User's Manual

To handle sick days:
• Treat the underlying illness to promote faster recovery.
• Eat as normally as you can.
• Adjust bolus doses, if necessary, to match changes in
carbohydrate/calorie intake.
• Always continue your basal insulin, even if you are unable
to eat. Contact your healthcare provider for suggested basal
rate adjustments during sick days.
• Check your blood glucose every two hours and keep careful
records of results.
• Test for ketones when blood glucose is 250 mg/dl or higher.
• Follow your healthcare provider’s guidelines for giving
additional insulin on sick days.
• Drink plenty of noncaffeinated fluids to prevent dehydration.
If you are well enough to eat, drink sugar-free
beverages. However, if you are too sick to eat solid
foods, alternate between sugar-free beverages and
those containing sugar.
• Call your healthcare provider immediately if you have any of
the following: persistent nausea, vomiting for more than two
hours, high blood glucose or ketones that stay elevated
despite increased insulin, or low blood glucose with nausea
or vomiting.
Exercising, playing sports, or working hard
Check your blood glucose levels before, during, and after
exercising, playing sports, or doing unusually hard physical labor.
Under normal conditions the iXL Pump’s adhesive keeps it
securely in place for up to three days. There are a variety of
products available to help secure the pump to the skin. Ask
your healthcare provider about these products.
For some contact sports, you may want to remove the iXL Pump
(see “Short-term removal” below).
Short-term removal
The iXL Pump is designed to be discreet as well as comfortable.
It should be worn at all times so that you can enjoy all the
benefits of continuous insulin delivery. Occasionally, though, it
may be necessary to temporarily remove the pump.
Be sure to check your blood glucose levels before removing the
pump and after attaching a new one. Pumps are designed for
one-time use. Do not attempt to reattach a used iXL Pump.
If possible, avoid wasting pumps by planning removal
times that coincide with a scheduled pump replacement.
If you will need to remove the pump for more than 1 hour, ask
your healthcare provider to recommend appropriate guidelines.
80 iXL™ Diabetes Management System User Guide: Achieve Healthy, Safe Pumping
Achieve Healthy, Safe Pumping8