MiniMed™ 640G System User Guide - Medtronic

MiniMed™ 640G System User Guide - Medtronic
MiniMed™ 640G
System User Guide
MiniMed™ 640G
System User Guide
Copyright & trademarks
©2015 Medtronic MiniMed, Inc. All rights reserved.
CareLink™, Guardian™, Bolus Wizard™, Enlite™, MiniLink™, Dual Wave™, Square Wave™, MiniMed™, and
SmartGuard™ are trademarks of Medtronic MiniMed, Inc.
Bayer™ is a trademark of Bayer.
Humalog™ is a trademark of Eli Lilly and Company.
NovoLog™ and NovoRapid™ are trademarks of Novo Nordisk A/S.
REF MMT-1511 MMT-1711
6025957-024_a
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■
Contents
contents
■ Before you begin
3
Using this user guide
4
Emergency kit
5
User safety
5
Indications
6
Contraindications
6
General warnings
8
General precautions
10
Adverse reactions
10
Notice
12
Keeping track of your system information
13
Insulin guidelines
13
Consumables
14
Optional devices
15
Accessories
15
Ordering supplies and accessories
■ First steps
19
Your pump
20
Using the buttons
21
About batteries
22
Inserting the battery
23
Removing the battery
Contents
v
24
Getting to know your pump
24
Entering your startup settings
26
Unlocking your pump
26
Home screen
28
Status bar
31
Status screens
32
Using the Menu screen
34
Scroll bar
34
Power modes
35
If you remove your pump
■ Basal
39
Basal rate
40
Basal insulin settings
41
Max Basal Rate
41
Basal patterns
42
Adding a new basal pattern
46
Editing, copying, or deleting a basal pattern
46
Changing from one basal pattern to another
47
Temporary basal rates
47
About Temp Basal rates
48
Starting a Temp Basal rate
49
Preset Temp basal rates
52
Canceling a Temp Basal or Preset Temp basal rate
52
Viewing your basal information
54
Stopping and resuming your insulin delivery
■ Bolus
vi
59
About bolus deliveries
59
Bolus types
60
Bolus type example
61
Bolus delivery options
Contents
63
Max Bolus
64
Bolus Increment
64
Bolus Speed
65
Bolus Wizard
65
Understanding your Bolus Wizard settings
66
Setting up the Bolus Wizard feature
69
Changing your Bolus Wizard settings
71
Turning off the Bolus Wizard feature
72
About active insulin
72
Bolus Wizard warnings
73
Normal bolus
74
Delivering a Normal bolus with the Bolus Wizard
75
Delivering a Normal bolus using Manual Bolus
76
Square Wave bolus
77
Turning on or off Square Wave bolus
77
Delivering a Square Wave bolus with the Bolus Wizard
79
Delivering a Square Wave bolus using Manual Bolus
79
Dual Wave bolus
80
Turning on or off Dual Wave bolus
80
Delivering a Dual Wave bolus with the Bolus Wizard
82
Delivering a Dual Wave Bolus using Manual Bolus
83
Easy Bolus
83
Understanding Easy Bolus step sizes
84
Setting up Easy Bolus
84
Delivering a bolus using Easy Bolus
86
Preset Bolus
86
Setting up and managing Preset Bolus deliveries
88
Delivering a Preset Bolus
88
Stopping a bolus delivery
contents
Bolus settings
■
62
Contents
vii
■ Reservoir and infusion set
93
107
Setting up the reservoir and infusion set
Disconnecting and reconnecting your infusion set
■ Meter
111
About your compatible Bayer meter
112
Wirelessly connecting your pump and meter
112
Setting up Remote Bolus
112
Deleting a meter from your pump
■ History and events
117
History
117
Summary screen
118
Understanding the Summary screen
121
Daily History
122
Alarm History
122
Using Sensor Glucose Review
124
ISIG History
124
Event Markers
■ Reminders
129
Personal reminders
130
Bolus BG Check reminder
131
Missed Meal Bolus reminder
132
Low Reservoir reminder
133
Set Change reminder
133
Calibration reminders
■ General settings
viii
137
Airplane Mode
138
Audio Options
139
Auto Suspend
Contents
140
Carb Unit
141
Display Options
141
Language
142
Managing your pump settings
145
Self Test
146
Sensor Demo
148
Time and date
contents
Block Mode
■
139
■ Setting up Continuous Glucose Monitoring
151
Understanding Continuous Glucose Monitoring (CGM)
152
SmartGuard
153
Home screen with CGM
156
Understanding glucose settings
156
High settings
157
Low settings
167
Turning on the Sensor feature
167
Setting up the High Settings
171
Setting up the Low Settings
174
Manually resuming basal delivery during a suspend by sensor event
175
Wirelessly connecting your pump and transmitter using Auto Connect
179
Wirelessly connecting your pump and transmitter using Manual Connect
181
Deleting the transmitter from your pump
182
Inserting the sensor
182
Connecting the transmitter to the sensor
182
Starting the sensor
184
Calibrating your sensor
185
Setting up Auto Calibration
185
Where to enter your calibration BG meter reading
186
When to calibrate
187
Guidelines for calibrating
188
Disconnecting the transmitter from the sensor
Contents
ix
188
Removing the sensor
188
Turning off Sensor Settings
■ Using continuous glucose monitoring
191
The sensor graph
192
Identifying rapid changes in sensor glucose
193
Silencing Glucose Alerts
■ Alarms, alerts, and messages
199
About alarms, alerts, and messages
200
Alarms
201
Alerts
202
Messages
202
Pump alarms, alerts, and messages
216
CGM (sensor) alarms, alerts, and messages
226
CareLink alert and message
■ Troubleshooting
x
229
Troubleshooting pump issues
230
What is a Check Settings alarm?
230
My pump is asking me to rewind
230
I dropped my pump
231
I cannot get to the Manage Settings screen
231
My pump display times out too quickly
231
Where is my pump status screen?
232
My pump is asking me to enter my settings
234
Troubleshooting sensor issues
234
My pump cannot find the sensor signal
236
Calibration not accepted
236
Why does the SmartGuard suspend by sensor icon on my Home screen
appear gray?
Contents
■ Maintenance
241
Cleaning your pump
242
Cleaning your transmitter
242
Storing your pump
243
Storing your transmitter
Product specifications
247
Alarm and alert escalation
248
Altitude range
248
Audio frequency
249
Backlight
249
Basal delivery
250
BG Target
250
BG meter value
250
Bolus delivery
251
Bolus Wizard feature default settings
251
Bolus Wizard feature specifications
254
Carb ratios
254
Delivery accuracy
255
Easy Bolus
255
Environmental conditions
256
Filling the infusion set and cannula
256
Infusion pressure
256
Insulin delivery default settings
257
Insulin sensitivity factor
257
Low Reservoir reminder
258
Max Bolus
258
Normal bolus
258
Occlusion detection
259
Percent temp basal
contents
247
■
■ Product specifications and safety information
Contents
xi
259
Program safety checks
259
Pump dimensions
259
Pump memory
259
Pump weight
260
Sensor default settings
262
Guidance and manufacturer's declaration
268
Wireless communication
268
Quality of service
269
Radio frequency (RF) communications specifications
269
Data security
270
Icon table
■ Appendix A: End user software license agreement
273
End user software license agreement
■ Glossary
■ Index
xii
Contents
before you begin
■
before you begin
Before you begin
This user guide is designed to help you understand the operation of your
MiniMed™ 640G system. Work closely with your healthcare professional when
starting insulin pump therapy.
Using this user guide
This user guide contains valuable information about using your new insulin pump.
To help you find the information you need, you can use the table of contents at
the beginning of the user guide and the index at the end of the user guide. There
is also a glossary of terms, which starts on page 277.
The following table describes certain terms, conventions, and concepts used in this
user guide.
Convention
What it means
Select
To activate a screen item, accept a value, or initiate an action.
Select and
hold
To perform an action using your pump screen, press the Select
button and hold until the action is complete.
Press
To push and then release a button.
Press and
hold
To push and keep pressure on a button.
Bold text
To indicate screen items and buttons. For example, "Select Next to
continue."
Before you begin
3
Convention
Note
What it means
Note: A note provides helpful information.
Caution
Caution: A caution notifies you of a potential
hazard which, if not avoided, may result in minor
or moderate injury or damage to the equipment.
WARNING
WARNING: A warning notifies you of a
potential hazard which, if not avoided, could
result in death or serious injury. It may also
describe potential serious adverse reactions and
safety hazards.
Emergency kit
Keep an emergency kit with you at all times to make sure that you always have
necessary supplies. Tell a family member, co-worker, or friend where you keep your
emergency kit.
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.
Your emergency kit should include these items:
•
Fast-acting glucose tablets.
•
Blood glucose monitoring supplies.
•
Urine or blood ketone monitoring supplies.
•
Extra MiniMed-compatible infusion set and MiniMed reservoir.
•
Extra new AA lithium or alkaline batteries, or fully charged NiMH batteries.
4
Chapter 1
•
Insulin syringe and fast-acting insulin (with dosage instructions from your
healthcare professional).
•
Wallet card (packaged with your pump accessories).
•
Adhesive dressing.
•
Glucagon emergency kit.
■
before you begin
WARNING: Do not use the Bolus Wizard™ to calculate a bolus for a
period of time after giving a manual injection of insulin by syringe
or pen. Manual injections are not accounted for in the active insulin
amount. Therefore, the Bolus Wizard could prompt you to deliver
more insulin than needed. Too much insulin may cause
hypoglycemia. Consult with your healthcare professional for how
long you need to wait after a manual injection of insulin before you
can rely on the active insulin calculation of your Bolus Wizard.
For details on pump safety, see User safety, on page 5.
User safety
Indications
MiniMed 640G system
The MiniMed 640G system is indicated for the continuous delivery of insulin, at set
and variable rates, for the management of diabetes mellitus in persons requiring
insulin. In addition, the system is indicated for continuous or periodic monitoring
of glucose levels in the fluid under the skin, and detecting possible low and high
glucose episodes. When using a sensor and transmitter, the pump displays
continuous sensor glucose values and stores this data so that it can be analyzed to
track patterns and improve diabetes management. This data can be uploaded to a
computer for analysis of historical glucose values.
The continuous sensor glucose values provided by the MiniMed 640G system are
not intended to be used directly for making therapy adjustments. Rather, they
provide an indication that a confirmation fingerstick measurement may be
required. All therapy adjustments should be based on measurements obtained
using a home blood glucose monitor and not based on the value displayed by the
pump.
Before you begin
5
Contraindications
Pump therapy is not recommended for people who are unwilling or unable to
perform a minimum of four blood glucose tests per day.
Pump therapy is not recommended for people who are unwilling or unable to
maintain contact with their healthcare professional.
Pump therapy is not recommended for people whose vision or hearing does not
allow recognition of pump signals and alarms.
General warnings
Pump
The pump is not suitable for use in the presence of a flammable anesthetic
mixture with air, oxygen, or nitrous oxide.
Never rely on the pump beeps or vibrations alone to navigate through the pump
screens or menus because this may result in incorrect menu selection or setting.
Do not rely on preset pump alarms or reminders alone to prompt you to check
your blood glucose. Set additional reminders on other devices, such as your cell
phone, to avoid forgetting to check your blood glucose.
Standard Luer sets are not compatible with the MiniMed 640G insulin pump.
MiniMed reservoirs and MiniMed-compatible infusion sets are specifically designed
for use with the MiniMed 640G insulin pump. Do not modify your MiniMed
reservoir or MiniMed-compatible infusion set.
Only use U100 insulin that has been prescribed by your healthcare professional for
use with an infusion pump. Do not put any other drugs or medications inside your
reservoir for use with this pump.
Make sure the infusion set is disconnected from your body before you rewind your
pump or fill the infusion set tubing. Never insert the reservoir into the pump while
the tubing is connected to your body. Doing so could result in an accidental
infusion of insulin.
Do not insert the reservoir in the pump if you did not rewind your pump. Doing
so could result in an accidental infusion of insulin.
While the infusion set is connected to your body, do not unscrew or retighten the
tubing connector on the reservoir.
6
Chapter 1
Do not use the MiniLink™ transmitter (MMT-7703) with the MiniMed 640G insulin
pump as this device does not communicate with this insulin pump.
Do not modify this product, as modification could result in a safety hazard.
WARNING: Keep the pump away from magnetic fields and avoid
direct contact with any magnets.
If you are going to have an X-ray, MRI, diathermy treatment, CT scan, or other type
of exposure to radiation, take off your pump, sensor, transmitter, and meter before
entering a room containing any equipment of this kind. The magnetic fields and
radiation in the immediate vicinity of this equipment can make your devices
nonfunctional or damage the part of the pump that regulates insulin delivery,
possibly resulting in over delivery and severe hypoglycemia.
Do not expose your pump to a permanent magnet, such as pump cases that have
a magnetic clasp. Exposure to a permanent magnet may interfere with the motor
inside the pump.
Reservoir and infusion sets
Only use reservoir and infusion sets manufactured by Medtronic Diabetes. The
pump has undergone extensive testing to confirm appropriate operation when
used with compatible reservoirs and infusion sets manufactured or distributed by
Medtronic Diabetes. We cannot guarantee appropriate operation if the pump is
used with reservoirs or infusion sets offered by third parties. We are not
responsible for any injury or malfunctioning of the pump that may occur in
association with such use.
Before you begin
7
before you begin
Exposure to magnetic fields and radiation
■
Do not use your pump if the screen appears broken or unreadable. In some
instances, impact to the pump can damage the screen while the buttons continue
to function. If the screen is broken or unreadable, do not press any buttons.
Remove the pump and begin using your backup insulin plan per the direction of
your healthcare professional. If the pump is accidentally programmed while the
screen is broken or unreadable, this could result in high or low blood glucose
levels. If your screen is damaged, contact the 24 Hour HelpLine or your local
representative to arrange for shipment of a replacement pump.
Only use U100 insulin that has been prescribed by your healthcare professional for
use with an infusion pump. Do not put any other drugs or medications inside your
reservoir for use with this pump.
For additional warnings related to the reservoir and infusion set, refer to the user
guides provided with those devices.
Sensor
While there is no evidence of an Enlite™ sensor breaking in a patient’s body, if you
suspect that sensor breakage has occurred, do not attempt to remove the sensor
yourself. Contact your healthcare professional for assistance in removing the
sensor.
For warnings related to the sensor, refer to the user guide provided with that
device.
Transmitter
Keep the transmitter away from children. This product contains small parts and
may pose a choking hazard.
For warnings related to the transmitter, refer to the user guide provided with that
device.
Meter
For warnings related to compatible Bayer™ meters, refer to the user guide
provided with that device.
General precautions
Although the pump has multiple safety alarms, it cannot notify you if the infusion
set is leaking or the insulin has lost its potency. It is essential, that you test your
blood glucose levels at least four times per day. If your blood glucose is out of
range, check the pump and the infusion set to ensure that the necessary amount
of insulin is being delivered.
Waterproof capabilities
At the time of manufacture and when the reservoir and tubing are properly
inserted, your pump is waterproof. It is protected against the effects of being
underwater to a depth of up to 3.6 meters (12 feet) for up to 24 hours.
8
Chapter 1
If the pump is dropped, hit against a hard object, or otherwise damaged, the
waterproof characteristics of the outer casing of the pump may be compromised.
If your pump has been dropped or you suspect your pump is damaged, carefully
inspect your pump to ensure there are no cracks before exposing your pump to
water.
■
If you believe that water has entered your pump or you observe any other
possible pump malfunction, check your blood glucose, and treat high blood
glucose as necessary, using an alternative source of insulin. Contact your local
representative for further assistance. Always contact your healthcare professional if
you experience excessively high or low blood glucose levels or if you have any
questions about your care.
Although your MiniMed 640G insulin pump is designed to be unaffected by typical
levels of electrostatic discharge (ESD), very high levels of ESD can result in a reset
of the pump's software and a pump error alarm. After clearing the alarm, verify
that your pump is set to the correct date and time and that all other settings are
programmed to the desired values because the software reset could erase your
previously programmed settings.
For more information on pump alarms, see Pump alarms, alerts, and messages, on
page 202. For more information on re-entering your pump settings, see My pump
is asking me to enter my settings, on page 232. If you are unable to re-enter your
pump settings, or otherwise believe there is a problem with your pump, contact
your local representative.
Avoid extreme temperatures
Exposure to extreme temperatures can damage your device, which can adversely
affect safety and effectiveness of your device. Avoid the following conditions:
1.
Avoid exposing your pump to temperatures above 40 °C (104 °F) or below
5 °C (41 °F) because this may damage your device.
2.
Insulin solutions freeze near 0 °C (32 °F) and degrade at high temperatures. If
you are outside in cold weather, wear your pump close to your body and
cover it with warm clothing. If you are in a warm environment, take measures
to keep your pump and insulin cool.
Before you begin
9
before you begin
Electrostatic discharge
3.
Do not steam, heat, sterilize, or autoclave your pump. Exposure to high
temperatures may damage your device.
Lotion, sunscreen, and insect repellent
Some skin care products, such as lotion, sunscreen, and insect repellents, can
cause damage to plastics, which is a material used in your pump case. After using
such products, be sure to wash your hands prior to handling your pump. If you
get any skin care products or insect repellents on your pump, wipe them off as
soon as possible with a damp cloth and mild soap. For instructions on cleaning
your pump, see Cleaning your pump, on page 241.
Infusion sets and sites
For precautions related to the infusion sets and sites, refer to the user guides
provided with those devices.
Sensor
For precautions related to the sensor, refer to the user guide provided with that
device.
Transmitter
For precautions related to the transmitter, refer to the user guide provided with
that device.
Meter
For precautions related to compatible Bayer™ meters, refer to the user guide
provided with that device.
Adverse reactions
For adverse reactions related to the sensor, refer to the user guide provided with
that device.
Notice
Radio Frequency (RF) communication
This device complies with the United States Federal Communications Commission
(FCC) and international standards for electromagnetic compatibility.
10
Chapter 1
This device complies with Part 15 of the FCC Rules. Operation is subject to the
following two conditions: (1) This device may not cause harmful interference, and
(2) this device must accept any interference received, including interference that
may cause undesired operation.
•
Reorient or relocate the receiving antenna.
•
Increase the separation between the equipment and the receiver.
This device can generate, use, and radiate radio frequency energy and, if installed
and used in accordance with the instructions, may cause harmful interference to
radio communications. If the device does cause interference to radio or television
reception, you are encouraged to try to correct the interference by one or more of
the following measures:
•
Decrease the distance between the transmitter and the insulin pump to 1.8
meters (6 feet) or less.
•
Decrease the distance between the meter and the insulin pump to 1.8 meters
(6 feet) or less.
•
Increase the separation between the transmitter and the device that is
receiving/emitting interference.
If other devices that employ radio frequencies are in use, such as cell phones,
cordless phones, and wireless networks, they may prevent communication
between the transmitter and the insulin pump. This interference does not cause
Before you begin
11
before you begin
This equipment has been tested and found to comply with the limits for a Class B
digital device, pursuant to Part 15 of the FCC rules. These limits are designed to
provide reasonable protection against harmful interference in a residential
installation. This equipment generates, uses, and can radiate radio frequency
energy and, if not installed and used in accordance with the instructions, may
cause harmful interference to radio communications. However, there is no
guarantee that interference will not occur in a particular installation. If this
equipment does cause harmful interference to radio or television reception, which
can be determined by turning the equipment off and on, the user is encouraged
to try to correct the interference by one or more of the following measures:
■
These standards are designed to provide reasonable protection against excessive
radio frequency interference, and prevent undesirable operation of the devices
from unwanted electromagnetic interference.
any incorrect data to be sent and does not cause any harm to your devices.
Moving away from, or turning off, these other devices may enable communication.
If you continue to experience RF interference, please contact your local
representative.
Caution: Changes or modifications to the internal RF transmitter or
antenna not expressly approved by Medtronic could void the user's
authority to operate this insulin delivery system.
Directive 1999/5/EC
Medtronic declares that this product is in conformity with the essential
requirements of Directive 1999/5/EC on Radio and Telecommunications Terminal
Equipment.
For additional information, contact Medtronic MiniMed at the address or phone
number provided on the back cover.
For Canada only
This device complies with Industry Canada licence-exempt RSS standard(s).
Operation is subject to the following two conditions: (1) this device may not cause
interference, and (2) this device must accept any interference, including interference
that may cause undesired operation of the device.
Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux
appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions
suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'appareil doit
accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible
d'en compromettre le fonctionnement.
Keeping track of your system information
The serial number (SN) is located on the back of your pump. If you are using the
belt clip, you need to remove the belt clip to view the serial number. It also
displays in your Pump status screen. For more details on the status screens, see
Status screens, on page 31. For future reference, enter the serial number of your
pump and the purchase date in the following table:
12
Chapter 1
Pump serial number and purchase date
Serial Number:
Purchase Date:
Insulin guidelines
■
The pump is intended for use with U100 insulin. The following insulins have been
tested by Medtronic Diabetes and found to be safe for use with the MiniMed 640G
insulin pump:
•
Humalog™
•
NovoLog™
•
NovoRapid™
Before using different insulin with this pump, check the insulin label to make sure
the insulin can be used with the pump.
Consumables
The pump uses disposable (single-use) MiniMed reservoirs and infusion sets for
insulin delivery.
WARNING: Only use reservoir and infusion sets manufactured by
Medtronic Diabetes. The pump has undergone extensive testing to
confirm appropriate operation when used with compatible
reservoirs and infusion sets manufactured or distributed by
Medtronic Diabetes. We cannot guarantee appropriate operation if
the pump is used with reservoirs or infusion sets offered by third
parties and therefore we are not responsible for any injury or
malfunctioning of the pump that may occur in association with such
use.
Before you begin
13
before you begin
WARNING: Never start on insulin until directed by your healthcare
professional. Doing so could result in an unintended delivery of
insulin, which may cause hypoglycemia.
•
Reservoirs – Use only Medtronic reservoirs. For the MMT-1511 pump model,
use the MMT-326A, 1.8 ml (180-unit) reservoir.
Look on the back of your pump for your model number.
For the MMT-1711 pump model, use either the MMT-332A, 3.0 ml (300-unit)
reservoir or the MMT-326A, 1.8 ml (180-unit) reservoir, depending on your
insulin needs.
•
Infusion sets – Medtronic Diabetes provides a variety of infusion sets to fit
your needs. Contact your healthcare professional for help in choosing an
infusion set. Change your infusion set every two to three days per your
infusion set manufacturer's instructions.
Optional devices
•
Compatible Bayer blood glucose meter – The 640G system comes with a
compatible Bayer blood glucose meter. It wirelessly connects to your pump,
allowing you to send BG meter readings to your pump. The Remote Bolus
feature allows you to use your meter to start a bolus on your pump. You can
also use this meter to upload system data to your diabetes management
software using the USB port on your computer. For more details, see your
meter user guide.
Note: The compatible Bayer meter may not be available in all
countries.
•
Guardian™ 2 Link transmitter (MMT-7731) – used with your pump for
Continuous Glucose Monitoring (CGM). A device that connects to a glucose
sensor. The transmitter collects data measured by the sensor and wirelessly
sends this data to monitoring devices.
•
Enlite glucose sensor (MMT-7008) – used with your pump for CGM. The
small part of the continuous glucose monitoring system that you insert just
below your skin to measure glucose levels in your interstitial fluid. The sensor
is a single-use device.
•
CareLink™ USB (MMT-7306) – used to upload system data to the diabetes
management software using a USB port on your computer.
14
Chapter 1
Accessories
The following accessories may be used with your MiniMed 640G system.
•
Activity guard (ACC-1520) – used if you are active in sports, or if a child is
wearing the pump. Using the activity guard prevents the reservoir from being
rotated or removed from the pump.
•
Skins – used to personalize the look of your pump. Skins are decorative
overlays. Your pump is designed to have skins attached to the back of the
pump and the front of the belt clip. Skins also provide additional protection
against surface scratches.
before you begin
Belt clip (ACC-1599) – used to wear the pump on your belt. Also, you can use
the tip of the belt clip to open the battery compartment on your pump.
Ordering supplies and accessories
To order supplies or accessories, contact your local representative.
Before you begin
■
•
15
16
Chapter 1
first steps
■
This chapter gives you an overview of your pump so you can become familiar with
the buttons and screens. Read this entire chapter to understand the basic features
and initial setup before using your pump to deliver insulin.
Your pump
The following illustration shows the different parts of your pump. The reservoir,
with the tubing connector attached, is inserted into the reservoir compartment.
tubing connector
reservoir compartment
battery compartment
screen
buttons
First steps
19
first steps
First steps
Using the buttons
Caution: Do not use sharp objects to press the buttons on your
pump. Using sharp objects can damage your pump.
The following picture shows the buttons, the notification light, and the light sensor
on your pump. The notification light flashes when your pump has an alarm or
alert. The notification light is not visible unless flashing.
The keypad has a backlight that lights up the buttons when in use.
light sensor
up
back
menu
notification
light
select
left
right
down
Note: Do not cover the light sensor with your finger while using your
pump. Covering the light sensor may adjust the brightness on the screen
when brightness is set to Auto. See Display Options, on page 141 for more
information.
20
Chapter 2
The following table describes how to use the buttons.
To do this:
Follow these steps:
Scroll up or down a menu or
list, or increase or decrease the
value of a setting.
Press the
Select an item on a screen or
menu.
Press the , , , or buttons to select the
desired item, and then press the button.
Enter a value into a field.
Press the , , , or buttons to select the
desired field, and then press the button. The field
you select flashes. Press the
or
buttons to
enter the desired value, and then press the
button.
Return to the previous screen.
Press the
Display the Menu screen.
Press the
Display the Home screen.
When you are on any screen other than the Home
or
buttons.
■
button.
screen, press and hold the
button for about one
second.
Put the pump in sleep mode.
Press and hold
Wake up the pump.
Press any button.
for about two seconds.
About batteries
The pump requires one new AA (1.5 V) battery. For best results, use a new AA
lithium (FR6) battery. The pump also accepts an AA alkaline (LR6) or a fully charged
AA NiMH (HR6) nickel-metal hydride rechargeable battery.
Caution: Do not use a carbon zinc battery in your pump.
Note: Do not use cold batteries because the battery life may incorrectly
appear as low. This can cause a Battery Failed alarm on your pump. Allow
cold batteries to reach room temperature before you insert them in your
pump.
First steps
21
first steps
button.
Inserting the battery
Your pump does not ship with the battery cap on. The battery cap is located in
the pump box, separate from the pump.
To insert the battery:
1.
Insert the new or fully charged AA battery, making sure to insert the negative
end (−) first. After you insert the battery, the positive end (+) is visible.
2.
Use the belt clip to tighten the battery cap.
Caution: Do not overtighten or undertighten the battery cap.
Overtightening the battery cap can cause damage to your pump
case. Undertightening the battery cap will prevent the pump from
recognizing the new battery. Turn the battery cap clockwise until
the cap is aligned horizontally with the pump case, as shown in
the following example.
22
Chapter 2
3.
If this is the first time you have inserted a battery in your pump, the Startup
Wizard begins. For more information about the Startup Wizard, see Entering
your startup settings, on page 24. If this is not the first time you have inserted
a battery into your pump, the Home screen appears and the pump resumes
your basal delivery.
Removing the battery
■
To remove the battery:
1.
Before removing a battery from your pump, clear any active alarms or alerts.
2.
Use the belt clip to loosen and remove the battery cap.
Note: Use your belt clip to remove and retighten the battery cap. If
the belt clip is unavailable, you may use a coin.
3.
Remove the battery.
4.
Dispose of old batteries according to local disposal requirements.
5.
After removing your battery, wait until the Insert Battery screen appears
before inserting a new battery.
First steps
23
first steps
Caution: Do not remove the battery unless you are inserting a new
one, or if you are storing your pump. Your pump cannot deliver
insulin while the battery is removed. After removing an old battery, be
sure to replace it with a new battery within 10 minutes to clear the
Insert battery alarm and avoid a Power loss alarm. If power loss
occurs, you must re-enter your time and date settings.
If you are removing the battery to place your pump in storage, see Storing
your pump, on page 242 for more information.
Getting to know your pump
This section shows you how to navigate through the screens and menus on your
pump. It also helps you learn how to enter information and view the status of your
pump.
Entering your startup settings
Your pump has a Startup Wizard that begins when you insert your battery for the
first time. The Startup Wizard guides you through setting the language, the time
format, the current time, and the current date.
Note: Use this procedure when you are entering your settings for the
first time. If this is not the first time you are entering your pump settings,
and your pump is asking you to re-enter your settings, see My pump is
asking me to enter my settings, on page 232.
To use the Startup Wizard:
1.
The Startup Wizard begins after the Welcome screen appears. When the
Language screen appears, select your language.
2.
When the Select Time Format screen appears, select a 12 hour or a 24 hour
time format.
24
Chapter 2
4.
When the Enter Date screen appears, adjust the Year, Month and Day to the
current date. Select Next.
A message confirms that your initial setup is complete, and then the Home
screen appears.
After you enter your initial settings, see the following sections in this chapter
to become familiar with the buttons and screens on your pump.
First steps
25
first steps
When the Enter Time screen appears, adjust the setting to the current time. If
you are using a 12-hour clock, be sure to specify AM or PM. Select Next.
■
3.
Unlocking your pump
Your pump automatically locks when entering sleep mode. When you wake up
your pump from sleep mode, you must unlock your pump before navigating away
from the Home screen. When you press menu or select , you will be shown a
screen asking you to unlock your pump. Press the highlighted button to unlock
your pump.
The pump will take you to your selected screen after you press the correct button.
If you press an incorrect button, the following screen appears and you will need to
select OK to return to your Home screen and try again.
After your pump is unlocked, it will remain unlocked until you re-enter sleep
mode. For information about the different power modes, or to put your pump to
sleep, see Power modes, on page 34.
Home screen
The Home screen appears by default after you change the battery, when you wake
the pump from sleep mode, and when you are not actively using another screen.
You can navigate to the Home screen from any other screen by pressing and
holding the
button for about one second.
26
Chapter 2
To see what your Home screen looks like if you use a sensor, see Home screen with
CGM, on page 153.
17:00
status bar
current time
BG
BG meter readings
mmol/L
Active Insulin
1.0 U
Basal
bolus delivery
options
active insulin
amount
first steps
Bolus
■
6.2
basal delivery
options
The following items appear on your Home screen:
Item
Description
Status bar
Displays icons that show a quick status of your pump system. For more
information, see Status bar, on page 28. By selecting the status bar you
can access more detailed status screens. For more information, see Status
screens, on page 31.
Current
time
Displays the current time of day. For details on setting the time, see Time
and date, on page 148.
BG meter
readings
If you have taken a BG meter reading using your compatible Bayer meter
or manually entered a BG meter reading within the last 12 minutes, the
BG meter reading appears on the Home screen.
You can enter your BG meter reading manually using the Event Markers
feature, or when you use the Bolus Wizard to deliver a bolus. For details
on using the Bolus Wizard, see Bolus Wizard, on page 65. For details on
entering events, see Event Markers, on page 124.
Active
Insulin
Displays the amount of bolus insulin the pump estimates is still working
to lower your blood glucose levels. For more details on active insulin, see
About active insulin, on page 72.
First steps
27
Item
Description
Bolus
Allows you to access your bolus delivery options, and provides access to
all of your insulin settings. For details about entering your bolus settings
and delivering bolus insulin, see the Bolus chapter on page 59.
If you have not set up the Bolus Wizard and Preset Bolus features, you
only have access to Manual Bolus from this screen. For details about
setting up the Bolus Wizard feature, see Bolus Wizard, on page 65. For
details about setting up the Preset Bolus feature, see Preset Bolus, on
page 86.
Basal
Allows you to access your basal delivery options, and provides access to
all of your insulin settings. For details about entering your basal settings
and delivering basal insulin, see the Basal chapter on page 39.
To access all of your basal options from this screen, you must have set up
a Preset Temp basal rate. For details about setting up Preset Temp basal
rates, see Preset Temp basal rates, on page 49.
Status bar
The status bar appears at the top of the Home screen to provide a way for you to
quickly check the status of your system. The status bar contains the icons that are
described in the following table, along with the current time. For information on
viewing detailed status screens, see Status screens, on page 31.
Icon
Icon name
What it means
Battery
The charge level of your pump battery. The color and
the fill level of the icon indicate the status. When your
battery is full, the icon is solid green. As your battery
life is used, the icon changes, as shown in the following
example. For more details about batteries, see About
batteries, on page 21.
28
Chapter 2
Icon
Icon name
What it means
Connection
The connection icon appears green
when the
Sensor feature is on and your transmitter is successfully
communicating with your pump. The connection icon
appears gray
when the Sensor feature is turned on,
Appears in place of the Connection icon if Airplane
Mode is turned on. When Airplane Mode is turned on,
the pump cannot receive wireless communication from
other devices. The pump also cannot send wireless
communication to other devices. For more information
about using Airplane Mode, see Airplane Mode, on
page 137.
Reservoir
Shows the approximate amount of insulin left in your
reservoir. The color and the fill level of the icon indicate
the status. When your reservoir is full, the icon is solid
green. As your insulin is used, the icon becomes
emptier, and the color of the icon changes as shown in
the following example. For more information about
your reservoir, see Reservoir and infusion set on
page 93.
Audio
The audio mode you are using: vibrate only
only
, or vibrate and audio
first steps
Airplane Mode
■
but the transmitter is not connected or communication
with your pump has been lost. For more information
about the Sensor feature, see Understanding Continuous
Glucose Monitoring (CGM), on page 151.
, audio
. For more information
about your audio settings, see Audio Options, on
page 138.
First steps
29
Icon
Icon name
What it means
Calibration
The approximate time left until your next sensor
calibration is due. Appears only when the Sensor
feature is turned on. The color and the fill level of the
icon indicate the status. When your sensor is fully
calibrated, the icon is solid green. As the time for your
next sensor calibration approaches, the icon becomes
emptier, and the color of the icon changes as shown in
the following example. For more information about
calibrating your sensor, see Calibrating your sensor, on
page 184.
When your sensor is initializing, the Calibration icon
appears with three dots
. If the time to your next
sensor calibration is unavailable, the Calibration icon
appears with a question mark
6
Sensor Life
.
The number of days remaining in the life of your
sensor. Appears only when the Sensor feature is turned
on. The color and the fill level of the icon indicate the
status. When you insert a new sensor, the icon is solid
green. As your sensor life is used, the icon becomes
emptier. The icon turns yellow when less than 24 hours
remains in the life of your sensor. It turns red when less
than 12 hours remains in the life of your sensor.
If the number of days remaining in the life of your
sensor is unavailable, the Sensor Life icon appears with
a question mark
30
Chapter 2
.
Icon
Block Mode
Indicates that the pump is in Block Mode, and that
certain functions are restricted. Caregivers, such as
parents of a young child, can use Block Mode to restrict
access to critical pump settings. For more information
about Block Mode, see Block Mode, on page 139.
Temporary
Network
Connection
Appears while you are temporarily connected to a
remote upload device.
first steps
What it means
■
Icon name
Status screens
The Status screens provide information about your pump, any notifications you
have received, your current settings, and optional sensor. The Status screens are
described in the following table:
Status screen
Displays this information
Notifications
A list of alarms, alerts, and reminders that have occurred over the past
24 hours. You can display further details about a particular alarm, alert,
or reminder by selecting it from the list. For more information on
alarms and alerts, see the Alarms, alerts, and messages chapter.
Quick Status
A summary of status information, including your last bolus, last BG
meter reading, current basal rate, reservoir level, and pump battery
charge level. If you are using a sensor, this screen also displays the
time that your next calibration is due and the SmartGuard™ status.
Pump
Provides a detailed view of your pump status, including whether your
pump is in a specific mode, the reservoir status, battery status, the
pump serial number, and other details about your pump.
Sensor
The Sensor status screen is available only if your sensor feature is
turned on. The Sensor status screen indicates if any alert silence
options are turned on. It also shows the status of your calibrations,
your sensor life, ISIG, transmitter battery, serial number and version
number of your transmitter, and the SmartGuard status.
First steps
31
Status screen
Displays this information
Settings
Review
The Settings Review screen provides a list of all your pump settings.
The settings are organized by where they appear in the menu for
your pump. For example, your bolus settings appear under the Insulin
Settings section, and your brightness level setting appears under the
Utilities section.
Viewing the Status screens
1.
Go to the Home screen.
2.
Select the status bar that appears at the top of the Home screen.
17:00
BG
6.1
mmol/L
Active Insulin
Bolus
1.0 U
Basal
The Status screen appears.
3.
Select the status screen that you want to view. Refer to the table at the
beginning of this section for a description of the different status screens.
Using the Menu screen
The Menu screen is where you access the various features and functions of your
system. To display the Menu screen, press .
32
Chapter 2
■
first steps
The following options are available from the Menu screen:
Select this
To do this
Suspend Delivery
Stop your current basal and bolus insulin delivery.
Audio Options
Set your audio, vibrate, and volume options for the notifications
you receive.
History
Access the Summary, Daily History, and Alarm History screens. If
you are using a sensor, you can access the SG Review and ISIG
History screens.
Reservoir &
Tubing
Start the process of changing your reservoir and infusion set.
Insulin Settings
Set up and manage your insulin delivery options, including your
Basal and Bolus settings.
Sensor Settings
Set up your optional continuous glucose monitoring device
settings.
Event Markers
Save information about events, such as exercise, blood glucose
readings, carbs you eat, or injections you take. If you are using a
sensor, the blood glucose readings may be used for calibration.
Reminders
Set up reminders to help monitor your system and to help you
manage your diabetes. You can also create reminders for personal
events.
Utilities
Set up and manage the features and functions of your system.
First steps
33
Scroll bar
The scroll bar is located on the right side of the display, as shown in the following
example. It appears only when there is more information available to view on the
screen. Press or to move up or down the screen.
scroll bar
Power modes
Your pump is designed to conserve battery power when you are not actively using
the pump screens.
In this
Your pump behaves like this
mode
Awake
Your pump screen is on. Unless you are actively using another screen, your
Home screen appears.
To wake up your pump from being in power save or sleep mode, press
any button. If your pump has been in sleep mode, the pump is locked. To
unlock your pump, see Unlocking your pump, on page 26.
Power
save
34
Your pump is fully functional, but the screen goes dark to save power. You
can set how long it takes for your screen to enter power save mode by
changing the Backlight setting. For more information, see Display Options,
on page 141. If any button is pressed while the pump is in Power save
mode, the pump returns to the screen that was last displayed.
Chapter 2
In this
Your pump behaves like this
mode
Sleep
Your pump automatically enters sleep mode about two minutes after your
pump enters power save mode if no buttons are pressed. At this time,
your pump automatically locks. If any button is pressed, your pump returns
to the Home screen.
■
first steps
Note: In some cases, if there is an action you need to take,
your pump returns to the screen last displayed. This
includes startup settings, loading your reservoir, filling your
tubing, filling your cannula, and any screen where you have
an action pending.
To put your pump into sleep mode, press and hold the Menu button
for about two seconds.
If you remove your pump
You may have an occasion when you need or want to remove your pump. If you
have to remove and store your pump, it is recommended that you do the
following:
•
Write down a record of your current basal rates and use the Save Settings
feature. See Saving your settings, on page 142 for more information.
•
Remove the battery. See Storing your pump, on page 242 for more information.
Remember, your body still needs insulin while your pump is removed.
Consult your healthcare professional to determine an alternate method of
receiving insulin. Disconnecting from your pump for less than one hour may not
require an insulin adjustment. If you remove your pump for more than one hour,
you should take your insulin another way, as prescribed by your healthcare
professional.
First steps
35
36
Chapter 2
basal
■
basal
Basal
Basal insulin is the "background" insulin that you need throughout the day and
night to maintain your target blood glucose values when you are not eating. Your
basal insulin accounts for approximately one half of your daily insulin requirements.
Your pump mimics a pancreas by delivering insulin continuously over 24 hours.
Your basal insulin is delivered according to a basal pattern. Basal patterns and
other basal settings are described in the following sections.
Basal rate
Your basal rate is the specific amount of basal insulin that your pump continuously
delivers each hour. While some people use one basal rate all day, others require
different rates at different times of the day.
Your basal rates are set in one or more basal patterns. Each basal pattern covers
24 hours. For specific information about basal patterns, see Basal patterns, on
page 41.
Basal
39
Basal insulin settings
Your basal insulin delivery settings are described in the following table.
Setting
What it is
What it does for you
Basal Pattern
A set of one or more
basal rates that cover a
24-hour period.
Determines the amount of insulin you
receive per hour throughout the day
and night. Allows you to vary your basal
rate according to your needs. You can
set up to eight basal patterns. For
details on setting up basal patterns, see
Adding a new basal pattern, on page 42.
For details about starting a basal
pattern, see Changing from one basal
pattern to another, on page 46.
Temp Basal
A basal rate that you use
in place of your
scheduled basal rate for
short-term situations.
Allows you to temporarily change your
current basal rate for a duration of time
that you specify. For details about
starting a temp basal rate, see Starting a
Temp Basal rate, on page 48.
Preset Temp
A temporary basal rate
that you can define
ahead of time.
Allows you to set and save temporary
basal rates for known short-term
situations, such as when you are sick or
have times of increased or decreased
activity. For details about setting up a
preset temp basal rate, see Preset Temp
basal rates, on page 49. For details
about starting a preset temp basal rate,
see Starting a Preset Temp basal rate, on
page 51.
Max Basal Rate
Maximum amount of
basal insulin that your
pump can deliver
per hour.
Provides a safety measure by limiting
the total amount of basal insulin your
pump can deliver per hour. For details
about setting your Max Basal rate, see
Max Basal Rate, on page 41.
40
Chapter 3
Max Basal Rate
Max Basal Rate limits the amount of basal insulin that can be delivered per hour,
based on the maximum rate you set. You are unable to set any basal rates, temp
basal rates, or preset temp basal rates that exceed the max basal rate amount. You
can set your max basal rate from 0 to 35 units per hour. Set your max basal rate as
prescribed by your healthcare professional.
■
basal
Note: If you are setting your max basal rate after you have set up your
basal patterns or preset temp basal rates, you cannot set your max basal
rate lower than any of your existing basal rates. You cannot access this
feature during a bolus delivery.
To set your Max Basal Rate:
1.
Go to the Max Basal/Bolus screen.
Menu > Insulin Settings > Max Basal/Bolus
2.
Select Max Basal to set the maximum number of basal insulin units that can
be delivered each hour.
Because the Max Basal Rate setting determines your basal insulin limits, a
warning message appears any time you enter the screen to change the value.
To continue setting the value, select Continue.
3.
In the Max Basal Rate screen, select Max Basal to set the maximum units per
hour.
4.
Select Save.
Basal patterns
Your basal pattern determines the amount of basal insulin you receive throughout
the day and night. Because your basal insulin needs can vary, you can set up to
eight basal patterns. For example, you might use one basal pattern during the
week and a different basal pattern during the weekend.
Basal
41
A basal pattern is made up of one to 48 basal rates that you set up to cover a full
24-hour period. If you only need one basal rate throughout the day, you set only
one rate for the 24-hour period. If you need the basal rates to change during the
day or night to better match your insulin needs, you can set more than one rate,
each with a separate start and end time.
The following example represents one basal pattern with three basal rates set for
three different time periods.
U/hr
1.000
00:00 – 8:00
0.900 U/hr
0.500
00:00
6:00
18:00 – 24:00
0.900 U/hr
8:00 – 18:00
0.650 U/hr
12:00
24 Hours
18:00
24:00
Your healthcare professional will determine what rates are right for you.
Note: If you have already set up basal patterns and want to switch from
using one basal pattern to another, see Changing from one basal pattern
to another, on page 46.
Adding a new basal pattern
This procedure shows you how to add a new basal pattern.
To add a new basal pattern:
1.
Go to the Basal Pattern Setup screen.
Menu > Insulin Settings > Basal Pattern Setup
42
Chapter 3
The Basal Pattern Setup screen appears. Your active basal pattern appears
with a check mark and the 24-hour delivery amount, as shown in the
following example.
■
basal
2.
If this is your first time setting up a basal pattern, the unit amount will be 0.0.
Select Basal 1 and proceed to step 5.
If this is not your first time setting up a basal pattern, proceed to the next
step to add a new pattern.
3.
To add a new basal pattern, select Add New.
The Select Name screen appears.
Note: The Workday, Day Off, and Sick Day patterns are available so
that you can match a basal pattern name to your insulin needs on
those particular days.
4.
Select the basal pattern that you want to set up. An edit screen appears for
the pattern you selected. The following example shows the Edit Workday
screen.
Basal
43
Caution: Insulin is delivered in units per hour. If you set a basal
rate of 0.025 U/hr for a 30-minute time period, this might result in
no insulin delivered for that 30-minute period.
5.
6.
To create one continuous 24-hour basal rate for your basal pattern, continue
with this step. To create more than one basal rate for your new basal pattern,
skip to step 6.
a.
Leave End time at 24:00 to set a 24-hour rate. The Start time of the first
time segment is always 00:00.
b.
Set your rate in units per hour.
c.
Skip to Step 7.
To create more than one basal rate for your new basal pattern, enter one
basal rate at a time, as described in the following steps:
a.
Set the End time and the Rate for your first basal rate. You set your rates
in 30-minute increments.
If you set the End time to anything other than 24:00, a second basal rate
setting appears.
44
Chapter 3
■
basal
The Start time for the next rate is always the same as the End time of
the previous rate.
Note: If you need to make a change, you can press to scroll
up to the rate you want to change. Adjust the End time or Rate
values as desired.
Note that pressing or when a field is selected (flashing)
adjusts the value of that field. When there is no field selected,
pressing or allows you to scroll up or down the list of
basal rates.
b.
7.
Continue setting rates for different time periods as needed. The End time
for your last rate must be 24:00, as shown in the example below.
When you finish setting your basal pattern, select Done. (The Done option
appears only when the last End time in your basal pattern is set to 24:00).
A screen appears that allows you to review your basal pattern. If you need to
make any changes, press
to return to the previous screen.
8.
Select Save.
To activate your basal pattern, see Changing from one basal pattern to another,
on page 46.
Basal
45
Editing, copying, or deleting a basal pattern
To edit, copy, or delete a basal pattern:
1.
Go to the Basal Pattern Setup screen.
Menu > Insulin Settings > Basal Pattern Setup
The Basal Pattern Setup screen displays all of your existing basal patterns.
2.
Select the basal pattern you want to edit, copy, or delete.
3.
Select Options.
4.
Do one of the following:
•
Select Edit to adjust the End time or rate values for one or more of the
basal rates in this basal pattern.
•
Select Copy to copy the basal rate information from the selected basal
pattern to a new basal pattern. When the Select Name screen appears,
you can select any available name from the list. Use the Edit option to
adjust the new basal pattern as desired.
•
Select Delete to delete the selected basal pattern. You cannot delete the
active basal pattern.
Changing from one basal pattern to another
When you change to a new basal pattern, your pump delivers your basal insulin
according to the basal pattern you selected.
To change to a different basal pattern:
1.
Go to the Basal Patterns screen.
Home screen > Basal > Basal Patterns
The Basal Patterns screen shows the basal patterns you have set up. The
active basal pattern is indicated with a check mark.
2.
Select the basal pattern you want to start.
The Basal screen displays the details for the selected basal pattern.
3.
46
To start this pattern, select Begin.
Chapter 3
Temporary basal rates
The Temp Basal feature and Preset Temp feature allow you to set temporary basal
rates to manage blood glucose levels during short-term activities or conditions
that require a basal rate different than your current one, such as an illness or a
change in physical activity. You can make an immediate change to your basal
insulin for a set period of time (30 minutes to 24 hours), up to your max basal rate.
■
About Temp Basal rates
The Temp Basal feature allows you to set and start a temporary basal rate
immediately. The Preset Temp feature allows you to set up a temp basal rate
ahead of time for known situations. You define temp basal rates and preset temp
basal rates using either a percentage of your current basal pattern, or by setting a
specific rate, as described in the following table.
This temp basal type:
Works like this:
Percent
Delivers a percentage of the basal rates programmed
in your active basal pattern for the duration of the
temp basal rate. The temp basal amount is rounded
down to the next 0.025 units if your basal rate is set at
less than 1 unit per hour, or to the next 0.05 units if
your basal rate is set at more than 1 unit per hour.
Temp basal rates can be set to deliver from 0 to 200%
of your scheduled basal rate. The percent amount you
can use, however, is based on the largest basal rate
scheduled during the temp basal duration, and is
limited by your max basal rate.
Rate
Delivers a fixed basal insulin rate in units per hour for
the duration of your temporary basal, limited by your
max basal rate.
To use the Temp Basal feature, see Starting a Temp Basal rate, on page 48. To use
the Preset Temp Basal feature, see Preset Temp basal rates, on page 49.
Basal
47
basal
A temp basal rate temporarily overrides all other basal programming. Your
programmed basal pattern resumes after the temp basal rate delivery is completed
or cancelled.
Starting a Temp Basal rate
When you start a temp basal rate, your basal delivery changes to the temporary
basal rate for the duration you set. When the duration is complete, your basal
insulin automatically returns to the active basal pattern.
To start a temp basal rate:
1.
Go to the Temp Basal screen.
Home screen > Basal > Temp Basal
2.
Duration is flashing. Set the Duration for this temp basal rate. The Duration
can be set from 30 minutes to 24 hours, in 15-minute increments.
3.
Select Next.
4.
The Type defaults to Percent. You can switch between Percent and Rate by
selecting Type.
48
Chapter 3
5.
Depending on the Type you selected, do one of the following:
Enter a percentage:
•
Enter a basal rate, making sure you do not exceed your max basal rate:
■
•
basal
6.
If desired, select Review to review your temp basal setting.
7.
Select Begin to start the temp basal rate.
Your Temp Basal rate continues for the duration you set. The Basal option on
the Home screen appears as Basal (T) during your temp basal delivery. Your
scheduled basal rate automatically starts again when your Temp Basal rate
finishes.
Note: If you need to cancel your temp basal, select Basal (T) from
the Home screen, then select Cancel Temp Basal.
Preset Temp basal rates
The Preset Temp feature allows you to set up basal rates for recurring short-term
situations where you need to temporarily change your basal rate.
Basal
49
There are four names you can use to match your preset temp basal rate to a
situation: High Activity, Moderate Activity, Low Activity, and Sick. There are also
four additional preset temp rates available to use for other circumstances (Temp 1
through Temp 4).
Setting up and managing Preset Temp basal rates
This section describes how to set up, edit, rename, or delete a preset temp basal
rate. For information on how to start using a preset temp basal rate, see Starting a
Preset Temp basal rate, on page 51.
To set up a preset temp basal rate:
1.
Go to the Preset Temp Setup screen.
Menu > Insulin Settings > Preset Temp Setup
2.
Select Add New.
3.
Select a name for the preset temp basal rate you want to set (Temp 1, High
Activity, Moderate Activity, Low Activity, or Sick).
4.
The Type defaults to Percent. You can switch between Percent and Rate by
selecting Type.
5.
If you are using Percent, enter the percentage you want to use. If you are
using Rate, enter the rate in units per hour. You cannot exceed your max
basal rate.
6.
Set the Duration (from 30 minutes to 24 hours in 15 minute increments) that
you want this preset temp basal to be active.
7.
Select Save.
To change, rename, or delete a preset temp basal rate:
1.
Go to the Preset Temp Setup screen.
Menu > Insulin Settings > Preset Temp Setup
2.
Select the desired preset temp basal.
Note: You cannot select a preset temp basal rate that is currently in
use.
3.
50
Select Options, and then do one of the following:
Chapter 3
•
Select Edit to adjust the Type (Percent or Rate), the Percentage or Rate
amount, and the Duration for this preset temp basal rate.
•
Select Rename to assign a different name to this preset temp basal rate.
When the Select Name screen appears, you can select any available name
from the list.
•
Select Delete to delete this preset temp basal rate.
■
Starting a Preset Temp basal rate
basal
You must set up preset temp basal rates before you can use the Preset Temp
feature. For more information, see Preset Temp basal rates, on page 49.
To start a preset temp basal rate:
1.
Go to the Preset Temp screen. The Preset Temp option only appears if you
have set up preset temp basal rates.
Home screen > Basal > Preset Temp
The Preset Temp screen displays the preset temp basal rates you have set up,
along with their percentage or rate amounts.
Note: Depending on your active basal pattern, it is possible for a
percentage preset temp basal rate to exceed your max basal limit.
Because you cannot use a preset temp basal rate that exceeds your
max basal limit, these rates appear in the list, but are not available
for use.
Basal
51
2.
Select the preset temp basal rate that you want to use, and then select
Begin.
Your preset temp basal rate continues for the duration you set. The Basal
option on the Home screen appears as Basal (T) during your preset temp
basal delivery. Your scheduled basal rate automatically starts again when your
preset temp basal rate finishes.
Canceling a Temp Basal or Preset Temp basal rate
You can cancel a temp basal or preset temp basal rate at any time. When you do
so, your scheduled basal pattern automatically starts again.
To cancel a temp basal rate:
1.
Go to the Basal screen.
Home screen > Basal (T)
The Temp Basal screen displays the name (Preset Temp only), current basal
rate, the set duration, and the remaining time.
2.
Select Cancel Temp Basal.
Viewing your basal information
The following table describes how you can view your basal rates and patterns.
52
Chapter 3
To do this:
Do this:
View your current basal
rate
Go to the Basal screen:
Home screen > Basal
The active basal pattern and current basal rate appear at
the top of the Basal screen.
■
basal
You can also view your current basal rate by selecting the
Status Bar at the top of the Home screen, and then
selecting Quick Status.
View your basal patterns
Go to the Basal Patterns screen:
Home screen > Basal > Basal Patterns
The Basal Patterns screen shows the basal patterns you
have set up, and the 24-hour insulin total for each basal
pattern. A check mark appears next to the active basal
pattern.
To see the individual basal rates, select the desired basal
pattern.
Basal
53
Stopping and resuming your insulin delivery
Use Suspend Delivery if you need to stop all active basal and bolus insulin
deliveries. When you suspend your insulin delivery, your pump beeps and vibrates
every 15 minutes to remind you that insulin is not being delivered.
When you are ready to continue your basal insulin delivery, use the Resume
feature. When you use the Resume feature, your pump starts your programmed
basal pattern, but does not start any previously programmed bolus deliveries.
Note: If you want to stop a bolus delivery only, without stopping your
basal delivery, see Stopping a bolus delivery, on page 88.
WARNING: A bolus delivery or fill cannula that was suspended
does not restart when you resume. To avoid a high BG and
ketoacidosis, always check the pump's Daily History after you
resume insulin delivery to determine the amount that was
delivered. If needed, program a new bolus or fill cannula delivery.
Caution: When using Audio or Vibrate, it is possible that an Audio or
Vibration notification may not occur as expected if the speaker or
vibrator in your pump malfunctions. This is most important when
using the Easy Bolus feature or when your pump is in Manual Suspend
where a missed notification may cause an over or under delivery of
insulin.
Contact the 24 Hour HelpLine or your local representative with any
concerns.
To suspend all insulin delivery:
1.
Go to the Suspend Delivery screen.
Menu > Suspend Delivery
2.
A confirmation message appears. To suspend your pump and stop all insulin
delivery, select Yes.
The Home screen indicates that your insulin is suspended. Your pump
functions are limited until you resume your insulin delivery.
54
Chapter 3
To resume basal insulin delivery:
1.
While insulin is suspended, go to the Home screen.
2.
Select Resume.
A confirmation message appears.
3.
■
To resume your basal insulin delivery, select Yes. If a Temp Basal was active
when you suspended your pump, it resumes if the time is still within the
duration that you set.
basal
Note: If you still need a bolus delivery that was in progress before
you suspended your delivery, check the Daily History screen for the
actual bolus units delivered and the intended bolus amount. Then
you can set up a new bolus amount as needed. See Daily History, on
page 121 for details about using the Daily History screen.
Basal
55
56
Chapter 3
bolus
■
bolus
Bolus
A bolus is the amount of insulin taken to cover an expected rise in blood glucose,
typically when you eat a meal or snack. You can also use a bolus to correct a high
blood glucose reading.
About bolus deliveries
There are different types of bolus deliveries you can use, depending on your
insulin needs at the time. There are also different ways you can deliver a bolus.
Discuss these options with your healthcare professional to determine what is best
for you.
Bolus types
The following table provides general information about the available bolus types.
Type
How it works
When to use it
Normal
Provides a single
immediate dose of
insulin.
This is the typical bolus type you use to
cover your food intake, or to correct a high
BG meter reading.
For details about using the Normal bolus
feature, see Normal bolus, on page 73.
Bolus
59
Type
How it works
When to use it
Square
Delivers a single bolus
evenly over an extended
period of time
(30 minutes to 8 hours).
You might use a Square Wave bolus:
Wave™
• If you have delayed food digestion due to
gastroparesis or meals high in fat.
• When snacking over an extended period of
time.
• If a Normal bolus drops your blood glucose
too rapidly.
For details about using the Square Wave
bolus feature, see Square Wave bolus, on
page 76.
Delivers a combination
of an immediate Normal
Dual
Wave™
bolus followed by a
Square Wave bolus.
You might use a Dual Wave bolus:
• When you eat meals that are both high in
carbs and fat which may delay digestion.
• When your meal bolus is combined with a
correction bolus for an elevated blood
glucose.
For details about using a Dual Wave bolus,
see Dual Wave bolus, on page 79.
Bolus type example
The following example shows how the different bolus types work.
Units of insulin
Normal (N) bolus
Dual Wave (D) bolus
Bolus
now
Bolus
now
Bolus
over time
0
1
2
Hours
60
Square Wave (S) bolus
Chapter 4
3
0
1
2
Hours
Bolus
over time
3
0
1
2
Hours
3
Bolus delivery options
The following table describes the different ways you can deliver a bolus.
Delivery
Type of bolus available
How it works
Normal bolus, Square
Wave bolus, Dual Wave
You enter your BG meter reading and
your carbs you plan to eat, and then the
bolus
Bolus Wizard calculates an estimated
bolus amount based on your individual
settings.
method
Bolus Wizard
■
bolus
For details about using the Bolus Wizard
feature, see Bolus Wizard, on page 65.
To deliver a:
• Normal bolus using Bolus Wizard, see
page 74.
• Square Wave bolus using Bolus Wizard,
see page 77.
• Dual Wave bolus using Bolus Wizard,
see page 80.
Manual
Normal bolus, Square
Wave bolus, Dual Wave
You do your own calculation and
manually enter your bolus amount.
bolus
To deliver a:
• Normal bolus, see page 75
• Square Wave bolus, see page 79
• Dual Wave bolus, see page 82
Preset Bolus
Normal bolus, Square
Wave bolus, Dual Wave
bolus
You select from specific bolus settings
that you define ahead of time for
recurring situations.
For details about using the Preset Bolus
feature, see Preset Bolus, on page 86.
Bolus
61
Delivery
Type of bolus available
How it works
Normal bolus
After the Easy Bolus feature is set up,
you can deliver a Normal bolus by using
method
Easy Bolus™
the
button when the pump is in
sleep mode.
For details about using the Easy Bolus
feature, see Easy Bolus, on page 83.
Remote Bolus
from your
compatible
Bayer meter
Normal bolus or any
Preset Bolus set up on
your pump.
For information on using the Remote
Bolus feature on your compatible Bayer
meter, see the user guide that came
with your compatible Bayer meter.
For information on turning on the
Remote Bolus feature on your pump,
see Setting up Remote Bolus, on
page 112.
Bolus settings
The following table describes some bolus settings that may need to be changed
before you use your bolus options. Consult with your healthcare professional for
the settings that are right for you.
Note: There are additional settings required if you want to use the Bolus
Wizard. These are described in the section, Bolus Wizard, on page 65.
Setting
What it is
What it does for you
Max Bolus
Maximum amount of
bolus insulin (in units)
your pump can deliver
in a single bolus.
Provides a safety measure by limiting
the total amount of bolus insulin you
can program for a single bolus delivery.
62
Chapter 4
For details about setting the max bolus
amount, see Max Bolus, on page 63.
Setting
What it is
What it does for you
Bolus Increment
The amount of insulin
(in units) that is
increased or decreased
with each button press
when adjusting your
bolus amount. The Bolus
Wizard will also use the
increment to display the
bolus total and
adjustment amounts.
This setting does not
apply to Easy Bolus.
Allows you to set your increment value
according to your typical bolus amounts.
The speed that your
pump delivers your
bolus insulin.
Allows you to set your bolus insulin
delivery speed to Standard or Quick.
■
bolus
Bolus Speed
For details about setting the bolus
increment, see Bolus Increment, on
page 64.
For details about setting your bolus
speed, see Bolus Speed, on page 64.
Max Bolus
Max Bolus limits the amount of insulin that can be delivered in a single bolus. Your
pump prevents single bolus insulin deliveries that exceed the max bolus you set.
You can set your max bolus from 0 to 75 units. Set your max bolus as prescribed
by your healthcare professional.
If you are setting your max bolus after you have set up your Preset Bolus deliveries,
you cannot set your max bolus lower than any of your Preset Bolus amounts.
To set your max bolus:
1.
Go to the Max Basal/Bolus screen.
Menu > Insulin Settings > Max Basal/Bolus
2.
Select Max Bolus.
3.
Because the Max Bolus setting determines your bolus insulin limit, a warning
message appears any time you go to the screen to change the value. To
continue to the Max Bolus screen, select Continue.
Bolus
63
4.
Select Max Bolus, and then set the maximum number of insulin units your
pump can deliver in one bolus.
5.
Select Save.
Bolus Increment
The Bolus Increment setting determines the number of units that are increased or
decreased with each button press when you adjust your bolus delivery amount in
the Bolus Wizard, Manual Bolus, and Preset Bolus screens. Depending on your
typical bolus amount, you can set your increment to 0.1 units, 0.05 units, or
0.025 units.
Note: Easy Bolus uses a setting called Step Size to determine the
number of insulin units for each button press. See Setting up Easy Bolus,
on page 84 for more information.
To set your Bolus Increment:
1.
Go to the Bolus Increment screen.
Menu > Insulin Settings > Bolus Increment
2.
Select Increment to set your desired increment value.
3.
Select Save.
Bolus Speed
Bolus Speed sets the rate at which your pump delivers bolus insulin. You can set a
Standard rate (1.5 units per minute), or a Quick rate (15 units per minute).
To set your Bolus Speed:
1.
Go to the Bolus Speed screen.
Menu > Insulin Settings > Bolus Speed
2.
Select Standard or Quick.
3.
Select Save.
64
Chapter 4
Bolus Wizard
The Bolus Wizard is a feature that uses your individual Bolus Wizard settings to
calculate an estimated bolus amount based on the BG values and carbs that you
enter. Work with your healthcare professional to define your personal settings,
which include your carb or exchange ratio, insulin sensitivity, BG target range, and
active insulin time.
■
bolus
Note: If you do not know how to count carbs, consult with your
healthcare professional before using the Bolus Wizard.
After you set up the Bolus Wizard, you can use it to calculate and deliver a food
bolus, a correction bolus, or a food plus correction bolus using a Normal bolus (see
page 74), Square Wave bolus (see page 77), or Dual Wave bolus (see page 80).
Always remember these two things when you are using the Bolus Wizard:
•
Never give a bolus that was calculated more than 12 minutes ago. That bolus
amount was based on a BG value that is no longer current. Instead, take a
new BG meter test and have the Bolus Wizard re-calculate the necessary bolus
amount.
•
When using the Bolus Wizard, promptly respond to any message displayed on
the pump screen. Your prompt response is needed to complete the task.
The following sections describe how to set up the Bolus Wizard. Bolus delivery
instructions are provided in the individual sections for each bolus type.
Understanding your Bolus Wizard settings
Your pump guides you through entering the following settings when you first turn
on the Bolus Wizard feature. Get your prescribed settings from your healthcare
professional, and always consult your healthcare professional before changing your
settings. The setup procedure begins on page 66.
Bolus
65
Setting
What it does
Carb Ratio
Exchange Ratio
Used for food bolus calculations.
• If you count carbs: the number of carb grams that are
covered by 1 unit of insulin.
• If you count exchanges: the number of insulin units that
are needed to cover 1 carb exchange.
Insulin Sensitivity
Factor
Used to calculate correction bolus amounts.
BG Target
The Bolus Wizard calculates your estimated bolus based
on your BG target range. The high and low values you set
Your insulin sensitivity factor is the amount that blood
glucose is reduced by one unit of insulin.
are the values to which your blood glucose is corrected.
To use a single target value rather than a range, set the
same value for High and Low.
If your BG value is above the high target value, a
correction dose is calculated. If your BG value is below
the low target value, a negative correction is calculated
and subtracted from your food bolus.
Active Insulin Time
Active insulin is the bolus insulin that has been delivered
by the pump and is still working to lower your blood
glucose levels. Active insulin time is the length of time
that bolus insulin is tracked as active insulin.
Work with your healthcare professional to get the active
insulin time that best represents the insulin type you use
and your physiological insulin absorption rate.
For more information about how the Bolus Wizard uses
your active insulin amount, see About active insulin, on
page 72.
Setting up the Bolus Wizard feature
Before you can use the Bolus Wizard to calculate a bolus, you must turn on this
feature and enter your Bolus Wizard settings.
66
Chapter 4
To set up the Bolus Wizard feature:
1.
Go to the Bolus Wizard Setup screen.
Menu > Insulin Settings > Bolus Wizard Setup
The Bolus Wizard Setup screen appears with the Bolus Wizard turned off.
■
bolus
2.
Select Bolus Wizard to turn on the feature.
If this is the first time you have turned on the Bolus Wizard feature, your
pump displays information about the settings you need to enter.
Make sure you have the values you need, and then select Next to continue.
Note: As you enter your personal settings, your pump displays
information about each setting. Click Next to continue when you
have read each explanation.
3.
When the Edit Carb Ratio screen appears, enter your carb ratio. If you are
setting a carb ratio, set the grams per unit (g/U). If you are setting an
exchange ratio, set the units per exchange (U/exch). You can set up to eight
carb ratios using different time segments. The time segments must cover a
24-hour period.
Bolus
67
Note: Your pump uses grams as the default carb unit. If you would
like to change your carb unit to exchanges, see Carb Unit, on
page 140.
If your ratio value is outside the range of 5 to 50 grams per unit or 0.3 to
3 units per exchange, a message appears asking you to confirm your setting.
4.
When the Edit Sensitivity screen appears, enter your insulin sensitivity factor.
You can set up to eight different sensitivity factors using different time
segments. The time segments must cover a 24-hour period.
If the value you enter is outside the range of 1.1 to 5.6 mmol/L, a message
appears asking you to confirm your setting.
5.
68
When the Edit BG Target screen appears, enter your Bolus Wizard BG target
range. You can set up to eight different BG target ranges using different time
segments. The time segments must cover a 24-hour period.
Chapter 4
When the Active Insulin Time screen appears, enter your active insulin time
value.
7.
Select Save.
bolus
6.
■
If your BG target is outside the range of 5.0 to 7.8 mmol/L, a message
appears asking you to confirm your setting.
A message appears letting you know the Bolus Wizard setup is complete.
You can now use the Bolus Wizard to calculate a bolus.
Changing your Bolus Wizard settings
This section shows you how to make changes to your personal settings after you
initially set up the Bolus Wizard. These settings are available only if the Bolus
Wizard is turned on.
Changing your carb or exchange ratio
You can change either your carb ratio or exchange ratio setting, depending on
whether you use grams or exchanges as your carb unit. The carb ratio and
exchange ratio settings are available only if the Bolus Wizard is turned on.
Note: Your pump uses grams as the default carb unit. If you would like
to change your carb unit to exchanges, see Carb Unit, on page 140.
Bolus
69
To change your carb or exchange ratio:
1.
Go to the Carb Ratio screen or the Exchange Ratio screen, depending on the
carb units you use.
Menu > Insulin Settings > Bolus Wizard Setup > Carb Ratio
or
Menu > Insulin Settings > Bolus Wizard Setup > Exchange Ratio
2.
Select Edit.
3.
Select the carb or exchange ratio to adjust the Start time, the End time, and
the ratio. You can set up to eight different carb or exchange ratios using
different time segments. The time segments must cover a 24-hour period.
If you set a value outside the typical range of 5 to 50 grams per unit or 0.3 to
3 units per exchange, a message appears asking you to confirm your setting.
4.
When you have made your changes, select Save.
Changing your insulin sensitivity factor
The Insulin Sensitivity Factor option is only available if the Bolus Wizard feature is
turned on.
To change your insulin sensitivity factor:
1.
Go to the Sensitivity screen.
Menu > Insulin Settings > Bolus Wizard Setup > Insulin Sensitivity Factor
2.
Select Edit.
3.
Select the sensitivity factor to adjust the Start time, the End time, and the
Sensitivity amount. You can set up to eight different sensitivity amounts using
different time segments. The time segments must cover a 24-hour period.
If you set a value that is outside the typical range of 1.1 to 5.6 mmol/L per
unit, a message appears asking you to confirm your setting.
4.
When you have made your changes, select Save.
Changing your Bolus Wizard BG target
Your target range can be from 3.3 to 13.9 mmol/L. The Bolus Wizard BG Target
option is only available if the Bolus Wizard feature is turned on.
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Chapter 4
To change your Bolus Wizard BG target range:
1.
Go to the BG Target screen.
Menu > Insulin Settings > Bolus Wizard Setup > BG Target
3.
Select the BG target to adjust the Start time, the End time, and the Lo (low)
and Hi (high) BG Target values. Your high value cannot be less than your low
value. You can set up to eight different values using different time segments.
The time segments must cover a 24-hour period.
If your BG target is outside the typical range of 5.0 to 7.8 mmol/L, a message
appears asking you to confirm your setting.
4.
When you have made your changes, select Save.
Changing your Active Insulin Time
The active insulin time setting lets the pump know which active insulin time to
use in calculating the amount of active insulin to subtract before estimating a
bolus. Your healthcare professional will prescribe the active insulin time that is best
for you.
To change your active insulin time:
1.
Go to the Active Insulin Time screen.
Menu > Insulin Settings > Bolus Wizard Setup > Active Insulin Time
2.
Select Duration, then adjust your active insulin time (in hours), using 15minute increments.
3.
Select Save.
Turning off the Bolus Wizard feature
You can turn off the Bolus Wizard feature at any time. Your Bolus Wizard settings
remain in your pump. When the Bolus Wizard is turned off, the Bolus Wizard
option does not appear in the Bolus Menu, and you cannot edit your Carb Ratio,
Insulin Sensitivity Factor, or BG Target settings from the Bolus Wizard Setup screen.
To turn off the Bolus Wizard feature:
1.
Go to the Bolus Wizard Setup screen.
Menu > Insulin Settings > Bolus Wizard Setup
Bolus
71
bolus
Select Edit.
■
2.
2.
Select Bolus Wizard to turn the feature off.
About active insulin
Active insulin is the bolus insulin that has already been delivered to your body,
and is still working to lower your blood glucose levels. The pump considers your
active insulin time setting in determining if any active insulin is still in your body
from prior boluses. This may help prevent hypoglycemia caused by over-correcting
for high blood glucose.
Your current active insulin amount displays on the Home screen, and includes only
the bolus insulin you have already received.
When you are using the Bolus Wizard, the Bolus Wizard calculator uses your
current active insulin value to determine if there is an active insulin adjustment
needed. The active insulin adjustment calculation considers both the bolus insulin
that has already been delivered (the amount shown on the Home screen), as well
as any insulin that is going to be delivered by an active Square Wave bolus.
WARNING: Do not use the Bolus Wizard to calculate a bolus for a
period of time after giving a manual injection of insulin by syringe
or pen. Manual injections are not accounted for in the active insulin
amount. Therefore, the Bolus Wizard could prompt you to deliver
more insulin than needed. Too much insulin may cause
hypoglycemia. Consult with your healthcare professional for how
long you need to wait after a manual injection of insulin before you
can rely on the active insulin calculation of your Bolus Wizard.
Bolus Wizard warnings
When you use the Bolus Wizard, there may be times when you see one of the
following:
Warning:
What it means:
What to do:
High BG
Your BG meter reading is above
13.9 mmol/L.
• Check for an occlusion.
• Check ketones.
• Consider an insulin injection.
• Monitor your BG.
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Chapter 4
What to do:
Low BG
Your BG meter reading is below
3.9 mmol/L.
Treat your low BG. Do not give
yourself a bolus until your BG
returns to normal.
Max Bolus
Exceeded
The bolus amount entered
exceeds your Max Bolus setting.
Check the bolus amount. Select
No to cancel, or Yes to
continue. If you select Yes, the
bolus amount that you entered
is reduced to your max bolus
limit.
Let your healthcare professional
know if you routinely receive
the Max Bolus exceeded
warning so that they can adjust
your pump settings.
Note: In the event that you do not clear the High BG, Low BG, or Max
Bolus exceeded warning, the warning will remain on your pump
indefinitely. If you clear the message after more than 12 minutes have
passed, do not deliver the bolus amount shown. That bolus amount was
based on a BG value that is no longer current. Instead, return to the
Home screen and check your BG again with your meter. Enter the new
value into the Bolus Wizard and give a bolus if needed.
Normal bolus
A Normal bolus provides a single immediate dose of insulin. You use a Normal
bolus to cover your food intake or to correct a high BG meter reading.
You cannot access the Reservoir & Tubing, Insulin Settings, or Sensor Settings
menu options during a Normal bolus delivery.
Note: Your pump allows you to deliver a Normal bolus while a Square
Wave bolus or the Square portion of a Dual Wave bolus is being
delivered.
Bolus
73
bolus
What it means:
■
Warning:
Delivering a Normal bolus with the Bolus Wizard
To deliver a Normal bolus using the Bolus Wizard:
1.
For a correction bolus or a food bolus with a correction, use your BG meter to
check your blood glucose. For a food bolus only, skip this step.
2.
Go to the Bolus Wizard screen.
Home screen > Bolus > Bolus Wizard
The Bolus Wizard screen shows your current BG meter reading (if applicable)
and any insulin that is still active from previous boluses. For more information
about active insulin, see About active insulin, on page 72. For more information,
see About your compatible Bayer meter, on page 111.
Note: Be aware that if you already have the Bolus Wizard open prior
to wirelessly sending your BG meter reading to your pump, you
must close the Bolus Wizard and open it again, in order for that
reading to appear.
3.
If you are not using a wirelessly connected compatible Bayer meter, you can
select BG to manually enter your BG meter reading.
Note: If you choose not to enter a BG value, three dashes appear
on the screen in place of the BG value.
4.
For a food bolus, select Carbs to enter the carb count of your meal. For a
correction bolus where no food was eaten, leave the Carbs value at 0.
5.
Your calculated bolus appears in the Bolus field.
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Chapter 4
Select Next to review your bolus information.
Your bolus amount appears.
Note: If you modified your bolus amount in the previous step,
Bolus Calculated displays your original bolus amount, Modification
displays the amount you added or subtracted from your bolus, and
Bolus displays the actual bolus amount.
7.
Select Deliver Bolus to start your bolus.
Your pump beeps or vibrates and displays a message when your bolus starts.
The Home screen shows your bolus amount as it is being delivered. Your
pump beeps or vibrates when your bolus is complete.
Delivering a Normal bolus using Manual Bolus
The following section describes how to deliver a Normal bolus using the Manual
Bolus feature.
Bolus
75
bolus
6.
■
If you want to change the bolus amount, select Bolus and make any desired
adjustment. If you change your bolus amount, the word “Modified” appears
next to the new bolus amount.
To deliver a Normal bolus using Manual Bolus:
1.
Go to the Manual Bolus screen.
Home screen > Bolus > Manual Bolus
Note: If the Bolus Wizard is turned off, the Manual Bolus screen
appears when you select Bolus.
The Manual Bolus screen shows your current BG value (if applicable) and any
insulin that is still active from previous boluses. For more information about
active insulin, see About active insulin, on page 72.
2.
Select Bolus to set your bolus delivery amount (in units).
3.
Select Deliver Bolus to start your bolus.
Your pump beeps or vibrates and displays a message when your bolus starts.
The Home screen shows your bolus amount as it is being delivered. Your
pump beeps or vibrates when your bolus is complete.
Square Wave bolus
A Square Wave bolus delivers a bolus evenly over a period of time (30 minutes to
8 hours).
When using the Bolus Wizard, a Square Wave bolus is available only when giving a
food bolus without a correction for an elevated BG. A Square Wave bolus is not
available for a correction bolus alone, or a correction bolus with food bolus.
A Square Wave bolus can be useful in these situations:
•
If you have delayed food digestion due to gastroparesis or meals high in fat.
•
When you are snacking over an extended period of time.
•
If a Normal bolus drops your blood glucose too rapidly.
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Chapter 4
Since the Square Wave bolus extends delivery over a period of time, the insulin is
more likely to be available as you need it.
Note: You cannot perform these functions during a Square Wave bolus
delivery:
•
Turn off or deliver Dual Wave or Square Wave boluses.
•
Turn the Bolus Wizard feature on or off.
•
Fill the cannula.
•
Rewind your pump.
•
Run a self-test.
•
Access the Manage Settings menu.
bolus
Change the Max Bolus or the Active Insulin Time settings.
■
•
All other functions are available during the Square Wave bolus.
Turning on or off Square Wave bolus
The Square Wave bolus delivery option is available only after you turn on the
Square Wave feature.
To turn on or turn off the Square Wave feature:
1.
Go to the Dual/Square screen.
Menu > Insulin Settings > Dual/Square Wave
2.
Select Square Wave to turn the feature on or off.
3.
Select Save.
Delivering a Square Wave bolus with the Bolus Wizard
The Square Wave option is available in the Bolus Wizard only after you turn on the
Square Wave feature. Also, you must have entered a Carbs value.
To deliver a Square Wave bolus with the Bolus Wizard:
1.
Go to the Bolus Wizard screen.
Home screen > Bolus > Bolus Wizard
Bolus
77
The Bolus Wizard screen shows your current BG meter reading (if applicable)
and any insulin that is still active from previous boluses. For more information
about active insulin, see About active insulin, on page 72. For more information,
see About your compatible Bayer meter, on page 111.
Note: Be aware that if you already have the Bolus Wizard open prior
to wirelessly sending your BG meter reading to your pump, you
must close the Bolus Wizard and open it again, in order for that
reading to appear.
2.
If you are not using a wirelessly connected compatible Bayer meter, you can
select BG to manually enter your BG meter reading.
Note: If you choose not to enter a BG meter reading, three dashes
appear on the screen instead.
3.
Select Carbs to enter the amount of carbs in your food.
4.
Review your calculated bolus amount in the Bolus field. If you want to
change the bolus amount, select Bolus and make your desired change.
Remember, if there is a correction bolus amount calculated, you are not able
to give a Square Wave bolus.
Note: If you change your bolus amount, the word “Modified”
appears next to the new bolus amount.
5.
Select Next to review your bolus information.
6.
Select Square.
The Bolus Wizard screen appears with your bolus amounts.
7.
To change the time period over which your bolus is delivered, select
Duration to adjust the time. The duration can be from 30 minutes to 8 hours,
in 15 minute increments.
8.
Select Deliver Bolus to start your bolus.
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Chapter 4
During a Square Wave bolus delivery, the Bolus button on your Home screen
appears as Bolus (S). You can select Bolus (S) to stop the bolus, to see details
on the insulin that has been delivered, or to access the Bolus menu. The
Bolus menu provides access to the Bolus Wizard, Manual Bolus, Preset Bolus,
and Insulin Settings options.
Delivering a Square Wave bolus using Manual Bolus
To deliver a Square Wave bolus manually:
1.
Go to the Manual Bolus screen.
Home screen > Bolus > Manual Bolus
2.
Set your bolus delivery amount (in units), and then select Next.
3.
Select Square.
4.
Select Duration and set the amount of time over which you want your
Square Wave bolus to be delivered. The duration can be from 30 minutes to
8 hours, and is set in 15-minute increments.
5.
Select Deliver Bolus to start your bolus.
During a Square Wave delivery, the Bolus button on your Home screen
appears as Bolus (S). You can select Bolus (S) to stop the bolus, to see details
on the insulin that has been delivered, or to access the Bolus menu. The
Bolus menu provides access to the Bolus Wizard, Manual Bolus, Preset Bolus,
and Insulin Settings options.
Dual Wave bolus
The Dual Wave bolus feature meets both immediate and extended insulin needs
by delivering a combination of an immediate Normal bolus followed by a Square
Wave bolus.
A Dual Wave bolus can be useful in these situations:
•
When you need to correct elevated blood glucose before a meal, and you
also need a delayed bolus for food that is absorbed slowly.
Bolus
79
bolus
■
The Square Wave option is available in the Manual Bolus screen only after you turn
on the Square Wave feature.
•
When you eat meals with mixed nutrients, such as carbs, fats and proteins,
that are absorbed at different rates.
Turning on or off Dual Wave bolus
The Dual Wave bolus delivery option is available only after you turn on the Dual
Wave feature.
To turn on or turn off the Dual Wave feature:
1.
Go to the Dual/Square screen.
Menu > Insulin Settings > Dual/Square Wave
2.
Select Dual Wave to turn the feature on or off.
3.
Select Save.
Delivering a Dual Wave bolus with the Bolus Wizard
The Dual Wave option is available in the Bolus Wizard only after you turn on the
Dual Wave feature.
To deliver a Dual Wave bolus with the Bolus Wizard:
1.
For a correction bolus or a food bolus with a correction, use your BG meter to
check your blood glucose. For a food bolus only, skip this step.
2.
Go to the Bolus Wizard screen.
Home screen > Bolus > Bolus Wizard
The Bolus Wizard screen shows your current BG meter reading (if applicable)
and any insulin that is still active from previous boluses. For more information
about active insulin, see About active insulin, on page 72. For more information,
see About your compatible Bayer meter, on page 111.
Note: Be aware that if you already have the Bolus Wizard open prior
to wirelessly sending your BG meter reading to your pump, you
must close the Bolus Wizard and open it again, in order for that
reading to appear.
3.
80
If you are not using a wirelessly connected compatible Bayer meter, you can
select BG to manually enter your BG meter reading.
Chapter 4
Note: If you choose not to enter a BG value, three dashes appear
on the screen in place of the BG value.
For a food bolus, select Carbs to enter the carb count of your meal. For a
correction bolus where no food was eaten, leave the Carbs value as 0.
5.
Review your calculated Bolus amount. If you want to change the amount,
select Bolus and make your desired change.
■
4.
bolus
Note: If you change your bolus amount, the word “Modified”
appears next to the new bolus amount.
6.
Select Next to review your bolus information.
7.
Select Dual.
The Bolus Wizard screen appears, with the food amount split evenly between
the Now and Square portions.
8.
If you need to change the amounts, select the area of the screen with the
Now value and adjust the Now amount.
When you adjust the Now amount, the Square amount adjusts automatically.
9.
Adjust the Duration over which you want the Square Wave portion to be
delivered. The duration can be from 30 minutes to 8 hours.
10. Select Deliver Bolus to start your bolus.
During a Dual Wave delivery, the Home screen shows the progress of the
Now portion of your delivery. When the Now portion is complete, the Bolus
button on your Home screen appears as Bolus (D). You can select Bolus (D)
Bolus
81
to stop the bolus, to see details on the amount of bolus insulin delivered, or
to access the Bolus menu. The Bolus menu provides access to the Bolus
Wizard, Manual Bolus, Preset Bolus, and Insulin Settings options.
Delivering a Dual Wave Bolus using Manual Bolus
The Dual Wave option is available in the Manual Bolus screen only after you turn
on the Dual Wave feature.
To deliver a Dual Wave bolus using Manual Bolus:
1.
Go to the Manual Bolus screen.
Home screen > Bolus > Manual Bolus
The Manual Bolus screen appears.
2.
Set your bolus delivery amount (in units), and then select Next.
3.
Select Dual.
The Manual Bolus screen appears, with the Now and Square portions split
evenly.
4.
If you need to change the amounts, select the area of the screen with the
Now value and adjust the Now amount. When you adjust the Now amount,
the Square amount adjusts automatically.
5.
Adjust the Duration over which you want the Square Wave portion to be
delivered. The duration can be from 30 minutes to 8 hours.
6.
Select Deliver Bolus to start your bolus.
During a Dual Wave delivery, the Home screen shows the progress of the
Now portion of your delivery. When the Now portion is complete, the Bolus
button on your Home screen appears as Bolus (D). You can select Bolus (D)
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Chapter 4
to stop the bolus, to see details on the amount of bolus insulin delivered, or
to access the Bolus menu. The Bolus menu provides access to the Bolus
Wizard, Manual Bolus, Preset Bolus, and Insulin Settings options.
Easy Bolus
To help you count your Easy Bolus steps, each time you press the button, your
pump makes a different tone. There are five different tones that repeat if you use
more than five steps.
Understanding Easy Bolus step sizes
When setting up Easy Bolus, you can set the step size from 0.1 to 2.0 units. Your
step size cannot be higher than your max bolus. Set the step size to a number
that is convenient to use and easy to multiply.
The following example shows how your bolus amount is increased with each step,
or each press of the button when using the Easy Bolus feature to deliver a
bolus. In this example, the step size is 0.5 units. For a delivery of 2.0 units, you
would need four steps, or press the button four times when using the Easy
Bolus feature.
Bolus
83
bolus
Before using Easy Bolus, you must turn on the feature and set the step size. The
step size determines the number of units the bolus amount increases each time
you press the button. Your Easy Bolus delivery is limited to 20 steps or your max
bolus limit, whichever comes first.
■
The Easy Bolus feature allows you to quickly deliver a Normal bolus using only the
button. Your pump must be in sleep mode to use the Easy Bolus feature.
Total number steps = 4
Total number button presses = 4
4 steps = 2.0 units
3 steps = 1.5 units
2 steps = 1.0 units
1 step = 0.5 units
0
0.5
1.0
Total number units
1.5
2
Setting up Easy Bolus
The Easy Bolus option is available only after you turn on the feature.
To set up Easy Bolus:
1.
Go to the Easy Bolus screen.
Menu > Insulin Settings > Easy Bolus
2.
Select Easy Bolus to turn on the feature.
3.
Set the Step Size amount (in units). You can set the step size from 0.1 to 2.0
units. Your step size cannot be higher than your max bolus.
4.
Select Save.
Delivering a bolus using Easy Bolus
Initially you should use the Easy Bolus feature while looking at the pump screen as
you count the tones or vibrations.
Caution: Always check your pump if you hear any unanticipated
beeps or vibrations.
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Chapter 4
Caution: When using Audio or Vibrate, it is possible that an Audio or
Vibration notification may not occur as expected if the speaker or
vibrator in your pump malfunctions. This is most important when
using the Easy Bolus feature or when your pump is in Manual Suspend
where a missed notification may cause an over or under delivery of
insulin.
■
Contact the 24 Hour HelpLine or your local representative with any
concerns.
bolus
To use the Easy Bolus feature, you need to put your pump into sleep mode by
pressing and holding the Menu button for about two seconds.
To deliver a bolus using Easy Bolus:
1.
While your pump screen is in sleep mode, press and hold for about one
second. After your pump beeps or vibrates, release . You can now start
programming your Easy Bolus.
Note: If your pump does not respond when you press
not be in sleep mode, even if the screen is dark.
2.
Press
, it may
the number of times needed to set your bolus amount.
Each time you press , your pump sounds a tone or vibrates, and your bolus
amount increases by the number of units set for the step size.
Note: You cannot use
cancels the Easy Bolus.
3.
to select the Easy Bolus values. Pressing
When you have reached the desired bolus amount, press and hold to
confirm the amount. You should hear a confirmation tone or feel a vibration
for each button press. Count to ensure the amount is correct. If the amount is
not correct, press and hold until you hear a tone, and then start again from
step 1.
Bolus
85
4.
When the bolus amount is confirmed, press and hold for about one
second to deliver your bolus. Your pump beeps or vibrates. Your bolus starts
immediately after the confirmation.
Note: If you do not start your bolus within 10 seconds, your Easy
Bolus is cancelled, and you receive a message letting you know that
your bolus was not delivered.
Preset Bolus
The Preset Bolus feature allows you to set up in advance bolus deliveries you
expect to use frequently. There are four Preset Bolus names that allow you to
match a bolus to a meal with a known carb content: Breakfast, Lunch, Dinner and
Snack. There are four additional Preset Bolus names that can be set for other
circumstances (Bolus 1 through Bolus 4).
Note: To set up a Dual Wave bolus or Square Wave bolus, the Dual
Wave or Square Wave feature must be turned on.
Setting up and managing Preset Bolus deliveries
To set up Preset Bolus amounts:
1.
Go to the Preset Bolus Setup screen.
Menu > Insulin Settings > Preset Bolus Setup
The Preset Bolus Setup screen appears, showing any existing Preset Bolus
settings.
2.
Select Add New.
The Select Name screen appears with the available Preset Bolus names.
3.
Select the Preset Bolus you want to set.
The Edit screen for that particular Preset Bolus appears.
4.
Select Bolus to set the bolus amount.
5.
Select Type to set this as a Normal bolus, Square Wave bolus, or Dual Wave
bolus.
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Chapter 4
Note: The Type field appears only when you have the Dual Wave
bolus or Square Wave bolus features turned on.
If you set the type to Square Wave or Dual Wave, additional settings appear.
6.
If you are setting up a Square Wave bolus or Dual Wave bolus, do the
following:
•
For a Square Wave bolus, set the Duration of time for the bolus delivery.
■
•
For a Dual Wave bolus, adjust the Now/Square percentages as needed,
then set the Duration of time for the Square Wave portion of the bolus.
bolus
Note: If you later turn off the Dual Wave or Square Wave feature,
your existing Preset Bolus settings are still available for use.
7.
Select Save.
Changing, renaming, or deleting a Preset Bolus
You cannot delete, rename, or edit a Preset Bolus while it is delivering.
Note: You cannot edit a Dual Wave or Square Wave Preset Bolus when
the Dual Wave or Square Wave features are turned off. You can, however,
rename or delete a Dual Wave or Square Wave Preset Bolus when the
features are turned off.
To change, rename, or delete a Preset Bolus:
1.
Go to the Preset Bolus Setup screen.
Menu > Insulin Settings > Preset Bolus Setup
The Preset Bolus Setup screen appears, showing any existing Preset Bolus
settings.
2.
Select the desired Preset Bolus.
3.
Select Options.
4.
Do one of the following:
Bolus
87
•
Select Edit to adjust the Bolus value and Type, if applicable. If you change
to a Square Wave bolus, you need to enter the Duration. If you change to
a Dual Wave bolus, you need to enter the Now and Square amounts, and
the Duration.
•
Select Rename to assign a different name to this Preset Bolus. When the
Select Name screen appears, you can select any available name from the
list.
•
Select Delete to delete this Preset Bolus.
Delivering a Preset Bolus
Follow these steps to deliver a Preset Bolus. You must set up Preset Bolus
deliveries before you can use the Preset Bolus feature. For more information, see
Setting up and managing Preset Bolus deliveries, on page 86.
To deliver a Preset Bolus:
1.
Go to the Home screen.
2.
Select Bolus.
The Bolus screen appears.
3.
Select Preset Bolus.
The existing preset bolus settings appear, showing your current BG value (if
applicable) and any insulin that is still active from previous boluses. For more
information about active insulin, see About active insulin, on page 72.
4.
Select the Preset Bolus you want to deliver.
5.
Verify your bolus amounts, and then select Deliver Bolus.
Your pump beeps or vibrates and displays a message when your bolus starts.
Stopping a bolus delivery
The following procedures describe how to stop a Normal bolus or a Dual Wave
bolus during the Now portion delivery, and how to stop a Square Wave bolus or a
Dual Wave bolus during the Square portion delivery.
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Chapter 4
Note: This procedure describes how to stop a bolus that is in progress. It
does not stop your basal insulin delivery. If you need to stop all insulin
delivery, use the Suspend Delivery feature (Menu > Suspend Delivery).
To stop a Normal bolus delivery or the Now portion of a Dual Wave bolus
delivery:
2.
To stop your bolus, select Yes to confirm.
bolus
While your pump is delivering your Normal bolus or the Now portion of a
Dual Wave bolus, select Stop Bolus from the Home screen.
■
1.
Note: If you are delivering a Normal bolus and a Square Wave bolus
at the same time, or a Normal bolus and the Square portion of a
Dual Wave bolus at the same time, both boluses are stopped.
The Bolus Stopped screen appears and shows the amount of bolus delivered,
and the original bolus amount you set up.
To stop a Square Wave bolus delivery or the Square portion of a Dual Wave
bolus delivery:
1.
Select Bolus (S) or Bolus (D) from the Home screen.
2.
Select Stop Bolus.
3.
To stop your bolus, select Yes to confirm.
Note: If you are delivering a Normal bolus and a Square Wave bolus
at the same time, or a Normal bolus and the Square portion of a
Dual Wave bolus at the same time, both boluses are stopped.
Bolus
89
The Bolus Stopped screen appears and shows the amount of bolus delivered,
and the original bolus amount you set up.
90
Chapter 4
reservoir and infusion set
■
reservoir and infusion set
Reservoir and infusion set
Setting up the reservoir and infusion set
When you are ready to use your pump with insulin, make sure the time and date
are correct on your pump. For details on changing the time and date on your
pump, see Time and date, on page 148. You must also program your settings as
instructed by your healthcare professional.
You will need these items:
•
MiniMed 640G insulin pump
•
Vial of insulin (U100)
•
MiniMed reservoir
•
MiniMed-compatible infusion set and its user guide
WARNING: If this is the first time you are using your pump with
insulin, and you have practiced giving boluses on your pump, you
need to clear the active insulin value before starting on insulin. For
details, see Clearing your active insulin, on page 144.
Removing the reservoir
If this is the first time you are inserting a reservoir into your pump and you do not
currently have a reservoir loaded, skip to Rewinding your pump, on page 94.
Reservoir and infusion set
93
WARNING: Make sure the infusion set is disconnected from your
body before you remove the reservoir from your pump.
To remove your reservoir:
1.
Wash your hands.
2.
Remove the entire infusion set from your body.
3.
If you have the optional activity guard attached to the reservoir compartment
on your pump, remove it now.
4.
Turn the tubing connector a half-turn counter-clockwise, then pull the
reservoir and connector out from the pump.
tubing connector
5.
Dispose of the used reservoir and infusion set according to local regulations.
Rewinding your pump
WARNING: Make sure the infusion set is disconnected from your
body before you rewind your pump or fill the infusion set tubing.
Never insert the reservoir into the pump while the tubing is
connected to your body. Doing so could result in an accidental
infusion of insulin, which may cause low BG.
When you rewind your pump, the piston in the reservoir compartment returns to
its starting position and allows a new reservoir to be placed into the pump.
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Chapter 5
Note: The piston is located in the reservoir compartment of your pump.
It engages the reservoir and pushes insulin through the tubing.
piston
■
reservoir and infusion set
To rewind your pump:
1.
Go to the New Reservoir screen.
Menu > Reservoir & Tubing > New Reservoir
The New Reservoir screen appears.
If you have not yet removed the infusion set and reservoir, do so now.
2.
Select Rewind.
The piston in the reservoir compartment of your pump returns to its starting
position. This may take several seconds. During this process, a "Rewinding"
message appears.
Another message appears to let you know that your pump has finished
rewinding, and then the New Reservoir screen appears.
Reservoir and infusion set
95
3.
Follow the instructions in the next section to fill your reservoir.
Filling the reservoir
WARNING: Do not use the reservoir or infusion set if any liquid
gets on the top of the reservoir or inside the tubing connector (as
shown in the image). Liquid can temporarily block the vents. This
may result in the delivery of too little or too much insulin, which
can cause hypoglycemia or hyperglycemia. If any liquid gets on the
top of the reservoir or inside the tubing connector, start over with a
new reservoir and infusion set.
Top of
reservoir
Tubing
connector
WARNING: Always allow your insulin to reach room temperature
before use. Cold insulin can cause air bubbles in the reservoir and
tubing which may result in inaccurate insulin delivery.
96
Chapter 5
To fill the reservoir, do these steps:
1.
Remove the reservoir from the package, and fully extend the plunger.
1
reservoir
plunger
transfer
guard
■
Swab the vial with alcohol (not shown).
3.
Press the transfer guard onto the vial without pushing down on the plunger.
3
vial
4.
Push down on the plunger to pressurize the vial. Hold down the plunger rod.
5.
While still holding down the plunger rod, flip the vial over so the vial is on
top. Slowly pull down on the plunger to fill the reservoir.
6.
Gently tap the side of the reservoir to make any air bubbles rise to the top of
the reservoir.
4
5
6
Reservoir and infusion set
97
reservoir and infusion set
2.
7.
Slowly push up on the plunger just enough to remove any air bubbles from
the reservoir.
8.
Slowly pull down on the plunger to fill the reservoir to the number of units
desired.
9.
To avoid getting liquid on the top of the reservoir, flip the vial over so that it
is upright. Turn the reservoir counter-clockwise, then pull straight up to
remove the reservoir from the transfer guard.
10. Place the tubing connector onto the reservoir. Turn the connector clockwise,
pressing gently against the reservoir until you feel it slide in. Push in and
continue turning until the reservoir and the connector lock with a click.
7
8
9
10
11. Tap the side of the reservoir to remove any air bubbles.
12. To purge air bubbles that have risen to the top of the reservoir, push up on
the plunger until you see insulin in the tubing.
13. Without pulling, turn the plunger counter-clockwise to remove it from the
reservoir.
11
12
14. Select Next from the New Reservoir screen.
98
Chapter 5
13
■
reservoir and infusion set
The New Reservoir screen now instructs you to place the reservoir in your
pump.
Note: If the New Reservoir screen has timed out and the Home
screen appears, select Load Reservoir from the Home screen.
15. Follow the instructions in the next section to insert the reservoir into the
reservoir compartment of your pump immediately after filling it.
Inserting the reservoir into your pump
Be sure to perform the following steps in the order they are presented.
Caution: Do not insert the reservoir into your pump for the first time
until you have received training.
Reservoir and infusion set
99
WARNING: Never insert the reservoir into the pump while the
tubing is connected to your body. Doing so could result in an
accidental infusion of insulin, which may cause low BG.
You must rewind your pump before installing a new reservoir to
ensure correct insulin amount.
To insert the reservoir into your pump:
1.
If you are using the pump for the first time, remove the shipping cap from
the reservoir compartment.
2.
Rewind your pump if you have not yet done so. See Rewinding your pump, on
page 94 for more information.
3.
Insert the reservoir into the top of the reservoir compartment.
4.
Turn the tubing connector approximately a half-turn clockwise until the
connector is locked. The tubing connector should be aligned horizontally with
the pump case as shown in the following example.
tubing connector
5.
100
Your pump should be displaying the New Reservoir screen shown in the
following example. Select Next to continue.
Chapter 5
Note: If the New Reservoir screen has timed out and the Home
screen appears, select Load Reservoir from the Home screen. After
the New Reservoir screen appears, you may have to select Next to
get to the screen shown previously.
6.
When the loading process is completed, the following screen appears.
7.
Select Next to continue.
8.
Follow the instructions in the next section to fill the tubing with insulin.
Filling the tubing
You need to fill the infusion set tubing with insulin before you insert the set into
the body.
Reservoir and infusion set
101
reservoir and infusion set
Note: If you press the Back button after the loading process begins,
a Loading incomplete alarm will occur.
■
When the reservoir is inserted, select and hold Load until you see a
checkmark on the screen and your pump beeps or vibrates. Holding Load
moves the piston up in the reservoir compartment until it engages with the
bottom of the reservoir.
WARNING: Make sure the infusion set is disconnected from your
body before you rewind your pump or fill the infusion set tubing.
Never insert the reservoir into the pump while the tubing is
connected to your body. Doing so could result in an accidental
infusion of insulin, which may cause low BG.
WARNING: Always check your tubing for air bubbles. Continue to
press Fill until the bubbles have been removed from the tubing. Air
bubbles may result in inaccurate insulin delivery.
To fill the tubing:
1.
After you load your reservoir and select Next from the Load Reservoir screen,
the Fill Tubing screen appears.
2.
Select and hold Fill. Your pump beeps six times to let you know it is
positioning the reservoir. Continue holding Fill until insulin droplets form on
the tip of the infusion set needle, then release. Your pump beeps as it fills the
tubing, and the amount of insulin you are using appears on the screen.
If you get the Max Fill Reached alarm, it means you have used more than
30 units of insulin to fill your tubing. For details, go to Pump alarms, alerts, and
messages, on page 202, and see the description for Max Fill Reached.
3.
Select Next to continue.
4.
Follow the instructions in the next section to insert the infusion set into your
body before filling the cannula.
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Chapter 5
Inserting the infusion set
WARNING: Do not remove the reservoir from the pump while the
infusion set is connected to your body. This could lead to over or
under delivery of insulin.
Rewinding your pump.
•
Filling your reservoir.
•
Inserting the reservoir into pump.
•
Filling the tubing with insulin.
Shown here are the best body areas (shaded) for infusion set insertion. Avoid the
5.0 cm (2-inch) area around the navel to help ensure a comfortable infusion site
and to help with adhesion.
Caution: Rotate the infusion set insertion sites so that they do not
become overused.
Caution: Change your infusion set every two to three days to avoid
infusion set occlusion or site infection.
Reservoir and infusion set
103
reservoir and infusion set
•
■
You must have completed the following procedures, as described previously,
before inserting the infusion set into your body:
To keep sites healthy, some people find it helpful to use a visual scheme to help
them rotate their insertion sites in an organized way. For example, here are two
commonly used methods. For maximum effectiveness, use both methods,
alternating between them:
•
Visualize an imaginary clock drawn on your abdomen surrounding your belly
button. Rotate infusion set insertion sites by starting at 12 o’clock and then
rotate the site clockwise to 3 o’clock, 6 o’clock, and so on.
•
Imagine a letter M or a letter W on either side of your belly button. Start at
the end of one letter and proceed through the letter, rotating to each
intersection in turn.
Medtronic Diabetes offers a variety of infusion sets for your pump. The instructions
for the Quick-set infusion set are provided here as an example.
After your infusion set is inserted, see Filling the cannula, on page 105 to fill the
infusion set cannula.
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Chapter 5
Quick-set infusion set (with Quick-serter™)
There are different infusion sets that you can use with your pump. As an example,
the following procedure shows how to insert the Quick-set infusion set. Always
refer to the instructions that shipped with your infusion set.
1
2
3
■
5
6
7
8
9
10
11
12
13
reservoir and infusion set
4
14
Filling the cannula
Filling the soft cannula with insulin is required after the infusion set is inserted into
your body and the introducer needle is pulled out. The insulin amounts required
to fill the cannula depend on the type of infusion set you are using. Refer to your
infusion set instructions for this information.
Reservoir and infusion set
105
Note: If you are using an infusion set with a needle, you do not need to
fill the cannula. Select Done when the system prompts you to continue
with the fill process.
To fill the cannula:
1.
After you fill your tubing and insert your infusion set, the Fill Cannula? screen
appears.
Note: If your screen turns off before you are ready to fill your
cannula, press any button on your pump to turn it on again.
2.
To fill your cannula now, select Fill. If you are using an infusion set with a
needle, you do not need to fill the cannula. Select Done to skip this step.
The Fill Cannula screen appears.
3.
Adjust the Fill amount for your particular infusion set, and then select Fill
Now. If you are unsure about the fill amount, see the instructions that came
with your infusion set.
4.
As the cannula starts filling, your screen displays the amount of units being
delivered. The pump beeps or vibrates when the delivery is complete.
106
Chapter 5
After the cannula is filled, the Home screen appears. Your pump is now ready
to deliver insulin.
To stop filling the cannula:
Select Stop Filling, to stop filling the cannula.
2.
Select Yes.
■
1.
reservoir and infusion set
The Fill Stopped screen appears confirming amount delivered.
3.
Select Done.
Disconnecting and reconnecting your infusion set
As an example, these steps show you how to disconnect and reconnect the Quickset infusion set. If you are using an infusion set other than Quick-set, always refer
to the instructions that shipped with the infusion set.
Disconnecting the Quick-set infusion set
The Quick-set infusion set allows you the freedom to temporarily disconnect from
your pump without removing the infusion set from your body.
1.
Hold the side grips of the connector part with your fingers.
2.
Twist the connector counter-clockwise.
3.
Remove the connector from the site.
Reservoir and infusion set
107
1
2
3
Reconnecting the Quick-set infusion set
Place the connector part (flat side facing down) on the infusion site until it is fully
seated. Do not squeeze the connector part by the flat side grips.
1
108
2
Chapter 5
3
meter
■
meter
Meter
You can wirelessly connect up to six compatible Bayer meters to your pump. If you
do not connect a meter to your pump, you must enter your blood glucose
readings manually. To wirelessly connect your pump and meter, you will need the
following items:
•
MiniMed 640G insulin pump
•
Compatible Bayer meter
•
Compatible Bayer meter user guide
About your compatible Bayer meter
You can set up your pump to automatically receive blood glucose readings from
your compatible Bayer meter. When the pump is on the Home screen, it beeps or
vibrates when it receives a blood glucose reading from the meter. Your BG Meter
screen appears, where you can view your current blood glucose reading and, if
necessary, deliver a bolus. Once received, your BG values will appear on your
pump screen for 12 minutes, along with any insulin that is still active from any
previous boluses. If your blood glucose reading is outside the range of 3.9 to 13.9
mmol/L, the pump displays an alert. In this case, treat your low blood glucose or
high blood glucose as directed by your healthcare professional.
Note: In order to ensure accuracy, do not use a BG meter reading if
more than 12 minutes have passed since you have taken the reading.
The compatible Bayer meter may not be available in all countries.
Meter
111
You can also deliver a Normal Bolus or Preset Bolus from your compatible Bayer
meter. For more information about setting up your pump to use the Remote Bolus
feature, see Setting up Remote Bolus, on page 112. Consult your healthcare
professional before using the Remote Bolus feature.
Wirelessly connecting your pump and meter
Always refer to your compatible Bayer meter user guide for instructions on
connecting the meter to the pump.
Setting up Remote Bolus
Remote Bolus allows you to send a Normal Bolus or Preset Bolus remotely from
your meter. To access this option, your compatible Bayer meter and pump must
be wirelessly connected, and the Remote Bolus option on your pump must be
turned on. Consult your healthcare professional before using the Remote Bolus
feature.
The following procedure describes how to turn the Remote Bolus feature on or off.
For information on using Remote Bolus, see the user guide that came with your
compatible Bayer meter.
Note: Remote Bolus default setting is on.
To turn on or off Remote Bolus:
1.
Make sure that your pump and compatible Bayer meter are connected.
2.
Go to the Remote Bolus screen.
Menu > Utilities > Remote Bolus
The Remote Bolus screen appears.
3.
Select Remote Bolus to turn the feature on or off.
4.
Select Save.
Deleting a meter from your pump
Follow this procedure to delete your compatible Bayer meter from the pump.
To delete the meter from the pump:
112
Chapter 6
1.
Go to the Manage Devices screen.
Menu > Utilities > Device Options > Manage Devices
The Manage Devices screen appears.
3.
Select Delete.
4.
A screen appears confirming that you would like to delete the device. Select
Yes to confirm or No to cancel.
Meter
113
meter
Identify and select your meter by the serial number. See your compatible
Bayer meter user guide for instructions on locating your serial number.
■
2.
114
Chapter 6
history and events
■
This chapter describes the History and Event Markers features. The History screens
provide personal pump therapy details, including information about your insulin
deliveries, BG meter readings, sensor glucose (SG) readings, and any alarms and
alerts you received. The Event Markers feature allows you to enter and save
information, such as manual BG readings, carbohydrates eaten, and exercise.
History
The History feature includes the Summary, Daily History, and Alarm History screens.
The SG Review and ISIG History screens are available if you are using the Sensor
feature.
Summary screen
The Summary screen shows details about past insulin deliveries and meter
readings. If you are using a sensor, the Summary screen also shows information
about your sensor alerts and sensor glucose readings.
You can view historical details for a single day, or you can select multiple days to
view an average of all the results for the number of days that you selected.
To view your Summary screen:
1.
Go to the Summary screen.
Menu > History > Summary
2.
Select the time period for the Summary screen.
The Summary screen appears, showing information for the number of days
that you selected.
History and events
117
history and events
History and events
3.
You can scroll down to view the entire screen. If you are using the 1 Day
view, you can use the and buttons on your pump to view the results for
each day in history.
Understanding the Summary screen
The Summary screen separates information into five categories:
•
overview
•
bolus
•
BG meter
•
sensor
•
SmartGuard
Summary screen: overview
The following table describes the overview portion of the Summary screen.
Note: If you are viewing a single day of Summary results, then the values
shown are the actual results for the selected day. If you are viewing more
than one day of Summary results, then the value is an average of the
days that you selected.
Name
Description
TDD
Total daily dose of insulin units.
Basal
• Insulin units devoted to basal delivery.
• Percentage of insulin devoted to basal delivery.
Bolus
• Insulin units devoted to bolus delivery.
• Percentage of insulin devoted to bolus delivery.
Total Carbs
Daily carbohydrate amount, in grams or exchanges.
Summary screen: bolus
The following table describes the bolus portion of the Summary screen:
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Chapter 7
Note: If you are viewing a single day of Summary results, then the values
shown are the actual results for the selected day. If you are viewing more
than one day of Summary results, then the value is an average of the
days that you selected.
Description
Carb bolus only
• Total insulin units delivered using the Bolus Wizard with food
amount only.
history and events
• Number of times the Bolus Wizard delivered a food bolus
only.
BG Correction only
• Total insulin units delivered using the Bolus Wizard with BG
correction amount only.
• Number of times the Bolus Wizard delivered a BG correction
bolus only.
Carb bolus + BG
Correction
• Total insulin units delivered using the Bolus Wizard with food
and BG correction amount.
• Number of times the Bolus Wizard delivered a carb and BG
correction bolus.
Manual Bolus
• Total bolus insulin units delivered using Manual Bolus, Preset
Bolus, or Easy Bolus.
• Number of bolus deliveries using Manual Bolus, Preset Bolus,
or Easy Bolus.
Summary screen: BG meter
The following table describes the BG meter portion of the Summary screen:
Name
Description
BG
Total number of BG meter readings, including readings from a
compatible Bayer meter and BG meter readings entered
manually.
Average BG
Average BG meter readings.
Meter Low
Lowest BG meter readings received from a compatible Bayer
meter.
History and events
■
Name
119
Name
Description
Meter High
Highest BG meter readings received from a compatible Bayer
meter.
Manual Low
Lowest BG meter readings entered manually.
Manual High
Highest BG meter readings entered manually.
Summary screen: sensor
The following table describes the sensor portion of the Summary screen. If the
sensor feature has never been turned on, this portion of the screen does not
appear. If the sensor feature was turned on at least once, but is currently turned
off, this portion of the screen appears gray.
Name
Description
SG Average
Average sensor glucose value.
SG Std. Dev.
Standard deviation of the SG readings.
Above High Limit
Percentage of SG readings that were above your high glucose
alert limit. If you have not set a high glucose alert limit, your
pump uses the default values. For more details on setting your
high glucose alert limit, see High settings, on page 156.
Within Limits
Percentage of SG readings that were between your high and
low glucose alert limits. If you have not set your high and low
glucose alert limits, your pump uses the default values. For
more details on setting your high and low glucose alert limits,
see High settings, on page 156 and Low settings, on page 157.
Below Low Limit
Percentage of SG readings that were below your low glucose
alert limit. If you have not set a low glucose alert limit, your
pump uses the default values. For more details on setting your
low glucose alert limit, see Low settings, on page 157.
Alert before high
Number of Alert before high alerts that occurred.
Alert on high
Number of Alert on high alerts that occurred.
Rise Alert
Number of Rise alerts that occurred.
Alert before low
Number of Alert before low alerts that occurred.
Alert on low
Number of Alert on low alerts that occurred.
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Chapter 7
Summary screen: SmartGuard
The following table describes the SmartGuard portion of the Summary screen. For
details on the SmartGuard feature, see SmartGuard, on page 152.
Suspend before low
The average number of Suspend before low events per day.
Suspend on low
The average number of Suspend on low events per day.
Time suspended by
sensor
The average duration (amount of time) suspended as a result of
Suspend on low or Suspend before low events per day.
# SG readings
Number of SG readings per day.
Daily History
The Daily History screen displays a list of actions you performed on your pump or
event entries that you made for the selected day, such as your BG meter readings,
bolus deliveries, any temp basal rates you have used, and so on. The list displays
the most recent action or event first. From this list, you can display further details
about any action or event.
To view your Daily History:
1.
Go to the Daily History screen.
Menu > History > Daily History
A list of dates appears.
2.
Select a specific date of history to view. A list appears with any pump actions
or events entered on the specified day.
3.
You can select any item in the list to open the Detail screen, which displays
more information about the selected action or event. For example, if you view
the details of a bolus delivered using the Bolus Wizard, the Detail screen
shows you all of the data associated with that bolus, such as the BG
correction amount, active insulin adjustment, carbs entered, and calculated
bolus.
History and events
121
history and events
Description
■
Name
Alarm History
The Alarm History screen displays a list of alarms and alerts that occurred on the
selected day. The list displays the most recent alarm or alert first. From this list, you
can display further details about any alarm or alert.
To view your Alarm History:
1.
Go to the Alarm History screen.
Menu > History > Alarm History
A list of dates appears.
2.
Select a specific date of alarm history to view. A list appears showing any
alarms or alerts that occurred on the specified day.
3.
You can select any alarm or alert in the list to open the Alarm Detail screen,
which displays more information about the selected alarm or alert.
Using Sensor Glucose Review
The Sensor Glucose Review feature allows you to view a graph of your SG history,
based on high and low limits you enter. You can view information for one day, or
view an average of your SG data over a number of days.
This Sensor Glucose Review feature is available if you are using the Sensor feature.
Note: The limits that you set in this screen are for the purpose of
viewing your sensor glucose data only, and are not the same as the High
and Low Alert Limits used for your sensor alerts. Changing your Sensor
Glucose Review limits does not affect your high and low glucose limits.
To review your sensor glucose history:
1.
Go to the SG Review screen.
Menu > History > Sensor Glucose Review
The SG Review screen appears. The high and low limits that appear are either
the values you entered for the last SG Review, or the default values of
10 mmol/L for the High Limit and 3.9 mmol/L for the Low Limit.
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Chapter 7
■
2.
There must be a minimum of 1.1 mmol/L difference between the high and
low SG limits.
3.
Enter the number of days of sensor glucose history to average, and select
Next.
A graph of your SG data appears. If you specified one day of history to view,
the graph shows details about when your SG was above, below, or within
your specified limits. You can scroll down to view the number of hours and
percentage of time you were above, within, and below your SG limits.
If you have no data saved, a message appears on the screen letting you know
there is no data available.
SG Review
12 3
6
4:00
9 12 15 18 21 24
20
15
10
5
2.2
mmol/L
Fri, Jan 18
If you view information for multiple days, the graph shows the average
percentage of time that your SG was above, below, or within your specific
limits.
History and events
123
history and events
Enter the High Limit and Low Limit that you want to use for the sensor
glucose review.
SG Review
4:00
7 Days (Avg/Day)
Below
Above
3.9
10.0
7:00 hr
8:00 hr
15 %
33 %
Within 9:00 hr 38 %
ISIG History
ISIG represents a signal measured by the sensor that is used to calculate your
sensor glucose value. The ISIG History feature shows the history of your ISIG values
over the previous 24-hour period. This information is primarily used by support
personnel for troubleshooting, and is available only after you have turned on the
Sensor feature.
To view your ISIG History:
1.
Go to the ISIG History screen.
Menu > History > ISIG History
2.
Select a time for which you want to view the ISIG history. The ISIG history
appears for the hour you selected.
Event Markers
The Event Markers feature allows you to electronically save certain types of
information.
When using this feature, enter events when they happen because the system
records the time of the entry. You cannot change entries after you have put the
information into your pump. You can view your saved events in the Daily History
screen.
The entered information can be sent to CareLink™ Personal therapy management
software. There it can be used to generate reports you can share with your
healthcare professional.
To enter Event Markers:
1.
Go to the Event Markers screen.
Menu > Event Markers
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Chapter 7
2.
Select and enter event information for any of the following categories:
Injection
Enter the number of units of any insulin you have given by
injection.
Note: Insulin units entered using the injection
event marker are not added to your Active
Insulin amount tracked on the pump.
Food
Enter the amount of carbohydrates that you have eaten or
drunk that have not been entered in the Bolus Wizard. For
example, you might enter carbs that you ate to correct a low
BG.
Do not enter carbs here that you have already entered in the
Bolus Wizard.
Exercise
Enter the length of time you exercised. It is helpful to be
consistent and enter the information either before or after each
time you exercise.
Other
Examples of Other event markers can include when you take
medications, when you feel ill, or when you are under stress.
History and events
125
history and events
If you are not using the Bolus Wizard or a compatible Bayer
meter to record your BG meter readings in your pump, you can
enter them here. If you are using a sensor, you may use a BG
meter reading you enter here for calibration. You can also enter
non-calibration BG meter readings, such as those readings taken
when eating or when your BG is rising or falling rapidly.
■
BG
126
Chapter 7
reminders
■
Reminders help you remember to do important routine activities. There are specific
reminders that prompt you to check your BG after a bolus, give a food bolus,
check your reservoir level, and change your infusion set. There are also personal
reminders you can use for any purpose. If you have the sensor feature turned on,
the calibration reminder prompts you to calibrate your sensor.
Personal reminders
The Personal reminders include six numbered reminders, along with the specific
reminders for BG Check and Medication.
To create a new Personal reminder:
1.
Go to the Personal screen.
Menu > Reminders > Personal
2.
Select Add New.
The Select Name screen appears showing the available reminders.
3.
Select the reminder that you want to set.
The Edit screen appears for the selected reminder.
4.
Enter the time that you want the reminder to occur.
5.
Select Save. The Personal reminder occurs at the specified time each day
unless you change or delete it.
To change, rename or delete an existing Personal reminder:
1.
Go to the Personal screen.
Reminders
129
reminders
Reminders
Menu > Reminders > Personal
2.
Select the reminder that you want to change.
3.
Do one of the following:
•
Select Reminder to turn this reminder on or off.
•
Select Edit to change the time of the reminder.
•
Select Rename to select a new name for this reminder.
•
Select Delete to delete this reminder.
Bolus BG Check reminder
Bolus BG Check reminder helps you remember to check your blood glucose after a
bolus. After you start a bolus, the pump asks you when you want to be reminded
to check your blood glucose. The timer counts down from the time the bolus
started.
Note: The Bolus BG Check reminder is not available when you deliver a
bolus using the Remote Bolus feature from your compatible Bayer meter.
To turn on or turn off Bolus BG Check reminders:
1.
Go to the BG Check screen.
Menu > Reminders > Bolus BG Check
2.
To turn the reminder on or off, select Reminder.
3.
Select Save.
To use a Bolus BG Check reminder when delivering a bolus:
1.
130
After you turn on the Bolus BG Check reminder, each time you start a bolus,
the following screen appears:
Chapter 8
Missed Meal Bolus reminder
The Missed Meal Bolus reminder alerts you if a bolus is not delivered within a time
period that you set. These time periods are usually set around your typical meal
times to help ensure a meal bolus is not missed. You can set up to eight Missed
Meal Bolus reminders.
To create a new Missed Meal Bolus reminder:
1.
Go to the Missed Meal Bolus screen.
Menu > Reminders > Missed Meal Bolus
2.
Select Add New.
3.
Select Start Time, and enter a time.
4.
Select End Time, and enter a time. The time range is from one minute to
24 hours.
5.
Select Save.
To turn on or off, change, or delete existing Missed Meal Bolus reminders:
1.
Go to the Missed Meal Bolus screen.
Menu > Reminders > Missed Meal Bolus
2.
Select one of the reminders that you have already created.
3.
Change any of the following:
•
Select Reminder to turn this reminder on or off.
•
Select Edit to change the time of this reminder.
Reminders
131
reminders
Enter a time from 30 minutes to 5 hours, in 30 minute increments. Select OK.
If you do not want a reminder after the bolus, select the dashes without
adding a time, and then select OK. If needed, press to return to the dashes.
■
2.
•
Select Delete to delete this reminder.
Low Reservoir reminder
The Low Reservoir reminder alerts you when the insulin level in your reservoir is
low. This feature allows you to program your pump to generate a reminder before
your reservoir is empty. You can select one of the following types of Low Reservoir
reminders:
•
Units – alerts you when your reservoir has a specified number of units
remaining, and then alerts you again when half of remaining units are used.
•
Time – alerts you when there is a specified amount of time remaining before
your reservoir is empty and then again one hour before insulin runs out,
depending on your programmed basal insulin delivery.
Note: The amount of time or units remaining in your reservoir can be
found on the Quick Status screen. For more information on accessing the
Status Screens, see Viewing the Status screens, on page 32.
If you use Time for your Low Reservoir reminder, be aware that the reminder time
is based only on your basal insulin delivery rate. If you give a bolus, the time
remaining will decrease more quickly.
For example, if your reservoir has 10 hours remaining when you go to bed at
night, and you sleep for eight hours without giving any bolus insulin, you will still
have two hours of basal insulin remaining when you wake up. In contrast, suppose
your reservoir has 10 hours remaining when you leave the house for work in the
morning. If you give boluses to cover your mid-morning snack and your lunch, the
number of hours remaining decreases accordingly, and your insulin will run out
before you end your eight-hour work day.
WARNING: When the pump detects a low reservoir condition
during a bolus or fill cannula delivery, the Low reservoir alert
displays. When delivery has finished, check the amount left in the
reservoir to make sure your pump does not run out of insulin, as
this could lead to an under delivery of insulin.
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Low Reservoir reminder setup:
1.
Go to the Low Reservoir screen.
Menu > Reminders > Low Reservoir
2.
Select Type to set the reminder using either Units or Time.
3.
Depending on the type you selected, do one of the following:
•
Select Time to enter the number of hours you want to use for your
reminder. You can enter from 2 to 24 hours.
reminders
Select Units to enter the number of units. You can set a value from
5 units to 50 units.
■
4.
•
Select Save.
Set Change reminder
The Set Change reminder helps you remember to change your infusion set. After
you turn on this reminder, it automatically tracks the time between infusion set
changes and reminds you to change your infusion set.
To turn on or off, or change the Set Change reminder:
1.
Go to the Set Change screen.
Menu > Reminders > Set Change
2.
Select Reminder to turn the reminder on or off. If you turn on the reminder,
select Time and choose two or three days for the reminder.
3.
Select Save.
Calibration reminders
The Calibration reminder is available if you are using the Sensor feature. This
feature helps you remember to calibrate your sensor. For example, if you set your
reminder to four hours, you receive a Calibrate By alert four hours before the next
BG meter reading is due.
To turn on or off, or change the Calibration reminder:
1.
Go to the Calibration screen.
Menu > Reminders > Calibration
Reminders
133
2.
Select Reminder to turn the reminder on or off.
3.
If you turn on the reminder, select Time and enter a time between 5 minutes
and 6 hours.
4.
Select Save.
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general settings
■
general settings
General settings
This chapter provides information about common tasks for various settings.
Airplane Mode
Airplane Mode temporarily stops wireless communication with your pump. Use
this mode during airline travel when you are instructed to turn off wireless devices.
Check airline policies for specific instructions about operating medical devices
during a flight. Check local airport policies for specific instructions about medical
devices and security procedures.
The following table provides special instructions when using Airplane Mode and
additional devices with your pump:
When using
Do this:
this device:
Compatible
Bayer meter
When Airplane Mode is turned on, the Remote Bolus feature is not
available, and you must enter BG meter readings manually. When
Airplane Mode is turned off, use your compatible Bayer meter
normally.
Non-linked BG
meter
Use your non-linked BG meter normally whether Airplane Mode is
on or off.
General settings
137
When using
Do this:
this device:
Sensor and
transmitter
When Airplane Mode is turned on, your pump does not receive
sensor readings from your transmitter. Your transmitter continues to
collect your sensor readings, and can store up to 10 hours of sensor
data.
When Airplane Mode is turned off, it can take up to 15 minutes
before the pump and the transmitter start to wirelessly
communicate again. The transmitter begins to send the last
10 hours of your sensor information to the pump.
When you turn off Airplane Mode:
• If Airplane Mode was turned on for six hours or less, wait
15 minutes for the sensor and transmitter to wirelessly send your
pump the missing sensor glucose readings.
• If Airplane Mode was turned on for more than six hours,
disconnect and reconnect the transmitter and sensor, and then
select Reconnect Sensor when it appears on the pump screen.
To turn on or turn off Airplane Mode:
1.
Go to the Airplane Mode screen.
Menu > Utilities > Airplane Mode
2.
Select Airplane Mode to turn the feature on or off.
3.
Select Save.
When Airplane Mode is turned on, the status bar shows the Airplane Mode
icon
in place of the Connection icon.
Audio Options
The Audio Options screen lets you change the volume of most alerts and
notifications, and set the audio and vibrate settings. You can choose one of the
three audio options:
•
audio
•
vibrate
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Chapter 9
•
audio and vibrate
The audio option that you are currently using displays on the status bar. For more
information, see Status bar, on page 28.
To adjust the audio and vibrate settings:
1.
Go to the Audio Options screen.
■
Menu > Audio Options
Select the Audio or Vibrate option you want to use.
3.
If Audio or Audio & Vibrate option is selected, the volume can be changed.
Select Volume and use left or right button to the desired level.
4.
Select Save.
general settings
2.
Auto Suspend
Auto Suspend is a safety feature that stops all insulin delivery and sounds an alarm
if you do not press any buttons for a specified period of time. For example, your
healthcare professional may have you set the time based on the number of hours
that you typically sleep at night. Discuss with your healthcare professional how to
best use this feature.
To set up Auto Suspend:
1.
Go to the Auto Suspend screen.
Menu > Insulin Settings > Auto Suspend
2.
Select Alarm.
3.
Select Time and enter the number of hours that you want to set.
4.
Select Save.
Block Mode
The Block Mode feature allows caregivers, such as parents of a young child, to
restrict access to critical pump settings.
Caution: You can still manually suspend the pump while in block
mode. This could result in high blood glucose and ketoacidosis.
General settings
139
When Block Mode is on, you cannot start a new bolus delivery, start a new basal
pattern, or start a new temp basal delivery. However, any previous bolus and basal
deliveries continue normally, and the pump user can stop a bolus delivery at any
time.
When your pump is in Block Mode, you can suspend insulin delivery, receive SG
values, receive BG values from a compatible Bayer meter, review history, test the
pump, and clear alarms and alerts. However, you cannot change any settings.
WARNING: Block Mode does not prevent Remote Bolus deliveries
from your compatible Bayer meter. When your pump is in Block
Mode, you can still deliver a bolus from your compatible Bayer
meter using the Remote Bolus feature.
To turn Block Mode on or off:
1.
Go to the Block Mode screen.
Menu > Utilities > Block
2.
Select Block Mode to turn the feature on or off.
3.
Select Save. While Block Mode is turned on, a lock icon
displays on the
status bar.
If you are turning on Block Mode, a message appears asking if you would like
to change your Remote Bolus setting as well. This message appears only if
the Remote Bolus setting was on.
4.
Select Yes to change Remote Bolus setting.
5.
Select Remote Bolus to turn the feature on or off.
6.
Select Save.
Carb Unit
The Carb Unit setting determines whether to enter and display carbohydrates in
grams (g) or exchanges (exch). You enter carbohydrate information when using
the Bolus Wizard and recording food in Event Markers.
To change the Carb Unit setting:
1.
140
Go to the Carb Unit screen.
Chapter 9
Menu > Utilities > Carb Unit
2.
Select either Grams or Exchanges.
3.
Select Save.
Display Options
To adjust the display options:
1.
Go to the Display Options screen.
Menu > Utilities > Display Options
2.
Select Brightness to adjust the brightness of your screen. You can set a level
from 1 to 5, or select Auto to have the screen automatically adjust to your
current environment.
Note: The brightness setting you select can affect the life of your
battery. For a longer lasting battery, consider using a lower level
setting.
3.
Select Backlight to adjust the timeout for the backlight on your pump screen.
You can select 15 seconds, 30 seconds, 1 minute, or 3 minutes.
Note: The backlight can affect the life of your battery. For a longer
lasting battery, consider setting the screen timeout to 15 seconds.
4.
Select Save.
Language
You can change the language that your pump uses to display information.
To change the Language setting:
1.
Go to the Language screen.
Menu > Utilities > Language
General settings
141
general settings
■
The Display Options allow you to increase or decrease the brightness of your
screen. From the Display Options screen, you can also adjust the amount of time
the backlight stays on after you press a button.
A checkmark indicates which language is active.
2.
Select your desired language.
3.
Select Yes when the confirmation message appears.
Managing your pump settings
Manage Settings lets you save, restore, or clear your settings.
The following table describes the Manage Settings options:
Save Settings
Saves a record of your current settings that you can use if a
future event requires you to re-enter your settings.
Restore Settings
Allows you to restore your settings, using the backup
settings that you saved using the Save Settings feature.
Clear All
Settings
Erases your settings and returns them to the factory defaults.
To use your pump again after clearing all settings, you must
use Restore Settings. This enables you to restore a previous
version of your settings or enter your settings again.
Clear Active
Insulin
This option appears only if you have never cleared your
active insulin. Use this feature when you are ready to use
your pump with insulin for the first time. You can only clear
your active insulin once.
Settings History
Displays a history of recent activities that relate to managing
your settings, such as saving, clearing, and restoring your
settings.
Saving your settings
Saving a record of your settings allows you to restore your settings at a later date,
if necessary.
To save your current settings:
1.
Go to the Manage Settings screen.
Menu > Utilities > Manage Settings
2.
Simultaneously press and hold
appears.
3.
Select Save Settings.
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and
until the Manage Settings menu
If these are the first settings you have saved, a message appears telling you
that your settings are saved.
If you have previously saved settings, a message appears asking if you would
like to replace your previous settings with your current settings. Select Yes to
accept. Select No to cancel.
To restore your previous settings:
1.
Go to the Manage Settings screen.
Menu > Utilities > Manage Settings
2.
Simultaneously press and hold
appears.
3.
Select Restore Settings.
4.
To replace your current settings with your previous settings, select Yes. To
cancel, select No.
and
until the Manage Settings menu
Clearing your settings
The Clear All Settings feature erases your current settings and returns them to the
factory defaults. After you clear your settings, your pump displays the Startup
Wizard, where you can re-enter your pump settings. You must re-enter your
settings to continue using your pump.
The Clear All Settings feature does not delete wireless connections to other
devices, such as your transmitter or compatible Bayer meter.
Caution: Do not clear the settings on the pump unless directed by
your healthcare professional. If you clear your settings, you must reenter all your personal settings as directed by your healthcare
professional.
General settings
143
general settings
This option allows you to replace your current pump settings with the last settings
that you have saved. The Restore Settings menu option is available only if you
have previously saved your settings.
■
Restoring your settings
To clear all your settings:
1.
Make sure the pump is not connected to your body.
2.
Go to the Manage Settings screen.
Menu > Utilities > Manage Settings
3.
Simultaneously press and hold
appears.
4.
Select Clear All Settings.
and
until the Manage Settings menu
A confirmation screen appears asking if you want to clear all your settings.
5.
To continue clearing your settings, select Yes. If you do not want to clear
your settings, select No.
If you clear your settings, your pump displays the Welcome screen and
continues to the Startup Wizard. For more details on entering your startup
settings, see Entering your startup settings, on page 24.
Clearing your active insulin
Use this feature when you are ready to use your pump with insulin for the first
time. This feature clears any active insulin values that your pump has tracked, and
sets the active insulin value to zero. If you have practiced delivering a bolus with
your pump prior to using your pump with insulin, you must clear the active
insulin. This ensures that the Bolus Wizard has an accurate active insulin amount
for bolus calculations.
You can clear your active insulin only once. After you clear your active insulin, the
feature is no longer available.
1.
Go to the Manage Settings screen.
Menu > Utilities > Manage Settings
2.
Simultaneously press and hold
appears.
and
until the Manage Settings menu
The Manage Settings screen appears. If you have never cleared your active
insulin, the Clear Active Insulin option appears.
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Chapter 9
Manage Settings
Save Settings
Restore Settings
Clear All Settings
Clear Active Insulin
Settings History
■
3.
Select Clear Active Insulin.
A confirmation screen appears asking if you want to continue.
4.
Select Clear to clear your active insulin value from your pump. If you do not
want to clear your active insulin at this time, select Cancel.
A message appears confirming that your active insulin value is cleared.
Viewing your pump setting history
The Settings History shows you a history of activities you have performed in the
Manage Settings area, such as saving, restoring, or clearing your settings.
1.
Go to the Manage Settings screen.
Menu > Utilities > Manage Settings
2.
Simultaneously press and hold
appears.
3.
Select Settings History.
and
until the Manage Settings menu
The Settings History screen appears.
Self Test
Self Test is a safety utility that allows you to check if your pump is operating
properly. This self-diagnostic feature can be used for maintenance or to check that
your pump is operating properly. Self Test is additional to the routine tests that run
independently while the pump operates.
General settings
145
general settings
Note: If the Clear Active Insulin selection does not appear on the
Manage Settings screen, it means that you have already cleared your
active insulin on the pump.
WARNING: Your insulin is suspended for up to two minutes while
your pump runs the self test.
Self Test includes the following tests:
Test
Description
Display
Turns on the display for up to 30 seconds.
Notification light
Turns on the notification light for three seconds and then turns it
off.
Vibration
Generates two vibration cycles.
Tone
Generates an alert tone, an Easy Bolus (step 1) tone, and an alarm
tone.
The pump will run through a series of tests as listed in the previous table. Self Test
requires you to observe the pump during the test.
To run the Self Test:
1.
Go to the Self Test screen.
Menu > Utilities > Self Test
A message indicates that the Self Test is in progress.
Self Test takes up to two minutes to complete. During that time, the display
briefly turns white, the notification light blinks, the pump vibrates, and the
pump beeps.
2.
If Self Test does not detect a problem, the display returns to the Utilities
screen.
If Self Test detects a problem, a message appears with more information
about the problem. If Self Test displays an error message or you observe the
pump not behaving as indicated during the test, contact the 24 Hour
HelpLine or your local representative.
Sensor Demo
Sensor Demo lets you see what the Home screen would look like if you were
using the optional Continuous Glucose Monitoring (CGM) feature. For more
information about sensor graphs, please see The sensor graph, on page 191.
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Chapter 9
WARNING: Do not use Sensor Demo to make any decisions related
to your therapy. Information seen in the Sensor Demo is not real
data. It is an example of the type of information you can access
when using the sensor feature. Making treatment decisions based
on data that is not real can lead to low or high blood glucose
conditions.
■
To view the sensor graphs:
Go to the Sensor Demo screen.
Menu > Utilities > Sensor Demo
A screen appears as an example of what your Home screen looks like when
you are using the optional CGM feature.
2.
Press Select to access the sensor graph examples.
3.
From the sensor screen examples you can:
•
Press the or buttons to move the cursor across the graph. Examples
of sensor data appear for the different time periods.
•
Press the or buttons to view graphs that cover different time
periods. You can view 3-hour, 6-hour, 12-hour, and 24-hour graphs.
Sensor Demo simulates a sensor glucose graph, showing an example of the
general trend of glucose as it rises and falls over time. The top of the graph
indicates the time of day, while the side bar shows the sensor glucose (SG)
reading markers.
4.
To exit Sensor Demo, press
.
To see and hear examples of sensor-related alerts:
1.
Go to the Sensor Demo screen.
General settings
147
general settings
1.
Menu > Utilities > Sensor Demo
2.
Select Alert Demo.
3.
To see and hear sensor-related alerts, select any of the listed alerts.
4.
To exit an alert example, press
Sensor Demo, press .
, then select OK to clear the alert. To exit
Time and date
Make sure the time and date are always set correctly on your pump. This is
necessary to ensure the correct basal insulin delivery and to keep an accurate
record of pump functions. You may need to change the time or the date if you
travel to a different time zone or practice daylight saving time. After the time and
date are changed, the pump adjusts all settings automatically.
To change the time and the date:
1.
Go to the Time & Date screen.
Menu > Utilities > Time & Date
2.
Select and change the Time, Time Format, or Date as necessary. If you are
using a 12-hour clock, be sure to specify AM or PM.
3.
Select Save.
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setting up continuous glucose monitoring
■
setting up continuous glucose monitoring
Setting up Continuous Glucose
Monitoring
This chapter explains how to wirelessly connect your pump and transmitter, and
how to enter your sensor settings and set up continuous glucose monitoring
(CGM) on your pump. You will need the following:
•
MiniMed 640G insulin pump
•
Sensor glucose settings (provided by your healthcare professional)
•
Enlite sensor
•
Guardian 2 Link transmitter kit
WARNING: Do not make therapy treatment decisions based on
sensor glucose values because sensor glucose and blood glucose
values may differ. If your sensor glucose reading is low or high, or if
you feel symptoms of low or high glucose, confirm your blood
glucose with your BG meter prior to making therapy decisions to
avoid severe low or high glucose conditions.
Understanding Continuous Glucose Monitoring (CGM)
The Sensor feature on the pump lets you integrate and use continuous glucose
monitoring (CGM). CGM is a sensor glucose monitoring tool that uses a glucose
sensor that is placed below your skin to continuously measure the amount of
glucose in your interstitial fluid. CGM helps you better manage your diabetes by:
•
Recording your glucose values throughout the day and night
Setting up Continuous Glucose Monitoring
151
•
Showing the effects that your diet, exercise, and medication can have on your
glucose levels
•
Giving you additional tools to help you prevent high and low glucose levels
Note: If you lose sensor functionality, you will no longer have access to
CGM features. For details on restoring sensor functionality, see
Troubleshooting sensor issues, on page 234.
To learn more about the accuracy of sensor glucose (SG) readings versus blood
glucose (BG) meter readings, see Enlite™ Sensor Performance for the MiniMed™ 640G
Insulin Pump.
SmartGuard
SmartGuard is a feature that can automatically stop and resume insulin delivery
based on your sensor glucose values and low limit. Your low limit should be set
based on recommendations from your healthcare professional. When a
SmartGuard suspend by sensor event occurs, basal insulin delivery automatically
resumes if your sensor glucose values are rising and have met the specified criteria,
or if the maximum suspend time of two hours is reached.
The following table shows the different SmartGuard settings you can use and
where to find out more information.
To learn more about:
Go to this section:
How to use SmartGuard to automatically suspend
your insulin delivery before you reach your low
limit.
Suspend before low, on page 158.
How to use SmartGuard to automatically suspend
your insulin delivery when you reach your low limit.
Suspend on low, on page 161.
How SmartGuard automatically resumes your basal
insulin delivery after a suspend by sensor event.
Automatically resuming basal
delivery after a SmartGuard
suspend by sensor event, on
page 164.
To set up SmartGuard suspend by sensor settings, see Setting up the Low Settings,
on page 171.
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Home screen with CGM
When you turn on the Sensor feature, the Home screen on your pump changes to
display a real-time graph that shows your sensor glucose (SG) information. For
more information, see Turning on the Sensor feature, on page 167.
sensor status icons
1
2
3
5.5
10
5
2.2
Bolus
SG reading
mmol/L
Act Ins.
0.10 U
Basal
SmartGuard
suspend by
sensor icon
The following items appear on your Home screen with CGM:
Item
Description
Airplane
Mode icon
The Airplane Mode icon
appears in place of the Connection icon
if Airplane Mode is turned on. When Airplane Mode is turned on, the
pump cannot receive wireless communication from other devices. For
more information about using Airplane Mode, see Airplane Mode, on
page 137.
Setting up Continuous Glucose Monitoring
153
setting up continuous glucose monitoring
trend arrows
20
15
sensor graph
■
16:00
Item
Description
Calibration
icon
The approximate time left until your next sensor calibration is due. The
calibration icon appears only when the Sensor feature is turned on.
The color and the fill level of the icon indicate the status. When your
sensor is fully calibrated, the icon is solid green. As the time for your
next sensor calibration approaches, the icon becomes emptier, and
the color of the icon changes as shown in the following example. For
more information about calibrating your sensor, see Calibrating your
sensor, on page 184.
When your sensor is initializing, the Calibration icon appears with
three dots
. If the time to your next sensor calibration is
unavailable, the Calibration icon appears with a question mark
Connection
icon
The connection icon appears green
.
when the Sensor feature is on
and your transmitter is successfully communicating with your pump.
The connection icon appears gray
when the Sensor feature is
turned on, but the transmitter is not connected or communication
with your pump has been lost. For more information about the Sensor
feature, see Understanding Continuous Glucose Monitoring (CGM), on
page 151.
Sensor graph
Displays your SG readings over a period of 3 hours. The red lines
represent your high and low SG limits. The blue line represents your
SG trends during the specified period. For more information, see The
sensor graph, on page 191.
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Chapter 10
Description
Sensor Life
icon
The number of days remaining in the life of your sensor. The sensor
life icon appears only when the Sensor feature is turned on. The color
and the fill level of the icon indicate the status. When you insert a
new sensor, the icon is solid green. As your sensor life is used, the
icon becomes emptier. The icon turns yellow when less than 24 hours
remains in the life of your sensor. It turns red when less than 12 hours
remains in the life of your sensor.
unavailable, the Sensor Life icon appears with a question mark
.
SG reading
Shows your current SG reading which is sent wirelessly to your pump
by the transmitter.
SmartGuard
suspend by
The SmartGuard suspend by sensor icon appears only when either the
Suspend before low or Suspend on low feature is set to on. For details
sensor icon
on the SmartGuard feature, see SmartGuard, on page 152.
The SmartGuard suspend by sensor icon indicates the current status of
the suspend features, as follows:
• The icon is solid gold
when either the Suspend on low or
Suspend before low is turned on and ready.
• The gold icon flashes if your insulin delivery is currently suspended
due to a Suspend on low or Suspend before low event.
• The icon appears gray with a line through it
when neither
suspend feature is available. The suspend features might be
unavailable due to a recent suspend or because there are no SG
values available. It might also be unavailable because the pump is
not currently delivering insulin.
Trend arrows
Shows the rate at which the most recent sensor glucose level is rising
or falling. For more information about trend arrows, see Identifying
rapid changes in sensor glucose, on page 192.
Setting up Continuous Glucose Monitoring
155
setting up continuous glucose monitoring
If the number of days remaining in the life of your sensor is
■
Item
Note: Several items appear on both your Home screen without CGM and
your Home screen with CGM. For more information, see Home screen, on
page 26, and Status bar, on page 28.
Understanding glucose settings
There are several types of glucose alerts you can set to notify you if your glucose
values are changing at a particular rate, or if they are approaching or have reached
a specified low or high limit. You can also set your pump to automatically suspend
insulin delivery before or when you reach your low limit.
The following graph shows the different high and low glucose alerts you can use.
High
Limit
Alert on high
Alert before high
Resume basal alert
Rise Alert
Suspend before low
Alert before low
Low
Limit
Sensor
Glucose
Suspend on low
Alert on low
The high alerts are described in the High settings section on page 156. For details
on low alerts and suspend options, see Low settings, on page 157.
High settings
These settings alert you if your sensor glucose:
•
is rising rapidly (Rise Alert)
•
is approaching your high limit (Alert before high)
•
has reached your high limit (Alert on high)
The following table describes the High Settings.
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Chapter 10
High glucose
Description
setting
High limit
Your high limit is the value on which your other high settings are
based. Your high limit can be set from 5.6 mmol/L to 22.2 mmol/L.
You can set up to eight high limits for different time segments
throughout the day or night.
When Alert before high is on, you will receive an alert any time the
sensor glucose is predicted to reach the high limit. This makes you
■
Alert before
high
Time before
high
Time before high is only available when using Alert before high. Time
before high determines when you will receive an Alert before high.
You can set a time between 5 and 30 minutes.
Alert on high
When Alert on high is on, your system alerts you when your SG
reading reaches or exceeds your High Limit.
Rise Alert
The Rise Alert notifies you when your glucose is rising rapidly. This
alert helps you understand how much your glucose levels are affected
by meals or, for example, when forgetting to give a bolus.
Rise Limit
The Rise Limit determines when you will receive a Rise Alert. Rise Limit
is only available when using Rise Alert.
To set up your high settings, see Setting up the High Settings, on page 167.
Low settings
The low settings allow you to be alerted and/or have insulin delivery suspended
when you are either approaching or have reached your low limit. This is done by
using alerts and the SmartGuard feature described on page 152.
The following graph shows the different low settings you can use:
Setting up Continuous Glucose Monitoring
157
setting up continuous glucose monitoring
aware of potential highs before they occur.
Suspend before low
Alert before low
Suspend on low
Alert on low
Low Limit
WARNING: SmartGuard suspend by sensor features are not
intended to be a treatment for low blood glucose. Having insulin
suspended when glucose is low may not bring your blood glucose
back to your target range for several hours. Always confirm your
blood glucose readings with your BG meter and treat according to
the recommendations of your healthcare professional.
The following sections describe the SmartGuard feature and the low settings. For
details on setting up SmartGuard and your low settings, see Setting up the Low
Settings, on page 171.
Low limit
The low limit is the value on which the other low settings are based. The low limit
can be set from 2.8 mmol/L to 5.0 mmol/L. You can set up to eight low limits for
different periods of the day or night.
Suspend before low
The Suspend before low feature stops insulin delivery when your sensor glucose
values are approaching your low limit. This feature is intended to suspend insulin
delivery to minimize the amount of time spent low.
The default setting for the Suspend before low feature is off. Consult your
healthcare professional for the Suspend before low setting that is best for you.
If you turn on Suspend before low, then Alert on low is automatically turned on.
You also have the option to turn on Alert before low.
•
158
If Alert before low is on, your pump alerts you when insulin delivery is
suspended. For details, see Alert before low, on page 161.
Chapter 10
•
If Alert before low is off, then Suspend before low appears on the screen, but
the pump will not beep or vibrate when insulin delivery is suspended.
•
Your SG value is at or within 3.9 mmol/L above your low limit.
•
Your SG is predicted to reach or fall below a level that is 1.1 mmol/L above
your low limit within approximately 30 minutes.
Responding to a Suspend before low event
When you clear the Suspend before low alert, the SmartGuard suspend by sensor
icon
flashes and "Suspended before low" appears on your Home screen. If your
SG reaches your low limit, an Alert on low occurs.
When a Suspend before low event occurs, insulin delivery will remain suspended
for at least 30 minutes, unless you manually resume your basal delivery. For details,
see Manually resuming basal delivery during a suspend by sensor event, on page 174.
After the minimum 30-minute suspend time, basal insulin delivery will
automatically resume if the following conditions are met:
•
Your SG is at least 1.1 mmol/L above your low limit.
•
Your SG is estimated to be more than 2.2 mmol/L above your low limit within
30 minutes.
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159
setting up continuous glucose monitoring
Suspend before low conditions
When a Suspend before low event occurs, all insulin delivery is suspended. For a
Suspend before low event to occur, both of these must happen:
■
WARNING: The Suspend before low feature uses the sensor glucose
value, not your blood glucose value to automatically suspend
insulin delivery. Your pump automatically suspends insulin delivery
when your sensor glucose is approaching the low limit. However
your blood glucose reading may be higher than the sensor glucose
value. This could result in hyperglycemia. Likewise, your pump may
not suspend insulin delivery because your sensor glucose is not
approaching the low limit. However, your blood glucose may be
lower than the sensor glucose value. This could result in
hypoglycemia. Always check your blood glucose and treat as
appropriate.
Your basal insulin delivery will be suspended for a maximum of two hours, unless
these criteria are met during the suspend or unless you manually resume your
basal insulin. For details, see Manually resuming basal delivery during a suspend by
sensor event, on page 174.
If you do not respond to the Suspend before low alert, your pump resumes insulin
delivery after two hours and displays a Basal delivery resumed alert.
When Suspend before low is unavailable
After a Suspend before low event occurs, there is a period of time when the
Suspend before low functionality is unavailable. This time will vary depending on
whether or not you respond to the Suspend before low event. You can manually
suspend your insulin delivery at any time. For details, see Stopping and resuming
your insulin delivery, on page 54.
Note: The maximum amount of time the Suspend before low feature
will be unavailable is four hours.
When the SmartGuard suspend by sensor features are unavailable, the SmartGuard
suspend by sensor icon on the Home screen appears gray
.
When a Suspend before low event occurs and you respond within two hours
and:
•
Stay suspended for the two hour maximum suspend time, the SmartGuard
suspend by sensor features will be unavailable for 30 minutes after your basal
insulin delivery resumes.
•
Your insulin automatically resumes due to your rising SG levels, the
SmartGuard suspend by sensor features will be unavailable for 30 minutes
after your basal insulin delivery resumes.
•
Manually resume your basal insulin delivery, the SmartGuard suspend by
sensor features will be unavailable for 30 minutes after your basal insulin
delivery resumes.
If your pump has been suspended for two hours and you have not responded,
basal insulin delivery automatically resumes.
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Chapter 10
If you respond within 30 minutes of basal insulin delivery being resumed, the
SmartGuard suspend by sensor features will be unavailable for a total of 30
minutes. For example:
•
If you respond 20 minutes after your basal insulin delivery resumes, the
SmartGuard suspend by sensor features will be unavailable for an additional
10 minutes.
If you respond 30 minutes to four hours after your basal insulin delivery resumes,
the SmartGuard suspend by sensor features will be available immediately.
If you do not respond, the SmartGuard suspend by sensor features will be
unavailable for four hours after basal delivery resumes.
Alert before low
When Alert before low is on, you will receive an alert when you are approaching
your low limit. This makes you aware of potential lows before they occur.
The Alert before low feature can be used with the Suspend before low and
Suspend on low features. The Alert before low feature works as follows:
•
if Alert before low is on, and both suspend by sensor features are off, you
receive the Alert before low 30 minutes before you reach your low limit.
•
If Suspend on low is on, and Alert before low is on, you receive an Alert
before low 30 minutes before you reach your low limit.
•
If Suspend before low is on, and Alert before low is on, you receive a Suspend
before low alert when insulin delivery is suspended. For details, see Suspend
before low, on page 158.
You can also choose to have the Alert before low off.
Suspend on low
The Suspend on low feature stops insulin delivery when your sensor glucose value
reaches or falls below the low limit that you set. When a Suspend on low event
occurs, all insulin delivery is suspended. This feature is used for situations when
you cannot respond to a low glucose condition. It is intended to suspend insulin
delivery and minimize the amount of time spent low.
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161
setting up continuous glucose monitoring
If you respond 10 minutes after your basal insulin delivery resumes, the
SmartGuard suspend by sensor features will be unavailable for an additional
20 minutes.
■
•
The default setting for the Suspend on low feature is off. Consult your healthcare
professional for the Suspend on low setting that is best for you.
If you turn on Suspend on low, then Alert on low is turned on automatically. For
more information, see Alert on low, on page 164.
WARNING: The Suspend on low feature uses the sensor glucose
value, not your blood glucose value, to automatically suspend your
pump. Your pump may automatically suspend when your sensor
glucose is at or below the low limit, while your blood glucose is
above that limit. This could result in hyperglycemia. Likewise, your
pump may not suspend even though your blood glucose is at or
below the low limit. This could result in hypoglycemia. Always
check your blood glucose and treat as appropriate.
Responding to a Suspend on low event
When you clear the Suspend on low alarm, the SmartGuard suspend by sensor
icon
flashes and "Suspended on low" appears on your Home screen.
When a Suspend on low event occurs, the pump alerts you.
When a Suspend on low event occurs, insulin delivery remains suspended for at
least 30 minutes, unless you manually resume your basal delivery. For details, see
Manually resuming basal delivery during a suspend by sensor event, on page 174. After
the minimum 30-minute suspend time, basal insulin delivery will automatically
resume if the following conditions are met:
•
Your SG is at least 1.1 mmol/L above your low limit.
•
Your SG is estimated to be more than 2.2 mmol/L above your low limit within
30 minutes.
Your basal insulin delivery will be suspended for a maximum of two hours, unless
these criteria are met during the suspend or unless you manually resume your
basal insulin. For details, see Manually resuming basal delivery during a suspend by
sensor event, on page 174.
If you do not respond to the Suspend on low alarm, your pump resumes insulin
delivery after two hours and continues to display an emergency message.
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Chapter 10
When Suspend on low is unavailable
After a Suspend on low event occurs, there is a period of time when the suspend
functionality is unavailable. This time will vary depending on whether or not you
respond to the Suspend on low event. You can manually suspend insulin delivery
at any time. For details, see Stopping and resuming your insulin delivery, on page 54.
suspend by sensor icon on the Home screen appears gray
.
When a Suspend on low event occurs and you respond within two hours and
•
Stay suspended for the two hour maximum suspend time, the SmartGuard
suspend by sensor features will be unavailable for 30 minutes after your basal
insulin delivery resumes.
•
Your insulin automatically resumes due to your rising SG levels, the
SmartGuard suspend by sensor features will be unavailable for 30 minutes
after your basal insulin delivery resumes.
•
Manually resume your basal insulin delivery, the SmartGuard suspend by
sensor features will be unavailable for 30 minutes after your basal insulin
delivery resumes.
If your pump has been suspended for two hours and you have not responded,
basal insulin delivery automatically resumes.
If you respond within 30 minutes of basal insulin delivery being resumed, the
SmartGuard suspend by sensor features will be unavailable for a total of 30
minutes. For example:
•
If you respond 10 minutes after your basal insulin delivery resumes, the
SmartGuard suspend by sensor features will be unavailable for an additional
20 minutes.
•
If you respond 20 minutes after your basal insulin delivery resumes, the
SmartGuard suspend by sensor features will be unavailable for an additional
10 minutes.
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163
setting up continuous glucose monitoring
When the SmartGuard suspend by sensor features are unavailable, the SmartGuard
■
Note: The maximum amount of time the Suspend on low feature will be
unavailable is four hours.
If you respond 30 minutes to four hours after your basal insulin delivery resumes,
the SmartGuard suspend by sensor features will be available immediately.
If you do not respond, the SmartGuard suspend by sensor features will be
unavailable for four hours after basal delivery resumes.
Alert on low
The Alert on low feature is automatically turned on when either the Suspend
before low feature or the Suspend on low feature is turned on.
When Alert on low is set to on, you receive an alert when your SG reading reaches
or falls below your low limit. If your pump is suspended and you have not
responded, an emergency message appears.
Automatically resuming basal delivery after a SmartGuard suspend by sensor
event
In addition to suspending insulin delivery, the pump can also automatically resume
delivery of basal insulin. If insulin has been suspended by either the Suspend
before low or the Suspend on low feature, insulin delivery will automatically be
resumed if either of the following conditions are met:
•
if insulin has been suspended for a minimum of 30 minutes and SG values are
at least 1.1 mmol/L above the low limit and expected to be more than 2.2
mmol/L above the low limit in 30 minutes.
•
after a maximum of two hours.
Resume basal alert
When the Resume basal alert is on, you will be alerted when insulin is
automatically resumed. If the Resume basal alert is off, basal insulin resumes, but
you do not receive an alert. However, you will get a message indicating that the
basal has automatically resumed.
If basal resumes after the maximum suspend time of two hours, you will be alerted
even if the Resume basal alert is set to off. It is important that you check your BG
and ensure your glucose is at a safe level.
For details on setting up the Resume basal alert, see Setting up the Low Settings, on
page 171.
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Chapter 10
SmartGuard suspend by sensor examples
The following examples describe several scenarios that illustrate different types of
suspend events, user actions in response to these events, and what happens to
insulin delivery in each case.
Example 1: Suspend before low, non-responsive, auto resume basal
(trending upwards)
STOP
1.1 above Low Limit
30 min
Low Limit
An hour later, her sensor glucose values are 1.2 mmol/L above her low limit. Her
pump estimates her sensor glucose values will be 2.4 mmol/L above her low limit
within 30 minutes. Her pump automatically resumes her basal insulin delivery.
When the concert ends, Sarah sees that her pump automatically suspended and
resumed her insulin delivery and a potential low was avoided. She clears the
messages by selecting OK.
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165
setting up continuous glucose monitoring
3.9 above Low Limit
■
Sarah has been experiencing low sensor glucose values. Her healthcare
professional has recommended she use the Suspend before low feature. While at a
concert, Sarah’s sensor glucose values are approaching her low limit. Her pump
recognizes that her glucose will be at or within 1.1 mmol/L above her low limit
within 30 minutes and suspends her insulin. Sarah has her Alert before low set to
off so that she is not alerted when this occurs.
Example 2: Suspend before low, responsive, manually resume basal
Kate decides to meet her friends at the mall. While shopping, she gets a Suspend
before low alert. This indicates that her sensor glucose values are approaching the
low limit she has set. She clears the alert and sees that her insulin has been
suspended. Kate checks her BG to confirm. Based on her healthcare professional's
recommendation, Kate stops for a snack to help avoid hypoglycemia. Knowing the
carbohydrate will make her glucose rise, Kate manually resumes her basal insulin
delivery by selecting Suspended before low from the Home screen and choosing
Resume basal.
Kate knows that after she has manually resumed her basal insulin delivery, the
suspend functions will be unavailable for 30 minutes. However, she will be alerted
if she reaches her low limit.
Example 3: Suspend before low, responsive, stays suspended
Doug has just finished his evening jog on the beach. As he is walking home, he
receives a Suspend before low alert. He sees that his pump has automatically
suspended his insulin delivery. Doug clears the alert by selecting OK on his pump.
He knows that his pump is now suspended and insulin delivery has been stopped.
He checks his BG to confirm and keeps his insulin suspended.
A while later, Doug receives another alert. He looks at his pump and sees that he
has received an Alert on low. His SG has reached his low limit. He clears the alert
and checks his BG to confirm. He eats carbohydrates to treat the low glucose as
instructed by his healthcare professional.
Doug keeps his insulin suspended as directed by his healthcare professional. He
knows that once his SG is above his low limit and trending upward, or reaches the
maximum suspend time of two hours, basal insulin delivery will automatically
resume.
Example 4: Suspend on low, response after basal delivery resumes
Michael is on his college hockey team. He played in a hockey tournament all day
and is so exhausted that he falls asleep watching television. His sensor glucose
value begins to drop. When his sensor glucose value reaches his low limit, the
pump begins to alarm. It automatically suspends all insulin delivery. Michael does
not respond to the alarm. After ten minutes, his pump begins to siren and displays
the emergency message.
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Chapter 10
About three hours later, Michael’s roommate comes home. He hears the pump
sirening and wakes up Michael. Michael clears any messages by selecting OK. He
sees that his basal insulin was suspended for the two hour maximum and had
automatically been resumed. He checks his blood sugar and sees that it is within
the target range.
■
setting up continuous glucose monitoring
1.1 above Low Limit
START
STOP
Low Limit
2 hours
Since Michael has responded to his alert, the pump will suspend insulin delivery
and alarm again if his sensor value reaches or falls below his low limit again.
Turning on the Sensor feature
You must turn on the Sensor feature before you can set up your glucose alerts
and start monitoring your sensor glucose.
To turn on the Sensor feature:
1.
Go to the Sensor Settings screen.
Menu > Sensor Settings
2.
Select Sensor to turn on the sensor feature. The sensor settings become
accessible.
Setting up the High Settings
The steps below guide you through setting up your high settings. For details on
your high settings, see High settings, on page 156.
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167
Note: When you enter your settings, you first define the time segment,
and then select the high settings you want on during that time segment.
To set up the High Settings:
1.
Go to the High Settings screen.
Menu > Sensor Settings > High Settings
The High Settings screen appears.
2.
Select High Settings to turn on the feature.
The High Setup screen appears.
3.
Select the time segment. The End time starts flashing.
The Start time of the first time segment is always 00:00. You can set up to
eight time segments, each with a different high limit. If you set more than
one time segment, the time segments must cover a 24-hour period.
4.
Set the End time.
5.
Set your Hi limit. You can enter a value from 5.6 to 22.2 mmol/L, in
increments of 0.2 mmol/L.
6.
Select the arrow to the right of the End time to select the high settings for
this time segment.
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Chapter 10
A screen appears showing the high alerts for the selected time segment.
■
Set the following alerts as desired:
a.
Select Alert before high if you want to receive an alert before you reach
your high limit.
b.
If you turned on Alert before high, enter the Time before high to set
how soon you want to be alerted before reaching your high limit. You
can enter a value from 5 to 30 minutes.
c.
Select Alert on high if you want an alert when you reach your high limit.
d.
Select Rise Alert if you want to receive an alert when your SG is rising
quickly.
Skip to step 11 if you do not select Rise Alert.
8.
If you turned on the Rise Alert, you need to set the Rise Limit. Scroll down
and select Rise Limit to access this option.
The Rise Limit screen appears.
9.
Select the arrow option (one, two, or three arrows) that corresponds to the
rise rate you want to use. To use a custom rate, skip to the next step.
•
Select
for an alert when your SG has been rising at a rate of
0.056 mmol/L per minute or more.
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169
setting up continuous glucose monitoring
7.
•
Select
for an alert when your SG has been rising at a rate of
0.111 mmol/L per minute or more.
•
Select
for an alert when your SG has been rising at a rate of
0.167 mmol/L per minute or more.
Select OK, and skip to step 11.
Note: These arrows appear on your Home screen to let you know
the rate at which your SG has been rising.
10. To enter a custom rise limit, do the following:
a.
Select Custom. The Custom Limit screen appears.
b.
Select Rise Limit and set a rise rate from 0.050 to 0.275 mmol/L/min. You
set the rate in 0.005 mmol/L/min increments.
c.
Select OK to return to the Rise Limit screen and then select OK again to
confirm your settings.
11. When you have set all the high settings for the selected time segment, select
Next to continue.
12. If you entered an End time of anything other than 00:00, another time
segment appears. When you are finished entering high settings, select Done.
13. Review your settings, and select Save.
To change your High Settings:
1.
Go to the High Settings screen.
Menu > Sensor Settings > High Settings
The High Settings screen appears.
2.
Select Setup.
3.
Select Edit.
4.
Select and, if needed, adjust the time segment you would like to change.
5.
Select any alert setting to turn it on or off or to adjust the setting.
6.
Select Next.
7.
Select Done.
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Chapter 10
8.
Review your settings, and select Save.
High Snooze
Setting the High Snooze:
1.
Go to the High Settings screen.
Menu > Sensor Settings > High Settings
The High Settings screen appears.
2.
Select Snooze and enter a value from 5 minutes to 3 hours, in 5 minute
increments.
Setting up the Low Settings
The steps below guide you through setting up the Low Settings. For details on the
Low Settings, see Low settings, on page 157.
Note: When you enter your settings, you first define the time segment,
and then select the low settings you want on during that time segment.
To set up the Low Settings:
1.
Go to the Low Settings screen.
Menu > Sensor Settings > Low Settings
The Low Settings screen appears.
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171
setting up continuous glucose monitoring
■
High Snooze is available once you have set your High Settings. High Snooze allows
you to set the amount of time that you want to wait before you are reminded that
an alert condition still exists. After a high alert is received and cleared, you will be
alerted again only if the high alert condition still exists after the snooze time you
have set.
2.
Select Low Settings to turn on the feature.
The Low Setup screen appears.
3.
Select the time segment. The End time starts flashing.
The Start time of the first time segment is always 00:00. You can set up to
eight time segments, each with a different low limit. If you set more than one
time segment, the time segments must cover a 24-hour period.
4.
Set the End time.
5.
Set your low limit. You can enter a value from 2.8 to 5.0 mmol/L, in
increments of 0.2 mmol/L.
6.
Select the arrow to the right of the End time to select the low settings for
this time segment.
A screen appears showing the available settings for the selected time period.
7.
172
Set the following as desired:
a.
Select Suspend before low to have insulin suspended before you reach
your low limit. The Alert on low alert is automatically turned on and
cannot be turned off.
b.
Select Alert before low to receive an alert before you reach your low
limit. If Suspend before low is also on, you are alerted when insulin is
suspended.
Chapter 10
Select Suspend on low to have insulin suspended when you reach or fall
below your low limit. The Alert on low alert is automatically turned on
and cannot be turned off.
d.
Select Alert on low if you want to receive an alert when your SG reaches
or falls below your low limit. If either suspend feature is on, this will
already be on.
e.
Select Resume basal alert if you want an alert when basal insulin
delivery is resumed based on SG values during a suspend by sensor
event. If you do not turn on the alert, the Basal delivery resumed
message will still appear on the pump, but you will not be alerted.
■
c.
setting up continuous glucose monitoring
Note: When setting your low alerts:
8.
•
If you turn on the Suspend before low or the
Suspend on low feature, then the Alert on low
feature is turned on automatically.
•
Only one suspend by sensor feature can be used
during each time segment. You cannot use both
the Suspend before low and the Suspend on low
features in the same time segment.
If you entered an End time of anything other than 00:00, another time
segment appears.
When you are done entering your low settings, select Done.
9.
Review your settings, and select Save.
To make changes to your Low Settings:
1.
Go to the Low Settings screen.
Menu > Sensor Settings > Low Settings
The Low Settings screen appears.
2.
Select Setup.
3.
Select Edit.
4.
Select, and if needed, adjust the time segment you would like to change.
Setting up Continuous Glucose Monitoring
173
5.
Select any alert setting to turn it on or off or to adjust the setting.
6.
Select Next.
7.
Select Done.
8.
Review your settings, and select Save.
Low Snooze
Low Snooze is available once you have set your Low Settings. Low Snooze allows
you to set the amount of time that you want to wait before you are reminded that
an alert condition still exists. After a low alert is received and cleared, you will be
alerted again only if the low alert condition still exists after the snooze time you
have set.
Setting the Low Snooze:
1.
Go to the Low Settings screen.
Menu > Sensor Settings > Low Settings
The Low Settings screen appears.
2.
Select Snooze and enter a time between 5 minutes and 1 hour.
Manually resuming basal delivery during a suspend by sensor event
When your pump suspends insulin due to a Suspend before low or Suspend on
low event, the bottom of your Home screen displays either Suspended before low
or Suspended on low depending on which is active.
10:00
1
2
3
20
15
10
5
2.2
5.2
mmol/L
Act Ins.
0.1 U
Suspended before low
If you do not want to wait for your pump to automatically resume your basal
insulin, you can follow the procedure below to manually resume your basal
delivery.
To manually resume basal delivery:
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Chapter 10
1.
From the Home screen, select Suspended before low or Suspended on low.
The SmartGuard screen appears.
2.
Select Resume Basal.
3.
Select Yes to resume basal delivery.
■
Note: Always remember to promptly respond to any confirmation
messages shown on the pump screen. Your prompt response is
needed to complete the task.
setting up continuous glucose monitoring
Wirelessly connecting your pump and transmitter using
Auto Connect
Before you can start using your sensor, you must first wirelessly connect your
pump to your transmitter so they can begin communicating with each other.
The Auto Connect process locates your transmitter without having to enter the
serial number of the transmitter into your pump manually.
Note the following before trying to connect your pump and transmitter:
•
You can connect only one transmitter to your pump. If you already have a
transmitter connected to your pump, you must delete it before continuing.
For instructions on deleting a transmitter from your pump, see Deleting the
transmitter from your pump, on page 181.
•
Ensure that you are not close to other Medtronic devices that are in search
mode before using Auto Connect. (For example, if another household
member is connecting a BG meter or transmitter to his or her insulin pump.) If
you know multiple people are connecting devices, such as in a training class,
use the Manual Connect process on page 179.
Connecting your pump and transmitter using Auto Connect:
1.
Attach your transmitter to the charger and make sure the transmitter is fully
charged. Keep your transmitter attached to the charger.
Setting up Continuous Glucose Monitoring
175
charger
transmitter
Note: Both lights on the charger are off when the transmitter is fully
charged. For more information, see your transmitter user guide.
2.
Go to the Auto Connect screen.
Menu > Utilities > Device Options > Connect Device > Auto Connect
3.
Make sure there are no other devices in search mode nearby, scroll down to
the bottom of the Auto Connect screen, and select Continue.
The New Device screen appears.
4.
176
Place the transmitter (still attached to the charger) next to the pump.
Chapter 10
■
Select Search on your pump and immediately remove the transmitter from
the charger.
setting up continuous glucose monitoring
5.
The following happens when you start the search process:
•
On your pump, a message appears to let you know your pump is
searching.
•
On your transmitter, a green light flashes briefly and then turns off.
Note: The search process can take up to two minutes. You cannot
access your pump screens or suspend your pump during the search
process.
When your pump finds the transmitter, the Confirm Device SN screen
appears.
6.
Ensure the transmitter serial number on your pump screen matches the serial
number on the back of your transmitter and then select Confirm.
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177
Confirm Device SN
New Device
SN: GT6004343M
Cancel
Confirm
If the connection is successful, your pump displays a success message. If the
Sensor feature is turned on, the Connection icon
appears on the status
bar.
If your pump does not find your transmitter, see the following procedure, If
your pump does not find your transmitter. If your pump finds multiple devices,
skip to the steps on page 178.
If your pump does not find your transmitter:
1.
Place the transmitter back on the charger and make sure your transmitter is
fully charged before continuing.
2.
Place your pump and transmitter within an arm's length of each other.
3.
Select Retry on your pump and immediately remove the transmitter from the
charger to start the search process.
4.
If the search is unsuccessful the second time, select Cancel when the No
Devices Found message appears and then follow the instructions in Wirelessly
connecting your pump and transmitter using Manual Connect, on page 179.
If your pump found multiple devices:
1.
Write down the serial number for your transmitter. The serial number can be
found on the back of your transmitter.
2.
Place the transmitter back on the charger and make sure your transmitter is
fully charged before continuing.
3.
Select Next from the Multiple Devices Found message to display the Enter
Device SN screen.
4.
Manually enter your device serial number by following the instructions,
starting with step 4 in Wirelessly connecting your pump and transmitter using
Manual Connect, on page 179.
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Chapter 10
Wirelessly connecting your pump and transmitter using
Manual Connect
The Manual Connect process requires you to enter the serial number of the
transmitter into your pump. Use this process if you are unsuccessful using the
Auto Connect process, or when multiple people in close range are connecting
their pumps with other devices, such as a group training session.
■
Connecting your pump and transmitter using Manual Connect:
1.
You need the serial number for your transmitter during the connection
process. Write down the serial number in the following space provided.
Find your serial number here:
Write it here:
Write your serial number here, include any
letters:
SN GT __ __ __ __ __ __ __ __
2.
Attach your transmitter to the charger, and make sure the transmitter is fully
charged. Keep your transmitter attached to the charger.
charger
transmitter
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179
setting up continuous glucose monitoring
Note: You can connect only one transmitter to your pump. If you already
have a transmitter connected to your pump, you must delete it before
continuing. For instructions on deleting a transmitter from your pump,
see Deleting the transmitter from your pump, on page 181.
Note: Both lights on the charger are off when the transmitter is fully
charged. For more information, see your transmitter user guide.
If you remove the transmitter from the charger to write down the
serial number, the green charger light may start flashing when you
attach the transmitter to the charger again. You can continue the
connection process without waiting for the charger light to stop
flashing.
3.
On the pump, go to the Enter Device SN screen.
Menu > Utilities > Device Options > Connect Device > Manual Connect
4.
Use the pump navigation buttons to enter the serial number of the
transmitter and select OK.
The New Device screen appears.
5.
Select Search on your pump and immediately remove the transmitter from
the charger.
The following happens when you start the search process:
•
180
On your pump, a message appears to let you know your pump is
searching.
Chapter 10
•
On your transmitter, a green light flashes briefly and then turns off.
Note: The search process can take up to two minutes. You cannot
access your pump screens or suspend your pump during the search
process.
Place the transmitter next to the pump.
If the connection is successful, your pump displays a success message. If the
appears on the status
bar.
If your pump does not connect to your transmitter:
1.
2.
If your pump does not connect to the transmitter, do one of the following:
•
Select Retry to return to the Enter Device SN screen on your pump, and
then return to step 4 of the procedure above and follow the instructions
to search again.
•
Select Cancel to return to the Connect Device screen, where you can
search again using Manual Connect or Auto Connect.
If you have tried to connect multiple times without success, see My pump
cannot find the sensor signal, on page 234.
Deleting the transmitter from your pump
Follow this procedure to delete the transmitter from your pump. Use this process
when you are replacing your transmitter.
To delete your transmitter from your pump:
1.
Go to the Manage Devices screen.
Menu > Utilities > Device Options > Manage Devices
Setting up Continuous Glucose Monitoring
181
setting up continuous glucose monitoring
Sensor feature is turned on, the Connection icon
■
6.
2.
Identify and select your transmitter by the serial number. The serial number
can be found on the back of the transmitter.
3.
Select Delete.
4.
A screen appears confirming that you would like to delete the device. Select
Yes to confirm or No to cancel.
Inserting the sensor
Always refer to the serter user guide for instructions on how to insert the sensor.
Connecting the transmitter to the sensor
Always refer to your transmitter user guide for instructions on connecting the
transmitter to the sensor.
Starting the sensor
After you insert your sensor and connect your sensor and transmitter, your pump
starts communicating with the transmitter. The pump notifies you when the
sensor is ready to use.
To start a new sensor using the Start New Sensor message:
1.
Select Start New Sensor when it appears on the pump screen.
The "Sensor warm-up started" message appears.
2.
Select OK.
"Warm up..." appears on the Home screen until the sensor is ready for first
calibration.
Note: If you do not see the Start New Sensor option, then follow
the procedure for manual connection described below.
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Chapter 10
To start a new sensor using manual connect:
1.
Go to the Sensor Connections screen.
Menu > Sensor Settings > Sensor Connections
2.
Select Start New Sensor.
The Start New Sensor screen appears.
Your pump searches for your transmitter signal. It can take up to six minutes
for your pump and transmitter to start communicating.
4.
Select OK.
5.
The Sensor warm-up started message appears on the screen. Select OK.
"Warm up..." appears on the Home screen until the sensor is ready for first
calibration. Your pump begins displaying SG data up to 15 minutes after you
successfully calibrate your sensor. For details about calibration, see Calibrating
your sensor, on page 184.
If you receive a message that your pump cannot find the sensor signal,
continue to the next section.
If your pump cannot find the sensor signal:
1.
If your pump cannot find the sensor signal, follow the instructions on your
pump screen. Your pump guides you through the following steps:
a.
Disconnect and reconnect the transmitter from the sensor. Pay attention
to the transmitter, and notice if the transmitter light blinks when
connected to the sensor. If the transmitter light does not blink, you need
to charge your transmitter.
b.
Move your pump closer to your transmitter. It can take up to 15 minutes
for your pump to find the sensor signal.
c.
If your pump is still unable to find the sensor signal, make sure you are
away from any electronic devices that might cause interference.
Setting up Continuous Glucose Monitoring
183
setting up continuous glucose monitoring
If you have not done so already, connect the transmitter to your sensor. For
details about connecting your transmitter and sensor, see your transmitter
user guide.
■
3.
2.
If you have gone through all of the troubleshooting on your pump screen
and your pump still cannot find the sensor signal, contact your local help line
or representative for assistance.
Calibrating your sensor
Calibration is the process of entering a BG meter reading to calculate sensor
glucose values. You must calibrate your sensor regularly to ensure you continue to
receive sensor glucose data. For details, see Guidelines for calibrating, on page 187.
Within two hours after you use your pump to start the sensor, your pump displays
a Calibrate now alert to let you know that a calibration is due. This BG meter
reading is the first calibration for your sensor. It takes up to 15 minutes after
calibration to see the first sensor glucose reading on your Home screen. You enter
your second calibration within six hours after your first calibration.
After you have entered your first two calibrations, you must calibrate your sensor
again within 12 hours. If you do not enter a BG meter reading within 12 hours,
your pump displays the Calibrate now alert and stops calculating sensor glucose
values until a calibration BG is successfully entered. The sensor must be calibrated
at a minimum of every 12 hours throughout the life of the sensor.
If you are using a compatible Bayer meter, you can set up your pump to calibrate
automatically with each valid BG meter reading. For more details, see Setting up
Auto Calibration, on page 185.
Note: Sensor calibration is successful only if your BG entry is in the range
of 2.2 to 22.2 mmol/L. Remember to calibrate three to four times
throughout the day for optimal results.
To calibrate your sensor:
1.
Take a BG meter reading.
2.
Go to the Calibrate Sensor screen.
Menu > Sensor Settings > Calibrate Sensor
3.
Select BG and enter the value.
4.
Select Calibrate.
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Chapter 10
You can set up a reminder to notify you when your next calibration is due.
For more information, see Calibration reminders, on page 133.
Setting up Auto Calibration
To turn on Auto Calibration:
1.
Go to the Auto Calibration screen.
Menu > Sensor Settings > Auto Calibration
2.
Select Auto Calibration to turn on the feature.
3.
Select Save.
Note: If you decide not to use the Auto Calibration in the future,
select Auto Calibration to turn off the feature.
Where to enter your calibration BG meter reading
There are several screens on the pump where you can enter a BG meter reading
for calibration. These screens are described in the following table. These options
are available only if you are using a sensor, and your transmitter is wirelessly
connected with your pump.
Note: If you are using a compatible Bayer meter and want to calibrate
using every valid BG meter reading sent to your pump, you can use the
Auto Calibration feature. For details about Auto Calibration, see Setting up
Auto Calibration, on page 185.
Setting up Continuous Glucose Monitoring
185
setting up continuous glucose monitoring
■
The Auto Calibration feature determines how to calibrate the pump when using a
wirelessly linked compatible Bayer meter. When the Auto Calibration feature is
turned on, the pump uses any BG value in the range of 2.2 to 22.2 mmol/L for
calibration. When this feature is turned off, the pump asks you every time if you
want to use the compatible Bayer meter for calibration.
Pump screen
How to enter your calibration BG
Home screen
Enter a BG meter reading specifically for
calibration.
When the calibration option is available,
you can access the Calibrate Sensor
screen. First highlight the sensor graph on
the Home screen. Then press and hold the
button to access the calibration screen.
Calibrate Sensor screen
Menu > Sensor Settings > Calibrate
Sensor
BG Meter screen
The BG Meter screen appears
automatically when your compatible Bayer
meter sends a BG meter readings to your
pump.
BG screen in Event Markers
Menu > Event Markers > BG
BG field in the Bolus Wizard screen
Home screen > Bolus > Bolus Wizard
Enter a BG meter reading specifically for
calibration.
Select the Calibrate Sensor option to
calibrate your sensor with the current BG
meter readings.
When you enter a BG meter reading in
Event Markers, the Event Markers screen
has an option to use the BG value for
calibration.
When you enter a BG meter reading to
deliver a bolus using the Bolus Wizard,
the Bolus Wizard gives you the option to
use the BG value for calibration after the
bolus is delivered.
When to calibrate
The following table describes when to calibrate your sensor.
Calibrate
Description
After warm-up is
complete.
Do your first sensor calibration.
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Chapter 10
Your pump displays a Calibrate now alert within two hours
after starting a new sensor. Your first sensor glucose reading
appears about 5 to 15 minutes after you calibrate.
Calibrate
Description
Six hours after your
first calibration.
Do your second sensor calibration.
Within 12 hours after
your second
After you do your second calibration, you need to calibrate at
least every 12 hours.
calibration and at
least every 12 hours
thereafter.
If you do not calibrate for more than 12 hours, a Calibrate now
alert appears. It takes about 5 to 15 minutes after you calibrate
to receive SG values again.
Six hours after you calibrate for the first time, a Calibrate now
alert appears, and your pump stops calculating your SG values.
It takes about 5 to 15 minutes after you calibrate to receive SG
values again.
■
Follow these guidelines for best sensor calibration results:
•
Calibrate three to four times spread out throughout the day to improve
accuracy. For details, see When to calibrate, on page 186.
•
You can calibrate anytime. However, calibrating with two or three trend
arrows may temporarily decrease accuracy until the next calibration. For an
example of trend arrows on the Home screen, see Home screen with CGM, on
page 153.
•
Always calibrate immediately after testing your BG. Never calibrate with a BG
meter reading that you have taken more than 12 minutes earlier as that BG
value would no longer be considered valid.
•
Always use clean, dry fingers when you test your blood glucose levels.
•
Use only your fingertips when obtaining blood samples for calibration.
Note: If your BG meter readings are significantly different than your
sensor glucose readings, you need to wash your hands and calibrate
again.
Setting up Continuous Glucose Monitoring
187
setting up continuous glucose monitoring
Guidelines for calibrating
Disconnecting the transmitter from the sensor
Always refer to your transmitter user guide for instructions on disconnecting the
transmitter from the sensor.
Removing the sensor
Always refer to the sensor user guide for instructions on how to remove the
sensor.
Turning off Sensor Settings
You can turn off Sensor Settings at any time. If you disconnect the transmitter
from the sensor, turn off the Sensor Settings to avoid getting a sensor alert. Your
sensor settings remain in your pump. You cannot make changes to the settings
until you turn on the Sensor Settings again.
To turn off Sensor Settings:
1.
Go to the Sensor Settings screen.
Menu > Sensor Settings
2.
Select Sensor.
3.
Select Yes to turn off the sensor feature.
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using continuous glucose monitoring
■
This chapter provides information on how to use CGM on your pump and view
your sensor glucose data. This information helps you identify sensor glucose
trends, including being notified if your sensor glucose is falling or rising rapidly.
You can also view historical sensor glucose readings in a graph format. Information
is also included on how to silence your glucose alerts.
The sensor graph
The sensor graph displays your current sensor glucose (SG) reading that is
wirelessly sent to your pump by the transmitter.
time
6
7
8
SmartGuard
suspend by sensor
3 hr
15
SG values
high limit
10
5
2.2
mmol/L
low limit
bolus marker
9
20
8.3 mmol/L, 09:00
continuous
SG reading
selected
reading or event
The sensor graph includes the following information:
•
The most recent sensor glucose reading
Using continuous glucose monitoring
191
using continuous glucose monitoring
Using continuous glucose
monitoring
•
Historical sensor glucose readings for the last 3-hour, 6-hour, 12-hour, or
24-hour periods
•
Your high and low glucose alert limit
•
The bolus deliveries you have given during the time period shown on the
graph
•
Any suspend events that have occurred
If an SG reading does not appear on the graph, some possible reasons for this
include:
•
An error condition or a sensor-related alert is occurring.
•
A new sensor that you just inserted is still initializing.
•
A new sensor that just initialized is still calibrating.
•
An existing sensor that you have recently reconnected is not ready.
•
More than six hours have passed since the initial sensor calibration.
•
More than 12 hours have passed since the last sensor calibration.
To view the sensor graph:
1.
Select the graph area of the Home screen.
A full-screen view of the 3-hour graph appears.
2.
Select
3.
Select
4.
To exit the full-screen view, press
to navigate to the 6-hour, 12-hour, and 24-hour graphs.
to view SG readings and event details.
.
Identifying rapid changes in sensor glucose
When you use a sensor, trend arrows appear on the Home screen if your SG has
been rising or falling faster than a certain per-minute rate. The number of arrows
that appear tell you how quickly your SG has been changing.
The following table shows the trend arrows and their corresponding rates.
SG has been rising at a rate of 0.056 mmol/L per minute or more, but less
than 0.111 mmol/L per minute.
SG has been falling at a rate of 0.056 mmol/L per minute or more, but less
than 0.111 mmol/L per minute.
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Chapter 11
SG has been rising at a rate of 0.111 mmol/L per minute or more, but less
than 0.167 mmol/L per minute.
SG has been falling at a rate of 0.111 mmol/L per minute or more, but less
than 0.167 mmol/L per minute.
SG has been rising at a rate of 0.167 mmol/L per minute or more.
SG has been falling at a rate of 0.167 mmol/L per minute or more.
■
The Alert Silence feature allows you to make sensor glucose alerts silent for a set
period of time. This is useful in situations where you do not want to disturb others,
such as when you are in a business meeting or in a movie theater. When using
this feature, your system still records the time and glucose value for any alerts that
occur. You can view this information in the Alarm History screen. See Alarm History,
on page 122 for details.
If a glucose alert occurs when you are using the Alert Silence feature, the
notification light begins to flash and the Sensor alert occurred message appears
letting you know an alert was silenced, but there is no vibration or beep. If you
have not cleared the alert by the end of the preset alert silence duration, your
pump begins to beep or vibrate periodically until the alert is cleared.
The following table describes the glucose alerts that are silenced with each option.
This Alert
Silences these alerts
Silence setting
High Alerts Only
Alert on high, Alert before high, and Rise Alert
High & Low
Alerts
Alert on high, Alert before high, Rise Alert, Alert on low, Alert
before low, Suspend before low, and Resume Basal Alert
Using continuous glucose monitoring
193
using continuous glucose monitoring
Silencing Glucose Alerts
This Alert
Silences these alerts
Silence setting
All Sensor Alerts
All of the alerts listed previously for High & Low Alerts, plus the
following:
• All calibration alerts, reminders, or error messages
• All alerts relating to sensor insertion, including alerts about
sensor warm-up, changing your sensor, sensor expiration, sensor
errors, connection issues, and so on
• All alerts related to your transmitter, including all alerts about
your transmitter battery and all connection issues
To silence Glucose alerts:
1.
Go to the Alert Silence screen.
Menu > Sensor Settings > Alert Silence
2.
Select High Alerts Only, High & Low Alerts, or All Sensor Alerts to set the
alerts you want silenced. Refer to the previous table for details about the
alerts silenced with each selection.
Note: If you select All Sensor Alerts, you will not receive any alerts
related to your sensor glucose readings, your sensor, calibration
requirements, or your transmitter. If a glucose alert occurs, the
notification light flashes and a message appears on your pump to let
you know a silenced alert occurred, but there is no vibration or
beep. You can view the specific alert in Alarm History. For more
information, see Alarm History, on page 122.
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Chapter 11
3.
Set the Duration time (from 30 minutes to 24 hours) for which the alerts will
be silenced, and then select OK.
4.
Select Begin. The Alert Silence settings immediately take effect and you are
returned to the Sensor Settings screen.
To cancel Alert Silence:
1.
Go to the Alert Silence screen.
■
Menu > Sensor Settings > Alert Silence
using continuous glucose monitoring
2.
Select Cancel Alert Silence.
Using continuous glucose monitoring
195
196
Chapter 11
alarms, alerts, and messages
■
alarms, alerts, and messages
Alarms, alerts, and messages
This chapter describes the general behavior of the most common and the most
serious notifications and how to resolve them.
About alarms, alerts, and messages
Your pump has a sophisticated safety network. If this safety network detects
anything unusual, it conveys this information in the form of notifications.
Notifications include alarms, alerts, and messages.
Note: When you receive a notification while your pump is locked, you
will be able to clear the alarm, alert, or message without having to unlock
your pump. After you clear the notification, you will be redirected to the
Home screen. You must unlock your pump before navigating away from
the Home screen. For more information, see Unlocking your pump, on
page 26.
When you have received more than one notification and there are multiple
messages to view, a small white flap appears on the notification icon in the upperright corner of the screen
. When you clear the first notification, the next
notification becomes visible.
Note: It is important that you promptly respond to all notifications and
confirmations that appear on your pump. In the event that you do not
respond, your pump may remain on that screen until addressed.
Alarms, alerts, and messages
199
When you respond to a message, there may be times when another
message appears. Always be sure to address all notifications you have
received.
A white triangle in the lower-right corner means you must press
to continue.
WARNING: If you receive a critical error on your pump, the
following screen displays and the pump sirens.
Immediately disconnect from your insulin pump and discontinue
use. Contact your local representative for assistance.
Remember, your body still needs insulin while your pump is
removed. It is important that you consult your healthcare
professional to determine an alternate method of receiving insulin
while your pump is removed.
Alarms
An alarm warns you that the pump detected
something that prevents insulin from being
delivered. It is important that you respond to an
alarm.
WARNING: Do not ignore your pump
when it has an alarm because all
insulin delivery is stopped, which may
lead to high blood glucose and
ketoacidosis.
When an alarm occurs:
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Chapter 12
Display: The pump displays a notification with a red icon and instructions.
Notification light: The red notification light blinks twice, followed by a pause, in a
continuous repeating pattern. The notification light is shown in Using the buttons,
on page 20.
If you do not respond to an alarm, after ten minutes the alarm tone escalates to a
loud emergency siren. For more information, see Alarm and alert escalation, on
page 247.
Alerts
An alert makes you aware of a situation that may
require your attention. An alert is less serious than
an alarm.
When an alert occurs:
Display: The pump displays a notification with a
yellow icon and instructions.
Notification light: The red notification light on your pump blinks once, followed
by a pause, then blinks once again in a continuous repeating pattern. The
notification light is shown in Using the buttons, on page 20.
Audio: Depending on your Audio Options settings, the pump either beeps or
vibrates in a continuous three-pulse-and-pause pattern, or does both.
To clear an alert, press and then make a selection. If you do not respond to an
alert, the pump beeps every five minutes or every fifteen minutes, depending on
the alert. Some alerts will also escalate to a loud emergency siren after ten
minutes. For more information, see Alarm and alert escalation, on page 247.
Alarms, alerts, and messages
201
alarms, alerts, and messages
You must resolve the underlying problem that triggered the alarm. In most cases,
you clear an alarm by pressing and then you make a selection. In some cases,
however, clearing the alarm does not fix the underlying problem. The alarm
repeats until the underlying problem is fixed.
■
Audio: Depending on your Audio Options settings, the pump emits an alarm tone,
a continuous three-pulse-and-pause vibration pattern, or both the alarm tone and
vibration.
Note: If an alert occurs when you are in a screen other than the Home
screen, the alert message may appear after you return to the Home
screen.
Messages
A message informs you about the status of your
pump or if you need to make a decision.
When a message occurs:
Display: The pump displays a notification with a
blue icon and instructions.
Notification light: Does not illuminate or blink.
Audio: Depending on the message, the pump emits a message tone, an alert
tone, or no tone. Depending on your Audio Options settings, you may hear a tone,
feel a one-pulse-only vibration, or hear a tone and feel a vibration.
You clear the message by pressing
and make a selection.
Pump alarms, alerts, and messages
The following table lists the most common or serious alarms, alerts, and messages
related to your pump. The table also explains the meaning, consequences, and the
reasons why these notifications appear, and provides steps for problem resolution.
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Chapter 12
Title and text
Explanation
Next steps
Active Insulin cleared
An alarm has
cleared your active
insulin amount.
Your active insulin
amount is now at
0 units.
• Select OK to clear the alarm.
Any Active Insulin amount
has been cleared.
Auto Suspend
Insulin delivery
suspended. No buttons
pressed within time set in
Auto Suspend.
Battery failed
Insert a new AA battery.
You have not
pressed any buttons
during the time
specified in the
Auto Suspend
settings.
• To clear the alarm and resume
basal insulin delivery, select
Resume Basal.
The pump battery
does not have
enough power.
• Select OK to clear the alarm.
• Check your BG and treat as
necessary.
• Remove the old battery and
insert a new AA battery.
For details, see About batteries, on
page 21.
Battery not compatible.
See User Guide.
The battery that you
inserted into the
• To clear the alarm, remove the
incompatible battery.
pump is not
compatible.
• Insert a new AA battery. For
compatible battery types, see
About batteries, on page 21.
Alarms, alerts, and messages
203
alarms, alerts, and messages
• You can check Daily History for
the time and amount of your last
bolus. For more information, see
Daily History, on page 121.
■
• The active insulin tracked prior to
pump restart is not included in
new Bolus Wizard calculations.
Consult your healthcare
professional for how long you
need to wait after active insulin is
cleared before you can rely on
the active insulin calculation of
your Bolus Wizard
Title and text
Explanation
Next steps
Bolus not delivered.
Bolus values
entered, but bolus
was not delivered
within 30 seconds.
• Select OK to clear the alert.
The battery power
was exhausted
• Note the amount of insulin not
delivered.
while a bolus or Fill
Cannula was in
progress.
• Replace the AA battery.
Bolus entry timed out
before delivery. If bolus
intended, enter values
again.
Bolus stopped
Cannot resume bolus or
cannula fill. XX.XXX of
YY.YYY U delivered.
ZZ.ZZZ U not delivered. If
needed, enter values
again.
Cannot connect device
This device is
incompatible with your
pump. See User Guide.
Startup Wizard settings
complete. Check and set
up your other settings.
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Chapter 12
• Select OK to clear the alarm.
• Deliver the remaining bolus
amount if needed.
• You may be trying
to connect a
device that is not
compatible with
your pump.
• You are trying to
connect a
transmitter to your
pump but another
transmitter is
already wirelessly
connected to your
pump.
Check settings
• If bolus delivery was intended,
check your BG, re-enter bolus
values and deliver bolus.
Some settings have
been cleared or
reverted to factory
default values.
• Select OK to clear the alert.
• Check the list of devices that are
compatible with your pump in
Optional devices, on page 14.
• If you are replacing your
transmitter, make sure that you
first delete the old transmitter
from your pump before you try
to connect your new transmitter.
Only one transmitter can be
connected to your pump. For
details, see Deleting the
transmitter from your pump, on
page 181.
• Select OK to clear the alert.
• Review any settings that you
have not already set in Startup
Wizard and re-enter the values, if
necessary.
Title and text
Explanation
Next steps
Critical pump error
Your pump has
encountered a
critical error.
The pump is not able to deliver
insulin. Remove your infusion set
and stop using your pump.
• Consider another form of insulin
delivery.
• Check your BG, and treat as
necessary.
• Write down the error code that
appears on the alarm screen.
• Call your local representative for
assistance with your pump.
Delivery limit exceeded
Delivery stopped. Check
BG. See User Guide for
more information.
Fill Cannula?
Select Fill to fill cannula
or select Done if not
needed.
Insert battery
Delivery stopped. Insert a
new battery now.
You have attempted
to deliver more
insulin than
expected based on
your Max Bolus and
Max Basal settings.
• Check your BG.
You had the Fill
Cannula screen
displayed for
15 minutes.
• To proceed and fill the cannula,
select Fill.
The battery was
removed from the
pump.
• Insert a new AA battery.
• Select Resume Basal.
• Check Bolus History and
reevaluate your need for insulin.
• Continue to monitor your BG.
• If you do not need to fill the
cannula, select Done to skip this
process.
• The alarm clears when you insert
a new battery.
• The pump powers off after
10 minutes unless you insert a
new battery.
Alarms, alerts, and messages
205
alarms, alerts, and messages
User Guide.
■
Delivery stopped. Pump
not working properly.
Stop using pump.
Remove infusion set from
body. Consider other
insulin treatment. See
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected that the
basal or bolus
insulin flow was
blocked.
• Check your blood glucose.
Consider checking ketones and
take an injection if needed.
Check BG. Consider
injection and testing
ketones. Change reservoir
and infusion set.
• Remove your infusion set and
reservoir.
• Select Rewind to start the new
reservoir process using a new
infusion set and reservoir.
If a bolus delivery was in progress
when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
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Chapter 12
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected that the
insulin flow was
blocked and there is
no insulin in the
reservoir.
• Check your blood glucose.
Consider checking ketones and
take an injection if needed.
• Remove your infusion set and
reservoir.
• Select Rewind to start the new
reservoir process using a new
infusion set and reservoir.
■
Check BG. Consider
injection and testing
ketones. Estimated 0 U
insulin in reservoir.
Change reservoir and
infusion set.
when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
Alarms, alerts, and messages
207
alarms, alerts, and messages
If a bolus delivery was in progress
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected the insulin
flow was blocked
while filling the
cannula.
• Check your blood glucose.
Consider checking ketones and
take an injection if needed.
Fill Cannula stopped.
Remove infusion set from
body. Change reservoir
and infusion set.
• Remove your infusion set and
reservoir.
• Select Rewind to start the new
reservoir process using a new
infusion set and reservoir.
If a fill cannula was in progress
when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
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Chapter 12
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected the insulin
flow was blocked
while filling the
tubing. Possible
connection issue
between the tubing
and reservoir.
• Remove the reservoir and select
Rewind to restart the fill tubing
process.
Fill Tubing stopped.
Remove reservoir and
select Rewind to restart.
• Disconnect tubing from reservoir.
• If this alarm occurs again, use a
new infusion set.
If a fill tubing delivery was in
progress when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
Loading incomplete
You pressed
Remove reservoir and
select Rewind to restart
loading.
after loading began.
Low battery Pump
The battery in the
pump is low on
power.
Replace battery soon.
• Remove the reservoir to start
again.
• Select Rewind and follow the onscreen instructions.
• Select OK to clear the alert.
• Replace the AA battery as soon
as possible. Otherwise, insulin
delivery stops, and the Replace
Battery Now alarm occurs.
• If the pump is delivering a bolus
or filling the cannula, wait until
delivery is complete to replace
battery.
Alarms, alerts, and messages
209
alarms, alerts, and messages
• Continue following the steps
displayed on the pump using the
same infusion set and reservoir.
■
• Be sure tubing is not crimped or
bent.
Title and text
Explanation
Next steps
Low reservoir
Your reservoir is low
on insulin,
according to the
number of hours or
units set in the Low
Reservoir Reminder.
• Select OK to clear the alert.
A pump error has
occurred, and you
need to restart your
pump. Your backup
settings have been
lost, but your
current settings are
unchanged.
• Select OK to restart your pump.
Your current settings are
unchanged. Only your backup
settings are lost.
XX hours remaining.
Change reservoir.
or:
XX units remaining.
Change reservoir.
Manage settings error
Delivery stopped. Backup
settings cleared from
Manage Settings. Current
settings are working
properly. Select OK to
restart. See User Guide.
• Change the reservoir soon.
• If you do not change the
reservoir after you receive this
alert, you will receive a second
Low reservoir alert when the
insulin level reaches half of your
original alert amount. For more
details, see Low Reservoir
reminder, on page 132.
• When the pump restarts, follow
instructions on the pump display.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and evaluate your
need for insulin.
• Consider saving your current
settings. For details, see Saving
your settings, on page 142.
Max Fill reached
3X.X U. Did you see drops
at the end of tubing?
210
Chapter 12
You have exceeded
the number of units
expected to fill the
tubing. By now,
insulin should be at
the end of the
tubing.
• If you see drops at the end of
the tubing, select Yes.
• If you do not see drops, select
No.
• Follow instructions displayed on
the pump.
Title and text
Explanation
Next steps
Max Fill reached
You have exceeded
the number of units
expected to fill the
tubing. By now,
insulin should be at
the end of the
tubing.
• Remove the reservoir.
There is no reservoir
in the pump or the
reservoir is not
properly locked into
place.
• Select Rewind.
The internal power
source in your
pump is unable to
charge. Your pump
is operating on the
AA battery only.
• Select OK to clear the alert.
4X.X U. Remove reservoir
and select Rewind to
restart New Reservoir
procedure.
Power error detected
Delivery stopped. Record
your settings by
uploading to CareLink or
write your settings on
paper. See User Guide.
• Ensure that your reservoir is filled
with insulin.
• When prompted, ensure that
your reservoir is inserted and
properly locked into place.
• Check your BG and treat as
necessary.
• Record your settings as soon as
possible because your AA battery
may not last long.
• Call your local representative for
assistance with your pump.
Power loss
AA battery was removed
for more than 10 min or
power was lost. Select OK
to re-enter time and date.
Your pump battery
has been out for
more than
ten minutes, and
your pump has lost
power. You must
reset your time and
date.
• Select OK to go to the Time &
Date screen.
• Enter the current time, time
format, and date.
Alarms, alerts, and messages
211
alarms, alerts, and messages
Rewind before loading
reservoir.
• Select Rewind to restart the new
reservoir procedure.
■
No reservoir detected
• Check if you still have insulin in
the reservoir. If you do, you can
continue using the same
reservoir.
Title and text
Explanation
Next steps
Pump error
Your pump
encountered an
error and will
restart. Your pump
settings will return
to factory default
values.
• When the pump restarts, follow
instructions on the pump display.
Delivery stopped. Current
settings cleared. Pump
restart needed. Select OK
to restart and then reenter your settings. See
User Guide.
• After restart, check settings and
re-enter values as needed.
• If you recently saved backup
settings in Manage Settings, use
Restore Settings.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and reevaluate your
need for insulin.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
Pump error
Delivery stopped. Settings
unchanged. Pump restart
needed. Select OK to
restart. See User Guide.
A pump error has
occurred, you need
to restart your
pump.
• Select OK to restart your pump.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and reevaluate your
need for insulin.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
212
Chapter 12
Next steps
Pump error
Your pump
encountered an
error but a restart is
not necessary. The
issue is resolved.
Your settings are
not changed.
• Select OK to resume basal
delivery.
Your pump has
encountered a
problem and has
restarted. Your
settings have not
been changed.
• Select OK to continue.
Battery life is low
and will be
exhausted within 30
minutes.
• Select OK to clear the alert.
Delivery stopped. Settings
unchanged. Select OK to
continue. See User Guide.
Pump restarted
Delivery stopped. Settings
unchanged. Select OK to
continue. See User Guide.
Replace battery
Battery life less than 30
minutes. To ensure insulin
delivery, replace battery
now.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and reevaluate your
need for insulin.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and re-evaluate your
need for insulin.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
• Replace the AA battery.
Alarms, alerts, and messages
213
alarms, alerts, and messages
Explanation
■
Title and text
Title and text
Explanation
Next steps
Replace battery now
Insulin delivery has
stopped due to low
power. Battery was
not replaced after
the Low battery
Pump alert.
Replace the battery immediately to
resume insulin delivery. For details,
see Removing the battery, on
page 23.
Your reservoir level
is estimated at
0 units.
• Select OK to clear the alert.
A normal bolus
delivery has been
• Check the message to see how
much of the bolus was actually
Delivery stopped. Battery
must be replaced to
resume delivery.
Reservoir estimate at 0 U
To ensure insulin delivery,
change reservoir.
Resume bolus?
XXX of YYY U delivered.
Resume delivery of
ZZZ U?
interrupted because
the pump battery
was removed. If it is
within 10 minutes
since this
interruption, you
• Change the reservoir now.
delivered.
• To cancel remaining amount of
bolus, select Cancel.
• To resume remaining amount of
bolus, select Resume.
can resume this
bolus.
Resume Dual bolus?
XX of YY U delivered.
Resume delivery of ZZ U
for XX:XX hr?
The Square portion
of Dual Bolus
delivery has been
interrupted. If it is
within 10 minutes
since this
interruption, you
can resume this
bolus.
214
Chapter 12
• Check the message to see how
much of the Dual Wave bolus
was actually delivered.
• To cancel remaining amount of
bolus, select Cancel.
• To resume remaining amount of
bolus, select Resume.
Title and text
Explanation
Next steps
Resume Dual bolus?
The Now portion of
a Dual Wave bolus
delivery has been
interrupted because
the pump battery
was removed. If it is
within 10 minutes
since this
interruption, you
can resume this
bolus.
• Check the message to see how
much of the Dual Wave bolus
was actually delivered.
The Square Wave
bolus delivery was
interrupted. If it is
within 10 minutes
since this
interruption, you
can resume this
bolus.
• Check the message to see how
much of the Square Wave bolus
was actually delivered.
The pump has
detected that a
button has been
pressed for an
unusually long time.
• Select OK to clear the alarm.
XX of YY U delivered.
Resume delivery of ZZ U
now, and AA U Square for
XX:XX hr?
Stuck button
Button pressed for more
than 3 minutes
• To cancel remaining amount of
bolus, select Cancel.
• To resume remaining amount of
bolus, select Resume.
• If this alarm occurs again, contact
your local representative for
assistance with your pump.
If you are unable to clear the
alarm:
• Consider another form of insulin,
because your pump is not
delivering insulin.
• Check your BG and treat as
necessary.
• Contact your local representative
for assistance with your pump.
Alarms, alerts, and messages
215
alarms, alerts, and messages
XX of YY U delivered for
XX:XX hr. Resume delivery
of ZZ U for XX:XX hr?
• To resume remaining amount of
bolus, select Resume.
■
Resume Square bolus?
• To cancel remaining amount of
bolus, select Cancel.
Title and text
Explanation
Next steps
Wrong key pressed
Wrong button
selected while
unlocking the
pump.
• Select OK to clear the alert.
Try again
• Try to unlock the pump. Select
the highlighted key when
prompted.
For more information, see
Unlocking your pump, on page 26.
CGM (sensor) alarms, alerts, and messages
The following table lists the most common or serious alarms, alerts, and messages
related to your sensor glucose readings, as well as the status of your transmitter
and sensor. The table also explains the meaning, consequences, and the reasons
why these notifications appear, and provides steps for problem resolution.
Title and text
Explanation
Next steps
Alert before high
Your SG value is
approaching your
specified high limit.
• Select OK to clear the alert.
Your SG value is
approaching your
specified low limit.
• Select OK to clear the alert.
Your SG value is at
or above your
specified high limit.
• Select OK to clear the alert.
Sensor glucose
approaching High Limit.
Check BG.
Alert before low
Sensor glucose
approaching Low Limit.
Check BG.
Alert on high XX.X
mmol/L
High sensor glucose.
Check BG.
216
Chapter 12
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
Title and text
Explanation
Next steps
Alert on low XX.X
mmol/L
Your SG value is at
or below your
specified low limit.
• Select OK to clear the alert.
Your SG value is at
or below your
specified low limit,
and the pump has
suspended insulin
delivery due to a
Suspend on low or
Suspend before low
event.
• Select OK to clear the alert.
Your pump is
resuming basal
insulin delivery after
a Suspend on low
or Suspend before
low event occurred.
• Select OK to clear the alert.
Your pump is
resuming basal
insulin delivery after
a Suspend before
low or a Suspend
on low event
occurred, because
you have turned off
the Suspend before
low or the Suspend
on low feature.
• Select OK to clear the alert.
Low sensor glucose.
Check BG.
Basal delivery resumed
Basal delivery resumed at
XX:XX after suspend by
sensor. Check BG.
Basal delivery resumed
Low settings change
caused basal to be
resumed at XX:XX. Check
BG.
• Check your BG.
alarms, alerts, and messages
Low sensor glucose.
Insulin delivery suspended
since XX:XX. Check BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
■
Alert on low XX.X
mmol/L
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
Alarms, alerts, and messages
217
Title and text
Explanation
Next steps
Basal delivery resumed
Your pump is
resuming basal
insulin delivery two
hours after a
Suspend before low
or Suspend on low
event occurred.
• Select OK to clear the alert.
Your pump is
resuming basal
insulin delivery two
hours after a
Suspend before low
or Suspend on low
event occurred.
• Your pump has resumed basal
insulin delivery; however, your SG
value is still at or below your low
limit.
The transmitter was
unable to receive
the calibration BG
meter readings from
the pump.
• Move your pump and transmitter
closer together.
Maximum 2 hour suspend
time reached. Check BG.
Basal delivery resumed
Maximum 2 hour suspend
time reached. SG is still
under Low limit. Check
BG.
BG not received
Place pump close to
transmitter. Select OK to
resend BG to transmitter.
218
Chapter 12
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Select OK to clear the alert.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Select OK. Your pump tries again
to send your BG to your
transmitter for sensor calibration.
Next steps
Calibrate now
A BG meter reading
is needed
immediately to
calibrate your
sensor so that you
can continue
receiving sensor
glucose readings.
• Take a BG meter reading and
enter for calibration. After you
receive a Calibrate now alert, it
takes up to 15 minutes after you
calibrate for your pump to
receive SG values. For details, see
Calibrating your sensor, on
page 184.
Check BG and calibrate
sensor.
• If you are unable to calibrate
now, you can use the Snooze
feature. Set the desired time, and
select Snooze. If you do not
calibrate before the Snooze time
is up, the Calibrate Now alert
occurs again.
Calibration not accepted
Recheck BG and calibrate
sensor.
Your system was
unable to use the
BG meter readings
you entered to
calibrate your
sensor.
• Wash and dry hands thoroughly.
See Guidelines for calibrating, on
page 187.
• Enter a new BG meter reading for
calibration as instructed in
Calibrating your sensor, on
page 184. If you receive a
Calibration not accepted alert on
your second calibration, a
Change sensor alert occurs.
• Call your local representative if
you have questions.
Alarms, alerts, and messages
219
alarms, alerts, and messages
Explanation
■
Title and text
Title and text
Explanation
Next steps
Cannot find sensor
signal
The pump has not
received a signal
from the
transmitter.
• Disconnect and reconnect your
transmitter and sensor.
Disconnect and reconnect
transmitter, then select
OK. Notice if transmitter
light blinks.
• See if the light on your
transmitter blinks when
connected to the sensor. You
may need this information for
troubleshooting later.
• Select OK. Your pump searches
for your sensor. If your pump
receives a signal from your
sensor, you do not need to do
anything else. If your pump does
not receive a signal from the
sensor, another message appears
to let you know.
Change sensor
Insert new sensor and
Start New Sensor.
Change sensor
Second calibration not
accepted. Insert new
sensor.
Change sensor
Sensor not working
properly. Insert new
sensor.
220
Chapter 12
You selected No in
the Check sensor
insertion message,
indicating that your
sensor is not fully
inserted.
• Select OK to clear the alert.
This alert occurs
when you receive
two Calibration not
accepted errors in a
row.
• Select OK to clear the alert.
Sensor signal is no
longer reliable.
• Select OK to clear the alert.
• Change your sensor. For details,
see your sensor user guide.
• After you change your sensor,
refer to Starting the sensor, on
page 182.
• Change your sensor. For details,
see your sensor user guide.
• Change your sensor. For details,
see your sensor user guide.
Title and text
Explanation
Next steps
Check connection
The pump fails to
detect the
transmitter and is
unable to receive
sensor signal.
• Select OK to clear the alert.
Ensure transmitter and
sensor connection is
secure, then select OK.
• If your sensor is fully inserted,
select Yes. If your sensor is not
fully inserted, select No.
■
• If your sensor was not fully
inserted, insert a new sensor.
Lost sensor signal
Move Pump closer to
transmitter. May take
15 minutes to find signal.
Transmitter signal
has not been
received for
30 minutes during
or after initialization.
• Move your pump closer to your
transmitter. It can take up to
15 minutes for your pump to
start communicating with your
transmitter.
• Select OK to clear the alert.
Low battery transmitter
Recharge transmitter
within 24 hours.
Medical device
CALL FOR EMERGENCY
ASSISTANCE. I have
diabetes.
The battery in the
transmitter needs to
be recharged within
24 hours.
• Select OK to clear the alert.
Your pump is
suspended due to
low SG, and you
have not responded
to the alarm within
10 minutes.
• Select Dismiss.
• Recharge your transmitter as
soon as possible.
• Immediately call for emergency
assistance.
Alarms, alerts, and messages
221
alarms, alerts, and messages
• If you still cannot connect your
sensor, see My pump cannot find
the sensor signal, on page 234.
Title and text
Explanation
Next steps
No calibration occurred
The transmitter was
unable to receive
the calibration BG
meter readings from
the pump.
• Select OK to clear the alert.
Confirm sensor signal.
Calibrate by XX:XX.
• Check the status bar on your
pump to ensure that your pump
has a signal from your sensor. If
there is no sensor signal, see My
pump cannot find the sensor
signal, on page 234.
• Calibrate again by the time
shown on the pump screen to
ensure you continue SG
monitoring.
No calibration occurred
Confirm sensor signal.
Check BG again to
calibrate sensor.
The transmitter was
unable to receive
the required
calibration BG from
the pump.
• Select OK to clear the alert.
• Take another BG meter reading
and calibrate again.
Calibration is
required by the
system for SG
values to resume.
"Calibration
required" appears
on your sensor
graph.
Possible signal
interference
There may be
interference from
• Move away from other electronic
devices. It can take up to
Move away from
electronic devices. May
take 15 minutes to find
signal.
another electronic
device that is
affecting the
communication
between your
pump and
15 minutes for your pump to
start communicating with your
transmitter.
transmitter.
222
Chapter 12
• Select OK to clear the alert.
Title and text
Explanation
Next steps
Rise Alert
Your SG value has
been rising as fast
or faster than your
preset Rise Alert
Limit.
• Select OK to clear the alert.
Sensor alert
occurred when Alert
Silence is on.
• Select OK to clear the alert.
Sensor glucose rising
rapidly.
• Check the Alarm History screen
to see which alerts were silenced.
For more information about
accessing the Alarm History
screen, see Alarm History, on
page 122.
• Select the alert to open the
Alarm Detail screen.
• Take action based on the
selected alert.
Sensor connected
If new sensor, select Start
New. If not, select
Reconnect.
Sensor connected
Start new sensor.
The transmitter has
detected that you
have connected a
sensor. The pump
needs to know if
this is a new sensor
or if you have
reconnected your
old sensor.
• If you have connected a new
sensor, select Start New Sensor.
The transmitter has
detected that you
have connected a
sensor.
• Select Start New Sensor.
• If you have reconnected a sensor
you have been using, select
Reconnect Sensor.
• In either case, a "warm-up"
messages appears on your Home
screen, and you are prompted to
calibrate your sensor. Your pump
starts receiving your SG values
again after the two-hour
initialization is complete.
• For more information, see
Starting the sensor, on page 182.
Alarms, alerts, and messages
223
alarms, alerts, and messages
Check Alarm History for
silenced alerts.
• Follow instructions from your
healthcare professional.
■
Sensor alert occurred
• Monitor trend and glucose level.
Title and text
Explanation
Next steps
Sensor expired
The sensor has
been used for
6 days (144 hours).
It has reached the
end of its useful life.
Change your sensor. For details,
see your sensor user guide.
The pump has still
not received a
signal from the
transmitter.
When you reconnected the
transmitter to the sensor, did you
see a blinking green light on the
transmitter?
Insert new sensor.
Sensor signal not found
Did transmitter light blink
when connected to
sensor?
• Select Yes or No and follow the
instructions on the screen.
Sensor signal not found
See User Guide.
After multiple
attempts, the pump
failed to detect the
transmitter and is
unable to receive
sensor signal.
• Select OK to clear the alert.
• Repeat the connection process.
Remove the transmitter from the
sensor for about ten seconds,
and then reconnect it to the
sensor.
• It can take up to 15 minutes for
your pump to find the sensor
signal.
• Move your pump closer to your
transmitter to improve reception.
• Make sure you are away from
any electronic devices that might
cause interference, such as
cellular phones and other
wireless devices.
• If your pump still cannot find the
sensor signal, call your local
representative for assistance.
224
Chapter 12
Title and text
Explanation
Next steps
SG value not available
The sensor signals
are either too high
or too low.
• Select OK to clear the alert.
If problem continues, see
User Guide.
• You do not need to change the
sensor. If the alert persists, test
your transmitter with the tester.
Warm-up takes up to 2
hours. You will be notified
when calibration is
needed.
Suspend before low
Delivery stopped. Sensor
glucose approaching Low
Limit. Check BG.
Suspend on low
Delivery stopped. Sensor
glucose XX.X mmol/L.
Check BG.
Transmitter battery
depleted
Recharge transmitter now.
Your sensor is
warming up.
• Select OK to clear the message.
Your SG value is
falling. Insulin
delivery is
suspended
according to your
Suspend before low
setting and your SG
is approaching your
specified low limit.
• Select OK to clear the alert.
Your SG value is at
or below the low
limit you specified.
• Select OK to clear the alert.
The battery in the
transmitter needs to
be recharged. SG
values are not
recorded or
transmitted until
you recharge
transmitter.
• Select OK to clear the alert.
• For more information, see
Starting the sensor, on page 182.
• Check your BG. If necessary, treat
your BG as directed by your
healthcare professional.
• Check your BG. If necessary, treat
your BG as directed by your
healthcare professional.
• Recharge your transmitter.
Alarms, alerts, and messages
225
alarms, alerts, and messages
Sensor warm-up started
■
Refer to your transmitter user
guide for instructions on testing
the transmitter.
CareLink alert and message
The following table lists the most common or serious alarms, alerts, and messages
related to CareLink. The table also explains the meaning, consequences, and the
reasons why these notifications appear, and provides steps for problem resolution.
Title and text
Explanation
Next steps
Connect Device?
The CareLink USB
software is
attempting to
connect to your
pump in
preparation for data
download.
• Select Yes to allow connection,
only if you are expecting or
performing a data download.
The download of
pump data is taking
longer than
expected. Data will
not be affected.
• Select OK to clear the alert.
Device with SN
<XXXXXXXXXX> is trying
to connect to your pump.
Allow connection?
Download slow
Insulin delivery not
affected. CareLink
download may take
longer than usual. Select
OK to continue. See User
Guide.
226
Chapter 12
• Select No to deny connection.
If no selection is made, the
screen will timeout after 30
seconds and will automatically
reject the request.
• Wait for the data to finish
downloading.
• If problem still persists or if there
is no progress in download, call
your local representative for
assistance.
troubleshooting
■
This chapter contains procedures and information to help you understand and
address conditions that might occur with your pump.
For a list of alarms, alerts, and messages that may appear on your pump, see Pump
alarms, alerts, and messages, on page 202.
Troubleshooting pump issues
WARNING: If you receive a critical error on your pump, the
following screen displays and the pump sirens.
Immediately disconnect from your insulin pump and discontinue
use. Contact your local representative for assistance.
Remember, your body still needs insulin while your pump is
removed. It is important that you consult your healthcare
professional to determine an alternate method of receiving insulin
while your pump is removed.
Troubleshooting
229
troubleshooting
Troubleshooting
What is a Check Settings alarm?
This alarm occurs when a condition causes your pump to reset to factory settings.
You see this alarm after your pump guides you through re-entering the Startup
Wizard settings.
The Check Settings alarm is letting you know that other settings may have been
cleared or reverted to factory default values. Review any settings that you have not
already set in Startup Wizard and re-enter the values, if necessary.
My pump is asking me to rewind
WARNING: Make sure the infusion set is disconnected from your
body before you rewind your pump or fill the infusion set tubing.
Never insert the reservoir into the pump while the tubing is
connected to your body. Doing so could result in an accidental
infusion of insulin, which may cause low BG.
You always rewind your pump when changing the reservoir. Rewinding returns the
piston in the reservoir compartment to its starting position. It is normal for your
pump to ask you to rewind anytime you must remove and replace the reservoir,
such as when resolving an Insulin Flow Blocked alarm or addressing a problem
loading the reservoir.
I dropped my pump
Caution: If your pump has been dropped or you suspect your pump
is damaged, carefully inspect your pump to ensure there are no cracks
before exposing your pump to water.
Do the following:
1.
Check that all connections are still tightly in place.
2.
Check the display, button area, and pump case for cracks or damage.
3.
Check the infusion set, including the tubing connector and tubing for cracks
or damage.
4.
Review the status screen, basal rates and other pump settings.
5.
Perform the Self Test procedure by going to:
230
Chapter 13
Menu > Utilities > Self Test
For details, see Self Test, on page 145.
6.
If the Self Test does not complete successfully, or if you are concerned about
your pump, call your local representative for assistance and check your BG.
I cannot get to the Manage Settings screen
■
If you go to Menu > Utilities > Manage Settings, a message appears telling you
that the feature is not normally accessible and to consult your user guide. To
access the Manage Settings screen:
Menu > Utilities > Manage Settings
2.
Simultaneously press and hold and
for about two seconds. The Manage
Settings screen appears. For more information, see Managing your pump
settings , on page 142.
My pump display times out too quickly
Your pump display times out after 15 seconds by default in order to conserve
battery power. You can increase this setting up to three minutes. Go to Menu >
Utilities > Display Options, and then adjust the Backlight setting as desired. For
more information, see Display Options, on page 141.
Note: Be aware that using a longer Backlight time causes your pump to
use more battery power. When your pump battery is low, the timeout for
the backlight on your pump screen is automatically reduced.
Where is my pump status screen?
1.
To go to the Status screen, highlight and select the status bar at the top of
your Home screen.
Troubleshooting
231
troubleshooting
1.
17:00
BG
6.1
mmol/L
Active Insulin
Bolus
1.0 U
Basal
The Status screen appears.
2.
From the Status screen, you can select the type of status information you
want to view. For example, to see a quick status of your pump and recent
insulin deliveries, go to Quick Status. For details, see Status screens, on page 31.
My pump is asking me to enter my settings
Certain pump errors can clear your settings and return them to their factory
default values. This also happens if you intentionally clear your settings. Do not
clear your settings unless directed to do so by your healthcare professional.
If you have saved your settings using the Save Settings option, you can restore
them using the Restore Settings option. If you restore your settings, ensure the
restored settings match the settings prescribed most recently by your healthcare
professional.
The Startup Wizard appears automatically when your pump restarts. The wizard
guides you through entering the following information. Be sure to have these
values ready when you begin.
•
Time format, time, and date
•
Carb unit
•
Active Insulin Time
232
Chapter 13
•
Basal patterns
After you enter your pump settings, you have the option of entering the following
Bolus Wizard settings:
•
Carb ratio or Exchange ratio
•
Insulin sensitivity factor
•
BG target
■
To enter your pump settings:
Begin entering your settings by selecting your language. Click Next to go to
each new screen.
2.
When the Select Time Format screen appears, select a 12-hour or a 24-hour
time format.
3.
When the Enter Time screen appears, adjust the setting to the current time. If
you are using a 12-hour clock, be sure to specify AM or PM.
4.
When the Enter Date screen appears, adjust the Year, Month and Day to the
current date.
5.
When the Select Carb Unit screen appears, select Grams or Exchanges as the
unit your pump uses to display carbohydrate information.
6.
When the Active Insulin Time screen appears, enter the Duration.
For details, see About active insulin, on page 72.
7.
Enter your first basal rate by entering the End time and the Rate. You can
enter more basal patterns after you complete the startup wizard.
For details, see Adding a new basal pattern, on page 42.
After you complete your basal pattern, a screen appears to allow you to
review your basal information.
8.
When the message appears asking if you want to setup the Bolus Wizard
settings, do one of the following:
•
Select Yes to continue entering your settings, then continue to the next
section.
•
Select No if you do not want to enter your Bolus Wizard settings. A
message appears letting you know that your settings are complete. Select
OK to continue using your pump.
Troubleshooting
233
troubleshooting
1.
To enter your Bolus Wizard settings:
1.
When your pump shows a list of settings for the Bolus Wizard, make sure you
have the values you need before continuing.
2.
Depending on the Carb Unit you set earlier, either the Carb Ratio or the Exch
Ratio screen appears. Enter your carb ratio or exchange ratio by entering the
End time and the Rate. You can adjust your carb or exchange ratio at any
time.
For details, see Changing your carb or exchange ratio, on page 69.
3.
When the Edit Sensitivity screen appears, enter your insulin sensitivity factor
by entering the End time and the mmol/L per unit. You can adjust your
insulin sensitivity factor at any time.
For details about entering insulin sensitivity factors, including how to set
multiple time periods, see Changing your insulin sensitivity factor, on page 70.
4.
When the BG Target screen appears, enter your BG Target range by entering
the End time and your Lo (low) and Hi (high) limits. You can adjust your BG
Target ranges at any time.
For details, see Changing your Bolus Wizard BG target, on page 70.
A message appears confirming that your setup is complete.
5.
Select Next to display the Home screen, and continue using your pump.
Troubleshooting sensor issues
My pump cannot find the sensor signal
If your pump cannot find the sensor signal after you connect your sensor and
transmitter, follow the instructions on the pump screen to troubleshoot the issue
as described below.
If your pump finds the sensor signal at any time during troubleshooting, your
pump beeps or vibrates, and "Warm up" appears on your sensor graph. It can take
up to two hours for your sensor to warm up.
234
Chapter 13
Note: If you are using Alert Silence and currently have all sensor alerts
silenced, your pump does not display the troubleshooting screens. Any
glucose alerts you received are displayed in the Alarm History screen.
1.
Make sure your setup meets the following requirements:
•
Your transmitter is fully charged.
You have only one transmitter connected to your pump.
Delete the current transmitter that is connected to your pump before
continuing. For details, see Deleting the transmitter from your pump, on
page 181.
•
Your transmitter is placed next to your pump.
•
Your transmitter is reconnected to the pump, if your pump has been
recently reset. For details, see Wirelessly connecting your pump and
transmitter using Auto Connect, on page 175.
•
The Airplane Mode is turned off on your pump.
•
You have applied the tape correctly, as instructed in the serter user guide.
2.
Disconnect the transmitter from the sensor for at least 10 seconds.
3.
Reconnect the transmitter with the sensor to restart communication. While
the light on the transmitter is blinking, select OK on the pump to
acknowledge the alert.
4.
Depending on whether the light blinked when you connected the transmitter
to the sensor, select Yes or No on your pump and do one of the following:
Troubleshooting
235
troubleshooting
•
■
If both lights on the charger are off, your transmitter is fully charged. For
details, see your transmitter user guide.
•
If the transmitter light did not blink, you need to charge your transmitter.
When your transmitter is charged, start your sensor. For details, see
Starting the sensor, on page 182.
•
If your transmitter light blinked, but you still have no sensor signal,
continue to the next step.
5.
Move your pump closer to your transmitter and select OK. It can take up to
15 minutes for your pump to find the sensor signal.
6.
If your pump still cannot find the sensor signal, make sure you are away from
any electronic devices that might cause interference, such as cellular phones
and other wireless devices, and select OK.
7.
If you have gone through all the troubleshooting steps on your pump screen,
and your pump still cannot find the sensor signal, or if your sensor graph
displays "Sensor signal not found. See User Guide," call your local
representative for assistance.
Calibration not accepted
Calibration not accepted alert occurs when one of the following happens:
•
System was unable to use the BG meter readings you entered to calibrate
your sensor.
•
System rejects two calibrations in a row from the same sensor.
•
The transmitter was unable to receive the calibration BG meter readings from
the pump due to failed sensor signal.
For details on when and how to calibrate your sensor, see Calibrating your sensor,
on page 184.
Why does the SmartGuard suspend by sensor icon on my Home screen
appear gray?
The SmartGuard suspend by sensor icon appears gray
on the Home screen
when either the Suspend on low or Suspend before low feature is unavailable. The
suspend features may be unavailable due to the following conditions:
•
236
A suspend event has occurred recently.
Chapter 13
After a Suspend before low or Suspend on low event occurs, there is a period
of time when the suspend functionality is unavailable. This time will vary
depending on whether or not you respond to the suspend event. Typically,
the suspend features will be unavailable for 30 minutes after your basal insulin
delivery is resumed. For details, see When Suspend before low is unavailable, on
page 160 or When Suspend on low is unavailable, on page 163.
No SG values are available.
■
•
SG values may be unavailable because:
Your pump is in Airplane Mode.
For more information, see Airplane Mode, on page 137.
•
Sensor calibration is required.
For details on when and how to calibrate your sensor, see Calibrating your
sensor, on page 184.
•
Your pump has lost connection to the sensor.
Move your pump closer to the sensor. For more details, see My pump
cannot find the sensor signal, on page 234.
•
The sensor glucose value received was outside the expected range and
was not displayed.
Select OK to clear the alert. If the issue continues, you may need to
replace the sensor.
If the issue persists, call your local representative for assistance.
Troubleshooting
237
troubleshooting
•
238
Chapter 13
maintenance
■
maintenance
Maintenance
Read your warranty statement included with your pump for information about
what is covered during your warranty period.
Cleaning your pump
Caution: Never use organic solvents, such as lighter fluid, nail polish
remover, or paint thinner to clean your pump. Never use lubricants
with your pump. When cleaning your pump, be sure to keep the
reservoir compartment dry and away from moisture.
Make sure you have the following supplies ready for cleaning your pump: three or
four small, clean, soft cloths, a mixture of water with a mild detergent, clean water,
70% alcohol, and a few clean cotton tips and cotton balls.
To clean your pump:
1.
Dampen a cloth with water mixed with a mild detergent.
2.
Using the cloth, wipe the outside of the pump.
3.
Dampen a clean cloth with water and wipe to remove any detergent residue.
4.
Dry with a clean cloth.
5.
Wipe your pump with a 70% alcohol wipe for disinfection.
6.
Using a dry clean cotton tip, remove any battery residue from the battery cap.
7.
Using a dry clean cloth, remove any battery residue from the battery
compartment opening.
Maintenance
241
Cleaning your transmitter
Always refer to your transmitter user guide for instructions on cleaning the
transmitter.
Storing your pump
Storage mode allows you to safely place your pump in storage while not in use.
Note: If you place your pump in storage mode, it is important to insert a
new AA battery for 8 to 12 hours every six months to recharge the
internal power source.
WARNING: Active insulin is now cleared. Any active insulin tracked
prior to the pump entering storage mode is not included in any
new Bolus Wizard calculations.
Placing your pump in storage mode:
1.
Remove the AA battery from the pump. For details, see Removing the battery,
on page 23.
Note: When you remove the battery, your pump issues an Insert
Battery alarm for 10 minutes or until you place your pump into
storage mode.
2.
Press and hold
until your screen turns off.
Caution: Store your pump at room temperature. While in
storage, the pump should never be exposed to temperatures
above 35°C (95°F).
Waking your pump from storage mode
1.
242
Insert a new AA battery into your pump. For details, see Inserting the battery,
on page 22.
Chapter 14
A Pump Error message appears.
2.
Select OK.
Your pump displays a Power Loss alarm.
3.
Select OK.
The Time & Date screen appears.
Enter the current Time, Time Format and Date.
5.
Select Save.
■
4.
6.
Select OK.
Make sure that all of your settings, such as basal rate, are set as desired. If you
need to, reapply your last saved settings by using the Restore Settings option
as instructed in Restoring your settings, on page 143.
Storing your transmitter
Always refer to your transmitter user guide for instructions on storing your
transmitter.
Maintenance
243
maintenance
Your pump displays an Active Insulin Cleared alert.
244
Chapter 14
product specifications and safety information
Product specifications
This section provides detailed information on product specifications.
Alarm and alert escalation
The following alerts may escalate to a siren:
• Alert before high
• Check connection
• Alert before low
• Lost sensor signal
• Alert on high
• No calibration occurred
• Alert on low
• Possible signal interference
• Basal delivery resumed
• Rise Alert
• BG not received
• Sensor expired
• Calibration not accepted
• Sensor signal not found
• Calibrate now
• SG value not available
• Cannot find sensor signal
• Suspend before low (only if Alert before low is on)
• Change sensor
• Transmitter battery depleted
Product specifications and safety information
247
product specifications and safety information
This chapter provides detailed product specifications and safety information.
■
Product specifications and safety
information
Minutes from
Audio
Audio and vibration
Vibration
0
Audio
Audio and vibrate
Vibrate
1
Audio
Audio and vibrate
Vibrate
2
Audio
Audio and vibrate
Vibrate
3
Audio
Audio and vibrate
Vibrate
4
Audio
Audio and vibrate
Vibrate
5
Audio
Audio and vibrate
Vibrate
6
Audio and vibrate
Audio and vibrate
Audio and vibrate
7
Audio and vibrate
Audio and vibrate
Audio and vibrate
8
Audio and vibrate
Audio and vibrate
Audio and vibrate
9
Audio and vibrate
Audio and vibrate
Audio and vibrate
10
Siren and vibrate
Siren and vibrate
Siren and vibrate
alarm or alert
Note: The Medical device alarm sirens immediately.
Altitude range
•
Pump operating range is from 70.33 kPa (10.2 psiA) to 106.18 kPa (15.4 psiA)
•
Storage range is from 49.64 kPa (7.2 psiA) to 106.18 kPa (15.4 psiA)
Audio frequency
The following table lists the various audible tones and their corresponding
frequencies:
Tone name
Frequency tolerance (+/- 1%)
Alarm
1655 Hz followed by 3310 Hz
Alternate Alarm
1850 Hz
Siren (escalated alarm)
1655 Hz, followed by 3310 Hz
Alert
934 Hz
248
Chapter 15
High Sensor Glucose
1312 Hz, followed by 1410 Hz, 1500 Hz, 1619 Hz,
1722 Hz
Low SG
1722 Hz, 1619 Hz, 1500 Hz, 1410 Hz, 1312 Hz
Lost SG
1485 Hz, followed by 1395 Hz, 1320 Hz, 1395 Hz
Message tone
1655 Hz
Reminder tone
934 Hz
Fill tubing tone
1850 Hz
Bolus delivery cancellation tone
1485 Hz, followed by 1655 Hz and 1485 Hz
Loading complete tone
934 Hz
Reservoir loading in progress
tone
1850 Hz
Easy Bolus activation
1045 Hz
Easy Bolus step 1 increment
1175 Hz
Easy Bolus step 2 increment
1320 Hz
Easy Bolus step 3 increment
1395 Hz
Easy Bolus step 4 increment
1570 Hz
Easy Bolus step 5 increment
1760 Hz
product specifications and safety information
Frequency tolerance (+/- 1%)
■
Tone name
Backlight
Type
LED (Light-emitting Diode)
Time out
15 seconds (default), 30 seconds, one minute,
three minutes
Time out when battery is low
15 seconds (default), 30 seconds
Basal delivery
Delivery rate range
0 to 35 units per hour or the Max Basal Rate
amount, whichever is lower.
Max Basal Rate default
2 units per hour
Product specifications and safety information
249
Basal patterns
Maximum of 8 patterns. Each pattern covers a
24 hour period and can have up to 48 rates. Rates
are set in 30 minute increments.
Basal pattern names
Fixed names: Basal 1, Basal 2, Basal 3, Basal 4, Basal 5,
Workday, Day Off, Sick Day
Increments
• 0.025 units per hour for basal amounts in the
range 0 to 0.975 units
• 0.05 units per hour for basal amounts in the range
1 to 9.95 units
• 0.1 units per hour for basal amounts of 10 to
35 units
BG Target
Maximum targets
8
Range
3.3 to 13.9 mmol/L
Default value for High BG
targets and Low BG targets
None
BG meter value
The most recent BG value received from the meter. If you are using a compatible
Bayer meter, this value appears on the Home screen when the Sensor feature is
off. This value also appears in the Bolus Wizard screen when setting up a bolus.
Expiration
12 minutes
Range
1.1 to 33.3 mmol/L
Bolus delivery
Bolus Speed options
• Standard: 1.5 units/minute
• Quick: 15 units/minute
Bolus programming increments
• 0.025 units
• 0.05 units
• 0.1 units
250
Chapter 15
Fluid delivered/stroke
• 0.25 μL (microliter) for 0.025 unit pump stroke
• 0.5 μL for 0.05 unit pump stroke
• 2.0 μL for 0.2 unit pump stroke
Bolus Wizard feature default settings
Default
Limits
Increments
Carb units
grams
-
-
Insulin to carb (or
exchange) ratio
None
1–200 g/u
(0.075–15.0 u/exch)
0.1 g/u for 1–9.9 g/u;
1 g/u for ratios of 10 g/u to
200 g/u
(0.001 u/exch for
0.075–0.099 u/exch
0.01 u/exch for 0.10–9.99 u/exch;
0.1 u/exch for 10–15 u/exch)
Insulin Sensitivity
Factor
None
0.3–22.2 mmol/L
0.1 mmol/L
BG Target
None
3.3–13.9 mmol/L
0.1 mmol/L
Active Insulin
Time
6 hours
2 to 8 hours
15 minutes
■
Item
There are four different formulas the Bolus Wizard feature uses to estimate a bolus,
depending on your current BG. The following formulas apply only when the carb
units are in grams.
1.
If your current BG is greater than your High BG Target, the Bolus Wizard
feature subtracts active insulin from the BG correction estimate, then adds this
to the food estimate to get the total bolus estimate. However, if the result of
subtracting active insulin from BG correction estimate is a negative number
(less than zero), the total bolus estimate is based only on the food estimate.
Product specifications and safety information
251
product specifications and safety information
Bolus Wizard feature specifications
(food estimate)
total bolus
estimate =
A
B
(correction estimate)
C-D
E
+
- active insulin
where: A = food (grams)
B = carb ratio
C = current BG
D = High BG Target
E = insulin sensitivity
Food estimate:
Carb grams ÷ Carb ratio = Units of insulin
Correction estimate:
(Current BG - High BG Target) ÷ Insulin sensitivity - Active insulin = Units of
insulin
Total bolus estimate:
Food estimate + Correction estimate = Units of insulin
2.
If your current BG is less than your Low BG Target, the Bolus Wizard feature
adds the BG correction estimate to the food estimate to get the total bolus
estimate.
(food estimate)
total bolus
estimate =
A
B
(correction estimate)
+
C-D
E
where: A = food (grams)
B = carb ratio
C = current BG
D = Low BG Target
E = insulin sensitivity
Food estimate:
Carb grams ÷ Carb ratio = Units of insulin
Correction estimate:
(Current BG - Low BG Target) ÷ Insulin sensitivity = Units of insulin
Total bolus estimate:
252
Chapter 15
Food estimate + Correction estimate = Units of insulin
3.
If your current BG is between or equal to your High or Low BG Target, the
total bolus estimate is based only on the food estimate.
(food estimate)
food (grams)
■
total bolus
estimate =
carb ratio
Carb grams ÷ Carb ratio = Units of insulin
Note: When the current BG is below the Low BG Target, an active
insulin amount is not considered in the Bolus Wizard feature
calculations.
Total bolus estimate = Food estimate
4.
If you do not enter a BG, the total bolus estimate is based only on the food
estimate.
Following are some notes about using the Bolus Wizard:
•
If a Dual Wave bolus is less than the estimate due to the Max Bolus limit or a
change that you make, the Square portion is reduced first.
•
Based on the Active Insulin Time setting you choose, your pump keeps track
of how much insulin is still active in your body. This is shown as Active Insulin
or Act. Ins. on the Home screen, Bolus screen, Manual Bolus screen, Preset
Bolus, and Daily History screens. This prevents stacking of insulin, and lowers
the chances of hypoglycemia.
•
The Bolus Wizard feature may utilize your current BG measurement,
carbohydrate consumption, and active insulin to calculate your estimated
bolus.
•
Active Insulin Curve
Product specifications and safety information
253
product specifications and safety information
Food estimate:
Active Insulin Curve
100%
90%
8 Hour
80%
7 Hour
6 Hour
5 Hour
% Insulin Remaining
70%
4 Hour
3 Hour
2 Hour
60%
50%
40%
30%
20%
10%
0%
0
1
2
3
4
5
6
7
8
9
Time (hours)
Graph adapted from Mudaliar and colleagues, Diabetes Care, Volume 22,
Number 9, Sept. 1999, page 1501.
Carb ratios
Maximum ratio settings
Range
1 to 200 grams/unit
8
0.075 to 15 units/exch
Delivery accuracy
•
Delivery accuracy for basal rate is ±5%.
Delivery accuracy for bolus volumes < 0.1 unit is ±20% and delivery accuracy
for bolus volumes ≥ 0.1 unit is ±5%.
•
All Normal boluses are delivered within 50 minutes ±3 seconds at Standard
rate (75 units, at 1.5 units per minute), and within 5 minutes ±3 seconds at
Quick rate (75 units, at 15 units per minute).
•
The maximum infusion pressure generated and the occlusion threshold
pressure is 86.12 kPa (12.49 psi). The bolus volume generated is 0.01225 mL.
254
Chapter 15
•
The following is a representative delivery accuracy curve.
Trumpet Curve for MMT−1511/1512
25
20
15
product specifications and safety information
Percent Error [%]
■
10
5
0
−5
−10
−15
−20
Overall Error
Maximum Error
Minimum Error
0
10
20
30
40
50
60
70
80
90
100
Observation Window [Minutes]
Easy Bolus
Allows user to set up and deliver a Normal Bolus when the pump is in Sleep
Mode. This is done using the and with the help of audio and vibration cues.
Audio mode range
0 to 20 increments or Max Bolus limit, whichever
comes first
Vibrate mode range
0 to 20 increments or Max Bolus limit, whichever
comes first
Default step size
0.1 unit
Adjustable step size
0.1 to 2 units per increment up to Max Bolus limit
Environmental conditions
•
Pump operating temperature range is from 5°C (41°F) to 40°C (104°F).
•
Air pressure range is from 10.2 psi to 15.4 psi (700 hPa to 1060 hPa).
Product specifications and safety information
255
•
Operating humidity range of the case: 20% to 90%.
This requirement exceeds IEC 60601-1, subclause 7.9.3.1 (30% to 75%).
Filling the infusion set and cannula
•
The cannula can be filled from 0.025 units to 5.1 units, in increments of
0.025 units.
•
The standard fill rate is 1.5 units per minute.
The quick fill rate is 15 units per minute.
•
When filling the tubing, a warning occurs at 30 units, and thereafter at every
10 units.
•
Insulin used to fill the infusion set is recorded in the Daily History.
Infusion pressure
The maximum infusion pressure and occlusion pressure is 86.12 kPa (12.49 psi).
Insulin delivery default settings
Bolus settings
Item
Default setting
Limits
Increments
Bolus Wizard
feature:
Off
-
-
Easy bolus:
Off
-
-
Easy bolus step
size:
0.1 U
0.1 U to 2 U
-
Bolus increment:
0.10 U
0.025 U
0.05 U
-
0.10 U
Dual/Square
bolus:
Off
-
-
Max bolus:
10 U
0 to 75 U (per
single bolus)
-
Bolus BG Check
Reminder:
Off
0:00 to 5:00
0:30
256
Chapter 15
Basal settings
Limits
Increments
Max Basal Rate
2 U/h
0–35 U/h
0.025 U for
0.025–0.975 U/h
0.05 U for 1.00–9.95 U/h
0.1 U for rates of 10.0 U/h
or more
Basal Rate
0.000 U/h
0.000 U/h to Max
Basal Rate setting
0.025 U for
0.025–0.975 U/h
0.05 U for 1.00–9.95 U/h
0.1 U for rates of 10.0 U/h
or more
Temp Basal Type
Percent
Percent, Rate
N/A
Temp Basal
Percent
100%
0-200%
5%
Temp Basal Rate
Current basal
rate
0.0 U/hr to Max
Basal Rate
0.025 U for
0.025–0.975 U/h
0.05 U for 1.00–9.95 U/h
0.1 U for rates of 10.0 U/h
or more
Insulin sensitivity factor
Maximum settings
8
Default
None. Insulin sensitivity is set during Startup of the Bolus
Wizard.
Range
0.3 to 22.2 mmol/L/unit
Low Reservoir reminder
The values are based on displayed amount, not actual amount.
Product specifications and safety information
257
product specifications and safety information
Default setting
■
Item
Alert
Alert range
Increment
type
Default
value
Time
First reminder occurs at 2 to 24 hours. Second
reminder occurs one hour before empty. The
30 min
8 hours
1 unit
20 units
second reminder is automatic and cannot be
changed by the user.
Units
First reminder occurs at 5 to 50 units. Second
reminder occurs at 50 percent of the
remaining specified amount. The second
reminder is automatic and cannot be changed
by the user.
Max Bolus
Range
0 to 75 units
Default
10 units
Normal bolus
Range is 0.025 to 75 units of insulin, and limited by the Max Bolus setting.
Occlusion detection
When occlusion is detected, the Insulin flow blocked alarm occurs. The occlusion
alarm is triggered by an average of 2.23 units of missed insulin (standard bolus) or
1.97 units of missed insulin (quick bolus). The MiniMed pump is intended for use
with U100 insulin. This table shows occlusion detection for four different situations
when using U100 insulin.
Rate
Minimum time
Average time
Maximum time
before alarm
before alarm
before alarm
bolus delivery (10 units at
standard speed)
71 seconds
95 seconds
136 seconds
bolus delivery (10 units at
quick speed)
9 seconds
10 seconds
14 seconds
basal delivery (1.0 u/h)
2.00 hours
2.50 hours
3.80 hours
basal delivery (0.025 u/h)
123.38 hours
142.03 hours
178.33 hours
258
Chapter 15
Percent temp basal
The default value is 100 percent of basal programming.
Range
0 to 200%
Default
100% of basal programming
Increment
5%
■
A single fault condition will cause the pump to suspend insulin delivery. Maximum
infusion with a single fault condition is 0.2 units.
Pump dimensions
The MMT-1511 pump dimensions in inches are approximately
2.1 width x 3.34 length x 0.96 depth.
The MMT-1511 pump dimensions in centimeters are approximately 5.3 width x 8.5
length x 2.44 depth.
The MMT-1711 pump dimensions in inches are approximately
2.1 width x 3.78 length x 0.96 depth.
The MMT-1711 pump dimensions in centimeters are approximately 5.3 width x 9.6
length x 2.44 depth.
Pump memory
User settings and pump history are stored in non-volatile memory which will retain
data. The memory size will hold 90 days of pump history before it becomes full
and has to be written over. This means that at any time the user can review a
maximum of 90 days of history.
Pump weight
The mass of the MiniMed 640G insulin pump (MMT-1511) is approximately 91.9
grams.
The mass of the MiniMed 640G insulin pump (MMT-1711) is approximately 95.7
grams.
Product specifications and safety information
259
product specifications and safety information
Program safety checks
Sensor default settings
High sensor settings
Item
Default
Limits
Increments
setting
High SG alert
limit
13.8 mmol/L
5.6 to 22.2 mmol/L
0.2 mmol/L
Alert before high
Off
-
-
Alert on high
Off
-
-
Time before high
15 minutes
5 to 30 minutes
5 minutes
Rise Alert
Off
-
-
Rise Limit
Two up
arrows
• 1 up arrow
(0.056 mmol/L/min)
• 2 up arrows
(0.111 mmol/L/min)
• 3 up arrows
(0.167 mmol/L/min)
• Custom limit
(0.050 to 0.275 mmol/L/min)
High Snooze
1 hour
5 minutes to 3 hours
5 minutes
Low sensor settings
Item
Default
Limits
Increments
setting
Low SG alert
limit
3.4 mmol/L
2.8 to 5.0 mmol/L
0.2 mmol/L
Suspend before
low
Off
-
-
Suspend on low
Off
-
-
Alert before low
Off
-
-
Alert on low
Off
-
-
Low Snooze
20 minutes
5 minutes to 1 hour
5 minutes
260
Chapter 15
Low sensor settings
Item
Default
Limits
Increments
-
-
setting
Resume basal
alert
Off
■
product specifications and safety information
Product specifications and safety information
261
Guidance and manufacturer's declaration
Guidance and Manufacturer's Declaration - Electromagnetic Emissions
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or the user of the MiniMed insulin
pump should make sure that it is used in such an environment.
Emissions Test
Compliance
RF emissions
• 6 dB and 99%
Bandwidths: Pass
Test: 47 CFR Part 15,
Subpart C Section
15.247(a)(2)/RSS-210
FHSS– DAOO-705,
DTS-KDB 558074,
ANSI C63.4, RSS-Gen,
FCC Part 15 Section
15.109, Class B/ANSI
c63.4 (2009)
• Maximum Output
Power: Pass
RF emissions
Class B
• TX Spurious
Emissions: Pass
RTCA DO 160G (2010)
20.5 and 21.5
Complies
ARIB STD-T66
Complies
Chapter 15
The MiniMed insulin pump must emit
electromagnetic energy in order to
perform its intended function. Nearby
electronic equipment may be
affected.
• Power Spectral
Density: Pass
EN55011 (2009)+A1
262
Electromagnetic Environment Guidance
The MiniMed insulin pump is suitable
for use in all establishments,
including domestic and those directly
connected to the public low-voltage
power supply network that supplies
buildings used for domestic purposes.
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or the user of the MiniMed insulin
pump should assure that it is used in such an environment.
Immunity Test
±30 kV air
(<5% relative
humidity)
For use in a typical
domestic, commercial,
or hospital
environment.
Not applicable
Requirement does not
apply to this battery
powered device.
Not applicable
Requirement does not
apply to this battery
powered device.
Not applicable
(>95% dip in UT
Requirement does not
apply to this battery
) for 0.5 cycle
powered device.
±15 kV air
IEC 61000-4-2
Electrical fast transient/
burst
±2 kV for power
supply lines
IEC 61000-4-4
±1 kV for input/
output lines
Surge
±1 kV line(s) to
line(s)
IEC 61000-4-5
±2 kV line(s) to
earth
Voltage dips, short
interruptions and
voltage variations on
power supply lines
Electromagnetic
Environment Guidance
<5% UT
IEC 61000-4-11
Power frequency
(50/60 Hz) magnetic
field
IEC 61000-4-8
400 A/m
(continuous
field at 60
seconds)
400 A/m
4000 A/m (short
duration at 3
seconds)
4000 A/m
Power frequency
magnetic fields should
be at levels
characteristic of a
typical location in a
typical commercial or
hospital environment.
Note: UT is the a.c. mains voltage prior to application of the test level.
Product specifications and safety information
263
product specifications and safety information
±8 kV contact
Compliance
Level
■
Electrostatic discharge
(ESD)
IEC 60601 Test
Level
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or user of the MiniMed insulin pump
should assure that it is used in such an electromagnetic environment.
Immunity
Test
IEC 60601
Level
Compliance
Level
Electromagnetic Environment
Guidance
Portable and mobile RF
communications equipment should
be used no closer to any part of the
MiniMed insulin pump, including
cables, than the recommended
separation distance calculated from
the equation applicable to the
frequency of the transmitter.
264
Chapter 15
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or user of the MiniMed insulin pump
should assure that it is used in such an electromagnetic environment.
IEC 61000-4-3
80 MHz to
800 MHz
10 V/m
80 MHz to
800 MHz
10 V/m
800 MHz to
2.5 GHz
10 V/m
800 MHz to 6
GHz
Recommended separation distance
d = [12/E1] P 80 MHz to 800 MHz
d = [23/E1] P 800 MHz to 6 GHz
Where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in
meters (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site surveya, should
be less than the compliance level in
each frequency rangeb.
Interference may occur in the vicinity
of equipment marked with the
following symbol:
Note: At 80 MHz and 800 MHz, the higher frequency range applies.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption, and reflection from structures, objects and people.
Note: The table is per IEC (EN) 60601-1-2 Edition 3.
Product specifications and safety information
265
product specifications and safety information
10 V/m
■
Radiated RF
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or user of the MiniMed insulin pump
should assure that it is used in such an electromagnetic environment.
aField
strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcasts and TV broadcast cannot be predicted theoretically with accuracy. To assess
the electromagnetic environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength in the location in which
the MiniMed insulin pump is used exceeds the applicable RF compliance level above,
the insulin pump should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or
relocating the MiniMed insulin pump.
bOver
the frequency range 150 kHz to 80 MHz, field strengths should be less than 10
V/m.
266
Chapter 15
Recommended separation distances between the MiniMed 640G insulin
pump and common household radio transmitters
Household RF
Transmitter
Frequency
Recommended
Separation
Distance (meter)
Recommended
Separation
Distance (inch)
Cordless Household
2.4 GHz
0.3
12
Cordless Household
5.8 GHz
0.3
12
TDMA-50 Hz (cell phone)
1.9 GHz
0.3
12
TDMA-50 Hz (cell phone)
800 MHz
0.3
12
PCS (cell phone)
1.9 MHz
0.3
12
DCS (cell phone)
1.8 MHz
0.3
12
GSM (cell phone)
900 MHz
0.3
12
GSM (cell phone)
850 MHz
0.3
12
CDMA (cell phone)
800 MHz
0.3
12
Analog (cell phone)
824 MHz
0.3
12
CDMA (cell phone)
1.9 MHz
0.3
12
802.11b
2.4 GHz
1
39.5
802.11g
2.4 GHz
1
39.5
802.11n
2.4 GHz
1
39.5
Bluetooth 500 kb/s
2.4 GHz
0.1
3.93
ZigBee 250 kb/s
2.4 GHz
0.1
3.93
Telephones
■
product specifications and safety information
WiFi Networks
Product specifications and safety information
267
Recommended separation distances between portable and mobile RF
communications equipment and the MiniMed 640G insulin pump
The insulin pump is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The customer or user of the MiniMed
insulin pump can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment
(transmitters) and the MiniMed insulin pump as recommended below, according to
the maximum output power of the communications equipment.
Rated maximum output
power of transmitter (W)
Separation distance according to the frequency of
transmitter (m)
80 MHz to 800 MHz
800 MHz to 6 GHz
d=1.2 P
d=2.3 P
0.01
0.12
0.23
0.1
0.38
0.73
1
1.2
2.3
10
3.8
7.3
100
12
23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to
the frequency of the transmitter, where p is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
Wireless communication
Quality of service
The CGM transmitter and MiniMed insulin pump are associated as part of an
802.15.4 network for which the pump functions as the coordinator and the CGM
transmitter as an end node. In an adverse RF environment the MMT-1511/1711
pump will assess channel changing needs based on "noise" levels detected during
268
Chapter 15
an energy scan. The pump will perform the energy scan if after 10 minutes no
CGM transmitter signal has been received. If the channel change occurs the pump
will send beacons on the new channel.
product specifications and safety information
In normal operation the CGM transmitter will transmit a packet every 5 minutes
and retransmit the packet if the data is corrupted or missed.
Radio frequency (RF) communications specifications
Utilizes the IEEE 802.15.4 protocol with the proprietary data format.
Pump frequency
2.4 GHz; proprietary Medtronic protocol; range up to
1.8 meters (6 feet)
Maximum output
power (EIRP)
-1.59 dBm
Operating frequencies
2420 MHz, 2435 MHz, 2450 MHz, 2465 MHz, 2480 MHz
Bandwidth
5 MHz which is allocated channel bandwidth per the IEEE
protocol
Data security
The MiniMed 640G insulin pump is designed to only accept radio frequency (RF)
communications from recognized and linked devices (you must program your
pump to accept information from a specific device).
The MiniMed 640G system ensures data security via proprietary means and ensures
data integrity using error checking processes, such as cyclic redundancy checks.
Product specifications and safety information
■
The CGM transmitter will initiate a channel search when beacon detection fails on
the associated channel. The search will be conducted across all five channels.
When the beacon is located the transmitter will rejoin on the identified channel.
Upon re-association any missed packets (up to 10 hours) will be transmitted from
the CGM transmitter to the pump.
269
Icon table
Follow instructions for use
Manufacturer
Date of manufacture
Use by date
Catalogue number
Device serial number
Storage temperature range
Storage humidity range
Magnetic Resonance (MR) unsafe
Type BF equipment (protection from electrical shock)
Radio communication
Pump: Protected against the effects of continuous immersion in water (12
feet or 3.6 meters for 24 hours).
Signifies compliance with Australian EMC, EME and Radio communications
requirements
Signifies compliance with Industry Canada EMC and Radio communications
requirements
This symbol means that the device fully complies with MDD 93/42/EEC (NB
0459) and R&TTE Directive 1999/5/EC.
270
Chapter 15
appendix a: end user software license agreement
■
End user software license agreement
NOTICE TO USER: Certain portions of software contained in this product may be
covered by the GNU General Public License, Version 2 or Version 3 (“Open Source”),
which can be obtained through the GNU web site at www.gnu.org/copyleft/
gpl.html. The source code for any Open Source can be obtained, for a nominal fee
to cover the cost of shipping and media, by contacting Medtronic MiniMed, Inc.,
Director of Software Development, 18000 Devonshire Street, Northridge, CA
91325-1219, USA, tel: +1-866-948-6633.
End user software license agreement
273
appendix a: end user software license agreement
End user software license
agreement
274
Appendix A
glossary
■
glossary
Glossary
active insulin
Bolus insulin that has been delivered by the pump and is
still working to lower your blood glucose levels.
active insulin adjustment
The amount of insulin that is subtracted from your BG
correction bolus to account for the active insulin that is
tracked by the Bolus Wizard.
Active Insulin Time
A Bolus Wizard setting that lets you set the length of
time that bolus insulin is tracked as active insulin.
Activity Guard
An attachment that can be used to ensure that the
reservoir stays secure during activity, or when the pump
is worn by a child.
Airplane Mode
A feature that temporarily stops your device from
communicating wirelessly.
alarm
An audible beep or vibration with a message to inform
you that the pump is no longer delivering insulin. Alarms
require immediate action.
Alarm History
A feature that stores information about recent alarms
and alerts.
alert
An audible beep or vibration with a message to inform
you of a situation that may require your attention.
Alert before low
An alert that occurs when you are approaching your low
sensor glucose value.
Alert Limits
The values that you set to determine when low and high
glucose alerts are triggered.
Glossary
277
Alert on low
An alert that occurs when your sensor glucose value
reaches or falls below your low limit.
Auto Suspend
An alarm that you set to suspend insulin delivery and
trigger an alarm if no buttons are pressed for a specified
period of time. Clearing the alarm resumes insulin
delivery.
Awake mode
A state in which the pump screen is on. Unless you are
actively using another screen, your Home screen appears.
basal insulin
Insulin that is continuously delivered by the pump to
meet your individual insulin needs between meals and
during sleep.
basal pattern
A set of one or more basal rates that covers a 24-hour
period.
basal rate
The amount of continuous basal insulin that you
program your pump to automatically deliver per hour.
BG
Abbreviation for blood glucose. See blood glucose.
BG Targets
The high and low values to which your blood glucose is
corrected when using the Bolus Wizard.
Block Mode
A feature that restricts the ability to change all settings.
You can still perform certain functions, such as
suspending insulin delivery, reviewing history, testing
your pump, or clearing alarms and alerts.
blood glucose (BG)
Refers to glucose (sugar) that is present in the blood,
commonly measured by a blood glucose meter.
blood glucose meter
A device that measures glucose levels in the blood.
Bolus BG Check reminder
A reminder that you set just after you program a bolus.
The reminder notifies you to check your blood glucose
when the time period that you specified has passed.
bolus insulin
Insulin used to cover an expected rise in glucose levels
from carbohydrates, or to lower a high blood glucose
value down to your target range.
Bolus Speed
A feature that lets you choose the speed at which your
device delivers bolus insulin.
278
Glossary
A feature that uses your individual Bolus Wizard settings
to calculate an estimated bolus amount based on the BG
values and carbs that you enter. These settings include
Carb Ratio, Insulin Sensitivity Factor, BG Target Range,
and Active Insulin Time.
calibrate
The process of using a meter blood glucose reading to
calculate sensor glucose values.
Calibration reminder
A reminder you can set to let you know when your next
calibration is due.
cannula
Short, thin, and flexible tube placed in the tissue below
the skin. Insulin is delivered through the cannula into the
body.
carb ratio
The number of grams of carbohydrates covered by one
unit of insulin. The carb ratio is used to calculate bolus
amounts.
carb unit
The unit of measure for carbohydrates, either grams (g)
or exchanges (exch).
CGM
Abbreviation for continuous glucose monitoring. See
continuous glucose monitoring.
continuous glucose
monitoring (CGM)
A monitoring tool that uses a glucose sensor placed
below the skin to continuously measure the amount of
glucose in your interstitial fluid.
correction bolus
Insulin used to lower a high blood glucose value down
to your target range.
Daily History
A feature that displays the actions that you performed
using your device.
Dual Wave™ Bolus
A type of bolus that provides a dose of insulin delivered
as a combination of a Normal Bolus followed by a
Square Wave Bolus.
Easy Bolus™
A feature that lets you deliver a Normal Bolus in preset
increments using only audio or vibrate confirmation.
Event Marker
A feature that allows you to record events, such as blood
glucose readings, injections, carbohydrates, and exercise.
Glossary
279
■ glossary
Bolus Wizard
exchange ratio
The number of insulin units that are needed to cover
1 carbohydrate exchange. The exchange ratio is based
on your individual needs and is used to calculate bolus
amounts.
food bolus
A dose of insulin you give to cover an expected rise in
glucose levels from carbohydrates.
High limit
The value you set to determine when the pump will
alert you of a high sensor glucose condition.
infusion set
Tubing that connects to the reservoir on one end, and
has a needle or cannula on the other end, that you
insert into your body. Insulin travels from the pump
through the infusion set into your body.
infusion site
The location on the body where the infusion set is
inserted.
insulin sensitivity factor
The amount that blood glucose is reduced by one unit
of insulin. The insulin sensitivity factor is used to
calculate correction bolus amounts.
interstitial fluid
The fluid that surrounds the cells in the body.
ISIG
The signal created by the sensor that is used to calculate
your sensor glucose value. Typically used by Medtronic
technical support representatives when troubleshooting.
lock
A pump feature that prevents accidental button presses.
Low limit
The value you set to determine when the pump will
alert of a low sensor glucose condition, and also used for
determining if insulin delivery should be suspended.
Manual Bolus
A feature that allows you to enter and deliver a dose of
insulin in the amount that you have determined is
necessary.
Max Basal Rate
A feature that allows you to set the maximum amount
of basal insulin that can be delivered per hour.
Max Bolus
A feature that allows you to set the maximum bolus
amount that can be delivered in one dose.
meter
A term for any blood glucose meter.
280
Glossary
A reminder that a bolus was not delivered during time
periods that you specify, often set around your meal
times.
Normal Bolus
A type of bolus that provides an entire dose of insulin
immediately.
notifications
All notifications are designed to get your attention and
convey different types of information. They include
alarms, alerts, reminders, and messages.
occlusion
A blockage or crimp of the cannula or tubing that
prevents proper insulin flow.
piston
The part of the insulin pump that engages the reservoir
and moves insulin through the tubing.
Power save mode
A state in which your pump is fully functional, but the
screen goes dark to save power. You can set how long it
takes for your screen to enter power save mode by
changing the Backlight setting.
Preset Bolus
A feature that allows you to set up and save a bolus for
specific meals or snacks that you frequently eat or drink.
Preset Temp Basal
A feature that allows you to set up and save temporary
basal rates for repeated use.
Rate alert
An alert that notifies you if your sensor glucose value has
been rising or falling faster than the Rise Limit or Fall
Limit that you have set.
reminder
A type of notification that you can set to help you
remember to do something.
reservoir
The small container that you fill with insulin and insert
into your delivery device.
Resume basal alert
An alert that can be set to occur when your pump has
automatically resumed basal insulin delivery after a
Suspend before low or Suspend on low event because
your sensor glucose values have met the necessary
criteria. This alert will always occur if basal insulin delivery
has resumed because the two hour maximum suspend
time has elapsed.
Glossary
■ glossary
Missed Meal Bolus
reminder
281
Rewind
A feature used when changing a reservoir. It returns the
piston to its starting position and allows a new reservoir
to be placed into the pump.
sensitivity
See insulin sensitivity factor.
sensor (glucose sensor)
The small part of the continuous glucose monitoring
system that you insert just below your skin to measure
glucose levels in your interstitial fluid.
sensor glucose (SG)
Refers to glucose (sugar) that is present in the interstitial
fluid and is measured by a glucose sensor.
Set Change reminder
A reminder that you can set to change your infusion set.
SG
Abbreviation for sensor glucose. See sensor glucose.
Sleep mode
A state in which your pump is fully functional, but the
screen is dark. Your pump automatically enters sleep
mode when you have not pressed any buttons for about
two minutes.
SmartGuard™
A feature that can automatically stop and resume insulin
delivery based on your sensor glucose values and low
limit.
Square Wave™ Bolus
A bolus delivered evenly over a specified time period.
Suspend before low
A feature that suspends insulin delivery when the sensor
predicts sensor glucose value is approaching your low
limit.
Suspend Delivery
This feature stops all insulin delivery until you resume it.
Only the basal insulin restarts when delivery is resumed.
Suspend on low
A feature that suspends insulin delivery when your
sensor glucose value reaches or falls below your low
limit.
Temp Basal Rate
(temporary basal rate)
A feature that allows you to temporarily increase or
decrease your current basal rate for a duration of time
that you specify.
transfer guard
The plastic piece that comes attached to the reservoir. It
is used to connect the reservoir to the insulin vial while
filling the reservoir with insulin.
282
Glossary
transmitter
A device that connects to a glucose sensor. The
transmitter collects data measured by the sensor and
wirelessly sends this data to monitoring devices.
■ glossary
Glossary
283
284
Glossary
index
accessories 15
active insulin
about 72
adjustment 72
clearing settings 144
Home screen 26
injection warning 72
viewing amount 27
Active Insulin cleared alert 203
Active Insulin Time
about 66
changing 71
Airplane Mode
setting up 138
status bar 29
using 137
Alarm History 122
alarms
about 199
audio options 201
Auto Suspend 203
Battery failed 203
Battery not compatible 203
Bolus not delivered 204
Bolus stopped 204
CGM 216
Critical pump error 205
Delivery limit exceeded 205
emergency siren 201
Fill Cannula? 205
Insert battery 205
Insulin flow blocked 206, 207, 208, 209
Loading incomplete 209
Manage Settings error 210
Max Fill reached 210, 211
No reservoir detected 211
notification light 201
overview 200
pump 202, 226
Pump error 212, 213
Pump restarted 213
red icon 201
Replace battery 213
Replace battery now 214
sensor 216
siren 201
Stuck button 215
Alert before high SG setting 157
Alert before low
about 161
summary screen 120
Alert on high SG setting 157
Alert on low
about 164
summary screen 120
Alert Silence 193
alerts
about 199
Active Insulin cleared 203
audio options 201
BG not received 218
Calibrate now 219
Calibration not accepted 219
Cannot connect device 204
Index
287
index
A
■
Index
Cannot find sensor signal 220
CGM 216
Change sensor 220
Check connection 221
Check settings 204
Download slow 226
Lost sensor signal 221
Low battery Pump 209
Low battery transmitter 221
Low reservoir 210
No calibration occurred 222
notification light 201
overview 201
Possible signal interference 222
pump 202, 226
Reservoir estimate 214
Rise alert 223
sensor 216
Sensor alert occurred 223
Sensor expired 224
Sensor signal not found 224
SG value not available 225
silencing 193
Transmitter battery depleted 225
yellow icon 201
areas, for inserting infusion set 103
arrows, trend 192
audio
options 33
settings 138
silencing 193
vibrate 29
auto connect 175
Auto Suspend alarm 203
awake mode 34
B
backlight
battery use 21
setting up 141
basal
about 39
current delivery 52
288
Index
daily delivery amount 118
delivery 39
history 117, 118
Home screen 26
Max Basal Rate 41
patterns 41
Preset Temp basal rate 49
rate 39
settings 40
summary 117
Temp Basal 47
basal patterns
about 42
adding 46
changing 46
deleting 46
example 42
battery
about 21
alarm 203, 205, 213, 214
alert 209
belt clip 23
compartment location 19
disposal 23
inserting 22
removing 23
replacing 22
status bar icon 28
types 21
Battery failed alarm 203
Battery not compatible alarm 203
belt clip
part number 15
remove battery cap 23
BG
Home Screen 26
sensor calibration 185
BG meter readings
average 119
manual high 120
manual low 120
meter high 120
meter low 119
summary 119
bolus types
DualWave 60
examples 60
Normal 59
Square Wave 60
Bolus Wizard
Active Insulin Time 66
BG target 66
Carb ratio 66
Dual Wave 80
Exchange ratio 66
High BG warning 72
injection warning 72
Insulin Sensitivity Factor 66
Low BG warning 73
Max Bolus Exceeded warning 73
Normal bolus 73
Square Wave 77
warnings 72
■ index
BG not received alert 218
BG target
Bolus Wizard 66
setting up 70
Block Mode
status bar 31
using 139
blood glucose
Home screen 26
sensor calibration 185
bolus
about 59
daily delivery amount 118
delivery speed 63
history 117, 118
increment setting 63, 64
Max bolus 62
reminders 131
setting delivery speed 63
settings 62
summary 117, 118
types 59
Bolus BG Check reminder, about 130
bolus deliveries
about 59
Bolus Wizard 61, 65
delivery rate 63
Dual Wave 79
Easy Bolus 62, 83
Manual Bolus 61, 75
Max Bolus setting 62
Normal bolus 73, 75
options 61
Preset Bolus 61, 86
resume message 214, 215
Square Wave 76
stopping 88
types 59
Bolus not delivered alarm 204
Bolus stopped alarm 204
C
calibrate
error 220, 221
sensor 184
when to 186
Calibrate now alert 219
calibration
guidelines 187
icon 30
Calibration not accepted alert 219
Calibration reminder 133
Cannot connect device alert 204
Cannot find sensor signal alert 220
cannula alarm 205
carb ratio 69
Carb Units 140
CareLink Personal Software 124
Change sensor alert 220
Check connection alert 221
Check settings alert 204
cleaning
pump 241
transmitter 242
Index
289
clearing
active insulin 144
pump settings 143
Connect Device message 226
connecting pump, transmitter
automatically 175
manually 179
connection, failure 178
Consumable
infusion set 13
reservoir 13
continuous glucose monitoring
about 151
airplane mode 137
alarms 216
alerts 216
calibrating sensor 184
connecting pump, transmitter 175
examples 165
High Settings 156
home screen 153
Low Settings 157
messages 216
sensor feature, turning on 167
sensor glucose reading 191
sensor graph 191
settings 156
correction estimate 251, 252
Critical pump error 205
D
Daily History 121
date
changing 148
Startup Wizard 24
delivery
stop bolus 33
suspend all 33
Delivery limit exceeded alarm 205
Display Options
setting up 141
Download slow alert 226
290
Index
Dual Wave 60
about 79
Bolus Wizard 80
example 60
Manual bolus 82
resume message 214, 215
setting up 80
E
Easy bolus
about 83
Manual bolus 85
setting up 84
step size 83
electromagnetic emissions 262
Electromagnetic environment 267, 268
electromagnetic immunity 263
emergency
kit 4
siren 201
emergency kit 4
emissions 262
event markers
about 124
blood glucose 125
exercise 125
food 125
injection 125
setting up 124
exchange ratio 69
F
Fill Cannula? alarm 205
food estimate 251, 252, 253
G
glucose alerts, silencing 193
graph, sensor 191
H
High BG, Bolus Wizard warning 72
High Limit SG setting 157
I
icons
Home Screen 28
sensor status 153
SmartGuard 155, 160, 163
suspend by sensor 155
infusion set
about 93
best insertion sites 103
disconnect Quick-set 107
fill cannula alarm 205
fill tubing 101
inserting 103
reconnect Quick-set 107
reservoir alarm 209
reservoir and tubing 33
reservoir removal 93
rotating sites 104
setting up 93
type 13
Insert battery alarm 205
inserting
infusion set 103
reservoir 99
sensor 182
insulin
basal 39
basal patterns 41
bolus 59
flow blocked alarm 206, 207, 208, 209
icon 29
Max Fill reached alarm 210, 211
settings 33
insulin delivery
Block Mode 139
resuming 54, 164, 174
stopping 54, 88
suspending 54, 139, 158, 161
Insulin flow blocked
alarm 206, 207, 208, 209
Insulin Sensitivity Factor
about 66
setting up 70
ISIG
view 124
L
language
changing 141
starting 24
light, red 201
Loading incomplete alarm 209
Lost sensor signal alert 221
Low battery Pump alert 209
Low battery transmitter alert 221
Low BG, Bolus Wizard warning 73
Low limit 158
Low Reservoir
alert 132, 210
reminder 132
Index
291
■ index
High Settings
about 156
entering 167
history
about 117
menu 33
pump settings, viewing 145
summary 117
Home Screen
about 26
active insulin amount 26
basal delivery 26
blood glucose reading 26
bolus delivery 26
CGM, with 153
display 21
sensor glucose 153
sensor glucose reading 153
sensor graph 153
sensor status icons 153
status bar 26
time 26
trend arrows 153
Low Settings
about 157
entering 171
examples 165
M
maintenance 241
Manage Settings error alarm 210
managing, pump settings 142
Manual bolus
Dual Wave 82
Easy bolus 85
Normal bolus 75
Square Wave 79
Max Basal
alarm 205
rate 40
Max Basal Rate
setting 41
Max Bolus
alarm 205
exceeded 73
setting 62
warning 63
Max Fill reached alarm 210, 211
Menu screen
about 32
accessing 32
audio options 33
display 21
event markers 33
history 33
insulin settings 33
reminders 33
reservoir and tubing 33
sensor settings 33
suspend delivery 33
utilities 33
messages
about 199
audio options 202
blue icon 202
CGM 216
292
Index
Connect Device 226
continuous glucose monitoring 216
overview 202
pump 202, 226
Resume bolus 214
Resume Dual bolus 214, 215
Resume Square bolus 215
sensor 216
Sensor connected 223
Missed Meal Bolus reminder 131
modes
Block 139
power 34
mute alerts 193
N
No calibration occurred alert 222
No reservoir detected alarm 211
Normal bolus
about 73
Bolus Wizard 73
delivery 73
example 60
Manual bolus 75
resume message 214
notification light 201
notifications 31
O
ordering supplies 15
P
patterns, basal
about 42
adding 46
changing 46
copying 46
deleting 46
example 42
personal reminder 129
Possible signal interference alert 222
power save mode 34
Q
quick status 31
Quick-set infusion set
disconnecting 107
reconnecting 108
R
rate, basal
about 39
Preset Temp 40
Temp 40, 47
rate of change arrows 153
red light 201
reminders
about 129
Bolus BG Check 130
Calibration 133
Low Reservoir 132
Menu screen 33
Missed Meal Bolus 131
Personal 129
Set Change 133
remote bolus 62, 112
Replace battery alarm 213, 214
reservoir
about 93
compartment image 19
inserting 99
Loading incomplete alarm 209
Low Reservoir alert 210
Max Fill reached alarm 210, 211
Menu screen 33
No reservoir detected alarm 211
ordering 15
plunger rod 97
removal 93
Reservoir estimate at 0 U 214
setting up 93
transfer guard 97
type 13
Reservoir estimate alert 214
restoring, pump settings 143
Resume basal alert 164
Index
■ index
Preset Bolus
about 86
changing 87
deleting 87
delivering 88
Dual Wave 86
renaming 87
setting up 86
Square Wave 86
Preset Temp Basal rate
about 40
starting 51
Preset Temp basal rate
about 49
editing 50
managing 49
setting up 49
previous screen 21
pump
alarms 202, 226
alerts 202, 226
buttons 20
cleaning 241
connecting, transmitter 175, 179
connection status 29
deleting, transmitter 181
messages 202, 226
navigation 24
notification light 20
overview 19
parts illustration 19
rewinding 94
settings 232
storing 242
unlocking 26
Pump error alarm 212, 213
Pump restarted alarm 213
pump settings
clearing 143
managing 142
restoring 143
saving 142
specifications 247
viewing history 145
293
Resume bolus message 214
Resume Dual bolus message 214, 215
Resume Square bolus message 215
resuming suspended delivery 54, 164, 174
return to previous screen 21
RF communications 267, 268
Rise Alert
responding to 223
SG setting 157
summary screen 120
Rise Limit SG setting 157
S
saving
power 34
pump settings 142
screen
Active Insulin Time 71
Airplane Mode 138
Alarm History 122
Audio Options 139
Auto Suspend 139
Basal Pattern Setup 46
BG Check 130
BG Target 71
Block Mode 140
Bolus Increment 64
Bolus Speed 64
Bolus Wizard Setup 67, 71
Carb Ratio 70
Carb Unit 140
Display Options 141
Dual/Square Wave 77
Easy Bolus 84
Enter Date Screen 25
Enter Time 25
Event Markers 124
Exchange Ratio 70
Fill Cannula 106
Fill Tubing 102
Home Screen 26, 153
Language 24, 141
Low Reservoir 133
294
Index
Manual bolus 76
Max Bolus 63
Missed Meal Bolus 131
New Reservoir 95
Personal reminder 129
Preset Bolus Setup 87
Preset Temp Setup 50
Select Time Format 24
Self Test 146
Sensitivity 70
Sensor Demo 147
Sensor Glucose Review 122
Sensor Settings 167
Set Change 133
Summary 117
Suspend Delivery 54
Temp Basal 48
Time and Date 148
Welcome screen 24
scroll bar 21, 34
select 21
sensor
airplane mode 137
alarms 216
alerts 216
BG not received alert 218
calibrating 184, 187
calibration alert 219
calibration icon 30
connecting, transmitter 182
disconnecting, transmitter 188
expired alert 224
feature, turning off 188
feature, turning on 167
graph 153
inserting 182
life icon 30
messages 216
pair 175, 179
removing 188
settings 33, 167
signal alert 220
starting 182
status icons 153
Square Wave 60
about 76
Bolus Wizard 77
example 60
Manual bolus 79
resume message 214, 215
setting up 77
starting
sensor 182
Startup Wizard
about 24
re-entering settings 232
using 24
status bar
about 28
Airplane Mode 29
audio mode 29
battery 28
Block Mode 31
CGM, with 153
CGM, without 26
Connection icon 29
icons 28
insulin amount 29
sensor calibration 30
sensor life 30
time 26
status screens
about 31
notifications 31
pump 31
quick status 31
sensor 31
settings review 32
stopping
bolus 88
insulin delivery 54
storage mode 242
Stuck button alarm 215
summary screen
about 117
basal 118
BG meter readings 119
bolus 118
Index
■ index
summary 120
trend arrows 153
wireless connection 175, 179
Sensor alert occurred
responding to 223
Sensor connected message 223
Sensor Demo 146
Sensor expired alert 224
sensor glucose
arrows 192
graph 191
high settings 156
history 191
low settings 157
review 122
rise alert 223
sensor alert occurred 223
sensor graph
about 191
trend arrows 192
Sensor signal not found alert 224
serial number, pump 12
Set Change reminder 133
settings
basal 40
bolus 62
Bolus Wizard 65
CGM 156
low SG 157
product specifications 247
startup 24
troubleshooting 229
SG average 120
SG Std. Dev. 120
SG value not available alert 225
silencing alerts 193
siren 201
sleep mode 35
SmartGuard
about 152
icon 155, 160, 163
summary 121
295
overview 118
total carbs 118
total daily dose 118
viewing 117
supplies, ordering 15
Suspend before low
about 158
examples 165, 166
unavailable 160
suspend by sensor
icon 155
Suspend on low
about 161
examples 166
unavailable 163
suspended delivery, resuming
automatically 164
manually 54, 174
suspending insulin delivery 54, 139, 158, 161
T
temp basal rate
about 47
percent 47
preset 40
rate 47
starting 48
types 47
Time before high SG setting 157
time, current changing 148
transmitter
communication 29
connecting, pump 175, 179
deleting, from pump 181
signal alert 220
Transmitter battery depleted alert 225
trend arrows 192
troubleshooting 229
tubing
filling 101
image 19
Max Fill reached alarm 210, 211
296
Index
U
unavailable
Suspend before low 160
Suspend on low 163
unlocking 26
utilities 33
V
viewing history, pump settings 145
W
wireless connection
automatic 175
failure 179
manual 179
■ index
Index
297
298
Index
6025957-024_a
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