What is Sick Day Medication Guidance?

When you are sick, you are at risk of becoming dehydrated if you have any of the following symptoms:

  • Vomiting/throwing up.
  • Diarrhea.
  • Eating or drinking less than normal.
  • Getting dizzy when standing up.
  • Losing more than 3 kgs or 7 lbs in the previous 2 days.

What can you do:

  • To manage low blood pressure: increase fluid intake and limit caffeine (such as coffee, tea, energy drink, etc.). You could consider drinking electrolyte replacement solutions like Gatorade or Pedialyte.
  • If you are taking insulin: it is advised that you monitor your blood sugars more frequently (every 4-6 hours) while awake for the duration of your symptoms.
  • If you are experiencing low blood glucose levels, it is advised that you reduce the doses of your insulin until your blood glucose levels recover
  • If you are experiencing high blood glucose levels, it is advised that you increase your basal and bolus insulin doses by 10-20% until your blood glucose levels recover.

When you are sick, it is recommended to temporarily pause the medications below until you are eating and drinking normally again:

Click each icon for more information:

Remember to continue taking these medications again once you are feeling well again.

    Call your healthcare team (Pharmacist, Doctor, Nurse Practitioner, Nurse, Dietitian) or 811 if:

  • You have been throwing up or have had diarrhea, and/or fever (temperature higher than 38 C or 101 F) for more than 3 days

  • You are unable to keep fluids down (e.g., you have thrown up or have had bouts of diarrhea more than 4 times in 12 hours)

  • You have had 3-4 blood sugar readings in the past 24 hours that have been too high or low despite treatment/adjustment

  • You measure blood ketones and the readings are moderate to high

  • You measure blood pressure and your systolic (the top number) is below 80 mmHg

   Call 811 or go to an Urgent Care Centre if:

  • You feel drowsy or confused

  • You have rapid or difficulty breathing