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5. Symptoms that something is wrong

Symptoms may include one or more of these indicators:

Unusually high or low Blood Glucose (BG) readings

Alarm(s) from the pump An unusual sound from your pump An odor of insulin Pink or red color in the infusion tubing Irritation at the infusion site Moderate or high levels of ketones in your urine (THIS IS AN IMPORTANT WARNING SIGN !!!. Failure to respond to ketones in the urine can result in DKA - Diabetic Keto Acidosis). If you are using Humalog in your pump, this becomes even more important, since Humalog leaves your system even more quickly than Regular. Interruptions in delivery can result in more rapid ketone buildup than happens with Regular.

An isolated high BG reading should not be cause for immediate alarm - the cause may be simple (incorrect bolus for food consumed, incorrect basal rate, for example) and might be easily corrected.

The general rule of thumb used by many health care teams is "don't panic after one single high BG reading". Investigate the suspected cause of the high reading and try to isolate the problem. If another subsequent reading taken 1/2 hour to 1 hour later is still too high, then it may be time to take some additional corrective steps.

Additional corrective steps might include any one of these tasks. (Note: Try one thing at a time, determine if it is successful before moving to the next possible "fix".)

One key to successfully managing your insulin pump is to not panic when something is out of the ordinary. If diabetes were always 100% predictable, how interesting would it be?

Remember to check your own personal "Action Plan for Trouble" with your health care team. Your team may have different thresholds advised for you to take corrective action and may also have additional procedures for you to follow in case of trouble.

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