TABLE 4.

BGM and Sick-Day Management (According to B.T. and C.T.)

Task	Preschool	Older Elementary School	Early Adolescence	Later Adolescence (Current)
BGM and sick-day management	• Parent(s) took care of everything • Parent(s) checked blood glucose, made sure we were drinking fluids, as well as getting insulin and carbohydrates Parent(s) checked ketones for blood glucose >200 mg/dL • If persistent highs/vomiting, parent(s) took us to doctor and stayed in contact with hospital Increased blood glucose checks • Used regular insulin for sick days • Because ketones act as good indicators for sickness, ketones and high blood glucose appeared before symptoms of illnesses • If very sick, doctor visit to get IV to prevent diabetic ketoacidosis	• The pump made it easier to raise basal rate when blood glucose was consistently high (20–50% increase if ketones were high) • Checked blood glucose throughout the day • Checked ketones if high (if so, more insulin) • Lots of fluids (especially if ketones were high) Less contact with the doctor	• Blood glucose checks throughout day • Lots of fluids • If blood glucose was >250 mg/dL, checked ketones • Boosted basal insulin to keep ketones away (figured out sick days from experience) • Better control of high blood glucose and symptoms of sickness due to better understanding of body • Checked ketones if blood glucose was high and gave even more insulin; prevention was focus	• Check for ketones if blood glucose is >250 mg/dL for a couple of readings (rarely) or if feeling particularly terrible • Check blood glucose often (use CGM usually) • Increase basal if blood glucose is high • Lots of fluids • If unable to eat, take sugary drinks with insulin