How much extra insulin do you typically use when you have the flu? Samson just tested positive for influenza A. Curious waht the ballpark increase in insulin is.
I recently had an unusually bad (for me) case of influenza; it went on for a couple of weeks. I didn’t need any change to my basal. In fact I don’t think I’ve ever had to change my basal for illness since I’ve been using a pump. On MDI, with Lantus, I would be worried about going low if I couldn’t eat so I would probably have dropped the basal, but since using the pump if I have to swap back to MDI I just use the pump basal (lower than what I used to use) and I think that is fine.
There’s a bunch of sick day posts floating around on FUD which have helped me a lot. Each time I’m sick is a little different on insulin needs, but I think when I had the flu last year I nearly had to double my TDD. YDMV!
Poor Samson! I hope this doesn’t last long for him or for you.
I don’t increase my basal when I’m sick. I do increase my boluses, or use corrections every 4 hours, 10% higher if BG is relatively in range and ketones aren’t worrying. If BG and ketones climb, then I increase boluses/corrections by another 5% at a time till I get the right balance. This assumes I can at least drink sweet fluids or keep down things like sweet applesauce. If not, ER can worry about it.
Any sickness is usually double for us… Sometimes even more.
Hope you’re little trooper feels well soon!
20% increase both bolus and basal. It felt like it would be bad especially increasing breakfast bolus. It was flu, confirmed by doc with swab. Audrey was 3.5yo