User guide

• Troubleshoot the pump. If help is needed, please call our 24 Hour HelpLine for assistance.
• Drink liquids with no calories every 30 minutes (for example: 8 oz. diet ginger ale, broth, water).
• Check your blood glucose and ketones in one hour.
• Continue to take insulin as discussed with your healthcare professional.
• Call your healthcare professional right away if your blood glucose and ketones are not decreasing, or
you cannot drink fluids.
• Continue to test blood glucose and ketones. Continue to take correction insulin injections as told until
your blood glucose reaches your target level.
• If your blood glucose is less than 200 mg/dL (11.1 mmol/L) and ketones are present, drink liquids with
calories. Some examples of caloric fluids are juice and non-diet soda. Also, extra insulin may be
needed. Contact your healthcare professional for guidelines for insulin doses when ketones are
present.
Tip: You should have a meter, glucose strips, and ketones strips handy at all times. This way you are
always ready to test your blood glucose and ketones.
Sick day management
Managing diabetes during an illness or infection requires frequent blood glucose and
urine ketone testing. Illness and infection put extra stress on the body and often
raise blood glucose. The insulin pump allows you to make changes. It lets you quickly
and easily respond to blood glucose changes due to illness and infection.
Even if you are not able to eat, you need insulin. Depending on blood glucose testing,
you may or may not need to adjust your basal insulin to cover your needs. You may
also need to take frequent correction boluses during illness.
Sick day protocol
• Test your blood glucose every 2 hours, 24 hours a day.
• Check urine ketones every time you urinate.
• If you are throwing up and/or have ketones, you must call your healthcare
professional. They will give you the proper treatment with fluids and insulin to avoid DKA.
• Consult your healthcare professional about taking more insulin if your blood glucose is 250 mg/dL
(13.9 mmol/L) or higher. Also take more insulin when ketones are fair or large.
Introduction to pump therapy18