Diabetes Sick Day Rules: How to Adjust Medications and Prevent DKA or AKI

Diabetes Sick-Day Medication Checker

Disclaimer: This tool is for educational purposes and based on general guidelines. Always consult your healthcare provider before changing or stopping any prescription medication.

Select the symptoms you are currently experiencing and the medications you take to see general adjustment guidelines.

1. Current Symptoms

Vomiting / Nausea

High Fever

Severe Diarrhea

Low Fluid Intake (< 1,500mL/day)

2. Your Medications

SGLT2 Inhibitors (e.g., Empagliflozin, Canagliflozin)

Metformin

ACE Inhibitors / ARBs (e.g., Ramipril, Losartan)

Insulin

Analysis & Recommendations

Critical Reminder: Ketone Testing

If your blood glucose is above 240 mg/dL, test for ketones immediately. If ketones are > 0.6 mmol/L, contact your doctor.