29
TROU
B
LE
S
HO
O
TI
NG
Review Recent Activity
Physical activity
+
Has your exercise been unusually long or strenuous?
+
Have you been unusually physically active? (i.e., extra
walking, housework, heavy or repetitive tasks, lifting
or carrying?)
+
Did you use a decreased temp basal during this activity?
+
Did you consume carbs before, during and/or after activity?
Meals/Snacks
+
Did you count the carbs correctly—including
subtracting significant fiber?
+
Did you bolus with food?
+
Did you consume alcohol?
Consult your Omnipod
®
Insulin Management System User
Guide for additional information.
Troubleshooting
Check PDM Settings
+
Is the correct basal program active?
+
Is the PDM time set correctly?
+
Is the temp basal (if active) correct?
+
Are target blood glucose levels correct?
+
Is the insulin sensitivity factor
(or correction factor) correct?
+
Is the insulin-to-carb ratio correct?
Consult your healthcare provider
for guidance about adjusting settings
on your PDM.
SICK DAY MANAGEMENT
Action Plan
Discuss Sick Day Management with your healthcare provider as part of your routine office visit. Always follow your healthcare
provider’s guidelines first. Below are only guidelines.
Call your healthcare provider immediately
if you have:
+
Persistent nausea and/or if you are vomiting/or have
diarrhea over two hours
+
Difficulty breathing
+
Unusual behavior (such as confusion, slurred speech,
double vision, inability to move, jerking movements)
+
Persistent high BG and/or positive ketones after treating
with extra insulin and drinking fluids
+
Persistent low BG that is not responsive to decreasing
insulin and drinking carbohydrate-containing fluids
+
A fever above 100.5°F
+
Moderate to large urine ketones or ≥ 1.0 mmol/L
blood ketones
IMPORTANT NOTE: The symptoms of DKA (diabetic
ketoacidosis) are much like those of the flu. Before assuming
you have the flu, check your BG to rule out DKA. Consult
your healthcare provider and Omnipod
®
Insulin Management
System User Guide for further information. Always consult with
your healthcare provider when experiencing hyperglycemia
and sick days. Always follow your healthcare provider’s
guidelines first.
The above general guidelines are drawn from Joslin Diabetes Center. For further guidance please consult with your healthcare provider
for individualized advice.
Emergency situations
+
For BG of 250 mg/dL or more see: Hyperglycemia
Action Plan
+
For BG of 70 mg/dL or less (and/or symptoms) see:
Hypoglycemia Action Plan
Throughout an illness
If you have a cold, stomach virus, toothache or other
minor illness:
+
Check blood glucose more often (every 2-4 hours or
at least 4 times a day)
+
Check ketones—any time BG is 250 mg/dL or more
+
Use temp basal as directed by your healthcare provider
+
Stay hydrated
+
Monitor urine output
+
Keep a record of information (BG, ketone checks,
fluids, and time/amount of urine, vomiting, diarrhea,
temperature)
Caution: Consult User Guide.
50+U 3:00p
5/15
Last BG
196 mg/dL
3:00p today
Last bolus 2.90 u
3:00p today
IOB 2.90 u
♦
Temp basal
0.25 U/hr 0:30 remains
Pod exp 1:48p 5/18
Home
TROUBLESHOOTING |
Hypoglycemia/sick day management
