Dexcom g4 platinum Quick Start Manual page 126

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 CE M IA , H Y P ER G L YC E MI A , P R OB L E M S W IT H
Troubleshooting hyperglycemia:
POSSIBLE CAUSE OF HIGH BG
Redness, irritation, inflammation,
swelling, discharge or discomfort
Bump or nodule at infusion site
Scar tissue
Catheter inserted in area of friction
Kink in tubing/catheter
Infusion set not primed (air in
tubing)
Cannula not filled
Tubing not tightly attached to
cartridge
POSSIBLE CAUSE OF HIGH BG
Cloudy, clumpy, crystallized, or
expired insulin, or insulin exposed
to extreme temperatures
POSSIBLE CAUSE OF HIGH BG
Bolus insufficient or omitted
High protein or fat intake
Long meal, continuous snacking,
slowly-absorbed food (high fiber),
delayed digestion (gastroparesis)
Improper bolus timing
P130007
41028900 RevB_OB_VIBE_US_EN_MG_R4.indd 100
Y OU R I N F U SI O N SET S/ SIT ES , A N D P UM P O P E R A T IO NS
INFUSION SET
FOOD INTAKE
SUGGESTED SOLUTION
Change infusion set tubing and site. Contact HCP.
Change infusion set and rotate sites.
Avoid this area for site selection.
Avoid this area for site selection.
Avoid waistline and friction areas.
Change infusion set tubing and site.
Disconnect tubing from body. Prime tubing completely.
Verify filling volume from manufacturer's instructions,
and program that amount when prompted on the FILL
CANNULA screen as needed.
Tighten tubing attachment to cartridge.
INSULIN
SUGGESTED SOLUTION
Remove infusion set and cartridge and discard.
Use new vial of insulin.
SUGGESTED SOLUTION
Review carbohydrate counting and I:C ratio settings.
Consult dietitian; may need to count protein and fat.
Consult HCP. May need to use extended bolus or
combination bolus option.
Consult HCP.
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Dec 2014 A208 of A312
11/14/14 2:53 PM