Ketone Management Calculator

Use the Ketone Management Calculator to check for ketones if blood sugar is above 240 mg/dL. Then, follow the action plan provided below in conjunction with instructions from your physician. Please contact the Children's Mercy Diabetes Center at (816) 960-8803 with questions.

Ketone Treatment

Green Zone – High blood sugar NO ketones

• Correct high blood sugar using Insulin Sensitivity Factor (ISF)

• ISF: 1 unit will drop the blood sugar _ points
  
  

Yellow Zone – High blood sugar with trace to small ketones

• Correct high blood sugar using Insulin Sensitivity Factor (ISF)

• ISF: 1 unit will drop the blood sugar _ points

• Drink plenty of fluids for the ketones
  
  

Red Zone – High blood sugar with moderate to large ketones. Act immediately.

• Change pump site. Give shots for corrections.

• Give corrections for BG ≥ 240. If < 240, then give carbohydrates to raise BG ≥ 240

• Dose for moderate ketones _ units (10% Total Daily Dose)

• Dose for large ketones _ units (20% of Total Daily Dose)

• Drink plenty of fluids for the ketones

• Check BG & ketones every 2 hours. Repeat dosing for moderate & large ketones

• If you still have ketones after 4 hours, call the diabetes team
  
  

Hypoglycemia Treatment

If blood glucose is less than 70 mg/dL and your child is able to eat/drink safely then follow the 15/15 rule.

Take 15 grams of fast acting carbohydrate, wait 15 minutes, retest blood glucose, repeat as needed.

If your child is unconscious or having a seizure, give glucagon and call 911.