NHS sick day advice for T2s

[Vicsetter]

somewhat confusing advice from NHS Tayside. As I am on Humulin I I have a target of <7 in the morning, if its over 8 I will increase my single evening dose.
the first 2 bullet points seem to be discussing different things. I don't measure during the day so what does persistently mean? or do they mean consistently.
Anyone had a steer from their diabetic team (what's that).








Adjusting your insulin

• If your blood glucose level is less than 10 mmol/L take your usual insulin dose.
• If your blood glucose level is persistently higher than this, you will have to take extra insulin.
• If you take quick-acting insulin (Novorapid, Humalog Apidra, Humulin S) then increase each dose as detailed in Table 1 below until your blood glucose levels settle below 10 mmol/L.
• If you are on a twice-daily mixed insulin regimen you can increase both doses as detailed below.

Table 1: Adjusting your insulin dose

Blood Glucose Level	What to do
10 - 16.9	take an extra 4 units
17 - 28	take an extra 6 units
28 or more	take an extra 8 units & consult your Diabetes team

 

[trophywench]

Well what's the difference Vicsetter, does not 'persistently for several days' have exactly the same meaning as 'consistently for several days'? It is only to distinguish it from only happening once in a blue moon.

 

[Vicsetter]

Well what's the difference Vicsetter, does not 'persistently for several days' have exactly the same meaning as 'consistently for several days'? It is only to distinguish it from only happening once in a blue moon.

no because it advises testing every 2-3 hrs so persistently could mean during the day. there is no mention of a time frame.I am quite often above 10 mmol in the evening but shouldn't increase my insulin because of that.
most people get given personal targets, this rides roughshod over that.

 

[everydayupsanddowns]

I can understand why you are confused @Vicsetter.

I think these guidelines have been developed with the national guidance on BG levels in mind, which is to avoid levels above 9 where possible.

The third bullet suggest they are targeting BG below 10mmol/l to me.

I usually increase testing frequency during illness to keep a closer eye on things - if you were ill, would that be something you could do to see if you were spending most of the day in double figures? (In which case an increase of insulin would seem sensible)