Intensive sick day rules to prevent recurrent diabetic ketoacidosis- An intervention that exemplifies health disparities

Dye, Alyssa M.; Alemzadeh, Ramin; Wang, Jiajing; Tolley, Elizabeth A.; Lahoti, Amit

doi:10.1016/j.jnma.2021.10.001

Cited by 2 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Conversely, gastrointestinal illness accompanied by nausea, vomiting, and potential malabsorption can precipitate hypoglycemia [67]. In such cases, a cautious reduction rather than a complete cessation of insulin infusion, amounting to 20-50% of the total daily insulin dose, may prove essential (Table 2) [66,67,69]. However, caution is required in this adjustment as it might lead to insufficient insulin for the carbs consumed, posing a risk of ketosis and ketoacidosis [67].…”

Section: Sick Daysmentioning

confidence: 99%

A Nutritional Approach to Optimizing Pump Therapy in Type 1 Diabetes Mellitus

Gitsi,

Livadas,

Angelopoulos

et al. 2023

Nutrients

View full text Add to dashboard Cite

Achieving optimal glucose control in individuals with type 1 diabetes (T1DM) continues to pose a significant challenge. While continuous insulin infusion systems have shown promise as an alternative to conventional insulin therapy, there remains a crucial need for greater awareness regarding the necessary adaptations for various special circumstances. Nutritional choices play an essential role in the efficacy of diabetes management and overall health status for patients with T1DM. Factors such as effective carbohydrate counting, assessment of the macronutrient composition of meals, and comprehending the concept of the glycemic index of foods are paramount in making informed pre-meal adjustments when utilizing insulin pumps. Furthermore, the ability to handle such situations as physical exercise, illness, pregnancy, and lactation by making appropriate adjustments in nutrition and pump settings should be cultivated within the patient–practitioner relationship. This review aims to provide healthcare practitioners with practical guidance on optimizing care for individuals living with T1DM. It includes recommendations on carbohydrate counting, managing mixed meals and the glycemic index, addressing exercise-related challenges, coping with illness, and managing nutritional needs during pregnancy and lactation. Additionally, considerations relating to closed-loop systems with regard to nutrition are addressed. By implementing these strategies, healthcare providers can better equip themselves to support individuals with T1DM in achieving improved diabetes management and enhanced quality of life.

show abstract

Section: Sick Daysmentioning

confidence: 99%

A Nutritional Approach to Optimizing Pump Therapy in Type 1 Diabetes Mellitus

Gitsi,

Livadas,

Angelopoulos

et al. 2023

Nutrients

View full text Add to dashboard Cite

show abstract

“…As families become more competent with their diabetes care, the sick day management education should be repeated at least annually. Intensive training in sick day rules have been shown to decrease the incidence of DKA 31 …”

Section: Preparation For Sick Daysmentioning

confidence: 99%

“…Intensive training in sick day rules have been shown to decrease the incidence of DKA. 31 The health care team should tailor the education to suit the age of the child/adolescent and development stage. 32 For very young children, families should receive appropriate advice on managing gastroenteritis and the need for early intervention and possible use of mini-dose glucagon (Table 1).…”

Section: Sick Day Educationmentioning

confidence: 99%