R Hanas, CWD 2003
What happens if the pump stops?
- Humalog/NovoLog gives a smaller depot
- Must be able to manage
a night without insulin
- The pump is stopped for  6 - 8 hours while the patient is at the day-
care ward
20
18
16
14
12
10
8
6
4
2
  
00  02  04  06 08  10  12  14  16  18  20  22  00
     Time
  
Blood glucose mmol/L 
x
x
x
x
x
x
x
x
x
x
x
x
x
Pump
stopped
Pump
started
+ 6.5 U extra (0.1 U/kg)
with a pen!!
Boy, 15 years old, 65 kg
Ketones in blood
Ketones in urine
+  ++
0.2 0.6 1.4 1.3 0.4 mmol/l
pH 7.37, BE –2.2, bicarb. 22
360
325
290
250
215
180
145
110
70
35
  
mg/dl