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What changes should be made to a patient’s insulin treatment if they become unwell andare not eating

Question

What changes should be made to a patient’s insulin treatment if they become unwell and are not eating?

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Solution

When a patient with diabetes becomes unwell and is not eating, it's important to remember that they still need insulin to help their body use the glucose produced by their liver. Here are the steps to adjust their insulin treatment:

  1. Monitor Blood Glucose Levels: The patient's blood glucose levels should be monitored more frequently than usual. This is because illness can cause blood glucose levels to rise, even if the patient is not eating.

  2. Adjust Insulin Dosage: Depending on the patient's blood glucose levels, their insulin dosage may need to be adjusted. This should be done under the guidance of a healthcare professional.

  3. Hydration and Nutrition: Even if the patient is not eating, they should try to consume small amounts of carbohydrates if possible, and stay hydrated. This can help prevent hypoglycemia (low blood sugar).

  4. Seek Medical Advice: If the patient's blood glucose levels remain high or if they are unable to eat or drink, they should seek medical advice immediately. They may need to be admitted to the hospital for treatment.

Remember, these are general guidelines. The specific changes to a patient's insulin treatment will depend on their individual circumstances and should be guided by a healthcare professional.

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