• Check for ketones during your child’s illness even if their blood glucose level is in range.

• Consult you doctor, especially if moderate or large ketones are present.

• Administer insulin as needed according to your child’s doctor’s orders to reduce possible ketones.

• Check blood glucose levels more frequently.

• Give plenty of fluids to lessen chances of dehydration and to help reduce the developing of ketones.

• If ketones are negative but vomiting is present, the insulin dose may have to be reduced to help increase blood sugars.

• Use caution when giving over-the-counter medications, as they may increase or decrease blood sugars.

• Your doctor may prescribe a suppository such as Phenergan or Zofran, an oral medication to help reduce/stop vomiting.

• Consult with you healthcare professional when giving Glucagon injections. Your child’s doctor may recommend you mix the Glucagon and give by syringe, a smaller dose to help with low blood sugars and vomiting. Typically the dosage is one unit for each year of age up to a total of 15 units.

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Always consult your health care professional

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