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When freelance writer Ginger Vieira came down with the flu 5 years ago, she followed sick day rules and managed to stay on top of her blood sugars—and out of the hospital. “I did have moderate and large ketone measurements the first few days.”
After speaking with her certified diabetes educator (CDE), Vieira increased her basal insulin dose by 20%, even though she had no appetite and wasn’t eating much. “This kept my blood sugar in range and my ketones at a minimum. Without this increase, my blood sugars were sitting well above 200 mg/dL.”