It was reported that the user of the infusion set was a admitted to hospital during the night on (b)(6) 2023 due to ketoacidosis and ketone bodies.On monday (b)(6) 2023, the patient had changed cannula, tubing and cartridge.Afterwards she was suffering from hyperglycemia.Despite administering three times 10 insulin units via the diabeloop dblg1 by the pump, her blood glucose level kept rising.No leakage, no occlusion, no wet adhesive plaster was detected.No error messages were triggered by the pump either.At around 12:00 pm, the patient called the ambulance, but when the patient opened the door, the paramedics stated the patient is in too good state for an infusion and left again.At 02:00 pm the patient drove to the intensive care unit of the hospital.There she was treated with insulin infusion and the pump, cannula and tubing were disconnected.The patient stated the pump was delivering correctly, but something happened with the infusion side.The health care professional suspected the insulin disappeared in the fatty tissue.The cannula was last set on (b)(6) 2023 at the abdominal skin fold, the adhesive plaster was not wet.The patient will follow up with the health care professional about cannula type and insertion sides.She was provided with a pen and if issue occurs again, the patient will using pen therapy.
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