AKT-4506

AKT-4506

A 26-year-old woman with type I diabetes contacts the clinic for telephone guidance. She has been a diabetic since the age of 12 and is currently on a basal bolus insulin regimen, taking a total of 55 units per day.

She reports experiencing a flu-like illness with symptoms such as fever, myalgia, cough, and slightly looser stools. These symptoms began yesterday, and she feels generally unwell. Although she is not vomiting, she is able to drink adequate amounts of fluids and has been snacking on regular carbohydrates as a substitute for meals.

The reason for her call is that her latest blood glucose reading is 18 mmol/L, which is higher than her usual single-digit readings. Additionally, she has checked her blood ketone level, which is 2.5mmol/L.

What is the most appropriate advice to provide in this scenario?