Medtronic Paradigm 522 Guide de l'utilisateur télécharger pdf (Page 38)

These items have 15 grams of fast acting carbohydrates:

•

Glucose tablets (three, 5-gram tablets or four, 4-gram tablets)

• 4 oz. of juice or soda (not diet)

•

6-7 Life Savers

(hard candies)

• 1 tablespoon of table sugar or honey

High blood glucose (hyperglycemia)

High blood glucose can occur while using the pump for the same reasons it can while using daily injections:

• Too much food

• Not enough insulin

• Loss of insulin strength

• Disruption of insulin delivery from the pump

The goal of treating hyperglycemia is to prevent Diabetic Ketoacidosis (DKA) and delay or prevent diabetes

problems due to high blood glucose over a lengthy period of time.

If for any reason you are not getting the proper amount of insulin, your blood glucose rises quickly. This

can occur with insulin pump therapy from the disruption of insulin delivery. This happens from the infusion

set coming out, clogs, or leaks, or insulin not being absorbed right.

Since the pump only delivers fast-acting insulin, hyperglycemia can occur rapidly. Your healthcare

professional will give you data needed for you to determine your correction bolus. This correction dose is

based on your insulin sensitivity.

It is vital that you know these guidelines in the hyperglycemia protocol.

Hyperglycemia protocol

If one blood glucose reading is above 250 mg/dL (13.9 mmol/L):

• Take a correction bolus right away.

• Test BG in one hour.

Introduction to pump therapy 19

Chapter 2

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Medtronic Paradigm 522 Guide de l'utilisateur Page 38