You might ask if it would be helpful to keep test strips to test his urine for ketones if his blood sugar is over 300 during day care. Although blood sugars above 300 are not the goal, they may occur despite proper adherence to instructions, and usually are not an emergency unless the child is sick or spilling ketones. If the child is sick or spilling ketones and has a high blood sugar, you should contact the parents immediately as the child might need extra insulin during the day. If the child has a blood sugar over 300 and isn't sick or spilling ketones, sometimes it is better to wait and change the insulin the next day to try and improve control. Sometimes it's even better to wait a few days to see if this is a pattern before changing the insulin.
Every child is different.
On the other hand, low blood sugars always need immediate diagnosis and treatment to avoid unconsciousness or seizures. Comments and Feedback . Privacy statement .