Adverse reactions
Hyperglycemia and diabetic ketoacidosis (DKA)
Pump wearers use only regular
You must be aware that interruption of insulin delivery (due to infusion set clogs, leaks, loss of insulin potency, or pump malfunc- tion) can result in a rapid rise of blood glucose levels within two to four hours and the development of DKA within
The onset of stress or illness (caused by infection or an emotional event) can result in a rise of blood glucose levels and the develop- ment of DKA.
Although the pump has multiple safety alarms, it cannot alarm if the set is leaking or the insulin has lost its potency.
It is essential, therefore, that you test blood glucose levels at least four times per day. If your blood glucose levels are high (over 250 mg/dl or 13.7 mmol/L), you must be prepared to give an injection of regular insulin. You need to troubleshoot the pump and the infu- sion set to ensure that the necessary amount of insulin is being delivered.
You also should check for urine or blood ketones whenever your blood glucose is elevated above 250 mg/dl (13.7 mmol/L) and take an insulin injection. Establish a plan with your healthcare profes- sional for rapidly identifying and treating hyperglycemia, to pre- vent the onset of DKA and possible hospitalization.
