User guide

• Keep exact records of your blood glucose values, ketones, medication, temperature and all other
signs.
• Keep in mind that you need more insulin and fluids when there are urine ketones. This is true even if
your blood glucose is within your target range.
Sick day supplies
You should have the supplies listed below in the house at all times, and carry them with you when you
travel:
• Fluids that have sugar (regular soda, juice, jello) to replace solid food.
• Sugar-free liquids (diet drinks, bouillon, water) for replacing lost fluids.
• Thermometer.
• Sugar free medicine for fever, cough, congestion, nausea and vomiting.
• Extra blood glucose and ketone strips.
• Glucagon emergency kit in case of severe hypoglycemia. This can be used if you cannot eat or are
unconscious.
Caring for your diabetes when you are sick is worthwhile and can be a challenge. If you are too sick to
watch your diabetes carefully, ask a friend or family member to help. If there is no one to help you, ask
your healthcare professional for help.
Nutrition
Good nutrition and making healthy choices are important for everyone. Additionally, for those with
diabetes, it is more important to know the nutrient content in food, and how the nutrients affect blood
glucose.
Carbohydrates have the most effect on blood glucose, notably within a few hours of being eaten. Counting
carbohydrates allows you to match your insulin dose to the food you are eating. This is your insulin to
carbohydrate ratio. Although fat and protein can affect your blood glucose when eaten in large amounts,
carbohydrates affect blood glucose the most.
Consult with your healthcare professional for your personal nutritional guidelines.
Introduction to pump therapy 19
Chapter 2