Insulet Corporation 019 Manuale Utente

The easiest and most reliable way to avoid DKA is by checking 

your blood glucose at least 4–6 times a day. Routine checks 
allow you to identify and treat high blood glucose before DKA 
develops.

•

Once you have begun treatment for high blood glucose, 
check for ketones. Check for ketones any time your blood 
glucose is 250 mg/dL or above.

•

If ketones are negative or trace, continue treating for high 
blood glucose.

•

If ketones are present, and you are feeling nauseated or ill, 
immediately call your healthcare provider for guidance.

•

If ketones are positive, but you are not feeling nauseated or ill, 
replace the Pod, using a new vial of insulin.

•

Check blood glucose again after 2 hours. If blood glucose 
level has not declined, immediately call your healthcare 
provider for guidance.

 

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Any physical stress can cause your blood glucose to rise, and ill-
ness is a physical stress. Your healthcare provider can help you 
make a plan for sick days. The following are only general 
guidelines.

When you are ill, check your blood glucose more often (at least 

once every 2 hours) to avoid DKA. The symptoms of DKA are 
much like those of the flu. Before assuming you have the flu, 
check your blood glucose to rule out DKA (see “Diabetic ketoaci-
dosis (DKA)” earlier in this chapter).

•

Treat the underlying illness to promote faster recovery.

•

Eat as normally as you can.

•

Adjust bolus doses, if necessary, to match changes in meals 
and snacks.

•

Always continue your basal insulin, even if you are unable to 
eat. Contact your healthcare provider for suggested basal 
rate adjustments during sick days.

•

Check your blood glucose every 2 hours and keep careful 
records of results.

•

Check for ketones when blood glucose is 250 mg/dL or 
higher.

If you need emergency attention, ask a friend or 
family member to take you to the emergency 
room or call an ambulance. Do NOT drive yourself.