In recent updates, Global News reported flu outbreaks across Canada yesterday and is prompting Canadian to get their flu shot.

Unfortunately, being sick is not an excuse for dismissing your diabetes. As a matter of fact, managing your diabetes is even more crucial during this vulnerable time since you are more likely to ride the blood sugar rollercoaster.

To get you prep up for those sick days that are bound to creep up on you, here are four things to keep in mind.

Monitor your glycemia. Your blood sugar levels can go both ways. Simply being sick can spike up your blood sugar due to the release of stress hormones. However, the spike can be balanced out with lower food intakes. (I understand, skipping meal to sleep in can be really tempting.) In an attempt to keep your blood sugar within the normal range as much as possible, check your glycemia at least four times per day, about once every two to four hours. People with type 1 diabetes should check their urine for ketones every four hours as well, especially if their glycemia is above 14 mmol/L.

Pop your pills. For most people, they should continue to take their anti-diabetic pills and inject insulin per usual. Since each person reacts differently when they are sick, you can discuss about the proper steps to take with your family physician.

Stay hydrated. Sip on carb-free drinks throughout the day. I recommend drinking one to two cups of fluids every hour to prevent dehydration and to reduce your risk for diabetic ketoacidosis. Warm fluids are better at clearing the mucous secretions.

Meals. If you find yourself with a lack of appetite, munch on soft or liquid carb-containing snacks such as cracker, yogurt, and nutritional drink like Glucerna. Consume about 45 to 50 g of carb every three to four hours.