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RE: [IPp] Giving corrections for high BS



It depends on the context of why she said that.  Typical protocol for
hyperglycemia management is that you do need to give corrections by syringe
if you have 2 high BG's in a row that are not responding to corrections with
the pump.  Usually, after the first high BG you should correct and re-check
within 1 hour.  If the number has not decreased, check again in 30 minutes.
If still no evidence of a decrease in value, then change out the infusion
site, reservoir and correct by syringe to avoid DKA.   The whole idea of
aggressive high BG management  is to prevent ketoacidosis.  Ketone testing
is also encouraged with high BG values.  Since joining, I have quickly
learned that pumpers do many different things that don't go along with
typical protocols (not that that is bad - ) many have been excellent tools
for managing my daughter as well.  Others may have some other tips of
experience... 

Thank You,

Keirsten Welch RD, LD, CPT
Insulin Pump Specialist
Certified Pump Trainer

-----Original Message-----
From: Erickson, Morgan [CC] [mailto:email @ redacted]

We've never given corrections using a syringe, but our nurse recently
told us we should...

Why is that?

Morgan
 Father to Allie.
4 Years Old.  Dx'd 12/9/2002, pumping Animas since 2/2/2004
IR1000 2/2/2004 - 8/25/2004
IR1200 8/25/2004 - Present
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