Getting Started with MiniMed ® 530G - 31-Mar-2014

Getting Started with MiniMed ® 530G - 31-Mar-2014
Getting Started
with the MiniMed® 530G Insulin Pump
A
PUMP Foundations
B C
PUMP Foundations
C
PUMP Foundations
Please refer to the MiniMed 530G System
User Guide for more information.
WARNING: If insulin, or any liquid, gets inside the
Top of Tubing connector
reservoir
tubing connector, it can temporarily block the vents
that allow the pump to properly fill the infusion
set. This may result in the delivery of too little or
too much insulin, which can cause hypoglycemia
or hyperglycemia. To prevent liquid from getting
inside the tubing connector, after you fill the reservoir make sure you hold the
insulin vial upright when you remove the reservoir from the transfer guard. If you
do not hold the insulin vial upright, insulin can get on the top of the reservoir
and could transfer liquid into the tubing connector. If any liquid gets on the top
of the reservoir or inside the tubing connector when you change your infusion
set, start over with a new reservoir and infusion set. For more information, please
see “Tubing Connector”, located in the Introduction chapter of the MiniMed 530G
System User Guide.
Record safety information from your healthcare provider:
Table of Contents
Getting Started with the
MiniMed® 530G Insulin Pump
Introduction
Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
A Step-By-Step Guide
Pump Mechanics and the Delivery of Insulin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Section 1: Pump Basics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Section 2: Inserting the Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Section 3: The HOME Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Section 4: The Pump Buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Section 5: Modes of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Section 6: The STATUS Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Section 7: Reading the Menus and Screens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Section 8: Learning to Program Your Pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Section 9: Delivering Boluses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Section 10: Suspending Insulin Delivery on Your Pump. . . . . . . . . . . . . . . . . . . . . 37
Introduction to CareLink® Therapy
Management Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Frequently Asked Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Training Handouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Basal Quick Reference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Bolus Quick Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Dual and Square Wave Bolus Quick Reference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Safety Rules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Appendix
Alerts and Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Possible Battery Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Expanded Menu Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
1
2
Introduction
Getting Started with the
MiniMed® 530G Insulin Pump
Welcome, and thank you for choosing Medtronic as a partner in managing
your diabetes. You have made a great choice and have just purchased the
latest advancement in insulin technology. We are pleased to be a part of
your healthcare team.
Whether this is the first time you are using an insulin pump or you have
“pumping” experience, you will want to learn how your new MiniMed 530G
insulin pump works. This guide provides step-by-step instructions on the
basic operations and programming of your pump.
Please use your pump to complete each practice exercise. Be sure you are
not attached to your pump while you practice. The exercises are presented
in a logical sequence. Completing them in order will help you build your
pump skills and knowledge. Practicing these exercises will prepare you to
use your pump with ease and confidence. Additional training will be
provided during your pump start training session.
Here are some quick tips to keep in mind. As you practice, avoid selecting
the “Reservoir + Set” menu as doing so may cause you to get stuck in the
reservoir setup process. Other than that, it’s okay if you make a mistake.
Your pump automatically returns to the HOME screen (if you do not
touch a button for 30 seconds). The ESC key allows you to backup to the
previous screen if you push the wrong button. Have fun as you practice!
Did You Know?
A complete
explanation of the
technical and
operational aspects
of your pump can be
found in the
MiniMed® 530G
User Guide.
IMPORTANT Do not attach the insulin pump to your body
or attempt to use insulin in the pump while learning to
navigate the pump screens during your self-study. Using the
pump, with either saline or insulin, should only be done when you
have been instructed to do so by your healthcare provider and have
received formal training with a Certified Product Trainer.
3
Pump Mechanics
Pump Mechanics and the Delivery of Insulin
Infusion Set*
Before we begin, let’s make sure you know how insulin is delivered when
using an insulin pump. The parts that make up the pump’s delivery
system are the infusion set, the reservoir, and the pump.
Infusion Set
1 Tubing
2 Tubing Connector
3 Insertion Site Section
4 Cannula
5 Adhesive
1
The infusion set consists of tubing (1) that transports insulin from the
pump to you. On one end of the tubing is the tubing connector (2)
that attaches to the reservoir. On the other end is the insertion site
section (3) that attaches to you.
The insertion site section has a tiny tube
3
(cannula) (4) that goes into your skin.
Insulin is delivered through the cannula.
A small piece of adhesive (5) surrounds
the insertion site and holds the infusion set in place.
5
4
u
Reservoir
2
The reservoir is similar to a syringe and generally holds a 2- to
3-day supply of insulin. The reservoir fits into the pump’s reservoir
compartment (6). You will change the infusion set and fill
a new reservoir with insulin every 2 to 3 days.
6 Reservoir
The pump contains a mini computer and motor that
controls the movement of a piston, located at the bottom
of the reservoir compartment. The piston acts like a plunger
rod on a syringe and precisely controls the delivery of basal
and bolus insulin.
Compartment
7 Piston
6
u
Pump
Reservoir
Each time the pump delivers insulin, the piston moves
forward and pushes up on the bottom of the reservoir
to deliver the exact amount of insulin that was
programmed. The piston must be re-wound each
time a newly-filled reservoir is placed into the
reservoir compartment.
4
Pump
7
*Quick-set® infusion set shown in illustration.
Pump Basics
Section 1:
Pump Basics
What’s on Your Insulin Pump
Before inserting the battery or pressing any buttons, let’s take a closer look at your pump and
become familiar with all of its features. Please use your pump and follow along.
The Front of Your Pump
Pump Screen
Displays all of the information
needed to operate and
program your pump.
Pump Buttons
Five buttons, each
with specific function(s),
operate the pump.
Pump Buttons
The Back of Your Pump
Diagram of (AAA) Battery
Shows direction of battery
insertion.
Pump Model Number
Pump Serial Number
You will need to provide
this number if you call the
HelpLine or to sign up for
CareLink®.
Medtronic Diabetes 24-Hour
HelpLine Telephone Number
Trained product experts are available to
assist you 24 hours a day, 7 days a week.
5
6
Pump Basics
The Reservoir and Battery Compartments
Battery Compartment
The battery is inserted here.
Reservoir Compartment
A reservoir holding a
2- to 3-day supply of
insulin is inserted here.
The Reservoir Window and Piston
Reservoir Window
Provides a view of the insulin
remaining in your reservoir.
Piston
The piston is located inside
the reservoir compartment
Drive Support Cap
Should appear slightly indented at all times.
WARNING: Do not press on the drive support cap if it is sticking out.
Pushing on it may result in unintended delivery of insulin, which can
cause hypoglycemia.
Note The pump ships with a red cap in the reservoir
compartment (not shown on this page). Leave the red
cap in place for now.
Inserting the Battery
Section 2:
Inserting the Battery
Your insulin pump is powered by a AAA battery. To insert a battery, you will
need a thick coin (nickel or quarter).
Step 1. Place the edge of the coin in
the slot of the battery cap. Turn the
cap to the left (counter-clockwise)
until it comes off.
Step 3. Replace the cap. Use the
coin to turn the cap to the right
(clockwise) and tighten until the
slot is horizontal, but be careful
not to overtighten!
Step 2. Place battery into the
battery compartment with negative
(flat) end of the battery in first and
positive end facing out.
Step 4. The pump should power-up.
It will cycle through several screens
and then display the HOME screen,
as shown above. If the HOME screen
displays, your battery is good, and
it is inserted correctly. If the HOME
screen does not display, follow
the steps on the “Possible Battery
Problems” page in the Appendix.
IMPORTANT
Be careful not
to overtighten
the battery cap!
Did You Know?
Energizer® Alkaline
AAA batteries are
recommended. Tests
show they are the most
reliable battery to use
in the pump. Batteries
should be stored at
room temperature,
not in the refrigerator
or other cold locations.
Note Please do not set the time and date yet. We will
explain how to do this later in the guide.
Energizer® is a registered trademark of Eveready Battery Company.
7
8
The HOME Screen
Section 3:
The HOME Screen
1
2
3
Reservoir Icon
Time
Battery Icon
Everything Starts Here
When a working battery is inserted, the insulin pump is ON
and the HOME screen will display. The HOME screen always
displays the reservoir icon, the time, and the battery icon.
All the other screens and menus are accessed from the
HOME screen. The pump “rests” on the HOME screen.
HOME Screen with Time and Icons
The pump is ON and ready to be
programmed if the HOME screen is
displayed.
The pump returns to the HOME screen if no buttons are
pressed for 30 seconds.
24-Hr
1
2
Reservoir Icon 50% to 75% left
25% to 50% left
Up to 25% left
Shows you approximately how
Less than 25% left
much
insulin is left in your
reservoir.
The Low Reservoir warning
allows you to program the pump
to alert before your reservoir is
empty. The warning works the
same for both the 180 unit and
the 300 unit reservoirs.
Time
Time Display 12-Hr
Shows the time.
3
Battery Icon
50% to 75% left
25% to 50% left
Up to 25% left
Shows you approximately
Low battery
how
much battery life is left.
The icon is divided into four
sections; each section represents
about 25% of the battery life.
The icon is divided into four
sections; each section
represents about 25% of a full
reservoir.
Note: If using a 180 unit reservoir in a 300 unit
reservoir MiniMed 530G insulin pump, then the
reservoir icon will appear as follows.
Full 180-unit reservoir
MMT-751 pump
Note: If the pump
screen is blank
(with no icons),
your pump is not ON. See the
“Possible Battery Problems”
page in the Appendix.
The Pump Buttons
Section 4:
The Pump Buttons
Each button on your pump has a special function. Some buttons have more than one function.
These additional functions depend on which screen or menu you are using.
Act
ESC
UP arrow
• Used to scroll
up through
the items on
a menu
DOWN arow
• Used to scroll
down through
the items on a
menu
• Used to increase • Used to
or change the value of flashing
items
decrease the
value of a
flashing number
• Turns the screen
backlight ON or
OFF if pressed
from the HOME
screen
ACT button
ESC button
Act
ESC
• Opens menus
• Accepts,
confirms, or
activates menu
selections
• Allows you to
return to the
previous screen
or exit
• Opens the
STATUS screen
if pressed from
the HOME
screen
B button
• Also called the Express Bolus button
• Shortcut to the SET BOLUS
screen
• Shortcut to
Bolus Wizard®
feature
(when it is on)
• Used with other
keys to access
certain features
9
10
Practice Exercises
Practice Exercises
Use your pump to perform the following practice exercises.
In all practice exercises throughout this chapter, when you see the word:
• “Press”: Push and release the button
• “Hold”: Press and maintain pressure on the button
Practice Exercise 1: Learning to Use the Pump Buttons
1. From the Home Screen:
Press Act to open the Main Menu.
2. Press the
3.Press
ESC
and
arrows to scroll through the menu.
to return to the HOME screen.
Practice Exercise 2: Turning the Backlight ON and OFF
1. From the Home Screen:
Press the
arrow. The backlight turns ON.
2. Press the
arrow again. The backlight turns OFF.
Note Do not use sharp objects like your fingernails, a pen, or a
pencil to press the buttons on your pump. This can damage your
keypad.
Practice Exercises
Practice Exercise 3: Delivering a Practice Bolus
1. From the Home Screen:
Press
. The SET BOLUS screen appears with 0.0 flashing.
2.Press
five times to set a 0.5 unit bolus.
3.Press Act to confirm. The pump will beep one time as
it starts to deliver the bolus in 0.025 unit increments
or amounts.
The pump will beep again when it has finished delivering the bolus. Then it will return to
the HOME screen.
Congratulations! You have just delivered your first practice bolus. Keep in mind, you will normally
deliver a bolus using the Bolus Wizard feature.
Note Each time the
button is pressed, the bolus amount will
increase by 0.1 units (unless the pump settings have been changed
in the BOLUS MENU).
11
Modes of Operation
Section 5:
Modes of Operation
Your insulin pump runs or operates in one of three modes: Normal, Special, or Attention.
A circular icon is displayed on the screen if the pump is operating in any mode other than the normal
mode. An example of the alert icon that displays during each mode of operation is shown below.
12
1
Normal 2
Special
3
Attention
No Circle Icon
Open Circle Icon
Solid Black Circle Icon
The pump is operating and
delivering insulin as
programmed. When the
pump is operating in normal
mode, it means there are no
special features being used
and there are no active
alarms or alerts. The pump is operating and
delivering insulin using a
special feature or under a
special condition such as a
temporary basal setting, low
battery, or low reservoir
volume.
The pump is not delivering
insulin. This occurs if the
pump is placed in
suspend or another
condition has caused the
pump to stop.
The pump will sound a beep
or vibrate to remind you that
it is operating in the Special
mode (the frequency of the
alert will depend
on the condition).
The pump will beep or
vibrate periodically to
notify you that you are not
receiving insulin (the
frequency of the alert will
depend on the condition).
The STATUS Screen
Section 6:
The STATUS Screen
This screen allows you to quickly view information about your insulin pump’s operating status. It is
continuously updated and shows the most current information about:
• U100 – The type of insulin used in your pump
• Current basal rate
• Reservoir start date
• Units left in reservoir
• Battery status (normal or low)
• Date
• Serial number
• Version of software your pump is using
• Active Insulin*
• Last bolus delivered*
• Date of last reservoir change*
* information only appears once bolus feature and reservoir setup menu have been used.
Active insulin can also be found in the Estimated Details screen when using the Bolus Wizard® to
program a bolus and when setting a manual bolus if the Bolus Wizard has settings entered. Consult
with your healthcare provider for recommendations on how to use Active Insulin information when
setting a manual bolus.
The STATUS screen can be accessed by pressing ESC from the HOME screen.
Please refer to the MiniMed 530G System User Guide for more information.
Practice Exercise: Viewing the STATUS Screen
1. From the Home Screen:
Press ESC . The STATUS screen appears.
2. Use the
and
arrows to scroll through and look
at your STATUS screen.
To return to the HOME screen,
Note Your
pump is
not fully
programmed
yet. Therefore, some
of the information
on your STATUS
screen may be
default information
or may be missing.
ESC
13
Reading the Menus and Screens
Section 7:
Reading the Menus and Screens
There are six primary menus. Each menu contains the features and options that pertain to that menu.
For example, if you are looking for a function related to bolus delivery, go to the BOLUS MENU; if you
are looking for a basal rate function, go to the BASAL MENU. Each menu is set up so that the features
that are used most often are closest to the top of the menu.
The Pump Screen
Your insulin pump screen can display up to five lines of information at one time.
• Line 1: Always displays the reservoir icon, time, and battery icon.
• Line 2: Always displays the name of the menu that you are currently viewing (MAIN, BOLUS,
SUSPEND, SENSOR, etc.).
• Lines 3, 4, and 5: Shows first three selections on the menu.
Line 1
Line 2
Lines 3, 4, 5
Scroll Bar
The Scroll Bar
When a screen or menu has more than five lines of information, a scroll bar appears on the right side
of the screen to let you know there is more information available. When you see the scroll bar on
your screen, use the
arrow to scroll down and view the remaining information.
14
More About The MAIN MENU
The MAIN MENU allows you to choose one of these six menus:
• Bolus: Contains the options and features related to boluses.
• Suspend: Allows you to manually interrupt insulin delivery. This is commonly used when
disconnecting to take a shower, change clothes, or swim.
• Sensor: Contains selections that refer to our continuous glucose monitoring product (this
information is not covered in this workbook).
• Basal: Contains all of the selections related to basal rate delivery.
• Reservoir + Set: Contains selections needed for changing the infusion set, reservoir, and insulin.
• Utilities: Contains a variety of other options such as alert type and BG meter linking setup.
Each menu (Bolus, Sensor, Basal, Reservoir + Set, and Utilities) has a sub-menu that contains additional
options and features related to that menu.
Press
to Scroll down to see all
options on MAIN MENU
15
16
Reading the Menus and Screens
Practice Exercise 1: Viewing the Main Menu
1. From the HOME screen:
Press Act . The MAIN MENU appears. Notice the scroll bar on the right side of the screen.
2. Use
3. Press
arrow to view all of the options on the MAIN MENU.
ESC
to return to the HOME screen.
Practice Exercise 2: Accessing the Bolus Menu
1. From the HOME screen:
Press Act . The MAIN MENU appears, and Bolus is highlighted.
2. Press Act . The BOLUS MENU appears, and Set Bolus is highlighted. Notice that there is
no scroll bar, as there are only three options in this menu.
3. Press
ESC
twice to return to the HOME screen.
Practice Exercise 3: Accessing the BASAL MENU
1.
From the HOME screen:
Press Act , and the MAIN MENU appears.
2.
Use
to highlight Basal.
3.Press Act , and the BASAL MENU appears. Notice that there is no scroll bar, as there are
only three options in this menu.
4.
Press
ESC
twice to return to the HOME screen.
Here’s a tip! When you are viewing any screen other than the HOME screen,
functions
only as a down button and does not turn on the backlight. To turn the backlight on when
you are in another screen or menu, you will need to use a new technique called the “dual
press.”
Practice Exercise 4:
Turning the backlight ON when NOT on the HOME screen
1.
From the HOME screen:
Press Act . The MAIN MENU appears.
2.To turn the backlight on, hold
should turn on.
3.Hold
and press
and press
at the same time. The backlight
to turn the backlight off.
Hold
…then press
17
Reading the Menus and Screens
Basic Menu Map
Navigation
Press
Act
from the HOME screen to open the MAIN MENU.
Press
Act
on item from the MAIN MENU to open the sub-menus.
Bolus
Suspend
Sensor
Basal
Reservoir + Set
Utilities
Press ESC to go back to each of the previous menus until
you return to the HOME screen.
The scroll bar appears on menus to indicate when
additional text is available.
Press
to scroll down to view additional screen text.
Press
to scroll back up.
18
Bolus MENU
Set Bolus1
Bolus History
Bolus Setup
Manual SUSPEND MENU
Press
Act
Main Menu
to Stop
SENSOR MENU
Edit Settings
NOTE: This diagram shows the basic options that are available on each
menu when the pump is shipped from the factory.
An expanded menu that shows all features and options can be found in the
Appendix.
1
Displays only when the Bolus Wizard® feature is off.
Status Screen
Press ESC from the HOME screen to access
the STATUS MENU.
basal menu
Set/Edit Temp Basal
Basal Review
Basal Setup
2
Displays only when you hold
STATUS U100
Basal 1: .025U/H
Reservoir Started:
12JAN, 12:00A
Units left: 176.2U
Time left: --:-Battery: Normal
Mon 01 JAN 2007
S/N# 123456
Paradigm 551
RC2 1.0A 1.1 OB OB
reservoir + set menu
Reservoir Setup
Fill Cannula
History
and press
Act
.
utilities menu
Lock Keypad
Alarm
Daily Totals
Time / Date
Alarm Clock
Connect Devices
Block
Selftest
User Settings2
Capture Option
Language
19
Learning to Program Your Pump
Section 8:
Learning to Program Your Pump
Now you are ready to program some basic features on your insulin pump. This will help you learn
more about how your pump works and let you practice using the buttons.
The UTILITIES MENU
Scroll
to find the UTILITIES MENU. It is the last option on the MAIN MENU. We will start here.
The UTILITIES MENU has many options that allow you to customize your pump. You will learn which
features are best for you to use immediately and which features you may want to use later
First, we will scroll through and view the options that are available on the UTILITIES MENU. Then we
will select and program some of the features.
Practice Exercise: Viewing the UTILITIES MENU
1. From the HOME screen:
Press Act , and the MAIN MENU appears.
2.Press
3.Press
and scroll to Utilities.
Act ,
4.Use
5.Press
20
and the UTILITIES MENU appears.
and
ESC
to scroll through the UTILITIES MENU.
twice to return to the HOME screen.
Selecting and Setting Alerts
At the beginning of each exercise you will see the following “shorthand”
used. This is a quick way to list the steps you need to follow to reach
each menu.
HOME Screen > MAIN MENU > Utilities
Selecting and Setting Alerts
IMPORTANT
Most alerts and
alarms on your
pump can be
silenced and
cleared by
pressing ESC and
then Act .
Your insulin pump is easy to use and very safe. The pump constantly performs
a series of safety checks to ensure that it is working properly.
If it detects any condition that requires your attention, it will beep or vibrate to
alert you of the situation.
Examples of common alerts you will receive include:
• Low Battery Alert: Alerts when only 10% of battery life remains
• Low Reservoir Alert: Alerts when the insulin reservoir is low
• Manual Suspend: Alerts every 15 minutes when the pump is in suspend
Note Your pump is shipped with the audible beep
alert activated, but you can choose to set it to vibrate if
you prefer.
Practice Exercise: Setting the Alert Type
HOME Screen > MAIN MENU > Utilities
1.
From the UTILITIES menu:
Press
to Alarm and press
2.
Press
Act .
to Alert Type and press
Alarm menu appears.
Act .
Alert Type appears.
21
3.
or
Use
to listen to the alerts. 4.
Select the alert you prefer: Beep (long, medium, short) or Vibrate.
5.
Press
Act
6.
Press
ESC
to confirm your choice. Your alert type is now set!
three times to return to the HOME screen.
Setting the Time and Date
Setting the correct time and date on your insulin pump is important.
Let’s set the time and date on your pump now.
IMPORTANT
Practice Exercise: Setting the Time and Date
The pump will go through a series of screens as you set the time and the
date. Use
and
to set the flashing values and then press Act to confirm
each selection.
HOME Screen > MAIN MENU > Utilities
1. From the UTILITIES menu:
to Time/Date and press
Scroll
22
Act .
Setting the right
time and date
ensures that basal
insulin will be
delivered at the
correct time and
that the data
entered into your
pump will be
recorded accurately.
Always check to
make sure the date
and time
include AM or PM
are set correctly
2. Select 12-hour (AM/PM) or 24-hour (military time) and press
Act .
Setting the Time and Date
3.
Press
Act
to change the Time/Date.
and
4.Use
set correctly.
to set the hour. Make sure you scroll through the hours until AM or PM time is
5.
Press
Repeat steps 4 and 5 to set the minutes, year, month, and day.
6.
Act
to set.
The first time you set the time and date, the following prompt will appear: “If time and date are correct, highlight Yes and press Act .”
A CHECK SETTINGS alarm will also sound; clear the alarm by pressing
ESC
and then
Act .
23
The Basal Menu
The Basal Menu
In the Basal menu, you can program basal rates, change and review basal
rates, set a temporary basal rate, and set the maximum basal amount.
Did You Know?
The amount of each
hourly basal rate is
divided into 0.025
unit increments and
delivered evenly over
the hour (if your basal
rate is less than 1 unit
per hour). If your basal
rate is greater than 1
unit per hour, then it
will be divided by 0.05
units increments over
the hour. For example,
if your basal rate is
set for 0.300 units per
hour, the pump will
deliver 0.025 units
of insulin every 5
minutes to total 0.300
units each hour.
24
When you program a basal rate into your pump, that exact amount will
automatically deliver each hour.
When you first start on your insulin pump, you will most likely start with just
one basal rate. The pump will deliver that exact basal amount evenly, over
each hour, 24 hours a day. For example, if your starting basal rate is 0.500
units (½ unit) an hour, your pump will deliver a ½ unit each hour, 24 hours a
day. This means you would receive a total of 12 units of basal insulin each
day.
Your healthcare provider will determine your starting basal rate. When you
check your BG (blood glucose) as instructed, your BG readings will help you
and your healthcare provider determine if the basal rate amount is correct, if
it needs to be adjusted, or if you need more than one basal rate.
If your BG readings indicate that you need more than one basal rate,
additional rates can easily be added.
The first example on the next page shows how a single basal rate might be
written and how it would deliver each hour.
The second example shows how multiple basal rates might be written and
how they would be delivered each hour.
For basal insulin...
Jill always had to remember to take her shot at bedtime prior to
having her insulin pump. Taking a shot at the same time every
night as instructed by her doctor was difficult to do. Jill is in
college and some nights she would go to bed early, other nights
she would be studying at the library until late. Now that her doctor
has prescribed a pump, she doesn’t have to worry about when
she takes her shot. She receives her basal insulin automatically, 24
hours a day.
U/hr
1.000
0.75 U/hr
0.500
12:00 A
1.000
U/hr
12:00 A – 12:00 A
6:00 A
12:00 A – 8:00 A
0.900 U/hr
0.500
12:00 A
6:00 A
12P
24 Hours
8:00 A – 6:00 P
0.650 U/hr
12:00 P
24 Hours
12:00 A
6P
6:00 P – 12:00 A
0.900 U/hr
6:00 P
12:00 A
The basal rates shown here are for illustration purposes only. Your healthcare provider will determine
the right basal rates for you.
25
Setting a Single Basal Rate
Setting a Single Basal Rate
The Start Time for the first basal rate is pre-set at midnight and cannot be changed. As soon as Basal
Rate 1 is programmed into the pump, it begins to deliver each hour from midnight to midnight.
Practice Exercise: Setting a Single Basal Rate
HOME Screen > MAIN MENU > Basal
1. From the Basal menu:
Scroll to Basal Setup. Press
Act .
2. Set/Edit Basal is highlighted. Press
3. Set Basal Rate 1 appears with the time preset at 12:00 A and the rate 0.000 flashing.
4.Press and hold
to set the first basal rate amount to 0.500 u/h. If you go past 0.500 units, use
to take you back to 0.500 units. The basal rate will increase by 0.025 units with each press.
26
Act .
IMPORTANT: Double check that you have set the right rate. For
example, if you want to set “0.5”, be careful not to set “0.05”.
5.Press
Act
to confirm the practice Basal Rate at 0.500 u/h.
6.Set Start Time 2 screen displays. (In this exercise you are only setting one basal rate, so you do
not need to set a start time for the second basal rate.)
7.Press
Act ,
and the Basal Rate screen appears, showing:
• Current Rate .500 U/H
• Started #1 – 12:00A
• 24 Hr. Total 12.00 U
In this example, the 24-hour total is 12.00 U. This is the total amount of basal insulin that
your pump will deliver over 24 hours when the basal rate is set at 0.500 units per hour.
27
Setting Multiple Basal Rates
Setting Multiple Basal Rates
Now that you have learned to set one basal rate, let’s learn how to program multiple basal rates.
Practice Exercise: Setting Multiple Basal Rates
HOME Screen > MAIN MENU > Basal
1. From the Basal menu:
Scroll to Basal Setup and press
2.
3.
28
Act .
Set/Edit Basal is highlighted. Press
Act .
Set Basal Rate 1 appears.
4.
Press Act to confirm that the 0.500 rate is correct and that you do not want to change the amount of that rate.
5.
Set Start Time 2 appears with dashes flashing in the upper left corner. The flashing dashes indicate that the start-time for the 2nd basal rate needs to be programmed here.
6.
Set the following start times and basal rates as practice using
confirm each time and rate:
a. Start Time 2: 3:00 AM Rate: 0.800 U/H
and
. Press
Act ,
to b. Start Time 3: 7:00 AM Rate: 0.650 U/H
7. When the dashes for Start Time 4 appear, press
Act .
8.The Basal Rate screen appears, showing the current rate, the time the current rate started
delivering, and the 24 Hr. Total, which in this example is 15.750U.
Needing more than one basal rate...
When Matt was on insulin shots, he would wake up in
the morning with low BGs. Now that Matt has his
insulin pump, it is programmed according to his doctor’s prescribed settings to deliver less insulin when he is
sleeping so that his BGs aren’t low when he wakes up.
Helpful hint: Most people need more than one basal
rate to get the best control with their pump. Work with
your healthcare provider to get your basal rates adjusted
correctly when you start on pump therapy.
29
Basal Review and Erasing Basal Rates
Looking at the Basal Review Screen
Your insulin pump has another great feature that allows you to review the basal rates you have set in
your pump. Basal Review is found on the Basal menu.
Let’s review the basal rates you just entered.
Practice Exercise: Looking at the Basal Review Screen
HOME Screen > MAIN MENU > Basal
1. From the Basal menu:
Scroll to Basal Review and press
2.STANDARD (basal review) appears, showing the 24-hour total and each basal rate:
3.
30
Press
ESC
three times to return the HOME screen.
You can also look at your STATUS screen to see which basal rate is currently being
delivered. To do this:
1.
Act .
Press
ESC
from the HOME screen to view the STATUS screen.
2.Scroll
to see which basal rate is currently running and the amount that is being
delivered each hour.
Erasing Basal Rates
If you would like additional practice setting basal rates, you can erase the basal rate you just set. Once
erased, you can repeat the practice exercises or make up other basal rates to review programming your
pump.
Practice Exercise: Erasing Basal Rates
HOME Screen > MAIN MENU > Basal
1.
From the BASAL MENU:
Scroll to Basal Setup and press
Set/Edit Basal is highlighted.
2.
3.
Press
4.
Press
5.
Press
Act .
and Set Basal Rate 1 appears.
Act
until the rate is set to 0.000 U/H.
Act .
6.When Set Start Time 2 appears, press
to set the time to (--:--) and press
Act .
7.
Basal Rate: Current Rate screen appears.
The 24-hour total should now read: 24 Hr. Total 0.000U. Your basal rates have been erased.
31
32
Delivering Boluses
Section 9:
Delivering Boluses
A bolus is given for two reasons: to cover food that contains carbohydrate or
to correct glucose levels that are above your target range.
The insulin pump allows you to access the bolus feature in a number of
different ways. This section covers how to deliver a bolus using the Set Bolus
feature found in the Bolus Menu and the Express Bolus button.
Practice Exercise 1: Delivering a 0.5 U Bolus
HOME Screen > MAIN MENU > Bolus
1.
From the BOLUS MENU:
Set Bolus is highlighted. Press
Act .
2.
SET BOLUS screen appears with 0.0 u flashing.
Did You Know?
As you deliver
boluses, the
amount of active
insulin that is
being tracked by
your pump is
displayed on the
lower left corner
of the screen.
3.
Press
4.
Press
5 times to set a bolus amount of 0.5 u (½ of a unit).
Act
to confirm the amount and deliver the bolus.
Please note: Your pump delivers insulin in 0.025 unit increments. Watch as
the screen counts up in 0.025 increments (i.e., 0.025; 0.050; 0.075; 0.100,
etc.) until the half-unit bolus of insulin is delivered.
Your pump will beep once when it has finished delivering a bolus.
It will then return to the HOME screen.
Note The pump beeps once when it begins to deliver a
bolus and beeps again when it has finished. It then returns
to the HOME screen.
Delivering Boluses: Express Bolus
Express Bolus Button
The Express Bolus or
button, is the method you will probably use most frequently when giving a
bolus. It is easy and convenient to use because the button is located on the front of your insulin pump.
When the Express Bolus button is pressed from the HOME screen, the SET BOLUS screen immediately
opens with 0.0 U flashing, ready for you to enter the bolus amount. Once the Bolus Wizard® feature is
turned on you will use the
button to access the Bolus Wizard calculator.
Express Bolus Button
Practice Exercise 1:
Button to Deliver a Bolus
Using the
1.
From the HOME screen:
Press
. The SET BOLUS screen appears with 0.0 U flashing.
2.
Use
3.
Press
to set a 1.0 unit bolus (1 unit).
Act
to confirm and deliver the one-unit bolus.
4.Watch as your pump delivers the bolus. It will beep once and return to the HOME
screen when it has finished.
33
The Bolus Wizard®
The Bolus Wizard
The Bolus Wizard is a feature that calculates the amount of bolus insulin you need when you enter
your current BG reading and the amount of carbs you are about to eat. The Bolus Wizard uses your
individualized settings provided by your healthcare provider to estimate your bolus insulin amount.
These settings include your Carb Ratio, Insulin Sensitivity Factor, BG Target Range, and Active Insulin
Time.
By counting carbs and using the Bolus Wizard, you are able to give the right amount of insulin for your
food and correction bolus. This can help to keep your glucose levels better controlled.
Using the Bolus Wizard:
Test and enter BG.
Enter grams of carbohydrates
to be eaten.
Displays estimated amount
of insulin to be delivered.
You will learn more about using the Bolus Wizard when you meet with your trainer.
34
Using the Bolus Wizard...
Larry is so excited that his insulin pump has made his
glucose management easier. Before his pump he had to try
to calculate on his own how much insulin he needed. Now,
his meter sends his BG to his pump, he enters his carbs, and
the pump calculates and recommends the bolus amount.
Helpful hint: After you begin pump therapy, testing your
BG two hours after meals will help you determine if your
Bolus Wizard settings are correct. If your BG is too high or too
low, your healthcare provider can help you adjust your settings to help you achieve better glucose control.
Delivering Boluses: Bolus History
BOLUS HISTORY Screen
The Bolus History screen is a great record keeping feature. It records
the date, time, amount, and type of every bolus delivered. The last 24
boluses can be viewed in the Bolus History screen. The most recent
bolus is displayed first.
Let’s look at the Bolus History screen and review the boluses that
you have given.
Practice Exercise 1: Viewing the Bolus History
HOME Screen > MAIN MENU > Bolus
1. From the Bolus menu:
Press
to scroll Bolus History and press
2.
Act .
The Bolus History screen appears.
Did You Know?
Your pump also keeps
the most recent bolus
that was given on the
STATUS screen. This
makes it easy for you
to quickly check the
time and amount of
your last bolus.
To view the last bolus
that was given on your
pump, press ESC from
the HOME screen to go
to the STATUS screen.
3.Use
and
to scroll through and review the boluses
that you have given.
Shows the last 24 boluses delivered
35
36
Delivering Boluses: Bolus History
You can see the details of the last 24 boluses by viewing the BOLUS DETAIL screen.
Practice Exercise 2: Viewing Bolus History Details
1.Follow the steps on the preceding page to access the BOLUS HISTORY screen.
2.
Use
3.
The details of that bolus will be displayed.
4.Press ESC to return to the BOLUS HISTORY screen. To see the details on other boluses,
simply use
and
to select the bolus and press Act .
5.
Press
and
ESC
to select the bolus you want to review and press
(4 times) to return to the HOME screen.
Act .
Manually Suspending Insulin Delivery
Section 10:
Manually Suspending Insulin Delivery on Your Pump
The manual Suspend Feature
Although you should never interrupt or stop the insulin delivery on your pump for more than an hour
or so, there will be times when you will want to manually SUSPEND your pump and disconnect it from
your infusion site. There are several reasons you might manually suspend and disconnect from your
pump which include the following:
• Bathing or Swimming
Manually suspending the basal rate and removing your pump is commonly done for showering,
bathing and water activities. Infusion sets are designed so you can easily disconnect from your pump
and tubing and leave it in a safe, dry place.
Talk to your healthcare provider about a plan including BG checks and possible correction boluses when
disconnecting and reconnecting to your pump.
Manually suspending the pump...
Danielle disconnects her pump when she goes swimming.
She always manually suspends her pump so that insulin isn’t
delivered while the pump is not attached to her.
Helpful hint: While the pump is manually suspended, it will
beep or vibrate every 15 minutes.
Warning: Do not use your pump in water, such as when bathing, or wear it during water activities
and showering. The pump is not water-tight and it may become damaged if it is used in water.
37
Manually Suspending Insulin Delivery
• Interrupting or Stopping a Bolus
There may be times when you want to stop or interrupt a bolus. The pump is designed to allow you to
easily interrupt the delivery of a bolus by setting the pump in manual SUSPEND.
Interrupting or Stopping a Bolus
Sam programs a bolus for lunch, but before she can begin
eating the phone rings. It’s her cousin calling long distance so
Sam knows this phone call will take a while. She programs the
pump to SUSPEND and cancels the delivery of the bolus so
that she does not experience a low blood glucose.
More About manual SUSPEND
When the pump is in manual Suspend, all insulin delivery stops until you resume delivery yourself.
Basal Insulin
When you take the pump out of manual SUSPEND and have it RESUME, basal insulin will begin to deliver
again. Any basal insulin that was missed while the pump was in manual SUSPEND will not be
delivered.
Bolus Insulin
When you interrupt a bolus, the bolus insulin that has already been delivered prior to setting the pump
in manual SUSPEND is the only insulin that will be delivered for that bolus. When you RESUME insulin
delivery, the amount of bolus insulin that was not delivered before the pump was placed into
manual SUSPEND will not be delivered.
38
Note There is another SUSPEND feature called THRESHOLD SUSPEND that is available when you are using continuous glucose monitoring (CGM). You will learn more
about THRESHOLD SUSPEND during your continuous glucose monitoring training. For
more information, refer to the MiniMed 530G System User Guide and Getting Started
with Continuous Glucose Monitoring for the MiniMed 530G with Enlite. For safety, do not use the
Threshold Suspend feature until you have been trained, read all instructions, and have discussed
its use with your healthcare provider.
Practice Exercise 1: Setting the Pump in manual Suspend
1.
From the HOME screen:
Press Act to access the MAIN MENU.
2.
Press
3.
Press
Act ;
4.
Press
Act
to highlight Suspend.
the screen flashes SUSPEND.
to confirm you want to place the pump in Suspend.
5.SUSPEND appears on the pump screen. The time your pump was stopped is shown
directly above SUSPEND, and the alarm icon (solid black circle) is displayed between
the reservoir icon and the time. After 30 seconds (to conserve battery power), the
pump returns to the HOME screen.
Pump in Suspend; notice the alarm icon
6.Press ESC to look at your Status screen. Notice that the first information on your Status
screen tells you that the pump is in suspend and shows the time the pump was placed
in suspend.
7.
Press
ESC
to return to your HOME screen.
39
Suspending Insulin Delivery
Practice Exercise 2: Resuming Basal Insulin Delivery
1.
Press Act from the HOME screen.
RESUME flashes on the screen.
2.
Press
Act
to confirm that you want to resume basal delivery.
3.Your pump will return to the HOME screen, and the pump will begin to deliver basal
insulin as programmed.
Congratulations! You have successfully used the manual Suspend and Resume functions. Notice the
alarm icon (solid black circle) is no longer displayed on your pump screen.
40
will remain on the
Note Any time the pump is in manual SUSPEND, the alarm icon
front of the screen as a visual reminder. The pump will also beep or vibrate every 15
minutes as an audible reminder that your pump is in manual SUSPEND and that you are
not receiving insulin.
Practice Exercise 3: Manually Suspending Your Pump While a Bolus Is Delivering
1.
From the HOME screen:
Press the
to display the Set Bolus screen.
2.
Press
to set a bolus of 5.0 u (5 units).
3.
Press
4.
Allow the bolus to begin to deliver, then press
5.
Suspend is highlighted on the MAIN MENU.
Act .
6.
Press
Act .
7.
Press
Act
Act
again.
Suspend flashes on the screen.
again.
8.The pump is in manual SUSPEND, and the bolus delivery has been cancelled.
To see the exact amount of insulin that was delivered before the bolus was manually suspended, RESUME delivery and then look at the STATUS screen or go to
Bolus History in the BOLUS MENU.
Congratulations! You have successfully completed your introductory training
on your new MiniMed® 530G insulin pump.
41
42
Notes
Introduction to CareLink® Personal
Introduction to CareLink Personal Software
CareLink Personal software is a web-based program that is provided free of charge by Medtronic. This
software allows you to upload the data from your pump and glucose meter to a secure website and
organizes it into easy-to-read reports and charts. These reports provide an overview of how insulin,
food intake and exercise affect you glucose control.
When you use the Bolus Wizard® feature on your pump, the pump tracks and records:
• Your BG meter readings
• Your carbohydrate intake
• The amount of insulin that was given for each bolus
• The time each bolus was given
Reviewing the data on these reports, allows you and your healthcare provider to identify glucose
patterns and trends so you can determine if any pump settings need to be adjusted.
Set up your CareLink Personal account so you can upload your pump and meter every 2 to 3 days
after you start using your pump. You and your healthcare provider will be able to review your
information and adjust and fine-tune your pump settings as needed.
To set up your CareLink Personal account go to:
www.medtronicdiabetes.com/carelink
To learn more about using CareLink Personal software you can use the Getting Started with CareLink®
Personal Software guide or take the myLearning course, Exploring CareLink Software and Reports.
You can access this course at www.medtronicdiabetes.com and clicking on myLearning. You will
need to sign in to your account (or register for an account if you do not have one) and then click on
the Exploring CareLink Software and Reports course.
43
44
Notes
Frequently Asked Questions
Frequently Asked Questions
As with learning anything new, you typically have questions. Here is a list of commonly asked
questions. You may wish to make a note of any additional questions you may have to ask your
Certified Product Trainer.
Where should I wear my pump?
Where and how to wear the pump is a commonly asked question among new pump users. Most
individuals find that wearing an insulin pump presents no problem and that it can be worn in a
variety of ways. It typically takes only a day or two to find the ways that work best for you. Below are
just a few ideas to help get you started.
• Use the clip that comes with your pump and clip it to a waist band or belt
• Place the pump (with or without the clip) into the pocket of your pants
• Keep it in your shirt pocket
• Slip it into your bra with the screen facing away from your skin
• Use the longer tubing lengths and place the pump in your sock
Where can I put the pump when I sleep?
• Clip it to the waist of your pajama pants
• Clip it onto your pajama top or in a pocket
Note The pump
should be placed
at least 12 inches
away from your
cell phone to
avoid interfering
with glucose
values being
transmitted by
a linked blood
glucose meter.
• Place it next to you in the bed, under your pillow, or on the bedside table
Medtronic Diabetes offers accessories that can add to the convenience of wearing, protecting and
concealing your pump. Refer to the accessories catalog or to the accessories information found on
our web site at www.medtronicdiabetes.com.
What about intimacy?
What to do with the pump during intimate moments is another question that is frequently asked. An
open discussion with your partner usually resolves any concerns you may have. Some individuals
simply choose to leave the pump in place. Others choose to use the longer tubing which allows them
to place the pump well out of reach. Another idea is to temporarily disconnect from the pump and
tubing. Just remember that disconnecting from the pump for long periods of time can result in high
glucose levels that could lead to DKA (diabetic ketoacidosis). So, always be sure you reconnect the
pump afterwards.
Talk to your healthcare provider about a plan including BG checks and possible correction boluses
when disconnecting and reconnecting to your pump.
45
46
Frequently Asked Questions
Should the pump be removed for X-rays, CT scans,
and MRIs?
Any time you have an X-ray, CT scan, MRI or any procedure
involving exposure to radiation or magnetic fields, remove your
pump prior to entering the radiation area or magnetic field.
Cannula infusion sets such as the Silhouette® and Mio™ can be
left in place during the procedure. However, infusion sets that
use a needle instead of a cannula to infuse insulin (such as the
Sure-T®) must be removed prior to the procedure.
X
If your insulin pump is inadvertently exposed to a strong
magnetic field like an MRI, discontinue use and contact our
24-Hour HelpLine at 800.646.4633.
Can the pump be worn when going through
airport security?
You can wear your insulin pump while going through an
airport metal detector. Medtronic has conducted official
testing on the effects of the full body scanners at airports
with Medtronic medical devices. Some of the new scanners
may include x-ray. To avoid removing your devices, you
may request an alternative screening process. If you
choose to go through a full body scanner, you must remove
your insulin pump and CGM (sensor and transmitter). Do not
send your devices through the x-ray machine as an
alternative.
Print and complete the information on an airport emergency
card to carry with you.
Notify security screeners that you have diabetes, that you are
wearing an insulin pump and are carrying supplies with you.
Because travel rules are subject to change, it is advisable to
check with the Transportation Safety Administration (TSA)
before traveling. International passengers should consult their
individual air carriers for international regulations. Some
helpful tips regarding travel within the United States are listed
on the next page.
X
Tips About Traveling with Insulin Pumps and Supplies
• Notify security that you have diabetes and are wearing an insulin
pump. Let them know you are carrying insulin and other supplies
with you.
• There is no need to remove your pump. The pump will not trigger
metal detectors and the detectors will not harm your pump.
• Do not send your pump through any x-ray equipment.
• If there is any question, ask that they visually inspect the pump
rather than removing it from your body. (Remember, you may ask
for a private screening, if removal or lifting of clothing is required
to display your pump.)
• A doctor’s letter is no longer sufficient proof of medical necessity
when carrying syringes. To board with syringes and other insulin
delivery devices, you must produce an insulin vial with a
professional, pharmaceutical, pre-printed label that clearly
identifies the medication.
• Never store insulin in checked luggage, as it may be exposed to
extreme temperatures. Extreme heat or cold can cause insulin to
lose its effectiveness.
• Boarding with lancets is allowed if the lancets are capped and
carried along with a glucose meter that has the manufacturer’s
name embossed on it.
If you encounter difficulty, ask to speak with the TSA ground security
commissioner or their international equivalent. The American Diabetes
Association (ADA) asks that you contact them at 1.703.549.1500 ext.
1768 should you encounter any problems.
47
48
Frequently Asked Questions
General Travel Tips
• Pack extra supplies including reservoirs, infusion
sets, batteries and ketone strips. Keep your
supplies, insulin and a prescription with you, just
in case your luggage is lost or your insulin
becomes denatured.
• Pack glucose tablets or carbohydrate for treatment
of low glucose. In case flights are delayed or
canceled, pack extra food that is easy to carry, such
as nutrition bars.
• If you travel outside the United States, you may
want to take advantage of Medtronic’s travel
loaner plan. This program allows you to take a
“back-up” insulin pump with you when you travel.
Always Be Prepared
When flying in an airplane it is important that you stay
connected to your pump and check your blood glucose
more frequently. When traveling, make sure that you have
backup syringes, vials of insulin or insulin pens (rapid-acting
and long-acting insulin), and instructions from your
healthcare provider should you need to return to insulin
injections if your pump stops working.
It is important that you test your blood glucose (BG) more frequently while you are traveling.
The routine hassle of travel, including stress, changes in time zones, schedules and activity
levels, meal times and types of food, can all affect your diabetes control. Be extra attentive to
monitoring your BG frequently, and be prepared to respond if needed.
For more information on traveling with a pump, go to: http://www.medtronicdiabetes.com/
customer-support/traveling-with-an-insulin-pump-or-device
When should I call the 24-Hour HelpLine?
Medtronic Diabetes provides a 24-Hour HelpLine that is staffed
with highly trained and skilled service technicians. These
technicians are available to assist you with any technical issues
or questions that you may have regarding the operation of your
pump.
Examples of when you may need to call the HelpLine are:
• You are concerned that the pump is not functioning
properly.
• You are reading about a pump function in the User Guide
that you do not understand and need assistance.
• Your pump has alarmed and you have followed the
instructions to clear the alarm and it alarms again.
The number for the HelpLine is located on the
back of your pump.
49
50
Frequently Asked Questions
When should I call my healthcare provider?
Consult your healthcare provider about when, how often, and
under what circumstances you should contact them. Typically,
providers review your glucose information more frequently
when you first start on pump therapy. This allows them to adjust
and fine-tune your pump settings. Once adjusted, most
healthcare providers ask that you maintain a routine follow-up
schedule. Examples of other situations that you should notify
your healthcare provider about are:
Hypoglycemia (BG less than 70mg/dL)
• Any severe hypoglycemic event that requires another
person’s assistance to treat the low; or any event that
results in loss of consciousness.
• Frequent hypoglycemia
• Hypoglycemia that occurs around the same time each day
or that routinely occurs after certain activities (such as
vacuuming or washing the car)
• Hypoglycemia that occurs after or during exercise
Hyperglycemia (BGs above your maximum target
range or above 250 mg/dL)
• Hyperglycemia that is frequent or persistent
• Hyperglycemia that is accompanied by nausea or vomiting
• Hyperglycemia and positive ketones
• Hyperglycemia that occurs around the same time each day
or routinely after a certain event (such as eating).
As always, when low or high blood sugars occur, follow the
guidelines provided in the “Safety Rules Quick Reference Guide”
in the Training Handouts section of this workbook.
Training Handouts
Training Handouts
This section contains information that will be covered in your pump start
training. This content is intended for post-training review only.
IMPORTANT Please DO NOT perform the steps provided
in this section until you have been instructed to do so by
your healthcare provider.
Pump therapy is not recommended for people with vision or hearing impairments that do not allow the ability to recognize pump signals and alarms. It is important to
review the screen carefully before making selections and to not rely on hearing the “beeps”. If you hear an unexpected
sound, be sure to check your pump screen.
51
52
Notes
Basal Quick-Reference Guide for the MiniMed® 530G
Insulin Pump
®
™
Basal Quick-Reference Guide for the Paradigm Revel Insulin Pump
To Set a Single Basal Rate :
To Add a Basal Rate:
1. From MAIN MENU, scroll to Basal. Press
2. Select Basal Setup. Press
ACT
ACT
.
.
3. Set/Edit Basal is highlighted. Press
ACT
.
4. Press ACT to confirm
BASAL RATE 1.
1. From MAIN MENU, scroll to Basal. Press
ACT
.
2. Select Basal Setup.
Press ACT .
3. Set/Edit Basal is
highlighted. Press
ACT
5. Use arrows to
SET START TIME 2.
Press ACT .
6. Use arrows to
SET BASAL RATE 2.
Press ACT .
.
4. Use
to set the basal
rate amount. Press ACT .
5. Press
ACT
7. Repeat steps 5 and 6 as needed. Press
final START TIME.
6. BASAL RATE screen
appears showing the
current rate (u/h); start
time of rate and 24 hr.
basal total.
To Change a Basal Rate :
To Review Basal Rate(s):
1. From MAIN MENU, scroll to Basal. Press
ACT
ACT
.
3. Set/Edit Basal is highlighted. Press
ACT
.
4. Use arrows to change
the basal rate amount.
Press ACT .
5. Press
ACT
again to skip SET START TIME 2.
6. BASAL RATE screen
appears showing the
new current rate (u/h);
start time of rate and
24 hr. basal total.
to skip
8. BASAL RATE screen
appears showing the
current rate (u/h);
start time and 24 hr.
basal total.
again to skip SET START TIME 2.
2. Select Basal Setup. Press
ACT
.
1. From MAIN MENU, scroll to Basal. Press
ACT
.
2. Highlight Basal Review.
Press ACT .
3. STANDARD and the
24 hour total appear
on the top line. Below
are the programmed
basal rates, showing the
start time and units per
hour for each.
Note: The settings shown are for illustration purposes only — your settings will be different.
53
53
Basal Quick-Reference Guide for the MiniMed® 530G
Insulin
Pump
®
™
Basal Quick-Reference Guide for the Paradigm Revel Insulin Pump
Temporary Basal Rate
This feature
or
featureallows
allowsyou
youtotoimmediately
immediatelyincrease
increase
decrease
your
basal
rate,rate,
for the
period of
or decrease
your
basal
for temporary
the temporary
time
you
It is
used
exercise for
and sick
period
ofset.
time
you
set.primarily
It is usedforprimarily
days
and
as
directed
by
your
healthcare
provider.
exercise and sick days.
Patterns
To Set the Temporary Basal Type:
To Turn Patterns On:
1. From MAIN MENU, scroll to Basal. Press
2. Select Basal Setup. Press
ACT
ACT
.
This feature allows you to pre-program up to
three different sets of basal rates so you can easily
accommodate routine schedule changes (example:
weekday vs. weekend; day vs. night shift, etc.).
1. From MAIN MENU, scroll to Basal. Press
2. Select Basal Setup. Press
.
3. Scroll down to Temp
Basal Type. Press ACT .
3. Select Patterns.
Press ACT .
4. Select Insulin Rate
(U/H) or Percent of
Basal. Press ACT .
4. Select On. Press
To Set a Temporary Basal Rate:
1. From MAIN MENU, scroll to Basal. Press
ACT
ACT
ACT
.
ACT
.
.
.
To Program Basal Patterns:
ACT
.
2. Set/Edit Temp Basal is
highlighted. Press ACT .
1. From MAIN MENU, scroll to Basal. Press
2. Scroll down to Basal Setup. Press
ACT
3. Set/Edit Basal is highlighted. Press
.
ACT
.
4. Highlight Pattern A.
Press ACT .
3. Use
to set duration
of time. Press ACT .
5. Use
7. BASAL RATE A screen
appears. The open circle
at top of screen indicates
Pattern A is now
running. Press .
8. To set Pattern B, repeat steps 3–7.
To Choose Basal Pattern:
To Cancel a Temporary Basal Rate:
ACT
.
1. From MAIN MENU, scroll to Basal. Press
2. Scroll to Select Patterns. Press
3. Highlight the pattern
you want to start.
Press ACT .
3. The open circle will disappear when temp basal
has been cancelled.
Note: The settings shown are for illustration
purposes only — your settings will be different.
54
54
.
ESC
5. An open circle at top of screen and an hourly alert
indicate temp basal is running.
2. Select Cancel Temp
Basal. Press ACT .
ACT
6. Set other times and rates as needed OR press
4. Use arrows to SET
TEMP BASAL U/H or
SET TEMP BASAL %.
Press ACT to start temp
basal rate.
1. From MAIN MENU, scroll to Basal. Press
to SET BASAL RATE 1. Press
ACT
.
ACT
.
ACT
.
Bolus Wizard® Quick-Reference Guide for the MiniMed® 530G Insulin Pump
To Turn the Bolus Wizard On:
4.Select Edit Settings.
Press Act .
1.From the MAIN MENU, select Bolus. Press
Act
.
5.EDIT SETTINGS screen
appears. Press Act .
2.Select Bolus Setup.
Press Act .
6.Select On. Press
Act
.
3.Select Bolus Wizard
Setup. Press Act .
Continue to next section to program settings.
To Program Settings:
4.Highlight BG Target.
Press Act .
1.Highlight Carb Units.
Press Act .
Select Grams. Press
Act
.
Use arrows to set Low and
High Target. Press Act after
each one. Press Act again
to skip SET START TIME 2.
2.Highlight Carb Ratios.
Press Act .
5.Highlight Active Ins
Time. Press Act .
Use arrows to set Ratio.
Press Act . Press Act again
to skip SET START TIME 2.
Use arrows to set Time.
Press Act . Press ESC .
3.Highlight Sensitivity.
Press Act .
6. You will see a message that Bolus Wizard Setup
is complete.
Use arrows to set
Sensitivity. Press Act .
Press Act again to
skip SET START TIME 2.
Note: The settings shown are for illustration
purposes only — your settings will be different.
55
55
Bolus Wizard® Quick-Reference Guide for the MiniMed® 530G Insulin Pump
To Review Bolus History:
1.Press . Test BG. If
using linked meter
press Act . Or, use arrows
to enter BG. Press Act .
1.Press Act .
Select Bolus. Press
2.Use
to enter grams
of carb. Press Act .
2.Select Bolus History.
Press Act .
3.Review details. Press
Act
.
4. Confirm bolus amount
(change if necessary).
Press Act to deliver.
To Deliver a Correction Bolus (no food):
1.Press . Test BG. If
using linked meter
press Act . Or, use arrows
to enter BG. Press Act .
Act
.
4. Confirm bolus amount
(change if necessary).
Press Act to deliver.
To Edit Bolus Wizard Settings:
1.Press
Act
. Select Bolus. Press
2.Scroll to Bolus Setup. Press
Act
Act
.
.
3.Highlight Bolus Wizard Setup. Press
Act
.
5.Select the setting to be
changed. Press Act .
Act
.
7. Repeat steps 5 and 6 to edit other Bolus
Wizard settings.
To Review Bolus Wizard Settings:
1.Press . Leave the
Enter BG screen as
dashes. Press Act .
1.Press
Act
. Select Bolus. Press
2.Scroll to Bolus Setup. Press
Act
4.Confirm bolus amount
(change if necessary).
Press Act to deliver.
Act
Act
.
.
3.Highlight Bolus Wizard Setup. Press
2.Use
to enter grams
of carb. Press Act .
56
56
3.Use arrows to review
boluses given.
6.Change value. Press
To Deliver a Food Bolus (no BG):
3. Review details. Press
.
4.Highlight Edit Settings.
Press Act .
2.Leave grams of
carbohydrates at zero.
Press Act .
3.Review details. Press
Act
Act
.
4.Highlight Review
Settings. Press Act .
.
5.Scroll down to review.
Note: The settings shown are for illustrationpurposes only — your settings will be different.
Bolus Wizard is a registered trademark of Medtronic MiniMed, Inc. ©2013 Medtronic MiniMed, Inc. All rights reserved. 950M11754-011 20130930
To Deliver a Food and Correction Bolus:
Dual®/Square® Wave Quick-Reference Guide for the MiniMed® 530G Insulin Pump
Your MiniMed 530G Insulin Pump
can deliver three types of boluses:
Normal, Square Wave and Dual Wave.
Normal Bolus
Normal Bolus
8.0u
7.5 Units
The bolus amount delivers as soon as the
6.0u
carb content.
• Also used to deliver correction boluses.
2.0u
8 AM
9 AM
10 AM
8.0u
6.0u
4.0u
7.5 Units over 2
hours
2.0u
8 AM
9 AM
10 AM
8.0u
6.0u
4.0 Units
• Primarily used for meals that are both high in carbs and fat,
which may delay digestion (for example: pizza, Chinese or
Mexican food).
2.0u
3.5 Units over 2 hours
8 AM
Dual Wave Bolus
The bolus amount is split. Part of the bolus delivers as soon
as Act is pressed (Normal) and the remainder delivers evenly
over the period of time you set (Square Wave).
Dual Wave Bolus
4.0u
Square Wave Bolus
The bolus amount delivers evenly over the period of time you set.
• Primarily used by those who have delayed digestion
(gastroparesis).
• Can be set in 30 minute increments from 30 minutes
up to 8 hours.
• Can also be used when eating small amounts of carb over an
extended period of time, such as at receptions or parties.
Square Wave Bolus
button is pressed.
• Primarily used for meals that contain average fat and
4.0u
Act
9 AM
10 AM
• Percent you set to deliver now and as a Square Wave bolus will
vary based on the meal content.
To Turn On Dual/Square Wave Bolus Option:
1.From the MAIN
MENU, select Bolus.
Press Act .
2.Scroll to Bolus
Setup.
Press Act .
3.Scroll to Dual/Square
Bolus. Press Act .
4.Select On. Press
Act
4. Select On.
Press Act .
.
Note: The settings are shown with the Bolus Wizard® feature turned on.
57
57
Dual®/Square® Wave Quick-Reference Guide for the MiniMed® 530G Insulin Pump
To Deliver a Square Wave Bolus:
To Deliver a Dual Wave Bolus:
1.Press . Test BG. If
using linked meter
press Act . Or, use arrows
to enter BG. Press Act .
1.Press . Test BG. If
using linked meter
press Act . Or, use arrows
to enter BG. Press Act .
to enter grams
2.Use
of carb. Press Act .
to enter grams
2.Use
of carb. Press Act .
Act
.
4.Select Square Wave
Bolus. Press Act .
5.Confirm bolus amount
(change if necessary).
Press Act .
3.Review details. Press
Act
4.Select Dual Wave
Bolus. Press Act .
5.Confirm bolus amount
(change if necessary).
Press Act .
6.Use to set duration
of time. Press Act to
begin bolus delivery.
6.Use to change
amount or % for Now
and Square. Press Act .
7.An open circle at top
of screen and an hourly
alert indicate bolus is
delivering.
7.Use to set the
duration of time for the
Square Wave. Press Act
to begin bolus delivery.
58
58
If your BG is above target, this
type of bolus is not an option —
use the Dual Wave option instead
.
8.An open circle at top
of screen and an hourly
alert indicate bolus
is delivering.
Note: The screens shown are with the Bolus Wizard turned on and are for
illustration purposes only — your values will be different.
Bolus Wizard, Dual Wave and Square Wave are registered trademarks of Medtronic MiniMed, Inc. © 2013 Medtronic MiniMed, Inc. All rights reserved. 950M11755-011 20130930
3.Review details. Press
Changing the MiniMed® Quick-set® Infusion Set
WARNING: If
Top of Tubing connector
insulin, or any
reservoir
liquid, gets
inside the tubing
connector, it can
temporarily block
the vents that
allow the pump
to properly fill the infusion set. This may
result in the delivery of too little or too much
insulin, which can cause hypoglycemia or
hyperglycemia. To prevent insulin from getting
inside the tubing connector of the Quick-set
infusion set, after you fill the reservoir make
sure you hold the insulin vial upright when you
remove the reservoir from the transfer guard. If
you do not hold the insulin vial upright, insulin
can get on the top of the reservoir and could
transfer liquid into the tubing connector. For
more information, please see “Tubing
Connector”, located in the Introduction chapter
of the MiniMed 530G System User Guide.
To Rewind the Piston in the Pump:
1. Wash your hands. Remove the old infusion set from your body and the reservoir from the pump.
2.Select Reservoir +
Set in the MAIN
MENU, then select Reservoir
Setup to open the
REWIND screen.
Press Act to rewind.
To Fill the Reservoir:
1. Remove the 1
reservoir from the package.
plunger
rod
reservoir
transfer
guard
2. Pull the plunger down
to fill the reservoir with air.
3. Wipe the top of the insulin vial with alcohol. Hold the blue transfer guard and press it down onto the insulin vial.
4. Push down on the
plunger to push air
from the reservoir
into the vial.
Continue to hold
the plunger down.
5. Flip the vial over
so it is now on top.
Slowly pull the
plunger down to
fill the reservoir.
6. Check the
reservoir for air bubbles. Tap the side of the reservoir to force any bubbles to rise to the top. Push the plunger
up to move the air bubbles from the reservoir
into the insulin vial.
7. After the air bubbles are removed, slowly pull the plunger down to fill the
reservoir with enough 3 insulin to last 2-3 days.
8. To avoid getting insulin on the top of the reservoir, flip the vial vial so the vial is over,
upright. Hold the transfer guard, and turn the reservoir counter-
clockwise. Pull the reservoir straight up to disconnect it from the
transfer guard. Discard the transfer guard into a
sharps container.
59
59
Changing the MiniMed® Quick-set® Infusion Set
To Connect the Reservoir to the Tubing:
Quick-serter®
Tubing connector
Blue
button
White
button
Quick-set®
White
button
Tubing slot
Blue hub
Needle guard
To Fill the Tubing:
1.Press Act so that REWIND COMPLETE appears. Insert the newly filled reservoir into the reservoir compartment.
Hub handle
1. Remove the Quick-set from the package. 2. Make sure the top of
the reservoir is dry.
Gently push the
tubing connector
onto the top of the
reservoir and turn it
clockwise until it
slides and locks into
place.
Note: If insulin or any other liquid has gotten
on the top of the reservoir or inside the tubing
connector, discard both and start over with a
new reservoir and Quick-set infusion set.
3. Tap the side of the reservoir to force any remaining air bubbles to rise to the top. Push up on the plunger until the bubbles are out and you
see insulin in the tubing.
2. Turn the tubing
connector clockwise
until it locks into place. 3.Press Act to go to the
FILL TUBING screen.
Be sure the infusion
set is NOT connected
to your body. Then
select Yes and press Act .
IMPORTANT: Never Fill Tubing while you are
connected to the pump.
4. Press and hold Act
to fill the tubing. The pump will beep as the tubing fills. Release Act when you
see drops coming out
of the Quick-set needle.
Then press
.
ESC
4. Turn the plunger counter-clockwise to unscrew it from the
reservoir. Be careful not
to pull the plunger before
it is disconnected, or
insulin will spill out.
60
60
connector
5. If you see drops at
the end of the needle
and there are no air bubbles in the
tubing, select Yes
and press Act .
6. When the FILL CANNULA screen appears, you are ready to insert the Quick-set infusion set.
Changing the MiniMed® Quick-set® Infusion Set
To Load the Quick-set® into the Insertion Device:
1. Place the blue hub of the Quick-set into the Quick-serter insertion device. The hub handle and tubing should be lined up with the tubing slot on the Quick-serter.
To Insert the Quick-set® Infusion Set:
1. Wipe the selected insertion site with alcohol or other antiseptic wipe.
Tubing slot
2. Use two fingers to seat the Quick-set inside the serter securely. Do not push the Quick-set all the way down. Be careful not to press the blue button or the Quick-set will not lock inside the serter.
2. Turn the needle guard to loosen it and lift it away to expose the needle.
3. Hold the serter against the prepared site on your body.
3. Peel the paper from the adhesive.
4. Pull the blue button down until you hear it click. Be careful not to press the white buttons on either side of the serter.
Choose Your Insertion Site:
4. Press the two white buttons at the same time. If they are not pressed at the same time the Quick-set will not
insert properly.
5. Press down the blue button of the serter to release the Quick-set. 6. Pull serter away from your body. Press the adhesive securely against your skin.
The best areas of the body to insert the infusion set
are shown in the shaded areas of this drawing. Follow
your healthcare provider’s instructions on where to
insert your infusion sets.
61
61
Changing the MiniMed® Quick-set® Infusion Set
7. With one hand, place your fingers on the Quick-set. With the other hand, pull the blue hub straight out to remove the insertion needle.
8. Fold the hub handle in half until it locks into place. Dispose into a sharps container.
62
62
To Fill the Cannula:
1. If the pump has returned to HOME screen, press Act . On the FILL CANNULA screen, press Act .
2. If you are using a 6mm cannula, press to enter 0.3 units of insulin. Press Act .
OR
Or, if you are using a 9mm cannula, press to enter 0.5 units of insulin. Press Act .
Note: Fill Cannula is to fill the empty cannula
after the insertion needle has been removed.
The tubing is already filled.
MiniMed, Quickset and Quickserter are registered trademarks of Medtronic MiniMed, Inc.
950M10486-011 20130903 ©Medtronic MiniMed, Inc. 2013. All rights reserved.
To Insert the Quick-set® Infusion Set:
Safety Rules Quick-Reference Guide for Insulin Pump Therapy
Glucose Monitoring
Schedule for Adjusting Pump Settings
When first starting pump therapy or any time pump
settings need adjusting:
• Check your glucose (BG)
– When you wake up
– Before each meal
– 2 hours after each meal
– Bedtime
– Mid-sleep or every 3–4 hours during sleep
• Do not eat between meals.
Schedule for Routine Monitoring
Once your pump settings are adjusted correctly
and your glucose levels are stable, establish a
routine that includes always checking your BG:
• When you wake up
• Before each meal
• Bedtime
• Occasionally mid-sleep
• Test more frequently during travel,
times of stress, and illness
Checking BGs at these times provides the information
needed to adjust and fine-tune pump settings as
directed by your healthcare provider.
Treating Low Blood Glucose Levels
How to Treat Mild/Moderate Lows
15–15 Rule
If BG drops below 70 mg/dL:
1. Eat 15 grams of fast-acting carbohydrate
2. Re-check BG in 15 minutes
3.If BG is still below 70 mg/dL, repeat Steps 1 & 2
every 15 minutes until BG is within range.
How to Treat a Severe Low
Keep a Glucagon Emergency Kit on hand in case
a severe low occurs. Glucagon can be given by
injection to raise glucose levels if you are unable to
eat or drink to treat a low, or if you are unconscious.
Items that contain 15 grams:
•
•
•
•
•
3 to 4 glucose tablets
5 jelly beans
4 oz juice or soda (not diet)
8 oz milk (low or non-fat)
1 Tbsp sugar or honey
If BG is lower than 50 mg/dL, start treatment by
eating 20 to 30 grams of carbohydrate or as
otherwise directed by your healthcare provider.
A family member, co-worker, or friend should
be instructed on how to give glucagon.
Note: If you are using continuous glucose monitoring (CGM), do not rely on sensor
glucose values for making treatment decisions or the Threshold Suspend feature to
prevent or treat a low blood glucose.
63
63
Safety Rules Quick-Reference Guide for Insulin Pump Therapy
Treating High Blood Glucose Levels
Most highs can be easily lowered simply by giving a correction bolus. Follow your healthcare provider’s
instructions for correcting high blood glucose and testing for ketones.
General Guidelines: If BG is High but is lower than 250mg/dL
1. Enter the BG reading into your pump.
3. Confirm the bolus amount and press the ACT
button to deliver.
2. A
llow the Bolus Wizard® feature to calculate
4. Recheck your BG in one hour and again each hour
the correction bolus amount.
until your BG is back within target range.
Never ignore high BG readings. Always consult the Bolus Wizard to see if a correction bolus should be taken.
If ketone test is negative:
1.Enter BG into pump/consult Bolus Wizard to
see if correction dose is needed
• Use pump to give correction dose
2Recheck BG in 1 hour
• If BG is starting to decrease, continue to
monitor until normal.
• If BG is same or higher:
– Give correction dose using a syringe.
– Change infusion site, infusion set,
reservoir, and insulin.
– Continue to check BG every hour until
BG returns to normal.
If ketone test is positive:
1. Take correction dose using a syringe.
2.Change infusion site, infusion set, reservoir,
and insulin.
3. Troubleshoot pump.
4.Check BG every 1 to 2 hours. Give correction
boluses as needed.
5. Drink non-carbohydrate fluids.
6.If BG continues to rise or if you have
moderate to high ketones, nausea, vomiting,
or difficulty breathing, notify physician or go
to the nearest emergency room.
DKA Prevention
Sick Day Guidelines
Illness and/or infection usually cause BGs to
run higher than normal. Therefore, the risk of
developing DKA is increased when you are ill.
Because DKA symptoms are similar to flu and
stomach virus symptoms, check your BG and
monitor for ketones often during illness.
• Check BG every 2 hours or as directed by
your healthcare provider
• Check urine or blood for ketones as directed by your healthcare provider
•
Immediately check ketones if you have nausea, vomiting, or abdominal pain
64
64
•
Notify doctor if ketones are positive, if you are unable to keep food down, or if no improvement within a few hours. Give a correction dose of insulin with a syringe according to your healthcare provider’s recommendations and change infusion set and reservoir.
Check for Ketones
Follow the instructions in your ketone testing kit.
Unexplained highs that do not decrease with a correction bolus may be
caused by a dislodged or kinked infusion set or a weak vial of insulin.
Bolus Wizard are registered trademarks, Inc. The glucagon design is a trademark of Eli Lilly and Company. ©2013 Medtronic MiniMed, Inc. All rights reserved. 950M11673-011 20130903
General Guidelines: If BG is Higher than 250 mg/dL — CHECK FOR KETONES
Notes
65
66
Appendix: Alerts and Alarms
Alerts
If the pump is operating and delivering insulin using a special feature or condition such as a
temporary basal setting, low battery, or low reservoir volume, it will beep or vibrate to remind you
that it is operating in the Special mode (an open circle will appear on the pump screen).
Alarms
Low Reservoir
Low Battery
INSULIN REMAINING IN
RESERVOIR IS LOW.
Change as soon as possible.
LESS THAN 10% BATTERY LIFE
LEFT. Replace as soon as possible,
always before going to sleep.
Your pump has a sophisticated network of safety checks and systems. If the pump is not delivering
insulin because it has been placed in manual suspend or another condition has caused the pump to
stop (such as Threshold Suspend), the pump will sound an alarm or vibrate periodically to notify you
that you are not receiving insulin. A closed black circle will appear on the screen as a reminder of
this condition. Note: To learn more about Threshold Suspend, please see Getting Started with
Continuous Glucose Monitoring for the MiniMed 530G with Enlite.
Weak Battery
Empty Reservoir
BATTERY NOT FULLY CHARGED.After clearing
alarm, pump will continue to deliver insulin,
but battery life will be shorter than normal.
CHANGE THE RESERVOIR
immediately.
Failed Battery Test
No Delivery
BATTERY TOO WEAK TO OPERATE
PUMP. Install a new battery.
BLOCKAGE or EMPTY RESERVOIR DETECTED:
insulin delivery stopped. Check blood
glucose and ketones. Change reservoir and
infusion set if reservoir is empty or infusion
set or tubing is kinked/dislodged. If alarm
occurs again, call Medtronic for assistance.
Clearing Alerts and Alarms
When your pump beeps or vibrates notifying you that an alert condition exists, read and follow
the instructions on the screen. Press ESC , then Act to silence an alert. Check the STATUS screen to
determine what caused the alert.
Appendix: Possible Battery Problems
Possible Battery Problems
ProblemSolution
Blank ScreenCheck and make sure that the battery is inserted
correctly.
Remember, the negative (flat) end must be facing
down in the pump.
Weak Battery
• You may have inserted a battery that has been
used for a short time.
• You can clear this message and continue, but
• Clear the alert by pressing the
the battery may not last as long as a new
battery.
then the
Act
ESC
button, and
button.
• The HOME screen should appear.
Remember, if this occurs, the pump will operate
normally but the battery life may be shorter than
expected.
Failed Battery TestReplace the battery. Occasionally new batteries
are damaged.
If you still do not see the HOME screen, call
Medtronic’s 24-Hour HelpLine (800.646.4633) for
assistance. We are available to assist you 24 hours
a day.
Remember, you will need to provide your pump’s
serial number. Your pump’s serial number can be
found in the pump’s STATUS screen or on the back of
your pump.
67
68
Appendix: Expanded Menu Map
Main Menu
Bolus MENU
Set Bolus1
Use Bolus Wizard2
Manual Bolus2
Set Bolus
Bolus History
Bolus Setup
Bolus Wizard Setup
Edit Settings
Wizard
Carb Units
Carb Ratios
Sensitivity
BG Target
Active Ins Time
Review Settings
Max Bolus
Max Bolus Setup
Scroll Rate
Scroll Rate Setup
Dual/Square Bolus
Off
On
Easy Bolus
Off
On/Set
BG Reminder
Off
On
Missed Bolus Reminder
Off
On/Set
Bolus
Suspend
Sensor
Capture Event
Basal
Reservoir + Set
Utilities
Note All
screens are
samples only.
Actual screens depend
on the current active
functions. Blue Arrows
( ) indicate submenus.
SENSOR MENU
Calibrate3
Enter BG
Alert Silence4
Off
Hi Alerts
Lo Alerts
Hi and Lo Alerts
All Sensor Alerts
Link to Sensor4
New Sensor
Reconnect Old Sensor
Find Lost Sensor
Turn Off Sensor
Transmtr ID
Edit Settings
Sensor
Glucose Alerts
Glucose Limits
Hi Repeat5
Lo Repeat5
Predict Alert
Rate Alerts
Threshold Suspend
Cal Repeat
Cal Reminder
Transmtr ID
Weak Signal
Graph Timeout
Sensor Demo
Calibration Hist4
Sensor Alert Hist4
Review Settings4
Turn Off Sensor4
manual SUSPEND MENU
Press
Act
to Stop PUMP
3
isplays only when the sensor is communicating
D
with the pump.
1
Displays only when the Bolus Wizard® feature is off.
4
Displays if Sensor is on.
2
Displays only when the Bolus Wizard® feature is on.
5
Displays if Glucose Alerts feature is on.
Status Screens
utilities menu
Lock Keypad
Alarm
Alarm History
Alert Type
Auto-Off
Low Resv Warning
Insulin Units
Time
Daily Totals
Time / Date
12 Hour Setup
24 Hour Setup
Alarm Clock
Off
On / Set
Connect Devices
PC Connect
Meters
Remotes
Other Devices
Block
Off
On
Selftest
User Settings10
Save Settings
Restore Settings11
Clear Settings
History
Capture Option
Off
On
Language
Getting Started
capture event6 MENU
Enter BG
Insulin marker
Meal marker
Exercise marker
Other
History
BG Units
Carb Units
basal menu
Set/Edit Temp Basal
Set Duration
Cancel Temp Basal7
Select Patterns8
Basal Review
Basal Setup
Set/Edit Basal
Set Basal Rate 1
Max Basal Rate
Patterns
Off
On
Temp Basal Type
Insulin Rate
Percent of Basal
reservoir + set menu
Reservoir Setup
Fill Tubing9
Fill Cannula
History
6
isplays if Capture Option is turned on in
D
Utilities Menu.
7
Displays only after setting Temp Basal.
10
8
Displays only when the Patterns feature is on.
Displays only when you hold
11
9
Displays only after a rewind.
isplays only after the patient settings have
D
been saved.
and press
Press the ESC button to go to
the SENSOR STATUS screen.
Pump Status Screen
STATUS U100
Last Alarm:
24APR 11:30 LoBat
Active ins: 1.050U
Last Bolus N 3.800U
9:07 24 MAR
Basal 1: 0.15U/H
Reservoir Started:
23APR, 12:44
Units left: 144.0U
Time left: > 24 hours
BG Reminder in 2:04h
Meter: On
Battery: Normal
Auto Off - 12HR
Fri 25 APR 2012
S/N# 123456
Paradigm 551
VER X.XX X.X
Sensor Status Screen
sensor status
Next Cal: 08:30
Sensor Age: 2d 3h
Sensor Isig: 25.97
Transmtr Batt: Good
Transmtr Ver: 1.1
Transmtr ID: 2111111
Pump S\N#: 123456
Act
.
69
70
Notes
Notes
71
72
Notes
Medtronic Diabetes
18000 Devonshire Street
Northridge, CA 91325
1.800.646.4633
Paradigm, Bolus Wizard, MiniMed, CareLink, Quick-set, Quick-serter, Silhouette, Sure-T, and Polyfin are
registered trademarks, and mio is a trademark of Medtronic MiniMed, Inc.
9501482-011 20130903 ©2013 Medtronic MiniMed, Inc. All rights reserved.
www.medtronicdiabetes.com
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