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Diabetes Resources - When to Call the Doctor or Nurse

(If you are not a patient of the Children's Hospital of Western Ontario, please contact your health care provider or go to your nearest emergency department if needed).

Between 8:30am to 4:30pm:

DURING THE BUSINESS DAY - - a diabetes nurse or dietitian is available for calls.

After regular business hours, weekends, or statutory holidays: For medical assistance, contact or go to your nearest emergency.

Not urgent, call during the business day for assistance.

1. You had a severe low blood sugar that required someone else to treat the low.
   
   
2. You see a pattern of low sugars for two days in a row at the same test time each day, or more than three low blood sugars in a week.
   
   
3. You see a pattern of high sugars for three days in a row at the same test time each day.
   
   
4. You need a meal plan adjustment or insulin to carb ratio changed.
   
   
5. You have any questions.

IN CASE OF THE FOLLOWING EMERGENCIES

1. Illness:

   If you can't eat or drink after 4 hours.
   If you vomit twice within 4 hours.
   If blood glucose is 20 or more with moderate or large ketones.

 

2. The wrong insulin: If you have given an incorrect dosage or type of insulin.
   
   
3. Pump failure (after contacting Pump manufacturer).