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HYPERGLYCEMIA
Blood Glucose (BG) reading of 250 mg/dL or more
Always follow your healthcare provider’s guidelines first. The below guidelines are derived from The Joslin
Diabetes Center’s recommendations and may differ from your own healthcare providers guidelines.
Action Plan
There are several factors that can cause hyperglycemia. Common causes include illness, stress, infection, and missed insulin doses.
As a Podder™, only rapid-acting insulin is used in your Pod, so you have no long-acting insulin in your body. If an occlusion or other
interruption of insulin delivery occurs, your blood glucose may rise rapidly. It is important you do not ignore the signs and symptoms
of hyperglycemia.
If you are experiencing persistent nausea and/or vomiting, or have diarrhea over two hours, contact your healthcare
provider immediately.
The above general guidelines are drawn from Joslin Diabetes Center. For further guidance please consult with your healthcare provider
for individualized advice.
Hyperglycemia Symptoms
+
Fatigue
+
Frequent urination (i.e. at night)
+
Unusual thirst or hunger
+
Unexplained weight loss
+
Blurred vision
+
Slow healing of cuts or sores
Verify and Check BG level
If BG is over 250 mg/dL
Check Urine/Blood for ketones
Trace or Negative
+ Take a bolus using PDM*
+ Address possible causes.
+ Recheck BG in 2 hours.
Small urine or 0.6-0.9 mmol/L
blood ketones
+ Take bolus with syringe*
Perform a Pod change.
+ Address possible causes.
+ Recheck urine ketones in 2 hours
or blood ketones in 1 hour and
BG in 2-3 hours.
Moderate – large urine or
≥ 1.0 mmol/L blood ketones
+ Take bolus using syringe*
Perform a Pod change.
+ Address possible causes.
+ Recheck urine ketones in
2 hours or blood ketones in
1 hour and BG in 2-3 hours.
A
B
C
If BG unchanged or higher:
Recheck for Ketones
+ If neg ketones take a bolus
with a syringe*. Perform a
Pod change.
+ If ketones small /0.6-0.9 mmol/L,
or mod/large/>1.0 mmol/L,
follow steps B or C above.
If BG unchanged or higher:
Recheck for Ketones
+ If neg ketones take a bolus using
your PDM*
+ If ketones small /0.6-0.9 mmol/L,
or mod/large/>1.0 mmol/L,
follow steps B or C above.
If BG remains >250 mg/dL after
2 correction boluses by syringe,
contact your healthcare provider.
If BG decreased,
return to normal
dosing schedule and continue to
monitor BGs frequently.
If BG decreased, return to
normal dosing schedule and
continue to check BGs every 3-4
hours and monitor ketones if BG
is >250 mg/dL
If BG unchanged or higher,
contact your healthcare provider.
* Follow the dosing guidelines provided
to you by your healthcare provider.
TROUBLESHOOTING |
Hyperglycemia
