Users Manual

Living with Diabetes 13
182
13 Living with Diabetes
• Before, during, and aer exercise
• As directed by your healthcare provider
To treat hyperglycemia (high blood glucose)
Always check your blood glucose levels frequently while treating hyperglycemia.
You don’t want to over-treat the condition and cause your blood glucose level to
drop too far.
1. Check your blood glucose level. e result will help you to nd out how much
insulin is needed to return your blood glucose to your blood glucose goal.
2. If your blood glucose is 250 mg/dL or above, check for ketones. If ketones are
present, follow your healthcare provider’s guidelines.
3. If ketones are not present, take a correction bolus as prescribed by your
healthcare provider.
4. Check blood glucose again aer 2 hours.
5. If blood glucose levels have not decreased, do both of the following:
• Take a second bolus by injection, using a sterile syringe. Ask your
healthcare provider whether to inject the same amount of insulin as in
step 3.
• Replace the Pod. Use a new vial of insulin to ll the new Pod. en contact
your healthcare provider for guidance
6. If you feel nauseated at any point, check for ketones and contact your
healthcare provider immediately (see "Diabetic ketoacidosis (DKA)" on page
184).
Warning: If you need emergency attention, ask a friend or family
member to take you to the emergency room or call an ambulance. Do
NOT drive yourself.
7. Investigate possible causes for hyperglycemia to avoid similar problems in the
future (see the following table).
Possible causes of
hyperglycemia
Suggested action
Expired insulin
or insulin exposed to
extreme temperatures
Deactivate and remove the used Pod. Apply a new Pod
lled from a new vial of insulin.
Infusion site in or
near a scar or mole
Deactivate and remove the used Pod. Apply a new Pod
in a dierent location.