Pumping Rules:
Troubleshooting Guide
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

Itchy site

  • 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