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Endocrinol Metab Clin North Am. 2000 Dec;29(4):707-23.

Sick-day management in type 1 diabetes.

Author information

1
Pediatric and Adolescent Unit, Joslin Clinic, Joslin Diabetes Center, Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA. lori.laffel@joslin.harvard.edu

Abstract

Illness and stress are common occurrences. For the person with type 1 diabetes, these events can be triggers for counterregulation and [table: see text] subsequent metabolic deterioration if there is no attention to diabetes management tasks. Sick-day management requires increased monitoring of blood glucose and assessment for ketosis. Although urine testing for ketones has been the standard approach to sick-day management, new technology for self-monitoring of blood 3HB levels is now available. According to the American Diabetes Association, blood measurement of 3HB "may offer a useful alternative to urine ketone testing." This new technology may provide an opportunity to improve the management of uncontrolled diabetes and sick days in an attempt to reduce the human and economic burden of DKA.

PMID:
11149158
DOI:
10.1016/s0889-8529(05)70160-2
[Indexed for MEDLINE]

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