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These items have 15 grams of fast acting carbohydrates:
• Glucose tablets (three, 5-gram tablets or four, 4-gram tablets)
• 4 oz. of juice or soda (not diet)
• 6-7 Life Savers
®
(hard candies)
• 1 tablespoon of table sugar or honey
High blood glucose (hyperglycemia)
High blood glucose can occur while using the pump for the same reasons it can while using daily injections. It can
also occur for reasons that are unique to insulin pump therapy.
Too much food,
Not enough insulin,
Loss of insulin strength,
Disruption of insulin delivery from the pump.
The goal of treating hyperglycemia is to prevent Diabetic Ketoacidosis (DKA) and delay or prevent diabetes problems
due to high blood glucose over a lengthy period of time.
If for any reason you are not getting the proper amount of insulin, your blood glucose rises quickly. This can occur
with insulin pump therapy from the disruption of insulin delivery. This happens from the infusion set coming out,
clogs, or leaks, or insulin not being absorbed right.
Since the pump only delivers fast-acting insulin, hyperglycemia can occur rapidly. Your healthcare professional will
give you data needed for you to determine your correction bolus. This correction dose is based on your insulin
sensitivity.
It is vital that you know these guidelines in the hyperglycemia protocol.
Hyperglycemia protocol
If one blood glucose reading is above 250 mg/dL (13.9 mmol/L):
• Take a correction bolus right away
• Test BG in one hour
16 Introduction to pump therapy