Dexcom g4 platinum Quick Start Manual page 125

ANIMAS® VIBE™ SYSTEM
C H AP TE R 1 4 - TR O U BL E SH O OT I NG H Y P OG L Y C EM IA , H Y P E RG L YC E MI A , P R O BL E M S W I TH
Preventing hypoglycemia:
• Check BG a minimum of four times a day, and more frequently with exercise.
• Keep accurate track of carbohydrates in the foods you eat.
• Consult your HCP if you are experiencing frequent hypoglycemia or have a severe low that may
require the help of another person.
It may be necessary to adjust your basal rates, bolus doses, or review your BG Target goals, along
with your daily regimen of food and exercise. If you have a low BG level (hypoglycemia), follow the
routine established for you by your HCP.
• It is important to monitor your BG frequently, including periodic checks overnight.
• Investigate the cause of hypoglycemia.
• If you are using the Dexcom G4 PLATINUM Sensor and Transmitter with your pump, check your BG
frequently if your CGM readings suggest possible hypoglycemia or hyperglycemia.
Hyperglycemia
Because your pump uses only rapid-acting insulin, you will not have a reserve of long-acting insulin in
your body. This means that any interruption in the delivery of insulin by your pump can quickly result
in a sharp rise of your BG levels.
Hyperglycemia (high BG) can occur within two to four hours after insulin delivery stops, and diabetic
ketoacidosis (DKA) can develop within four to ten hours.
Several things can cause a high BG value. The most common problems and causes of high BG are
listed in the following table, as are some suggested solutions.
Diabetic Ketoacidosis (DKA)
Hyperglycemia can lead to DKA. If your BG is above 250 mg/dL, check blood or urine ketones per your
HCP. Remember, the first signs of DKA are often nausea and vomiting. Also remember that because
you no longer have long-acting insulin in your system, DKA can develop quickly if you ignore and/or
fail to troubleshoot potential problems.
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