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Insulin injection management during illnessIInsulin injection management during illnessInsulin injection management during illnessEnglishEndocrinologyChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemDrug treatmentAdult (19+)NA2016-10-17T04:00:00Z7.9000000000000062.5000000000000654.000000000000Flat ContentHealth A-Z<p>Find out how to manage insulin injections while your child is sick.</p><p>​When children are sick, they still need their long-acting insulin at their usual times. In fact, they may need extra injections of <a href="/Article?contentid=1729&language=English">rapid-acting insulin</a> as often as every four hours if they have <a href="/Article?contentid=1723&language=English">high blood glucose (sugar) levels</a> or if <a href="/Article?contentid=1727&language=English">ketones</a> show up in their urine.</p><h2>Key points</h2><ul><li>To decide how much insulin to give, check blood sugar and urinary ketone levels every four hours.</li><li>To determine the total daily dose (TDD) of insulin, you must add all amounts of insulin from the past 24 hours including both long/intermediate and rapid-acting insulin.<br></li></ul>
Prise en charge des injections d’insuline durant la maladiePPrise en charge des injections d’insuline durant la maladieInsulin injection management during illnessFrenchEndocrinologyChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemHealthy living and preventionAdult (19+)NA2016-10-17T04:00:00Z000Flat ContentHealth A-Z<p>Apprenez à gérer les injections d’insuline pendant la maladie de votre enfant.</p><p>Lorsque les enfants sont malades, ils ont encore besoin d’une insuline à action prolongée donnée aux heures habituelles. En fait, ils peuvent avoir besoin d’injections supplémentaires d’<a href="/Article?contentid=1729&language=French">insuline rapide​</a> jusqu’à toutes les quatre heures si leur <a href="/Article?contentid=1723&language=French">glycémie est élevée</a> ou si des <a href="/Article?contentid=1727&language=French">cétones</a> apparaissent dans leur urine.</p><h2>À retenir</h2> <ul><li>Pour déterminer la quantité d’insuline à administrer à l’enfant, vérifiez toutes les quatre heures ses niveaux de glycémie et les taux de cétones dans son urine.</li> <li>Pour calculer la dose quotidienne totale, il faut additionner toutes les doses d’insuline administrées depuis 24 heures, y compris l’insuline à action prolongée, intermédiaire et rapide.</li></ul>

 

 

DiabetesDiabetesDiabetesDEnglishEndocrinologyChild (0-12 years);Teen (13-18 years)PancreasPancreasConditions and diseasesCaregivers Adult (19+)NA2018-01-19T05:00:00Z000Landing PageLearning Hub<p>This resource contains information, illustrations and animations to help you understand diabetes, from symptom recognition, to diagnosis, treatment and long-term outcomes. Learn about managing and living with diabetes on a daily basis.</p><p>This resource contains information about diabetes, from symptom recognition, to diagnosis, treatment and long-term outcomes. Learn about managing and living with diabetes on a daily basis. Throughout the resource you will find many illustrations and animations to help you understand the condition, its management and long-term consequences.</p><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">What is diabetes?</h2></div><div class="panel-body list-group" style="display:none;"><p>Diabetes is a chronic condition that occurs when the body is not able to use sugar as energy. Find out more about the different types of diabetes and their causes such as genetic factors, environmental events, diseases or medications.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1717&language=English">What is diabetes?</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1718&language=English">Types of diabetes</a></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Type 1 diabetes</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1719&language=English">Type 1 diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1720&language=English">Management of type 1 diabetes</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Type 2 diabetes</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1721&language=English">Type 2 diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1722&language=English">Management of type 2 diabetes</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Balancing blood sugar levels</h2></div><div class="panel-body list-group" style="display:none;"><p>Diabetes management requires balancing the amount of sugar that enters the body through food with physical activity and potential diabetes medication. Learn about monitoring and controlling of blood sugar levels in this section.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1723&language=English">Balancing blood sugar levels</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1724&language=English">Measuring blood sugar levels</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1725&language=English">Monitoring blood sugar levels</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1726&language=English">Handling high and low blood sugar levels</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1727&language=English">Diabetic ketoacidosis</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Insulin in diabetes management</h2></div><div class="panel-body list-group" style="display:none;"><p>Some children with diabetes need insulin to help manage their condition. Insulin is a chemical messenger (hormone) that helps the body use sugar as energy. Learn more about the different types of insulins and injection devices to deliver it.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Overview</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1728&language=English">Insulin in diabetes management</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Understanding insulin</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1729&language=English">Understanding insulin</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1730&language=English">Buying and storing insulin</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Insulin injections</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1731&language=English">Insulin injections</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1732&language=English">Pens and cartridges</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1733&language=English">Insulin pumps</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1734&language=English">Other devices for insulin injections</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1735&language=English">Selecting the injection site</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Insulin regimen</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1736&language=English">The insulin regimen</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1737&language=English">Changing insulin requirements</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1738&language=English">Insulin dose adjustment on a multiple daily routine</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=3021&language=English">Insulin dose adjustment on a TID or BID insulin routine</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=3022&language=English">Insulin dose adjustment when using an insulin pump</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Questions</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1739&language=English">Tips and questions about insulin</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Maintaining a healthy diet</h2></div><div class="panel-body list-group" style="display:none;"><p>Keeping a healthy diet benefits everyone, not only children with diabetes. This section will help you understand what foods hide sugar, plan meals and snacks, and integrate this new diet in your family’s daily life.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Overview</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1740&language=English">Maintaining a healthy diet</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1741&language=English">Meal planning for children with diabetes</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>The meal plan</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1742&language=English">Setting up the meal plan</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1743&language=English">Meal planning with consistent carbohydrate intakes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1744&language=English">Meal planning with changing carbohydrate intakes</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Management</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1745&language=English">Avoiding high and low blood sugar episodes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1746&language=English">The glycemic index</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1747&language=English">Eating out and special occasions</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1748&language=English">Food issues at different ages</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Adjusting to illness and activity</h2></div><div class="panel-body list-group" style="display:none;"><p>Changes in your child’s routine can disturb their blood sugar levels and contribute to health issues. Illness, which increases stress, and exercise, which speeds up insulin activity, can contribute to rocketing or dropping blood sugar levels.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Overview</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1749&language=English">Adjusting to illness and activity</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Sick day</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1750&language=English">Diabetes and sick day management</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1751&language=English">Insulin injection management during illness</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1752&language=English">Sick days and insulin pumps</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Exercise</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1753&language=English">Diabetes and exercise</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Hemoglobin A1c</h2></div><div class="panel-body list-group" style="display:none;"><p>The hemoglobin A1c test (also called A1c test) measures the average blood sugar level over a three-month period. It can tell you how well your child’s blood sugar levels are overall controlled.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Overview</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1754&language=English">Hemoglobin A1c</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1755&language=English">What is a good A1c reading?</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Living with diabetes</h2></div><div class="panel-body list-group" style="display:none;"><p>Diabetes can affect your child's life at home, at school and on vacation. With effective management and support your child should be able to participate in many of the same activities as other children or teenagers their age.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Overview</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2509&language=English">Living with diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2510&language=English">Effective management of diabetes care at home</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2511&language=English">The diabetes team</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Growth and development</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2512&language=English">Growth and development</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2513&language=English">Infants, toddlers and preschoolers with diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2514&language=English">School-aged children with diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2515&language=English">Teenagers with diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2516&language=English">Thrill-seeking and risky behaviour in teenagers</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Management</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2517&language=English">Diabetes in the classroom</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2518&language=English">Diabetes and vacations</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Looking ahead</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2519&language=English">Transitioning to adult health care</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Complications of diabetes</h2></div><div class="panel-body list-group" style="display:none;"><p>Diabetes can lead to health complications such as eye disease, kidney problems or thyroid problems. Controlling blood sugar levels and eating well can help prevent complications.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Overview</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2520&language=English">Complications of diabetes</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Complications</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2521&language=English">Screening for complications</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2522&language=English">Eye damage and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2523&language=English">Kidney disease and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2524&language=English">Other late effects of diabetes</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Related conditions</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2525&language=English">Screening for related conditions to diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2526&language=English">Thyroid diseases and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2527&language=English">Celiac disease and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2528&language=English">Addison's disease and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2529&language=English">Non-alcoholic fatty liver disease (NAFLD) and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2530&language=English">Polycystic ovary syndrome (PCOS) and diabetes</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Looking ahead</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2531&language=English">Setting the stage for a healthy future</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Resources</h2></div><div class="panel-body list-group" style="display:none;"><p>Find some additional resources to help you manage your child’s diabetes. Find additional information about the importance of nutrition, physical activity, mental health, sleep and more.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://meant2prevent.ca/">Meant2Prevent</a></li></ol></div>https://assets.aboutkidshealth.ca/AKHAssets/diabetes_learning_hub.jpgdiabetes

 

 

Insulin injection management during illness1751.00000000000Insulin injection management during illnessInsulin injection management during illnessIEnglishEndocrinologyChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemDrug treatmentAdult (19+)NA2016-10-17T04:00:00Z7.9000000000000062.5000000000000654.000000000000Flat ContentHealth A-Z<p>Find out how to manage insulin injections while your child is sick.</p><p>​When children are sick, they still need their long-acting insulin at their usual times. In fact, they may need extra injections of <a href="/Article?contentid=1729&language=English">rapid-acting insulin</a> as often as every four hours if they have <a href="/Article?contentid=1723&language=English">high blood glucose (sugar) levels</a> or if <a href="/Article?contentid=1727&language=English">ketones</a> show up in their urine.</p><h2>Key points</h2><ul><li>To decide how much insulin to give, check blood sugar and urinary ketone levels every four hours.</li><li>To determine the total daily dose (TDD) of insulin, you must add all amounts of insulin from the past 24 hours including both long/intermediate and rapid-acting insulin.<br></li></ul><p>Because toddlers urinate at random times and not on command, it can be challenging for parents to regularly check urinary ketones. Your <a href="https://akhpub.aboutkidshealth.ca/article?contentid=2511&language=English">diabetes team</a>​ may provide you with a blood ketone metre to check ketone levels in your toddler’s blood instead of the urine.</p><h2>Adjusting insulin doses according to blood sugar and ketone tests</h2><p>To decide how much insulin to give, check blood sugar and urinary ketone levels every four hours.</p><p>Consult the information below each time. The following illness scenarios offer courses of action depending on results of the blood sugar, urinary ketone, and blood ketone tests.</p><h3>Scenario one</h3><p> <strong>Blood sugar:</strong> Less than 6 mmol/L<br><strong>Urinary ketones:</strong> Negative or positive (any amount)<br><strong>Blood ketones:</strong> 0 to 3 mmol/L<br><strong>Action: </strong></p><ul><li>If it is time to give insulin, reduce the dose of the long/intermediate-acting insulin and/or rapid-acting insulin by 10% to 20%.</li><li>Encourage your child to drink fluids that contain carbohydrates.<br></li><li>Speak to your doctor if further reductions are required, if your child refuses to drink, or if your child vomits.</li><li>If your child cannot eat or drink to treat a low blood sugar (hypoglycemia) this may be a time to give mini-dose glucagon.</li></ul><h3>Scenario two</h3> <strong>Blood sugar:</strong> 6 to 14 mmol/L<br><strong>Urinary ketones:</strong> Negative or positive (any amount)<br><strong>Blood ketones:</strong> 0 to 3 mmol/L<br><strong>Action:</strong> <p></p><ul><li>Give the usual insulin (long-acting and/or rapid) at the usual time. Do NOT give extra.</li><li>Recheck blood sugar and urine for ketones in 4 hours.</li></ul><h3>Scenario three</h3><p> <strong>Blood sugar:</strong> More than 14mmol/L<br><strong>Urinary ketones:</strong> Negative or small (if your ketone strips follow the plus [+] scale, then [-] or [1+] fall under this category)<br><strong>Blood ketones:</strong> 0 to 0.6 mmol/L<br><strong>Action:</strong></p><ul><li>Give extra rapid-acting insulin now, up to 10% of the total daily dose. Give this in addition to the usual insulin (long-acting and/or rapid) at the usual time.</li><li>Recheck blood sugar and urine for ketones in 4 hours.</li></ul><h3>Scenario four</h3><p> <strong>Blood sugar:</strong> More than 14 mmol/L<br><strong>Urinary ketones:</strong> Moderate or large (if your ketone strips follow the plus [+] scale, then [2+] or [3+] fall under this category)<br><strong>Blood ketones:</strong> 0.7 to 3 mmol/L<br><strong>Action: :</strong></p><ul><li>Give extra rapid-acting insulin NOW, at least 10% to 20% of the total daily dose. Give this in addition to the usual insulin (long-acting and/or rapid) at the usual time.</li><li>Recheck blood sugar and urine for ketones in 4 hours.</li></ul><p>To figure out how much more rapid-acting insulin to give, add up the total daily dose (TDD) of insulin.</p><h2>How to figure out the total daily dose (TDD)</h2><p>To determine the total daily dose (TDD), you must add all amounts of insulin from the past 24 hours including both long/intermediate and rapid-acting insulin.</p><p>Here is an example to help you figure out how much rapid-acting insulin to give based on the TDD.</p><p>Consider a child taking the following:</p><ul><li>20 units of intermediate-acting and 4 units of rapid-acting insulin before breakfast</li><li>4 units of rapid-acting insulin before supper</li><li>7 units of intermediate-acting insulin before bed.</li> ​</ul><p>This child has a total of 20+4+4+7=35 units of insulin a day. Ten percent of 35 units is 3.5 units because (35 x 10)/100=3.5. Twenty percent of 35 units is 7 units because (35 x 20)/100=7).</p><p>This child should receive 4 to 7 units. Small children tend to be sensitive, so for them, you should start with dosages at the lower end of the range.</p>Insulin injection management during illnessFalse

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