|The following is a list of causes of problems, and suggestions that you may find help fix those problems.
- unplanned activity
- incorrect meal bolus amount
- basal rate set too high
- suspend mode OR
- temporary basal rate OR
- disconnect pump at Quick Release
- basal rate too low
- missed meal bolus
- dislodged site, leakage etc
- pump malfunction
- poor site-too close to a muscle
- check the site for wetness or dislodged catheter
- test BG more often, if two high readings in a row, and are increasing after a bolus, change the site.
- check pump operations: run self test in set up screen.
- run 7.2 u test
- check batteries, reservoir , call 1-800 # on back of pump
- no delivery (5 beeps)
- suspend mode (3 beeps)
- alarm: goes off if pump has not been touched for a set period of time.
- check reservoir
- cancel suspend mode
- you may have missed a bolus, check bolus history.
- re-set alarm for longer period of time 6-8 hours possibly
- sensitivity to adhesive
- leakage under adhesive
- site infection
- hair pulling
- irritation by cleanser
- site left in too long
- check site for redness
- change site and try new kind of tape
- use hypoallergenic soap cleanser, use mild soap
- use hair remover
- change site every 48 hrs
- want to keep the pump dry
- shower between site changes
- disconnect to shower at Quick Release (QR)
- put pump in a plastic pencil case,(the kind with 3 holes) use a rubber band through the holes in the pencil case & hang the pump while still attached, on the showerhead.
- concern over getting tangled up in the tubing
- disconnect at QR,
- between site changes
- always remember to reconnect pump
- always remember to check the site afterwards
Time off pump
- *swimming, etc
- *never longer than 1 hour
- *test blood sugar when reattach
- *give small "catch up" bolus of what you missed.
Blood glucose monitoring
- ketoacidosis can develop over 4-8 hours
- pump will not alarm if still delivering insulin, even if it is all pooling under the adhesive tape.
- MUST test before bedtime every night. If high, bolus and retest in 1 hour, if is still increasing, change site.
- if ill, test every two hours and at least once during the night.
- write down in logbook
Wearing the pump
- keep it secure
- clip on belt
- clip on bra
- sew in pocket into pajamas, secure with a piece of Velcro
- use fanny pack
- always wear medic alert and carry fast acting sugar (hard candies, honey, monojel)
by Jill Milliken RN CDE 2000