R Hanas, CWD 2003
- Blood glucose will rise quickly when insulin supply is interrupted
- Always check ketones in the urine when you are not feeling well
Increased risk of ketoacidosis with pump
Needle
came loose 
New needle inserted  
Ketones!!  
20
18
16
14
12
10
8
6
4
2
  
  8  10  12  2    4    6   8   10  12   2    4    6    8
AM             PM                             AM        Time
Text Box: Blood glucose mmol/L
Blood glucose mmol/L 
x
x
x
x
x
x
x
x
x
x
x
x
Example of pump problems:
Time 10 AM 12 2 PM
pH 7.28 7.31 7.36
Ketones 3.6 3.0 0.2
BG high 450 305 mg/dl
360
324
288
252
216
180
144
108
72
36
  
mg/dl