User's Manual

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If you are experiencing any of the symptoms of hypoglycemia, you should test your blood glucose level. If it is below
your lower blood glucose target, follow the “Rule of 15.”
Eat approximately 1. 15 grams of simple carbohydrate (1/2 cup fruit juice or sweetened soda, 3-4 glucose
tablets or glucose gel). NO fat should be in the foods used to treat hypoglycemia to make them fast to
absorb.
Wait 15 minutes and then check your blood glucose level again.2.
If your blood glucose level is still too low, repeat steps 1 and 2 until your blood glucose level measures 3.
within your acceptable range.
Once your blood glucose level is normalized, resume your usual meal and snack schedule. If you will 4. NOT be
eating a meal within an hour, you should consider having a snack.
Severe hypoglycemia may require an injection of the hormone glucagon. You should have a Glucagon Emergency
Kit as part of your emergency kit. Your entire emergency kit should be kept with you at all times. You should let
family members, co-workers, and close friends know where it is and how to use it. Ask your healthcare professional
how to use glucagon.
Note: You should talk with your healthcare professional if you are experiencing hypoglycemia frequently.
Hyperglycemia
Hyperglycemia, or high blood sugar, occurs when your blood glucose level is higher than the upper limit of
the blood glucose range set by you and your healthcare professional.
Possible symptoms of hyperglycemia are:
An increased hunger or thirst.
•
A need to urinate frequently.•
Blurred vision.•
Possible reasons for hyperglycemia are:
Interrupted insulin delivery due to:1.
Occlusion in the tubing or infusion set.
•
The tubing has tangles or kinks.•
The insulin reservoir is empty.•
The infusion set or cannula is dislodged.•
Under delivery of insulin.2.
Check to see if you are receiving your expected basal rate dose.
•
Check your bolus history.•
Check your total daily insulin delivered.•
Your basal or bolus doses may need to be adjusted.•
Eating more carbohydrates than you anticipated or was aware of.3.
Illness, infection, stress, menses, less activity or exercise.4.
Insulin has gone bad (e.g. exposed to high temperature, expired.)5.
Taking a medication that raises blood glucose. (Check with your healthcare professional or pharmacist).6.
Possible interventions:
Use your pump to administer a correction bolus (see
• Section 8). Test your blood glucose level again after an
hour.
If you think the companion or pump is
• NOT functioning properly, you need to disconnect from the pump and
administer insulin using an alternate delivery method. Call Customer Care to report the problem with your
pump.
If you think there is a problem with the tubing or infusion set, remove the old infusion set from the pump and
•
replace with a new infusion set. Follow the instructions for priming and reinsertion (See Section 2.4 and your
infusion set’s Instructions for Use).
If you are unable to determine the reason for your hyperglycemia and are unable to correct it, call your health-
•
care professional.
If your blood glucose level is very high, you should check your urine or blood for ketones and follow the advice
•
of your healthcare professional.
Diabetic Ketoacidosis
Diabetic Ketoacidosis (DKA) can develop if your blood glucose levels have been too high for a period of time.
DKA is dierent from hyperglycemia in that in addition to an elevated blood glucose level, your body is
producing ketones, which change the pH (acidity) of your blood.
DKA is extremely serious, and requires immediate treatment by your healthcare professional. Contact your
healthcare professional immediately if you suspect DKA. DKA can be life threatening.
How long it takes to develop DKA is based on the individual. No matter what your particular situation, once insulin
delivery stops (from a clog, dislocation of your infusion set, disconnecting and forgetting to reconnect), within 3-5
hours (the duration of action of the insulin used in your pump) you will be insulin decient.
If you do NOT restore insulin delivery, you are at risk of even higher blood glucose levels and the development of
ketones, which, if left untreated, can lead to the life-threatening consequences of DKA.
It is VERY IMPORTANT that any time you discover insulin delivery has been disrupted, you should immediately test
your urine or blood for ketones.
Follow the plan you and your healthcare provider have designed.
Symptoms of DKA, which can be mistaken for u-like symptoms, include:
Headache.
•
Stomach ache.•
Fruity odor on breath.•
Very dry mouth.•
Shortness of breath.•
Nausea/vomiting.•
Section 11: Manage Your Diabetes SafelySection 11: Manage Your Diabetes Safely
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