Sick day management in children and adolescents with diabetes

Helen Phelan; Ragnar Hanas; Sabine E. Hofer; Steven James; Alanna Landry; Warren Lee; Jamie R. Wood; Ethel Codner

doi:10.1111/pedi.13415

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Sick day management in children and adolescents with diabetes

Journal article

Peer reviewed

Sick day management in children and adolescents with diabetes

Helen Phelan, Ragnar Hanas, Sabine E. Hofer, Steven James, Alanna Landry, Warren Lee, Jamie R. Wood and Ethel Codner

Pediatric Diabetes, Vol.23(7), pp.912-925

2022

DOI: https://doi.org/10.1111/pedi.13415

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Abstract

DKA

ketones

pediatrics

sick day management

type 1 diabetes

This new version of the sick day guidelines gives a greater emphasis on how to manage diabetes for prevention of ketosis and management with new technologies. Continuous glucose monitoring (CGM) is being routinely used by persons with diabetes with the newer CGM technology becoming increasingly more accurate, especially for day to day adjustments. In this article, “glucose values” unless specifically defined, mean either fingerstick or CGM values. CGM values may need to be cross-checked with fingerstick values if required. Infections such as COVID19, and even vaccinations for COVID19, can precipitate persistent increases in insulin requirements for days or weeks. Anticipatory guidance to deal with predictable patterns of increased insulin requirements such as chronic conditions requiring steroid therapy or hyperglycemia associated with menstrual periods, will reduce anxiety and unnecessary morbidity. Use of electronic data sharing platforms will help families and health care teams assist with sick day management. Closed loop technologies, combining both pumps and sensors, and their interactive regulation by artificial intelligence systems (hybrid closed loop systems, automated insulin delivery, or AID), may be helpful to keep the glucose levels in the target range during sick days; particularly those systems that incorporate personalizable glucose targets and user-initiated modes to reduce or intensify insulin delivery in special situations.

Details

Title: Sick day management in children and adolescents with diabetes
Authors: Helen Phelan (Author) - John Hunter Children's Hospital
Ragnar Hanas (Author) - University of Gothenburg
Sabine E. Hofer (Author) - University of Innsbruck
Steven James (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Alanna Landry (Author) - Markham Stouffville Hospital
Warren Lee (Author) - Growth & Diabetes Centre, and KK Hospital
Jamie R. Wood (Author) - Case Western Reserve University
Ethel Codner (Corresponding Author) - University of Chile
Publication details: Pediatric Diabetes, Vol.23(7), pp.912-925
Publisher: Wiley-Blackwell Publishing, Inc.
DOI: 10.1111/pedi.13415
ISSN: 1399-5448
Organisation Unit: School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
Language: English
Record Identifier: 99681395202621
Output Type: Journal article

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4 Times Cited - Web of Science

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Endocrinology & Metabolism; Pediatrics

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Source: InCites