Do’s and Dont’s during Coronavirus pandemic

It is one of the most difficult times with Coronavirus pandemic which is a very fast spreading viral infection. The symptoms may range from mild cough, cold to severe breathlessness and high fever.

Q: Who are at risk in the pediatric population?

A: Children who are immunocompromised, who are on long term steroids and diabetic children are more vulnerable to the virus.

Q: How to contain the pandemic and prevent the infection?

A: The standard protocols are issued by the International Society for Pediatric and Adolescent Diabetes.

  • Wash your hands frequently with soap and water for 20 seconds or clean with alcohol-based hand rub
  • Maintain social distancing (1 meter or 3 feet)
  • Cough or sneeze into tissue or elbow
  • Avoid touching your face
  • Sanitize surfaces frequently

Q: What should diabetic children and their parents do during illness?

A: The parents should monitor the blood glucose and urinary ketones more frequently. NEVER STOP INSULIN: If there is FEVER, insulin needs are usually higher. Aim to keep      blood sugar in range between 70-180 mg/dl.
If the sugars continue to rise or ketones persist consult your Endocrinologist.

Q: What do children on steroids or with congenital adrenal hyperplasia or Addisons disease do?

A: if the children have fever, loose stools or vomiting- increase the daily dose of hydrocortisone to 3 times the dose and continue it till the illness subsides. If the symptoms do not improve or if the child becomes lethargic or refuses to eat or drink CONSULT your Endocrinologist.

List of places you can get your insulin