Animas IR 1200, User Manual

Page: 78 / 100

Page 78
15
Possible Cause of Low BG Suggested Solution
ACTIVITY (continued)
Low carbohydrate intake prior to
exercise If not decreasing insulin prior to exercise, must eat foods containing
carbohydrate prior to exercise.
Unplanned activity (shopping) If BG is <100 mg/dL (5.5 mmol/L), eat snack prior to exercise.
Frequent BG testing before, during and after any activity.
Long or intensive exercise
Effects of exercise can be present for hours after activity has stopped.
May need to decrease basal rate 1 - 2 hours prior to activity. Consult
with healthcare team for specific guidelines.
SMBG (Self-monitoring of BG)
Infrequent BG testing
Check BG minimum of 4 times a day; more often if BG goals are not
met.
Check BG at 3 am weekly after rates have been set.
History of unconsciousness or
severe hypoglycemia
May need to adjust BG target range. Consult healthcare team.
History of hypoglycemic
unawareness
May need to adjust BG target range. Consult healthcare team.
Insulin-sensitive May need to adjust sensitivity factor. Consult healthcare team.
May need to adjust BG target range. Consult healthcare team.
If you experience frequent or severe episodes of hypoglycemia, contact your healthcare team.
It may be necessary to adjust your basal rates, or review your target glucose goals, along with
your daily regimen of food and exercise. If you have a low blood glucose level (hypoglycemia),
follow the routine established for you by your healthcare team.
If you experience symptoms of hypoglycemia, you should immediately eat a quick-acting
carbohydrate (glucose tablets, juice, or hard candy).
If your BG is abnormally low, do not attempt to program the pump yourself. Get help.
Treat Hypoglycemia immediately!
Rule of 15
•
Consume 15 grams of quick-acting carbohydrate
•
Wait 15 minutes
•
Recheck BG
•
If BG is < 70 mg/dL (3.9 mmol/L), repeat above
Hyperglycemia
Because the insulin pump uses only rapid-acting insulin, you will not have a reserve of long-
acting insulin in your body. This means that any interruption in the delivery of insulin by your
pump can quickly result in a sharp rise of your blood sugar levels.
Hyperglycemia (high blood sugar) can occur within two to four hours after insulin delivery stops,
and DKA (diabetic ketoacidosis) can develop within four to ten hours.