Question

A 25-year-old woman with Type 1 Diabetes, managed on a basal-bolus regimen (Lantus and Novorapid), develops a viral illness with fever and reduced appetite. She is still managing oral fluids. What advice should be given regarding her insulin management (sick day rules)?

Accepted Answer

Continue both Lantus and Novorapid, increasing the frequency of blood glucose and ketone monitoring

Answer

Omit all insulin injections until eating normally

Answer

Omit rapid-acting insulin (Novorapid), continue long-acting insulin (Lantus)

Answer

Reduce the dose of Lantus by 50%

Answer

Switch to a variable rate intravenous insulin infusion (VRIII)

Practice question

A 25-year-old woman with Type 1 Diabetes, managed on a basal-bolus regimen (Lantus and Novorapid), develops a viral illness with fever and reduced appetite. She is still managing oral fluids. What advice should be given regarding her insulin management (sick day rules)?