Traci Carter MA, RN, CDE; Anna Isfort, MD; Karen Vogt, MD; Jill Emerick, MD, DKA, Quality, and Costs: How a Written Back-Up Plan Saves
Money and Lives
Always be aware of your Blood Glucose (BG) trends. When placing a new cannula, pick a time early in the day so you can monitor your BG. This will reassure you that the tubing and/or the insertion set is not kinked, leaking or blocked. If there was a problem with the flow of insulin, it may take several hours for the pump to alarm or it may not alarm at all. Check your BG at regular intervals in the hours after a change. Do not go to bed right after a set change. Watch your BG and/or CGM device throughout the day to make sure there are no trends caused by lack of insulin.
If you notice BG readings above 300mg/dL twice in 2 hours after a bolus insulin (correction) and it continues to rise, suspect a pump set failure. Check ketones.
Stop the pump, and give the Novolog correction factor by using your insulin pen or syringe/vial. Change the insulin pump cannula, tubing and resume your basal rate. Continue to check your BG at 30 minutes and then hourly until you are sure the infusion set is working properly and the BG results stay under 300mg/dL.
In case you are not certain the pump or tubing is working correctly, use this plan.
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ADCES and danatech curate product specifics and periodically review them for accuracy and relevance. As a result, the information may or may not be the most recent. We recommend visiting the manufacturer's website for the latest details if you have any questions.