If you cannot eat or drink or are at risk of dehydration (have a fever, diarrhea, vomiting, etc.), stop these medications until you feel better:
- Metformin
- Glyburide, glimepiride, or glipizide
- Jardiance (empagliflozin)
- Farxiga (dapagliflozin)
- Invokana (canagliflozin)
If you are at risk of dehydration, you may also need to adjust your diuretic ("water pill") and blood pressure medications. Â Reach out if you have questions about this.
If you have severe nausea and vomiting, stop these medications until you can eat/drink again:
- Ozempic (semaglutide)
- Trulicity (dulaglutide)
- Victoza (liraglutide)
- Rybelsus (semaglutide)
- Bydureon, Bydureon BCise, or Byetta (exenatide)
If you're on a medication not listed above and want to know if it's okay to take it, just ask.
When you're sick, check your blood sugars 1 to 2 times a day.
If your blood sugar is rising quickly, check more often.
Keeping yourself from becoming dehydrated is especially important if you're vomiting or have diarrhea.
Every hour, drink a glass of sugar-free liquid, such as:
- Water
- Broth or bouillon
- Gatorade ZERO
- Crystal Light
Over-the-counter cough and cold medicines may have ingredients that increase your blood sugar. Â When possible, choose sugar-free options.
Let us or another medical provider know if you:
- Cannot keep down medication, fluids, or liquids.
- Have a fever over 101°F that does not get better with a fever-lowering medication (Tylenol, ibuprofen, etc.).
- Have blood sugar that is consistently over 250 or below 70.
Go to your local emergency room (ER) immediately if you have any of the following:
- Vomiting that won't stop
- Confusion
- Severe abdominal (belly) pain
- Blood sugar over 500
Being sick can make your blood sugar go upâhere's what to do if it does.
