☀️ Morning Routine
☑ Check Blood Pressure
☑ Check Blood Sugar
☑ Check Ketones (if Sugar > 13)
💊 Empty Stomach Meds
Lansoprazole (30 mg)
Stomach Protection
Take with water. Do NOT eat yet.
⏱️ WAIT 30 MINUTES
(Shower / Get Dressed)
💉 NOVOMIX 30: 52 UNITS
Inject IMMEDIATELY before eating
💊 Take with Food
Metformin (1000 mg)
Diabetes
Indapamide (1.5 mg)
BP / Fluid
Calceos (1 Tablet)
Calcium
🥪 Lunch (1 - 2 PM)
1. Checks
☑ Check Blood Sugar
☑ Check Ketones (if Sugar > 13)
(No medication taken at lunch time)
🍲 Dinner (7 - 8 PM)
1. Checks
☑ Check Blood Sugar
☑ Check Ketones (if Sugar > 13)
💉 NOVOMIX 30: 50 UNITS
Inject IMMEDIATELY before eating
2. Medications (With Food)
Metformin (1000 mg)
Diabetes
Calceos (1 Tablet)
Calcium
🌙 Bedtime (10 PM +)
1. Checks
☑ Check Blood Pressure
☑ Check Blood Sugar
☑ Check Ketones (if Sugar > 13)
2. Medications
Losartan (100 mg)
BP / Kidneys
Atorvastatin (40 mg)
Cholesterol
🗓️ FRIDAY ONLY
Take Mounjaro (10mg)
Do not take at exact same time as Insulin.
⛔ DO NOT TAKE TRAMADOL
(Stopped by Hospital)
When to check: If BG is over 14 mmol/L (250 mg/dL) or if you feel unwell (nausea, vomiting, stomach pain).
0.0 - 0.6
Normal
No ketones present.
Correction dose only if BG is high.
0.6 - 1.5
Monitor Closely
Small amount of ketones.
Take correction dose. Drink water. Re-check in 2 hours.
1.6 +
DANGER
High risk of DKA.
Contact Medical Team immediately. Take extra insulin as per sick day rules. Drink water.
Golden Rule
NEVER STOP INSULIN
Even if you are not eating, your body needs insulin to stop ketones.
Action Plan
- Check BG: Every 2 hours (day and night).
- Check Ketones: Every time you pee or every 2 hours.
- Hydration: Drink sugar-free fluids (water/tea) if BG is high. Drink sugary fluids (Lucozade/juice) if BG is low.
- Food: Try to eat small amounts of carbs (toast, soup, crackers) often.
When to call 999 / ER
- Vomiting and unable to keep fluids down.
- Ketones are consistently high (>1.5) despite insulin.
- Deep, rapid breathing or fruity breath.
- Exhaustion or confusion.
- Unsure what to do.