COVID-19 and Diabetes 😷
I know, I know - I suck at this whole 'keeping a blog' thing. To be honest, I became very slack, partly due to being busy with work but also because I didn't think the blog was being read.
A couple of days ago, I received a lovely message on Instagram from a man with Type 1. He had read my posts and said he had enjoyed reading them. So to that kind individual, if you are reading this now - I thank you for giving me the kick up the arse I needed!
Now onto the subject we simply cannot escape at the moment - Coronavirus...
When all of this started back in March, I was on night shifts at work. The government said that anyone who gets the flu jab would likely need to stay indoors for 12 weeks.
I had a bit of an argument with someone at work who insisted that being Type 1 Diabetic does NOT put me at any more risk. I mean, she knows EVERYTHING about Diabetes because her dad is Diabetic... 🙄 (I am sure you all know the sort).
She would not listen to the fact that although we are not more likely to catch COVID, we would have more challenges to overcome SHOULD we catch it. I.E. DKA...
I would be lying to say I am not scared of COVID. In my personal situation, the guidance was very unclear. I am a key worker in a high risk job. I cannot work from home and have not been told to shield, so I am still expected to report for duty.
Luckily, my work have been supportive. I pretty much refused to be prisoner-facing and requested that 'reasonable adjustments' were made so that I would have a chance of following the social distancing guidelines. This has been accommodated and work have temporarily made me responsible for looking after staff welfare during this time.
The advice has been unclear all round. With some Diabetics told to shield and some not, it has caused a lot of confusion. But at the end of the day, we need to take responsibility to keep ourselves as safe as we possibly can.
If you are in a position to shield, then great. If not, please be sensible and only go out when absolutely essential. Any signs of feeling unwell, follow your sick-day rules:
- Check your BG more regularly and be very conscious of any signs of hyperglycaemia
- If your glucose remains high (15mmol/l or higher) check for ketones
- Stay hydrated and keep eating little and often
- Get plenty of rest
Ketone Guidance (taken from diabetes.co.uk)
0.6 to 1.5 mmol/L – indicates that more ketones are being produced than normal, test again later to see if the value has lowered
1.6 to 3.0 mmol/L – a high level of ketones and could present a risk of ketoacidosis. It is advisable to contact your healthcare team for advice.
Above 3.0 mmol/L – a dangerous level of ketones which will require immediate medical care.
If you are struggling with COVID, Diabetes or just life in general at the moment, reach out to someone. I am also here if you want to chat to someone out of your circle. My email is firstname.lastname@example.org - email me any time and I will come back to you.
Look after yourself and look out for each other! It is a crazy time we are living in.