will live on in the building that bears his name.”
Larry Schiner, who served as athletic director for much of Moore’s tenure, added: “John Moore was a gentleman of the highest order and a devoted alumni and supporter of all aspects of the University. I certainly will miss his friendship.”
Upon graduation he was drafted by the United States Army and following service in Germany, was honorably discharged in 1958. He returned to the U.S. and attended the New York Law School at night while working days as an elementary school teacher, graduating from law school in 1961. That same year, he was admitted to the New York State Bar and joined the Continental Insurance Company. In 1970, he received a master’s degree from New York University’s School of Law.
He joined the New York firm of Barry, McTiernan and Moore as a senior partner in 1971. Along with his longtime partner and close friend Roger McTiernan, he oversaw a two-decade expansion of the firm. He served as a member of the Defense Association of New York, Editor of the Defendant, a Vice President of the Defense Research Institute, and the President of the Catholic Insurance Guild. He retired as partner from Barry, McTiernan and Moore in 1985, but remained affiliated with the firm for years after.
Civically in his long-time hometown of Teaneck, N.J., Moore was appointed the first chairman of the Civilian Complaint Review Board in 1990 — the first of its kind in the state.
Moore was quoted in his later years as saying “I find myself to have been blessed with good fortune in my career, and more significantly, with my family. I thank them for being what they are and for being a part of my life…I am grateful for what has happened, what I have, and who I am.”
Moore is survived by his wife of nearly 65 years and high school sweetheart Carmela, daughter Christine, son John and his wife Laura, and grandchildren Anthony and Giovanna.
A private funeral mass was held this week for the immediate family and a memorial service for colleagues and friends will be organized in the Spring.
Additional photos of Mr. Moore are available in this photo gallery. A full obituary is published on Legacy.com.
Ira Thor, Senior Director of University Communications and Media Relations | email@example.com | 201-200-3301
2039 Kennedy Blvd
Jersey City, NJ 07305
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