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2. Absorption of <strong>Insulin</strong><br />
❑ Are your injection sites lumpy<br />
or scarred?<br />
❑ Do you have any redness around<br />
your injection sites? Are you<br />
having trouble with your insulin<br />
pump infusion site or are you<br />
injecting in a scarred area? (This<br />
could affect how your body is<br />
absorbing the insulin and can<br />
lead to problems with control.)<br />
❑ Have you changed how you<br />
give insulin?<br />
❑ Have you changed the brand of<br />
syringe or size of insulin needle?<br />
❑ If you are using an insulin pump,<br />
is the tubing clogged?<br />
3. Stress<br />
❑ Are you experiencing unusual<br />
stress?<br />
❑ Did you know both physical and<br />
emotional stress could affect your<br />
blood glucose levels?<br />
4. Infection<br />
❑ Do you have an infection?<br />
❑ Did you know infections are<br />
a stress to the body and can<br />
increase blood glucose levels?<br />
5. Illness<br />
❑ Are you ill? Do you have a fever,<br />
a cold, or a virus?<br />
❑ Did you know illness could<br />
increase blood glucose levels?<br />
6. Physical Activity<br />
❑ Have you changed your physical<br />
activity a lot?<br />
❑ Are you more or less active than<br />
usual? (If so, this can increase or<br />
decrease your blood glucose levels)<br />
7. Food<br />
❑ Are you eating more carb and not<br />
taking enough insulin?<br />
❑ Is it possible you are not counting<br />
your carbohydrates accurately?<br />
❑ Are you eating at the same time<br />
of day or does it vary?<br />
❑ Are you eating less and taking too<br />
much insulin?<br />
8. Self-Monitoring of Blood Glucose<br />
and Test Strips<br />
❑ Are your test strips outdated or<br />
have the strips been outside the<br />
vial? (This will make your glucose<br />
readings inaccurate.)<br />
❑ Are you checking at the right<br />
time of day to understand the<br />
effect of your insulin, food and<br />
physical activity?<br />
❑ Did you clean your hands before<br />
checking your blood glucose?<br />
Even small amounts of food<br />
residue can affect results.<br />
If you answered YES to any of the above<br />
questions, correct the problem, give<br />
yourself a few days and see if your<br />
blood glucose levels out.<br />
If you answered NO to all of the above<br />
questions, your next step is to sort<br />
through your insulin doses.<br />
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