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High-protein or
high-fat meal
high-fat meal
Calculate protein/fat intake and
account for it in your bolus timing
and bolus type.
account for it in your bolus timing
and bolus type.
Consult healthcare provider about
using the extended bolus option.
using the extended bolus option.
Less activity than
normal
normal
Consult your healthcare provider
about adjusting your basal pro-
grams or using a temporary (temp)
basal rate.
about adjusting your basal pro-
grams or using a temporary (temp)
basal rate.
Blood glucose value
greater than
250 mg/dL (with
ketones present)
before exercise
greater than
250 mg/dL (with
ketones present)
before exercise
Do NOT exercise when ketones are
present. (Blood glucose increases
with exercise when ketones are
present.)
present. (Blood glucose increases
with exercise when ketones are
present.)
Consult healthcare provider for
guidance.
guidance.
Infection or illness
See “Sick days” later in this chapter.
Consult your healthcare provider
about sick day guidelines and
about medication changes.
about sick day guidelines and
about medication changes.
Medication change
Possible cause of high
Suggested action
Weight loss or gain
Consult your healthcare provider
for guidance.
for guidance.
Menstrual cycle
Pregnancy
Check with your healthcare provider for guidance on any
of the causes or suggested actions above.
of the causes or suggested actions above.
Possible cause of high
Suggested action