Diabetes, Heart Disease, ACE and Covid 19. Please see this flyer for a statement from the New Zealand Study for Diabetes.
Prepare for Covid 19.
- Sick day management is vital – make sure your clinic has ketone strips and consider access to rapid acting insulin if you need it particularly if the person has type 1 diabetes.
- Everyone needs to have at least one month supply of their diabetes meds.
- Ensure as many as possible receive the funded flu immunisation.
- While there is no evidence at present to remove people from their current ACE inhibitors or ARBS, it is not recommended to start these medications for renal protection. Use a different antihypertensive in the interim.
The golden rules of sick day management for your whānau with diabetes.
- Testing regularly (ensure people have sufficient test strips). I have a small supply of extra meters.
- Keep taking their regular medications unless blood glucose levels are too low – insulin and oral medication may need adjustment. Metformin may need stopping particularly if gastric symptoms. People with Type 1 diabetes cannot stop their insulin.
- Stay hydrated – drink non sweetened fluids (if not eating and type 1 diabetes – they will need sweetened fluids to replace usual CHO intake)
- Let whānau members know if they are sick so they can provide support as needed.
- Phone me if you have any questions or concerns. I am happy if you give my number to patients who want some more information about their diabetes or the effect of Covid 19.
Click here for flyer
Diabetes Nurse Hauraki PHO