Medtronic Paradigm 522 Podręcznik Użytkownika Pobierz pdf (Strona 36)

Correlation between A1C level and blood glucose levels

Mean plasma glucose

A1C (percent) mg/dL mmol/L

12 345 19.5

American Diabetes Association. Diabetes Care. “Tests of Glycemia in Diabetes.” &

“Standards of Medical Care.” V

ol. 31, Supplement 1, January 2008. S18.

Low blood glucose (hypoglycemia)

Low blood glucose can occur while using the pump for the same reasons it can while using daily injections:

• not enough food

• too much insulin

• more exercise than usual

• drinking alcoholic bever

ages

As you know, you cannot always avoid low blood glucose. It is important that you create a routine to

follow when your BG is low. If you have a routine, you will have something ready to treat a low BG. This

makes it less likely you will over-treat and cause your blood glucose to go up too much.

It is best to use something that you can always carry with you. Choose a food that is all carbohydrate

because it will be fast acting. Avoid using high fat foods such as chocolate. They will not work fast enough,

and you may also end up over-treating your lows. When treating hypoglycemia, start with 15 grams of fast

acting carbohydrates. Do not keep eating until you feel better. Eat the required amount and stop. The

feelings will pass and you will be grateful that you did not overdo it.

Some people with diabetes know when their blood glucose is low and some do not. If you are not aware of

hypoglycemia, it is important to test your blood glucose more often. Everyone with diabetes should test

before driving a car to assure safety on the road. Blood glucose should be above 100 mg/dL (5.6 mmol/L)

before driving and at bedtime.

Tip: W

e suggest that you use glucose tablets to treat a low. These tablets contain a known, pre-

measured amount of carbohydrate, and are in handy packages that you can carry in your pocket, purse, or

car.

Introduction to pump therapy 17

Chapter 2

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