مريض سكري من النوع الأول يأخذ إنسولين قاعدي وسريع، وأصيب بالإنفلونزا ولا يأكل كثيراً. أي نصيحة صحيحة من قواعد أيام المرض؟

A type 1 diabetic on basal-bolus insulin has influenza and is eating little. Which sick-day advice is correct?

1. Drink less water and fluids to avoid vomiting while ill
2. Wait until recovered before checking glucose
3. Stop all insulin because he is not eating
4. Continue basal insulin; check glucose and ketones often

Answer: D) Continue basal insulin; check glucose and ketones often. Illness raises glucose even with poor intake. Basal insulin continues, glucose is checked every 2–4 hours with ketones, fluids are taken and care sought for persistent vomiting or high ketones.