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124 Chapter 10
War nings
Diabetic ketoacidosis (DKA)
Insulin pump therapy uses only regular (short-acting) insulin;
therefore, any interruption in the delivery of insulin may result in
hyperglycemia (high blood glucose) and, subsequently, the rapid
onset of diabetic ketoacidosis. The symptoms are:
If your insulin delivery is interrupted for any reason, you must be
prepared to replace the missed insulin immediately. The quickest
way to do so is to check your blood glucose and if elevated, treat
with an injection of short-acting insulin (per your doctor’s instruc-
tions). Contact your healthcare professional immediately.
Hypoglycemia
The intensive management of diabetes has been associated with an
increase in the incidence of hypoglycemia (low blood glucose).
Refer to Precautions-hypoglycemia, in this chapter for detailed
information.
Skin infections
Infection at the infusion site is a risk of pump therapy. Refer to
Precautions-Infusion Sets and Sites in this chapter for detailed
information.
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Dehydration
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Labored Breathing
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Vomiting
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Abdominal Pain
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Drowsiness
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Fruit-smelling Breath