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Chapter 15 Troubleshooting Guidelines
15
It’s a good idea to set up a troubleshooting procedure to use anytime you suspect something
might be wrong. Work with your healthcare team to establish guidelines in the event of a
problem.
Hypoglycemia
Low blood sugar is a risk for anyone using insulin therapy. You may experience one or more of
the following symptoms:
•
Shakiness; rapid heart rate; nervousness; perspiration; cold, clammy skin; weakness;
blurred or double vision; sudden hunger; tingling in your hands, lips, or tongue; headache
and confusion.
•
It is important to monitor your blood sugar frequently, including periodic checks at 3:00
AM.
•
Investigate the cause of hypoglycemia.
The following table lists some common causes of hypoglycemia with suggestions to prevent or
correct the problem.
Possible Cause of Low
BG
Suggested Solution
INSULIN PUMP
Basal rate programmed
incorrectly
Check times and rates, remember to review basal programs when making any
changes.
Clock time incorrect
Reset clock to current time, being careful to check AM & PM.
Pump exposed to MRI
Disconnect from pump. Call Pump Support 1-877-767-7373. (Outside the
US, contact your local Animas distributor.)
FOOD INTAKE
Bolus too large
Check bolus amounts and times.
Bolus only enough to lower your BG to normal level.
Do not be aggressive with 2-3 hour after meal BG correction boluses unless
you are ill. Refer to the unused insulin rule.
Low carbohydrate intake
for bolus
Measure carbohydrates accurately.
See dietitian for carb counting review.
May need recalculation of Insulin to Carbohydrate ratio (I:C); consult with
healthcare team.
Improper timing of bolus Match timing of bolus with intake of food.
Check BG prior to meal bolus and adjust accordingly.
Alcohol consumption
May cause hypoglycemia.
Eat food when drinking alcohol.
Be cautious with bedtime bolus.
Always check BG before going to bed.
Check BG at 3 am.
Consult healthcare team.
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