Contacts and Important Information Use the spaces below to record important health and product information.
© 2008 Insulet Corporation. All rights reserved. OmniPod is a registered trademark of Insulet Corporation. U.S. Patent No. 6,740,059. FreeStyle® is a registered trademark of Abbott Diabetes Care, Inc.
Contents Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Before You Get Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Indication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix You and your healthcare provider . . . . . . . . . . . . . . .
Contents Enter minimum BG allowed for use in bolus calculation . . . . Enter insulin-to-carbohydrate ratio . . . . . . . . . . . . . . . . . . . . . . . . . . Enter correction factor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Set reverse correction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 13 14 14 Enter the duration of insulin action . . . . . . . . . . . . . . . . . . . . . . . . . .
Contents 5 Using the OmniPod. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 The OmniPod Change Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Gather equipment and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Reset the date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Change Bolus and Basal Settings. . . . . . . . . . . . . . . . . . . . . . . . . . .
Contents 7 Checking Your Blood Glucose. . . . . . . . . . . . . . . . . . . . . . . . . The Built-in FreeStyle® Blood Glucose Meter . . . . . . . . . . . . . . . The FreeStyle® Blood Glucose Test Strips. . . . . . . . . . . . . . . . . . . Important test strip information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The FreeStyle® Control Solution. . . . . . . . . . . . . . . . . . . . . . . . . . . . When to perform a control solution test. . . . . . . . . . . . . . . . . . . . .
Contents Take enough supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Failure During a Hazard Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 Minimize airport security delays . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 OmniPod Care and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . 139 Storage. . . . . . . . . . . .
Contents Personal Diabetes Manager Icons. . . . . . . . . . . . . . . . . . . . . . . . . 150 OmniPod System Federal Communications Commission (FCC) Notice Concerning Interference. . . . . . . 151 Electromagnetic Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Customer Bill of Rights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 Mission Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 Scope of Services. . .
Introduction ■ Before You Get Started US Federal law restricts this device to sale by or on the order of a physician. Indication The OmniPod Insulin Management System is intended for subcutaneous (below the skin) delivery of insulin at set and variable rates for the management of diabetes mellitus in persons requiring insulin and for the quantitative measurement of glucose in fresh whole capillary blood (in vitro).
Introduction Please read all the instructions provided in this User Guide and practice the blood glucose testing procedures before using the System. Monitor your blood glucose with the guidance of your healthcare provider. Undetected hyperglycemia or hypoglycemia can result without proper monitoring. You and your healthcare provider Work with your healthcare provider to establish diabetes management guidelines and settings that best fit your needs.
Introduction ■ Your Role: Safely Using the OmniPod System ■ About This User Guide Your healthcare provider will give you all the tools and training you need to be successful with the OmniPod Insulin Management System. However, in the end, your success depends on YOU. You must become actively involved in your own diabetes management to enjoy the outstanding control, freedom, and flexibility that is possible with the OmniPod System.
Introduction Conventions and Terms (continued) Convention/Term Meaning Soft keys xii A row of three unlabeled buttons on the PDM whose label or function appears on the screen directly above the button. The label changes depending on the task you are performing. Symbols Symbol Term Meaning Warning Describes potential serious adverse reactions, or indicates conditions that could cause death or serious injury.
CHAPTER 1 Your New OmniPod Insulin Management System ■ Insulin Delivery with the OmniPod System The OmniPod Insulin Management System is an innovative continuous insulin delivery system that provides all the proven benefits of continuous subcutaneous insulin infusion (CSII) therapy in a way no conventional insulin pump can. The System’s innovative design and features allows you to live your life—and manage your diabetes—with unprecedented freedom, comfort, convenience, and ease.
1 Your New OmniPod Insulin Management System ■ How Does the OmniPod System Work? The OmniPod is a small, lightweight, self-adhesive insulin Pod that you fill with insulin and wear directly on your body for up to three days, then replace. The OmniPod delivers precise, personalized doses of insulin into your body through a small flexible tube (called a cannula), based on instructions that you program into its wireless companion, the Personal Diabetes Manager.
Your New OmniPod Insulin Management System We recommend that you test on your fingers if you are checking for hypoglycemia (low blood glucose) or if you suffer from hypoglycemia unawareness. Blood from the fingertips may show changes in blood glucose sooner than blood from other sites. Only use FreeStyle® test strips and FreeStyle® control solution with the OmniPod System. Using other brands of test strips and control solutions with the OmniPod System can produce inaccurate results.
1 Your New OmniPod Insulin Management System ■ The OmniPod ■ The Personal Diabetes Manager The OmniPod (Figure 1-1) is applied to your skin with an adhesive backing, similar to a Band-Aid®. All OmniPod operations are programmed and controlled through the palm-sized Personal Diabetes Manager (PDM; Figure 1-2).
Your New OmniPod Insulin Management System 1 Buttons that program and control the OmniPod System Button Action Home/ Power Pressing and holding turns the PDM on and off. When the PDM is on, pressing this button displays the Home screen, from which you can choose a menu item or view the Status screens (shown later in this chapter). Up/Down Controller Pressing scrolls through a list of available menu options or numbers, so you can pick the one you want. Holding the button scrolls faster.
1 Your New OmniPod Insulin Management System Primary screens Messages on the screen either: • Tell you how the System is operating • List menu choices • Explain how to perform certain tasks The System’s primary screens are the Status screen (Figure 1-3) and the Home screen (Figure 1-4). Figure 1-3 Figure 1-4 Status screen Lists the System’s current operating status.
Your New OmniPod Insulin Management System Status support screen From the Status screen, press the User Info/Support button to see details about the current insulin on board (IOB) in your body (Figure 1-5). Figure 1-5 1 Home screen Lists all the major menus (Figure 1-4 on previous page). • Bolus menu to deliver bolus doses • More actions menu to change the Pod, manually enter blood glucose readings, assign and edit tags for BG readings that are less than 2 hours old, and view the food library.
1 Your New OmniPod Insulin Management System ■ Safety Features The OmniPod System’s state-of-the-art design includes the latest safety technology. Its built-in safety features include: Automatic priming, safety checks, and insertion Every time a new OmniPod is activated, the System automatically primes and performs a safety check on the Pod, then inserts and primes the cannula (see Chapter 5, Using the OmniPod).
CHAPTER 2 Getting Started ■ The OmniPod Starter Kit Your Starter Kit contains everything you need to begin using the OmniPod System. Please refer to the Starter Kit for a complete list of package contents. If you are a first-time OmniPod System user, you need to meet with your healthcare provider for training and System setup before using it. To get a head start on learning about your new OmniPod System, review this User Guide and the Interactive Training CD before your first training session.
2 Getting Started ■ Set Up the Personal Diabetes Manager (PDM) Chapter 6 describes the PDM options in detail. The instructions in this chapter are simplified to help you get started. Turn on the PDM 1. Open the battery compartment on the back of the PDM by pushing the compartment latch and lifting upward (Figure 2-1). No special tools are necessary. Figure 2-1 Figure 2-2 2. Insert two (2) new AAA alkaline batteries into the compartment.
Getting Started ■ The OmniPod Setup Wizard 2 Figure 2-3 The first time you turn on the Personal Diabetes Manager, the Setup Wizard comes on automatically. Although setup is easy with the Wizard, if you are a first-time user, your healthcare provider must guide you through the process. Setup takes only a few minutes and is easy to do: • Use the Up/Down Controller buttons to increase or decrease a number or to move up or down a list.
2 Getting Started Enter basal settings 1. Choose a maximum basal rate, then press Next. (The default maximum basal rate is 3 U/hr.) 2. Choose the initial basal rate to use, then press Next. The initial basal program created with the Setup Wizard is named basal 1. You can change the name in the Settings > Basal programs menu (see Chapter 3, Understanding and Adjusting Basal Rates). 3. Press Done to confirm the basal program shown on the screen.
Getting Started Enter target blood glucose value 1. Use the Up/Down Controller buttons to enter a target blood glucose (BG) value, then press Next. 2. Use the Up/Down Controller buttons to enter the “correct above” value or correction threshold (the BG value above which you want the PDM to suggest a correction bolus), then press Next. If the suggested bolus calculator is On, a correction bolus will be suggested only when your BG is above the value shown in brackets on the screen. 3.
2 Getting Started 2. To save the ratio, press Done. To change the ratio, select the segment you wish to change and press Edit. You can define up to 4 insulin-to-carbohydrate time segments. To enter additional ratios, choose [add new], then: a. Press New. b. Enter a start time for the segment, then press Next. c. Enter an end time for the segment, then press Next. d. Enter the insulin-to-carb ratio for the new time segment, then press Next. e. To save the new ratio, press Done. 3.
Getting Started Enter the duration of insulin action 1. Use the Up/Down Controller buttons to enter the duration of insulin action (how long insulin lasts in your body), then press Next. The duration-of-insulin-action setting is used to calculate the amount of insulin on board (IOB) from a previous correction bolus or meal bolus, when you use the suggested bolus calculator. Select bolus increment and enter maximum bolus 1.
2 Getting Started • • Press Yes if you are ready to activate a new OmniPod. See Chapter 5, Using the OmniPod, to learn how to activate a new Pod. Press No if you do not want to activate a Pod at this time. The PDM displays the Home screen. You can press and hold the Power button to turn off the PDM at any time during setup. Otherwise, it turns off automatically after 5 minutes.
CHAPTER 3 Understanding and Adjusting Basal Rates ■ What Is a Basal Rate? A basal rate is a small base or background amount of insulin that is delivered, at a preset rate, continuously for a specified period of time. Even without eating, our bodies need a small, constant supply of insulin for normal daily living. In people without diabetes, the pancreas continuously delivers this basal insulin.
3 Understanding and Adjusting Basal Rates In addition to normal daily changes, insulin needs can vary with different routines or days of the week. For example, regular school or workday routines may differ from weekend routines, and insulin needs may differ, too. With your healthcare provider, you will decide on the basal rates that best match your lifestyle and insulin needs.
Understanding and Adjusting Basal Rates b. Press the middle soft key (labeled with the right arrow) to move the underscore to the next character. c. Enter each character one at a time. For example, if your weekend schedule is different from your weekday schedule, you might enter W, e, e, k, e, n, d (Figure 3-3). (A blank character or space is the first and last option in the scrolling menu.) Figure 3-3 d. Press Next.
3 Understanding and Adjusting Basal Rates Basal rates outside the changed segment do not change. Figure 3-5 Figure 3-6 e. Repeat steps a–d for each new segment and rate you want, then press Done. Press and hold the Power button to turn the screen back on. In some cases, if it has been less than 5 minutes since the screen timed out, pressing the Power button returns you to the same screen you were using. If it has been longer than 5 minutes, the PDM brings you to the Status screen. 7.
Understanding and Adjusting Basal Rates 3. Choose the program you want from the list (Figure 3-7), then press Enable. 3 A diamond icon (♦) appears next to the program that is active. You cannot select the active program to enable it, because it is already running. Figure 3-7 4. Press Enable again to start the selected basal program. If a Pod is active, the PDM beeps to indicate that the chosen basal program is running.
3 Understanding and Adjusting Basal Rates Figure 3-8 Figure 3-9 3. Enter a start time for the segment you want to change, then press Next. 4. Enter an end time for this segment, then press Next. 5. Enter a basal rate for the new segment, then press Enter. 6. To save the newly entered segment into the basal program, press Save (Figure 3-10). If you want to make additional edits, repeat steps 2–5. Figure 3-10 To edit or add a segment or rate in the basal program 1. Choose Edit, then press Select.
Understanding and Adjusting Basal Rates To rename a basal program 1. After choosing a program from the list, choose Rename, then press Select. 2. Press the Up/Down Controller buttons to enter the characters that spell out the new name you want. Press the middle soft key (labeled with the right arrow) to move the underscore to the next character, then press Save. To delete a basal program 1. After choosing a program from the list, choose Delete and then press Select. 2.
3 Understanding and Adjusting Basal Rates join a summer soccer league. For women, a monthly hormonal change that affects blood glucose is an example of predictable change. To easily handle predictable, short-term changes, you can “preset” a temporary basal rate, so it is ready whenever you need it. The PDM can remember up to 7 temporary basal presets. You can set a temporary basal rate for a duration of 30 minutes to 12 hours. Once the time limit is reached, the PDM returns to the active basal program.
Understanding and Adjusting Basal Rates Cancel a one-time temporary basal rate 1. On the Home screen, use the Up/Down Controller buttons to choose Suspend/cancel; then press Select. 2. Choose Cancel temp basal (Figure 3-13), then press Select. Figure 3-13 3. Press Confirm to cancel the temporary basal shown on the screen. 3 Create a temporary basal preset 1. On the Home screen, use the Up/Down Controller buttons to choose Settings; then press Select. 2. Choose Presets, then press Select. 3.
3 Understanding and Adjusting Basal Rates Figure 3-14 Enable an existing temporary basal preset 1. On the Home screen, use the Up/Down Controller buttons to choose Temp basal; then press Select. 2. Choose the temporary basal preset you want to use from the list (Figure 3-15), then press Select. Figure 3-15 d. Press Next. 6. Enter the new temporary basal rate (or percent change), then press Next. 7. Enter the duration of the temporary basal rate, from 0.5 hours to 12 hours, then press Next. 8.
Understanding and Adjusting Basal Rates Cancel an active temporary basal preset 1. On the Home screen, use the Up/Down Controller buttons to choose Suspend/cancel; then press Select. 2. Choose Cancel temp basal, then press Select. 3. Press Confirm to cancel the actively running temporary basal preset. 3 To change a temporary basal preset 1. Choose Edit, then press Select (Figure 3-16).
3 Understanding and Adjusting Basal Rates To rename a temporary basal preset 1. Choose Rename, then press Select. 2. Press the Up/Down Controller buttons to enter the characters that spell out the name you want; then press Save. 3. Press Done. To delete a temporary basal preset 1. Choose Delete, then press Select. 2. Press Delete to permanently delete the preset.
CHAPTER 4 Understanding and Delivering Bolus Doses ■ What Is a Bolus? A bolus is an extra dose of insulin, delivered when needed to: • Match the carbohydrates (sugar content) in a meal or snack— also known as a meal bolus • Lower blood glucose when it gets too high—also known as a correction bolus This extra dose is in addition to the basal rate delivered throughout the day and night (see Chapter 3, Understanding and Adjusting Basal Rates).
4 Understanding and Delivering Bolus Doses ■ Bolus Dose Options ■ Suggested Bolus Calculator So that you can fully enjoy freedom and flexibility in your life, the OmniPod System offers the following bolus dose options: Suggested bolus calculator: When you want the System to calculate your suggested bolus, based on your personal settings, your current blood glucose, the amount of insulin still active in your body from previous boluses, and the grams of carbohydrate (“carbs” for short) you are about to eat
Understanding and Delivering Bolus Doses The settings used to calculate a suggested bolus are: • target BG • insulin-to-carbohydrate (IC) ratio • correction factor (CF) • duration of insulin action The inputs used to calculate a suggested bolus are: • current BG • carbs entered • insulin on board (IOB) A suggested bolus can have a correction bolus only, a meal bolus only, or both.
4 Understanding and Delivering Bolus Doses A blood glucose value is current for up to 10 minutes after it is tested. So you can wait up to 10 minutes, restart the bolus process, and not have to retest your blood glucose in order to include it in the suggested bolus calculator. When your blood glucose result reads “HIGH” or “LOW,” the suggested bolus calculator will be disabled. 2. If you are not going to eat now, press No (Figure 4-2). The Suggested Bolus screen appears (Figure 4-3).
Understanding and Delivering Bolus Doses To view detailed information about the calculations used for this suggested bolus, press the User Info/Support button and scroll through the information screens. Press Close to return to the Suggested Bolus screen. 3. If you are going to eat now: a. Press Yes (Figure 4-2 on previous page), enter the number of carbohydrates you are about to eat, then press Enter.
4 Understanding and Delivering Bolus Doses 4. If you have set the blood glucose reminder option to On and you want to add a reminder: c. Press Yes. d. Enter the time for the reminder, then press OK. 5. Press Confirm to begin the bolus delivery. Deliver a bolus manually (suggested bolus calc is Off) 1. On the Home screen, use the Up/Down Controller buttons to choose Bolus; then press Select. 2. Enter the number of units you want to deliver, then press Enter. 3.
Understanding and Delivering Bolus Doses If you have set the Extended bolus option to Off, the PDM will not display the Extend soft key. For information on turning this feature on and off, see Chapter 6, Using the Personal Diabetes Manager. 2. Enter the units of insulin or percentage of the bolus that you want to take immediately (Figure 4-6), then press Enter. 4 3. Enter the time (up to 8 hours, in 30-minute increments) over which to deliver the remainder of the bolus, then press Enter (Figure 4-7).
4 Understanding and Delivering Bolus Doses As a safety feature, the correction bolus is always delivered first and cannot be extended. Only the meal bolus can be extended. For example: Total bolus = 5 units Correction bolus 1 unit Meal bolus 4 units Deliver now = 2 units 100% of correction bolus 1 unit 25% of meal bolus 1 unit Extend = 3 units 75% of meal portion 3 units As a safety feature, you cannot deliver two extended boluses at the same time.
Understanding and Delivering Bolus Doses If the bolus has already been completely delivered, the “Delivering bolus” message and Cancel do not appear, but the Status screen does appear. 2. Press Cancel. The Pod beeps to confirm the bolus is canceled. An on-screen message tells you how much insulin was delivered before you canceled the bolus (Figure 4-10). Figure 4-10 4 If your suggested bolus contains both a correction bolus and a meal bolus, the correction bolus is always delivered first.
4 Understanding and Delivering Bolus Doses ■ Bolus Presets 3. Press Confirm (Figure 4-12). Figure 4-12 Figure 4-13 Bolus presets are bolus amounts that you program for frequent use. For example, if you often take the same bolus at lunchtime, you can create a bolus preset for that amount and name it “Lunch.” Bolus presets are available only when the suggested bolus calculator feature is turned Off. (If the suggested bolus calculator is turned On, you can still use carb presets.
Understanding and Delivering Bolus Doses Or, to give a different name to the program: a. Press the Up/Down Controller buttons to enter the characters that spell the name you want. An up- and downarrow symbol on the screen indicates which character you are changing. b. Press the middle soft key (labeled with the right arrow) to move the underscore to the next character. c. Enter each character one at a time.
4 Understanding and Delivering Bolus Doses Rename a bolus preset 1. Choose Rename, then press Select. 2. Press the Up/Down Controller buttons to enter the characters that spell out the name you want; then press Next. Delete a bolus preset 1. Choose Delete and then press Select. 2. Press Delete to permanently delete the preset. Cancel an active bolus preset 1. Press and hold the Power button to turn on the PDM, if it is not already on. An on-screen message appears as long as a bolus is being delivered. 2.
Understanding and Delivering Bolus Doses b. Press the middle soft key (the right arrow) to move the underscore to the next character. c. Enter each character one at a time. For example, if you frequently eat a breakfast of plain low-fat yogurt with blueberries, sweetener, and cinnamon, you might enter B, l, u, e, [space], Y, o, g, u, r, t (Figure 4-16). Figure 4-16 Figure 4-17 4 7. Enter the grams of carbohydrate in the meal, then press Next. 8.
4 Understanding and Delivering Bolus Doses To change the category for a carb preset 1. Choose the carb preset you want to move to another category, then press Tag (Figure 4-18). Figure 4-18 3. To rename the carb preset, press the Up/Down Controller buttons to enter the characters that spell out the name you want, then press Next. To “erase” characters, press either Up or Down until you reach the end of the characters, which is a blank. 4. Enter the grams of carbohydrate in the meal, then press Next. 5.
Understanding and Delivering Bolus Doses ■ Reference Food Library Figure 4-19a 4 Figure 4-19b The OmniPod System includes a reference library of over 1,000 common food items. The library shows each item’s carbohydrate, fat, protein, fiber, and calories for a single portion. You can use this information to determine the carbs for a meal or snack you are going to eat. You can also use it to help you create carb presets for your favorite meals.
CHAPTER 5 Using the OmniPod ■ The OmniPod Change Process You should replace the OmniPod at least once every 48–72 hours (2–3 days), or as instructed by your healthcare provider. You can also choose to have the PDM alert you when it is time to replace the Pod (see Chapter 6, Using the Personal Diabetes Manager). • • WARNINGS! • • • 44 Do NOT apply or use an OmniPod if its sterile packaging is open or damaged, as this may increase the risk of infection.
Using the OmniPod may need to replace the missing insulin—usually with an injection of rapid-acting insulin. Ask your healthcare provider for instructions on handling interrupted insulin delivery. Gather equipment and supplies Gather the following before you begin: • Vial of rapid-acting U-100 insulin 5 Deactivate the current OmniPod 1. On the Home screen, use the Up/Down Controller buttons to choose More actions, then press Select. 2. Choose Change Pod (Figure 5-1), then press Select. 3.
5 Using the OmniPod 4. If an extended bolus or temporary basal or both are actively running, you will see the message in Figure 5-3. Press Confirm to accept the cancellation. Or press Back to return to the More actions menu. Figure 5-3 Figure 5-5 Figure 5-6 Figure 5-4 b. Use soap and water to remove any adhesive that remains on the skin or, if necessary, use an adhesive remover. 5. After you press Confirm, you will see the message in Figure 5-4. To remove the old Pod: a.
Using the OmniPod Fill a new OmniPod Before filling an OmniPod with insulin, ensure that the Pod is above 50° Fahrenheit. If the Pod has been exposed to temperatures below 50°, then allow the Pod to be brought back to room temperature before filling it with insulin. 1. Use an alcohol prep swab to clean the top of the insulin vial, then discard the prep swab. 2. Securely twist the fill needle onto the syringe (Figure 5-7). Figure 5-7 Figure 5-8 5 3.
5 Using the OmniPod 7. Turn the vial and syringe upside down. Withdraw insulin from the vial into the syringe, expelling any air bubbles. Fill at least to the MIN (minimum) fill line (Figure 5-9). Figure 5-9 Figure 5-10 To ensure proper fill, do not insert fill syringe at an angle into the fill port. Do not use any other type of needle or filling device besides the syringe provided with each Pod. 9. Depress the syringe plunger to completely empty the insulin into the Pod.
Using the OmniPod NEVER inject insulin (or anything else) into the fill port while the Pod is on your body. Doing so may result in unintended or interrupted insulin delivery. Figure 5-11 5 Figure 5-12 11. Place the protective cap back on the needle and remove the needle from the syringe. 12. Place the capped needle in a sharps container. Dispose of used needles according to local waste disposal regulations. The fill syringe is intended for single use only and should be used only with the OmniPod System.
5 Using the OmniPod Select the infusion site Before applying a new Pod, you must first select an appropriate infusion site. Due to ease of access and viewing, the abdomen is often used. Your healthcare provider may suggest other potential sites that, like the abdomen, typically have a layer of fatty tissue, such as the hip, back of upper arm, upper thigh, or lower back (Figure 5-13, and Figure 5-14 on the following page).
Using the OmniPod 5 Prepare the infusion site You can reduce the risk of infection at the infusion site by following aseptic technique and disinfecting the infusion site. Before applying a new Pod, always: 1. Wash hands with soap and water. 2. Use soap to wash the infusion site. Figure 5-14 Antibacterial soap may irritate skin, especially at the infusion site. Ask your healthcare provider how to treat any skin irritation. 3. Dry the site with a clean towel. 4.
5 Using the OmniPod Apply the new OmniPod Prepare the Pod for applying to your infusion site: 1. To remove the needle cap on the underside of the Pod, pull it upward (Figure 5-15). When you remove the needle cap, a few drops of insulin should be visible at the end of the needle. Figure 5-15 Figure 5-16 2. Using the pull tabs, remove and discard the white paper backing from the adhesive tape (Figure 5-16). 3. Apply the Pod to the prepared infusion site. Press firmly to secure it to your skin.
Using the OmniPod 4. After you securely apply the Pod, press Next (Figure 5-17). 5 Insert cannula and begin insulin delivery 1. To insert the soft cannula, press Start (Figure 5-18). Figure 5-17 Figure 5-18 The adhesive is designed for one-time use. Once removed, a Pod cannot be reapplied. Figure 5-19 If you are applying a Pod in a place that does not have a lot of fatty tissue or is very lean, pinch the skin around the Pod (Figure 5-19) after you press Start , and hold it until the cannula inserts.
5 Using the OmniPod The OmniPod automatically inserts the soft cannula below your skin. It takes a few seconds to complete the insertion process. Once the cannula is inserted, the Pod delivers a prime bolus to fill the cannula with insulin (Figure 5-20). Figure 5-20 Figure 5-21 Check the infusion site after insertion to ensure that the cannula was properly inserted. It is also a good idea to check your blood glucose about two hours after after each Pod change and to check the infusion site periodically.
Using the OmniPod 2. Press Yes if you can see that the cannula is properly inserted. The PDM returns to the Status screen. Or press No if you see a problem with the cannula. The PDM instructs you to deactivate the new Pod (Figure 5-22). Press Discard to restart the process with a new Pod. Figure 5-22 5 ■ Check Pod Status To check Pod status, if the PDM is turned off, press and hold the Power button to display the Status screen. If the PDM is on, press Back until you reach the Status screen.
5 Using the OmniPod ■ Suspend Insulin Delivery Sometimes you may need to briefly stop insulin delivery (for example, when editing an active basal program or changing the time or date). The OmniPod System lets you suspend all insulin delivery for up to 2 hours. While in suspension, the Pod beeps once every 15 minutes, reminding you that insulin delivery is suspended. 2. Enter how long you want to stop all insulin delivery, from 30 minutes to 2 hours in 30-minute increments (Figure 5-23), then press Enter.
Using the OmniPod At the end of the suspend time, a Pod Advisory alarm occurs (Figure 5-25). Figure 5-25 Figure 5-26 5 ■ Resume Insulin Delivery 1. On the Home screen, use the Up/Down Controller buttons to choose Resume (Figure 5-26); then press Select. 2. Press Confirm to restart the basal program for that time segment. ■ Avoid Infusion Site Infections • • • 4. To resume your programmed basal rate, press OK. • The Advisory alarm repeats every 15 minutes until you press OK.
5 Using the OmniPod ■ Get the Most From Your Pod Avoid extreme temperatures The OmniPod’s operating temperature is between 40°F and 104°F (between 5°C and 40°C). Under normal circumstances, your body temperature will keep the Pod well within this range. Do NOT expose a Pod to direct sunlight for long periods of time. It is recommended that you remove your Pod prior to using hot tubs, whirlpools, or saunas.
CHAPTER 6 Using the Personal Diabetes Manager ■ The Status Screens When a Pod is active and the PDM is turned on, the PDM establishes communication with the Pod to obtain a status check. During the status check, the PDM collects information from the Pod about bolus deliveries, active basal programs, and Pod expiration. The information obtained is then displayed in the status screen, which shows the System’s current operating status.
6 Using the Personal Diabetes Manager If an OmniPod has not yet been activated (as during Pod changes), the screen displays “No active Pod. Would you like to activate a Pod now?” (See Chapter 5, Using the OmniPod, for details on activating a Pod.) Insulin gauge and display One of the important icons on the Status screen is the insulin gauge at the top of the screen. It indicates how much insulin is left in the Pod’s reservoir.
Using the Personal Diabetes Manager 6 ■ The System Setup Menu ■ Reset the Date or Time The System setup menu lets you personalize the settings that control the OmniPod System. These include: • Date and time • Bolus doses, basal rates, and bolus calculator settings • Alerts and reminders • Blood glucose meter settings • Blood glucose tags • PDM options • Diagnostics You and your healthcare provider entered initial System settings using the Setup Wizard (see Chapter 2, Getting Started).
6 Using the Personal Diabetes Manager 2. Press 12/24 hr to choose either a 12-hour or 24-hour clock, then press Enter (Figure 6-3). Figure 6-3 4. Choose the date format to be displayed by the PDM, then press Select. 5. Press Confirm to accept the new date and format. Figure 6-4 If you suspended insulin delivery to change the time or date, remember to resume insulin delivery. If you changed the time or date during the Pod change process, remember to activate a new Pod.
Using the Personal Diabetes Manager 4. Choose one of the options (Figure 6-5a and Figure 6-5b), then press Select. Each option is described below. Figure 6-5a Figure 6-5b 6 Bolus calcs When the suggested bolus calculator is turned Off and you want to turn it On, press On and follow these steps: 1. Target BG and correct-above value—You can edit existing time segments and add segments, up to a total of four. a. To edit an existing target BG time segment, choose the segment, then press Edit.
6 Using the Personal Diabetes Manager 3. Insulin to carb (IC) ratio—You can edit existing time segments and add segments, up to a total of four. a. To edit an existing IC ratio time segment, choose the segment, then press Edit (Figure 6-6). Use the Up/Down Controller buttons to choose a new start time, end time, and IC ratio. Press Next after each entry. Figure 6-6 b. To add a segment, choose [add new], then press New. Use the Up/Down Controller buttons to choose a start time, end time, and IC ratio.
Using the Personal Diabetes Manager Ratios/factors/targets When the suggested bolus calculator is turned On, you can view and change all the settings using the Ratios/factors/targets menu option. Choose Review all settings, then press Select (Figure 6-7a ). Or choose one setting from the menu, then press Select (Figure 6-7b). The steps are the same whether you choose all settings or individual ones.
6 Using the Personal Diabetes Manager c. When you have completed all time segments, press Done, then Save. 4. Correction factor—You can edit existing time segments and add segments, up to a total of four. a. To edit an existing correction factor time segment, choose the segment, then press Edit. Use the Up/Down Controller buttons to choose a new start time, end time, and correction factor. Press Next after each entry. b. To add a segment, choose [add new], then press New.
Using the Personal Diabetes Manager ■ Alerts and Reminders In addition to automatic safety alarms (see Chapter 10, Errors, Advisories, and Hazard Alarms), the OmniPod System offers a number of alerts and reminders that you can set to help you manage your diabetes. These features are optional. You can turn alerts and reminders on or off at any time. Alerts and reminders you can use are: BG (blood glucose) reminder: Reminds you to check your blood glucose. Choose from On or Off. The default setting is Off.
6 Using the Personal Diabetes Manager Confidence alerts: The OmniPod or PDM beeps in response to your instructions, so you become familiar with the operation of the OmniPod System and feel confident that you are getting the insulin you need. These alerts include: • Bolus delivery started • Bolus delivery completed • Extended bolus started • Extended bolus completed • Temporary basal rate started • Temporary basal completed Choose On or Off. The default setting is On.
Using the Personal Diabetes Manager 6. For Bolus reminders • Use the Up/Down Controller buttons to choose On or Off, then press Select. • If you chose On, you are taken to a new screen where you can add, edit or delete reminders: To add a Bolus reminder a. Use the Up/Down Controller buttons to choose [add new], then press New. b. Choose a start time, then press Next. c. Choose an end time, then press Save. To edit a Bolus reminder a. Choose the bolus reminder you wish to edit, then press Edit. b.
6 Using the Personal Diabetes Manager Figure 6-9 Figure 6-10 ■ Change Blood Glucose Meter Settings You can adjust blood glucose (BG) meter settings: • BG lower and upper limit goals (for BG history) • BG sound—On or Off • Manage BG tags list • • d. Press Next. Enter the time of day for the alert, in 30-minute increments, then press Next. Choose Daily, One time only, or Off, then press Select. Custom alerts will repeat every 15 minutes until acknowledged.
Using the Personal Diabetes Manager Manage the Blood Glucose Tags List You can create up to 15 custom blood glucose tags and hide any of the standard tags you do not plan to use. Standard BG tags are shown first on the screen (Figure 6-11a), followed by custom tags, then [add new] (Figure 6-11b). For more information about tagging BG readings, see Chapter 7, Checking Your Blood Glucose. Figure 6-11a Figure 6-11b 6 1.
6 Using the Personal Diabetes Manager ■ Customize the Personal Diabetes Manager Additional options let you customize how the PDM operates: PDM lock: “Locks” the buttons on the PDM. The default setting is Off. This safety feature can help avoid accidentally changing basal rates or giving boluses. Screen time-out: The screen turns off after a time interval that you set, which occurs if you have not pressed any buttons on the PDM.
Using the Personal Diabetes Manager Set PDM lock Choose On or Off, then press Select (Figure 6-14). If you choose On, other PDM options and most other soft keys are locked and will not respond to button presses. To use them, you must first set PDM lock to Off. Figure 6-14 6 When the screen times out and goes black, turn it on again by pressing the Home/Power button. Set the Backlight time-out Choose a time interval of 5, 10, or 20 seconds, then press Select.
6 Using the Personal Diabetes Manager Reset PDM (soft reset): Restores all settings in the PDM to the factory defaults. Resetting the PDM deletes all basal programs, temp basal presets, carb presets, bolus presets, and all suggested bolus settings. Before you use this feature and delete these settings, be sure you have a written record of the information you need. History records will not be deleted. To reset the PDM 1. Choose Reset PDM, then press Select. 2.
Using the Personal Diabetes Manager Use the form at the end of this User Guide to write down all your settings from the Setup Wizard. You can also attach a copy of the CSII orders that you used during your training session. If you ever need to reset your PDM, having these settings handy will make setup very easy. These forms are also available on Insulet’s Web site, MyOmniPod.com/support/resources.
6 Using the Personal Diabetes Manager Do NOT use IV Prep wipes, alcohol swabs, soap, detergent, or solvents to clean the screen or any other part of the PDM. Avoid extreme temperatures Extreme operating temperatures can affect PDM batteries and interfere with System operation. Avoid using the PDM in temperatures below 40°F (5°C) or above 104°F (40°C). Do not store or leave the PDM where it may be exposed to extreme temperatures, such as inside a car.
CHAPTER 7 Checking Your Blood Glucose ■ The Built-in FreeStyle® Blood Glucose Meter With the FreeStyle® blood gluFigure 7-1 cose meter, you can check your blood glucose on your finger, Illustration of hand, forearm, upper arm, test areas on thigh, or calf (Figure 7-1). the body Checking with the FreeStyle® blood glucose meter requires a very small sample size, just 1/3 or 0.3 microliter of blood— about the size of a pinhead.
7 Checking Your Blood Glucose Please read all the instructions provided in this User Guide and practice the testing procedures before using the OmniPod System and FreeStyle® accessories. Follow the guidance of a healthcare professional for proper blood glucose monitoring. • • Never attempt to test your blood glucose while your PDM is connected via USB cable to a computer. Doing so could result in electrical shock.
Checking Your Blood Glucose ■ The FreeStyle® Control Solution The FreeStyle® control solution (Figure 7-2) is a red liquid that contains a fixed amount of glucose and has three important uses: • To ensure that your meter and test strips are working together properly • To check that you are following the correct testing procedure • To practice testing without having to use your own blood Figure 7-2 When to perform a control solution test You should perform a control solution test: • When you first get your
7 Checking Your Blood Glucose Use only FreeStyle® control solution with the OmniPod System. Other brands of control solution may produce inaccurate results with this System. Do not use control solution past the expiration date or you may get inaccurate results. • • Do not add water or any liquid to control solution. Control solution tests are specified to be accurate only when performed between 59° and 104° F (15° and 40° C).
Checking Your Blood Glucose ■ Performing a Control Solution Test 1. Grasp the bottom of the test strip with the name “FreeStyle®” facing up (Figure 7-3). Figure 7-3 7 If you need to adjust the code number after the PDM has moved to the next screen, just press the Up/Down Controller buttons. The code screen reappears and you can adjust the number. The code number remains on the PDM screen for your reference until you have completed the control test.
7 Checking Your Blood Glucose From some PDM screens, you cannot access the Freestyle® blood glucose meter. For example, you cannot use the meter while you are activating a Pod or when an alert, alarm, or communication error screen is displayed. In these cases, if you insert a test strip, the PDM beeps to alert you. 3. To help you see the test strip port in reduced lighting, when you insert a test strip into the PDM, you can turn on the port light. Press the middle soft key labeled Light.
Checking Your Blood Glucose 5. Gently touch only ONE EDGE of the test strip to the control solution. Specifically, apply the control solution to the test strip edge next to one of the dark-colored half-circles (Figure 7-7). If BG sound is set to On, the PDM beeps when the test strip is full. Figure 7-7 Figure 7-8 7 Do not apply control solution to both edges. If BG sound is set to On, the PDM beeps twice. The result appears on the screen in about 7 seconds, on average. 6.
7 Checking Your Blood Glucose If you mark a test as a control solution test by mistake, you can unmark it: Press Tag, select Control, then press Clear. Figure 7-9 8. Compare the control solution test result to the range printed on the test strip vial label. If the result does not fall within the range, repeat the test. If the result still does not fall within the range, call Customer Support, 800-591-3455, 24 hours/ 7 days (from outside the United States, 781-457-5098). 9. Remove the test strip.
Checking Your Blood Glucose ■ Performing a Blood Glucose Test 7 Figure 7-10 Figure 7-10 shows the parts of the FreeStyle® lancing device. To ensure accurate results, wash your hands and the test site (for example, your forearm) with soap and water. Do not leave any cream or lotion on the test site. Thoroughly dry your hands and the test site.
7 Checking Your Blood Glucose Prepare the lancing device 1. Snap off the cap on the lancing device at an angle (Figure 7-11). 4. Replace the cap until it snaps or clicks into place (Figure 7-14). Be careful not to touch the exposed needle on the lancet. Figure 7-13 Figure 7-11 Figure 7-12 2. Insert a new FreeStyle® lancet firmly into the white lancet holder cup (Figure 7-12). Pushing the device into the cup may cock the device, which is fine. 3. Hold the lancet firmly in place with one hand.
Checking Your Blood Glucose 5. The lancing device offers four different depth settings. Level 1 is the shallowest depth; level 4 is the deepest. Move the dial to the desired setting as shown in the depth indicator window (Figure 7-15). We recommend that you start at level 2 for most sites except the finger. Figure 7-15 Figure 7-16 7 6. Pull out the dark gray cocking handle until it clicks (Figure 716). (You may have already cocked the handle in step 2. This is okay.
7 Checking Your Blood Glucose 3. Insert only the top end of the strip into the test strip port, with the dark colored rectangle going into the meter (Figure 7-17 and Figure 7-18). Figure 7-17 Figure 7-18 Top Keep the blood glucose test strip vial away from children. The cap is a choking hazard. The cap or vial contains drying agents that may be harmful if inhaled or swallowed and may cause skin or eye irritation.
Checking Your Blood Glucose To change the code number, press the Up/Down Controller buttons until the number matches the number on your vial. The numbers are between 1 and 50. If you do not adjust the code number within 2 seconds, the next screen appears automatically (Figure 7-20). 7 If you need to adjust the code number after the PDM has moved to the next screen, just press the Up/Down Controller buttons. The code screen reappears and you can adjust the number.
7 Checking Your Blood Glucose 2. Set the depth setting on the lancing device to its shallowest depth, 1 (Figure 7-21). Figure 7-21 Figure 7-22 Lance your forearm, upper arm, hand, thigh, or calf 1. To bring fresh blood to the surface of the test site, rub the site vigorously for a few seconds (Figure 7-23) until you feel it getting warm. Figure 7-23 3. Lightly touch the lancing device (with the gray cap) against the side of your fingertip (Figure 7-22). 4.
Checking Your Blood Glucose 4. Depress the release button. Do not lift up the lancing device; instead, continue to hold it and gradually increase pressure for several seconds (Figure 7-25). 7 Avoid lancing areas with obvious veins or moles, to avoid excess bleeding. Also avoid lancing areas where tendons or bones stick out (for example, hand bones and ankle bones). Figure 7-25 Fill the blood glucose test strip with blood 1. Make sure that the strip is in the PDM and the PDM is powered on.
7 Checking Your Blood Glucose 2. Bring the strip to the blood sample at a slight angle (Figure 7-27 on previous page). If you do not apply the sample within 10 seconds, the stripport light turns off. To turn it on again, press Light. Use only one edge of the blood glucose test strip per test. Do not apply blood to both edges (Figure 7-28). Only use strips once. Discard used strips. The strip acts like a sponge and pulls the blood into the strip through the edge (Figure 7-29).
Checking Your Blood Glucose 2. If after 5 seconds the PDM does not display “Checking,” the sample may be too small. If needed, add more blood to the same edge of the strip for up to 60 seconds from the time of the first application. The strip-port light turns off when the blood sample is accepted. 3. The reading is complete when you hear 2 beeps (if BG sound is turned On) and the PDM shows your reading on the screen (Figure 7-31).
7 Checking Your Blood Glucose Remove the lancet When you have finished testing, snap off the cap from the lancing device. Hold the lancet over a sharps container or a puncture-proof container with a lid. Pinch the white clip that holds the lancet until the lancet falls out (Figure 7-33). e Figure 7-33 Figure 7-34 ■ Blood Glucose Results and the Suggested Bolus Calculator If the suggested bolus calculator feature is turned On when you check your blood glucose, the PDM will display the result.
Checking Your Blood Glucose The Bolus Entry screen does not open if: • A regular bolus is currently in process • The meter temperature is out of range • You have tagged this BG reading as a Control • The BG reading is less than your “Min BG for calcs” • Insulin is suspended ■ Entering Blood Glucose Readings Manually You can enter blood glucose readings manually into the PDM. This is particularly helpful if you use a separate blood glucose meter. 1.
7 Checking Your Blood Glucose Figure 7-35 Figure 7-36 Or press Done to return to the More actions menu. 4. Use the Up/Down Controller buttons to choose the first tag you want, then press Select (Figure 7-36). A diamond icon appears next to selected tags, as in “Pre-meal” in the figure. You can select up to two tags for each BG reading. 5. To remove a selected tag, highlight it and press Clear. (The soft key changes from Select to Clear when you highlight the tag.) 96 Figure 7-37 6.
Checking Your Blood Glucose ■ Low and High Blood Glucose Readings WARNINGS! “LOW” or “HIGH” blood glucose readings can indicate a potentially serious condition requiring immediate medical attention. If left untreated, this situation can quickly lead to diabetic ketoacidosis (DKA), shock, coma, or death. Low readings If your reading is below 20 mg/dL, the PDM displays: “LOW Treat your low BG!” This indicates severe hypoglycemia (low blood glucose).
7 Checking Your Blood Glucose ■ Important Health-Related Information • WARNINGS! • Severe dehydration and excessive water loss may cause false low results. If you believe you are suffering from severe dehydration, consult your healthcare provider immediately. • Test results below 70 mg/dL mean low blood glucose (hypoglycemia). • Test results greater than 250 mg/dL mean high blood glucose (hyperglycemia).
CHAPTER 8 Understanding Your Records ■ Record Keeping Record keeping is an important part of successful diabetes management. The Personal Diabetes Manager (PDM) helps simplify this task. It automatically stores records of insulin-delivery history, blood glucose readings, alarms, and carbohydrates. If the PDM batteries run out, data in the memory is at risk. Do NOT remove the old batteries until you have new ones at hand. The longer the batteries are removed, the more the memory is at risk.
8 Understanding Your Records ■ Insulin Delivery Records Figure 8-1 Figure 8-2 The PDM stores: • Basal rates (including any rate changes and temporary basals) • Bolus doses (both normal and extended) • Dates, times, and how long insulin delivery was suspended, and dates and times when it was resumed • Total daily doses (basal plus boluses) by date The PDM can store over 5,000 records or approximately 90 days’ worth of information.
Understanding Your Records Figure 8-3 Figure 8-4 For a temporary basal, the display shows the % adjustment to the default basal. So, in Figure 8-3, “1.10 temp U/hr (+10%)” means that you delivered a temporary basal of 1.10 units per hour, which was 10% more than the default basal. (Notice that two hours later, the basal rate returns to the default.) Also, the “Pod activated” entry shows what time you applied a new Pod. Press the Up/Down Controller buttons for earlier or later dates.
8 Understanding Your Records ■ Blood Glucose Records Figure 8-5 Figure 8-6 The PDM stores blood glucose records for the past 90 days. You can choose to view individual readings, single-day trends with individual readings, or trends for the previous 7, 14, 30, 60, or 90 days. View single-day trends 1. On the Home screen, use the Up/Down Controller buttons to choose My records, then press Select. 2. Choose BG history, then press Select.
Understanding Your Records In the List view, press Event to select individual readings. Readings with a question-mark icon next to them have additional information available (Figure 8-7). To see this information, use the Up/Down Controller buttons to choose the reading. Then press the User Info/Support button to view details about that reading (Figure 8-8). Figure 8-7 Figure 8-8 8 View multiple-day trends 1. On the Home screen, use the Up/Down Controller buttons to choose My records, then press Select.
8 Understanding Your Records 5. For the 7-, 14-, and 30-day trends, press Graph to see a graph of the trends (Figure 8-11). (Graphs are not available for 60-, or 90-day trends.) Press Stats to return to the detail view. Figure 8-11 Figure 8-12 ■ Alarm Records The PDM lists the entire alarm history for the OmniPod System. The PDM can store over 90 days’ worth of alarm records. 1. On the Home screen, use the Up/Down Controller buttons to choose My records, then press Select. 2.
Understanding Your Records Figure 8-13 Figure 8-14 8 2. Choose All history, then press Select. The PDM displays all history for the most recent date (Figure 8-14). 3. Press the Up/Down Controller buttons to see additional days. Press Event to use the Up/Down Controller buttons to scroll through the list of information on the screen. Press Day to use the Up/Down Controller for dates. ■ User Information/Support 3. Press the Up/Down Controller buttons to see additional days.
8 Understanding Your Records The User Info/Support icon is also displayed on the suggested bolus screen. For information about the support information displayed on these screens, see Chapter 4, Understanding and Delivering Bolus Doses. Add or change user information 1. On the Home screen, use the Up/Down Controller buttons to choose My records, then press Select. 2. Choose My info, then press Select. 3. Choose [My info] (Figure 8-15), then press Edit. Figure 8-15 106 Figure 8-16 4.
CHAPTER 9 Living with Diabetes ■ Your Role: Safely Using the OmniPod System Before deciding on the OmniPod Insulin Management System, you and your healthcare provider discussed the advantages and benefits of the OmniPod System, as well as the responsibilities that come with insulin pump therapy. Remember: safe use begins and ends with you. If you have questions or doubts about being able to safely use the OmniPod System at any time, consult your healthcare provider immediately.
9 Living with Diabetes ■ Daily Diabetes Management Activities To ensure proper OmniPod System operation and your continued good health: • Check your blood glucose frequently • Inspect the infusion site daily Check your blood glucose frequently When you routinely check your blood glucose level, you can identify and treat high or low blood glucose before it becomes a problem (see “Avoid Lows, Highs, and DKA” later in this chapter).
Living with Diabetes ■ Prepare for Emergencies Keep an emergency kit with you at all times to quickly respond to any diabetes emergency.
9 Living with Diabetes ■ Traveling and Vacationing Plan for changing time zones If you’re planning a vacation or business trip to a different time zone, you may need to adjust your basal rate programs. For changes of just a few hours, basal rate adjustments are minor and easy to calculate. For long-distance travel, however, figuring out the correct program can be more challenging. Your healthcare provider can help with these adjustments.
Living with Diabetes Minimize airport security delays Contact the airlines in advance for information on their current security requirements.
9 Living with Diabetes ■ Avoid Lows, Highs, and DKA You can avoid most risks related to using the OmniPod System by practicing proper techniques and by acting promptly at the first sign of trouble. You can avoid potential problems by knowing the signs of hypoglycemia (low blood glucose), hyperglycemia (high blood glucose), and diabetic ketoacidosis (DKA). The easiest and most reliable way to avoid these conditions is to check your blood glucose often.
Living with Diabetes To avoid hypoglycemia (low blood glucose) Make sure your blood glucose is at least 100 mg/dL before driving or working with dangerous machinery or equipment. Hypoglycemia may cause you to lose control of a car or dangerous equipment. Also, when you focus intently on a task, you may miss the symptoms of hypoglycemia. • • • • Work with your healthcare provider to establish individualized blood glucose targets and guidelines.
9 Living with Diabetes 1. If blood glucose is below 70 mg/dL, eat or drink 15 grams of fast-acting carbohydrate, such as glucose tablets, juice, or hard candy (see “How much is 15 grams of carbohydrate?” below). Do NOT use chocolate or candy bars to treat low blood glucose. Their fat content slows down glucose absorption. 2. Check blood glucose again after 15 minutes. 3. If blood glucose remains low, take another 15 grams of carbohydrate. Contact your healthcare provider as needed for guidance. 4.
Living with Diabetes 9 Possible causes of hypoglycemia (low blood glucose) Possible cause of low Incorrect basal program Incorrect bolus timing Bolus too large Suggested action Possible cause of low Confirm that correct basal program is active. Confirm that PDM time is set correctly. Consult your healthcare provider about adjusting your basal programs or using a temporary (temp) basal rate. Incorrect target blood glucose levels Take bolus with food.
9 Living with Diabetes Possible cause of low Suggested action Prolonged or intense exercise Adjust insulin delivery as instructed by your healthcare provider. Check blood glucose before, during, and after activity and treat as necessary. Effects of exercise can last several hours—even a full day—after activity ends. Consult your healthcare provider about adjusting your basal programs or using a temporary (temp) basal rate.
Living with Diabetes To avoid hyperglycemia (high blood glucose) Check your blood glucose at least 4–6 times a day (when you wake up, before each meal, and before going to bed).
9 Living with Diabetes Possible causes of hyperglycemia (high blood glucose) Possible cause of high Suggested action Possible cause of high Suggested action Expired insulin Deactivate and remove used Pod. Apply new Pod filled with insulin from a new vial. Empty Pod Deactivate and remove used Pod. Apply a new Pod in a different location. Incorrect basal program Confirm that correct basal program is active. Confirm that PDM time is set correctly.
Living with Diabetes Possible cause of high Suggested action Possible cause of high Suggested action High-protein or high-fat meal Calculate protein/fat intake and account for it in your bolus timing and bolus type. Consult healthcare provider about using the extended bolus option. Weight loss or gain Consult your healthcare provider for guidance. Less activity than normal Consult your healthcare provider about adjusting your basal programs or using a temporary (temp) basal rate.
9 Living with Diabetes Diabetic ketoacidosis (DKA) Insulin Pods use rapid-acting insulin, so you have no long-acting insulin in your body. If insulin delivery from the Pod is interrupted (an occlusion), your blood glucose can rise rapidly and lead to diabetic ketoacidosis (DKA). DKA is a serious—but totally preventable—emergency that can occur if you ignore high blood glucose levels. If left untreated, DKA can cause breathing difficulties, shock, coma, and eventually death.
Living with Diabetes ■ Handling Special Situations • Sick days Any physical stress can cause your blood glucose to rise, and illness is a physical stress. Your healthcare provider can help you make a plan for sick days. The following are only general guidelines. When you are ill, check your blood glucose more often (at least once every 2 hours) to avoid DKA. The symptoms of DKA are much like those of the flu.
9 Living with Diabetes For some contact sports, you may want to remove the OmniPod. Be sure to check your blood glucose levels before removing the Pod and after applying a new one. Pods are designed for onetime use. Do not attempt to reapply a used Pod. If possible, avoid wasting Pods by planning removal times that coincide with a scheduled Pod replacement. If you will need to remove the Pod for more than 1 hour, ask your healthcare provider to recommend appropriate guidelines.
CHAPTER 10 Errors, Advisories, and Hazard Alarms ■ Safety Checks ■ Blood Glucose Meter Error Messages The OmniPod System has a very important safety feature: It can check its own functions and let you know when something needs attention. When you turn on the Personal Diabetes Manager (PDM), the System automatically performs a series of safety checks. To make you aware of a serious or potentially serious condition, the System sounds an alarm and displays an onscreen message.
10 Errors, Advisories, and Hazard Alarms Error message Meter Error 1 See user manual for further instructions. Meter Error 2 See user manual for further instructions. Possible causes • • • • Blood sample is too small. Problem with the test strip. Problem with the meter. Very low blood glucose: less than 20 mg/dL. 1. If you have symptoms such as weakness, sweating, nervousness, headache, or confusion, follow the recommendations of your healthcare provider for treating hypoglycemia. 2.
Errors, Advisories, and Hazard Alarms Error message Meter Error 3 Possible causes • • • 1. Be sure you see the Blood Drop and Test Strip symbols on the display screen before you apply blood or control solution. 2. Conduct a control solution test using a new test strip. If the results of the control solution test are within the range printed on the side of the test strip vial, retest using blood and a new test strip. 3.
10 Errors, Advisories, and Hazard Alarms ■ Advisory Alarms Advisory alarms tell you about a condition that requires your attention. Each advisory alarm beeps intermittently. When you hear an advisory alarm, first turn on the PDM to display the Status screen. The PDM communicates with the Pod, if necessary, and the screen displays a message describing the alarm and how to resolve it. Alarm Low reservoir. Replace pod soon. Some advisory alarms are controlled by levels you set in the Settings screen.
Errors, Advisories, and Hazard Alarms Alarm 10 Source Beep Pattern Action End of insulin suspend. Press “Ok” to resume basal rate delivery. Pod 2 sets of beeps every minute for 3 minutes. Press OK to resume insulin delivery at programmed basal rate. Auto-off advisory Pod and PDM 2 sets of beeps every minute for 15 minutes. Press OK to acknowledge. Escalates to Auto-off hazard alarm if not acknowledged within 15 minutes. Reset clock. PDM 2 sets of beeps every 5 minutes.
10 Errors, Advisories, and Hazard Alarms ■ Hazard Alarms Hazard alarms occur either when the Pod is in a very serious condition or something is wrong with the PDM. Hazard alarms are continuous tones and each has an on-screen message. Follow the instructions in the message to fix the alarm situation. For details, see the table below. Many hazard alarms (such as Auto-off) will cause alert escalation and deactivation of the active Pod if ignored. Be sure to respond to all alerts and alarms when they occur.
Errors, Advisories, and Hazard Alarms Alarm Hazard Alarms Empty reservoir. Insulin delivery stopped. Change pod now. Occlusion detected. Insulin delivery stopped. Change pod now. Source Action Pod Pod Press OK to acknowledge. Alarm Source Action Pod deactivation required. PDM Press “Ok” to deactivate. Change Pod. Check blood glucose. Check blood glucose. Change Pod. Pod Error. Insulin delivery stopped. Change pod now. Pod or PDM Pod Press OK to acknowledge. Change Pod.
10 Errors, Advisories, and Hazard Alarms Alarm PDM Error. Press “Ok” to reset clock. Source Action PDM Press OK to acknowledge. Reset clock. Check blood glucose. PDM Error. Memory corruption. Press “Ok” to reset PDM and delete all user settings. History records will not be deleted. PDM System Error. Remove pod now. Call customer support: 800.591.3455 Ref: 05-100-0618-00000 PDM or Pod Press OK to acknowledge. Change Pod. Check blood glucose. Press OK to acknowledge. Remove Pod.
Errors, Advisories, and Hazard Alarms 10 Resources for OmniPod users are available from the Customer Support tab on our Web site: MyOmniPod.com/support/resources Among these resources are an online copy of this User Guide and the My OmniPod System Information form, which you will also find at the end of this guide.
CHAPTER 11 Communication Failures ■ The Communication Process ■ Failure During Pod Activation or Operation When you turn on or use the Personal Diabetes Manager (PDM), it establishes communication with the active OmniPod. Usually, communication occurs quickly. Occasionally, communication takes longer, and the PDM displays the communication icon during that time, in the upper left hand corner of the current screen.
Communication Failures Figure 11-1 Figure 11-2 2. Move across the room or to a different room. Then press Retry. a. If you press Retry within 2 minutes, the PDM tries to communicate with the Pod again. If it cannot communicate, it displays the same screen as in Figure 11-2, then finally the “Communication timeout” screen (Figure 11-3). Press OK to check the Pod status. Figure 11-3 11 Figure 11-4 b. If the status check fails, you will see Figure 11-4.
11 Communication Failures 3. If at any point in this process the PDM can communicate again with the Pod, you will see either: a. Figure 11-5, indicating that your original instruction or command was successfully sent to the Pod. When you press OK, or within 5 seconds, the System displays the next screen in the command sequence you were entering. b. Figure 11-6, indicating that your last command was not sent to the Pod. Press OK.
Communication Failures 2. Press Discard. The PDM will consider the Pod lost, and ask whether you want to activate a new Pod. If you have an unconfirmed correction bolus when you discard a Pod, then the bolus calculator will be temporarily disabled. In this situation, the bolus calculator is disabled until the duration-of-insulin-action period passes (Figure 11-8). If you have any questions, call Insulet Customer Support, 800-591-3455, 24 hours/7days (from outside the United States, 781-457-5098).
11 Communication Failures If the Pod has expired, you will see the screen in Figure 11-11 instead. ■ Failure During Bolus Cancellation 1. When you instruct the PDM to cancel a bolus, if the PDM cannot send your instruction to the Pod within a few seconds, it displays the “Communication error” screen (Figure 11-12). Figure 11-11 Figure 11-12 At either “Pod status not available” screen, press Home to return to the Home screen, or press Status to send another status request. 136 Figure 11-13 2.
Communication Failures 4. Move across the room or to a different room. Then either: a. Press Discard to begin the deactivation process. b. Press Retry to repeat the attempts to communicate with the Pod. The PDM tries to communicate with the Pod again. If it cannot communicate, it displays the same screen as in Figure 11-13, then finally a second “Bolus status unknown” screen (Figure 11-14). Press OK to check the Pod status or press Discard to begin the deactivation process. 11 5.
11 Communication Failures ■ Failure During a Hazard Alarm If you respond to a hazard alarm (see Chapter 10, Errors, Advisories, and Hazard Alarms), but the PDM cannot communicate with the Pod to acknowledge or shut off the alarm, you can shut off the alarm manually. 1. Remove the Pod from your body if you have not already done so. 2. Press the end of a paper clip or similar item straight down into the manual alarm shut-off port (Figure 11-17) on the top side of the Pod (Figure 11-18).
Appendices The OmniPod Insulin Management System has no user-serviceable parts. If you require assistance operating or maintaining the System, please contact Customer Support at 800-591-3455 (from outside the United States, 781-457-5098). ■ OmniPod Care and Maintenance ■ Personal Diabetes Manager Care and Maintenance Storage Store unopened OmniPods in a cool, dry place. Extreme heat or cold can damage Pods and cause them to malfunction.
Appendices Cleaning You can clean the outside of the PDM with a clean, damp cloth. Do NOT use IV Prep wipes, alcohol wipes, soap, detergent, or solvents. Never put any liquid into the battery compartment. The PDM automatically alerts you when its battery power gets low (see Figure A-1). When you see the “Low PDM battery” alert, press OK to turn off the alert. Replace the batteries as soon as you can.
Appendices If the batteries run out, data in the memory is at risk. DO NOT remove the old batteries until you have new ones at hand. The longer the batteries are removed, the more the memory is at risk. To replace batteries 1. Open the battery compartment on the back of the PDM by pushing the compartment latch inward and then upward (Figure A-2). No special tools are necessary. Figure A-2 The diagram inside the compartment shows you which direction to insert the batteries. 3. Replace the battery door. 4.
Appendices 5. Do not put in fresh batteries or attempt to use the PDM until it has thoroughly air-dried. If you drop the PDM The PDM is built to withstand reasonable amounts of abuse, but shock or a severe impact can damage it. If you drop the PDM or if it is otherwise subjected to severe impact: 1. Inspect the outside of the PDM for visible signs of damage. 2. Press and hold the Power button to see whether the PDM turns on and whether the LCD screen is damaged. 3.
Appendices ■ Suggested Bolus Calculator Examples and Guidelines A suggested bolus is equal to the sum of a correction bolus and meal bolus, then adjusted for insulin on board, if applicable. Examples of each of these elements are shown below.
Appendices Example of meal IOB Duration of insulin action: 3 hours Time since previous meal bolus: 2 hours Previous meal bolus: 4.5 units 3 hours – 2 hours = 1 hour 1 hours ÷ 3 hours = 1/3 1/3 ∗ 4.5 units = 1.5 units meal IOB In other words, two hours after your previous meal bolus, you have received 3 units of insulin from it; 1.5 units of insulin are still working to cover your meal. Meal IOB is only used to reduce a correction bolus, and the correction bolus is only reduced until it becomes 0 units.
Appendices Example 3 Current BG level: 100 mg/dL Carb intake: 45 carbs Meal IOB: 1 units Correction IOB: 0 units Correction bolus: 100 mg/dL (current) – 100 mg/dL (target) = 0 0 ÷ 50 (CF) = 0 units Meal bolus: 45 (carbs) ÷ 15 (I/C ratio) = 3 units Suggested bolus dose = 0 (correction) + 3 (meal) – 0 (IOB) = 3U Meal IOB is never subtracted from another meal bolus—only from a correction bolus.
Appendices • • • 146 The calculated insulin on board is rounded up to the nearest 0.05U. A reverse correction only occurs if the meal bolus is greater than 0.00U. If your blood glucose value is below the target blood glucose value and you have set reverse correction to On, the suggested correction bolus is subtracted from the suggested meal bolus. If you have set reverse correction to Off, the System will not subtract insulin from the suggested meal bolus dose.
Appendices ■ OmniPod System Options and Settings 12-hour or 24-hour clock Default is 12-hour Date MM/DD/YY DD/MM/YY MM.DD.YY DD.MM.YY Default is MM/DD/YY Maximum basal rate 30 U/hr Default is 3.00 U/hr Basal programs 7 Basal rate segments 24 per program Basal rate increment 0.
Appendices Extended bolus Bolus presets Carbohydrate presets Suspend Low reservoir volume indicator Pod expiration alert Auto-off alert PDM lock Screen time-out Backlight time-out History storage Language 148 %, Units, or Off 30 minutes to 8 hours in 30minute increments Default is Off 7 36 30 minutes to 2 hours 10 to 50 units in 5-unit increments Default is 10.
Appendices ■ Personal Diabetes Manager Specifications ■ Blood Glucose Meter Specifications Size: 2.5" wide x 4.5" long x 1.0" high (6.4cm x 11.4cm x 2.5cm) Weight (with batteries): 125 grams (4.4 oz) Screen: 1.4" wide x 1.9" long (3.6cm x 4.8cm); 2.4" diagonal (6.
Appendices ■ OmniPod System Label Symbols Symbol Meaning Icon Meaning Icon Meaning Do not reuse this device. Single-use only. Power More actions Please read instructions for use (see User Guide).
Appendices Icon Meaning Icon Meaning Basal program Food library “Lost” history record “Unconfirmed” history record “Delivery Spans Midnight” history record User Information/ Support Submenu Temperature out of range Home screen Active/default program or selected BG tag ■ OmniPod System Federal Communications Commission (FCC) Notice Concerning Interference The OmniPod Insulin Management System (both the OmniPod and the Personal Diabetes Manager or PDM) complies with Part 15 of the FCC Rules.
Appendices ■ Electromagnetic Compatibility The information contained in this section (such as separation distances) is, in general, specifically written with regard to the OmniPod System. The numbers provided will not guarantee faultless operation but should provide reasonable assurance of such. This information may not be applicable to other medical electrical equipment; older equipment may be particularly susceptible to interference.
Appendices Electromagnetic Emissions This equipment is intended for use in the electromagnetic environment specified below. The user of this equipment should assure that is used in such an environment. Emissions Compliance according to Electromagnetic environment RF Emissions (CISPR 11) Group 2 The OmniPod and the PDM emit low level electromagnetic energy (RF) in order to communicate. Although unlikely, nearby electronic equipment may be affected.
Appendices Conducted RF (IEC 61000-4-6) 3 Vrms 150kHz to 80Mhz Radiated RF (IEC 61000-4-3) 80 MHz–2.5 GHz Electromagnetic Immunity (Continued) 3 V/m Portable and mobile RF communications equipment should be used no closer to any part of the OmniPod than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter as below. 10 V/m Recommended separation distance: d=1.17 √P d=0.35/ √P 80 MHz to 800MHz d=0.7 √P 800 MHz to 2.
Appendices Recommended separation distances between portable and mobile RF communications equipment and the OmniPod System You can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the OmniPod system, as recommended below, according to the maximum output power of the communications equipment.
Appendices ■ Customer Bill of Rights Mission Statement Insulet Corporation is dedicated to designing, developing, and distributing products that provide superior treatment options and lifelong health benefits for people with diabetes. Scope of Services Insulet Corporation’s scope of services is limited to providing the OmniPod Insulin Management System.
Appendices 6. 7. 8. 9. Select the medical equipment supplier of your choice. Make informed decisions regarding your care planning. Understand what services will be provided to you. Obtain an explanation of charges, including policy for payment. 10. Agree to or refuse any part of the plan of service or plan of care. 11. Voice complaints without fear of termination of service or other reprisals. 12. Have your communication needs met. You have the responsibility to: 1.
Appendices ■ Limited Warranty for the Personal Diabetes Manager Limited Warranty Coverage Insulet Corporation warrants to the original purchaser (“you”) that the Personal Diabetes Manager (the “PDM”) will be free from defects in materials and workmanship, under normal use and conditions, for a period of four (4) years from the date of purchase.
Appendices ■ HIPAA Privacy Notice THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION IS USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO IT. PLEASE REVIEW IT CAREFULLY.
Appendices Appointment Reminder and Other Communications: We may use or disclose your Medical Information without your prior written authorization to provide you or others with, among other things: (i) appointment reminders; (ii) product/supply reorder notifications; and/or (iii) information about treatment alternatives or other health-related products and services that we provide.
Appendices repairs, or replacement, or lookback (including locating and notifying individuals who have received products that have been recalled, withdrawn, or are the subject of lookback); or (iv) to conduct post-marketing surveillance.
Appendices Required Uses and Disclosures: Under the law, we must make disclosures to you when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of HIPAA. Nonidentifiable Information: We may use or disclose your Medical Information if we have removed from it any information that is personally identifiable to you.
Appendices Your request must state the specific restriction requested and to whom you want the restriction to apply. We are not required to agree to a restriction that you may request, but if we do agree to the requested restriction, we may not use or disclose your Medical Information in violation of that restriction unless it is needed to provide emergency treatment. If you would like to request a restriction of the use of your Medical Information, please download our Request Form at http://www.myomniPod.
Appendices Our Duties Generally: We are required by law to maintain the privacy and security of your Medical Information and to provide you with notice of our privacy practices with respect to Medical Information. Revisions and Modifications: We may change our HIPAA Privacy Notice at any time. Before we make a significant change in our policies, we will change this HIPAA Privacy Notice and post our new notice (the “Revised HIPAA Privacy Notice”).
Appendices ■ Helpful Resources American Diabetes Association 1660 Duke Street • Alexandria, VA 22314 800-342-2383 www.diabetes.org International Association for Medical Assistance to Travelers List of doctors in foreign countries who speak English and who received post-graduate education in the US or Great Britain 417 Center Street • Lewiston, NY 14092 716-754-4883 Juvenile Diabetes Research Foundation International 120 Wall Street • New York, NY 10005-4001 800-533-2873 www.jdf.
Glossary A1c (see Hemoglobin A1c) Advisory alarm Notification by the PDM that a serious condition exists. Aseptic technique A method for maintaining sterilization and preventing contamination. BG goal A range of blood glucose levels that you are trying to achieve during a certain period of the day. For example, you may want one BG goal before meals, a different BG goal two hours after meals, and yet another BG goal for bedtime.
Glossary Bolus preset A bolus dose of insulin, in units, that can be assigned a custom name and preprogrammed into the PDM. Calorie A unit of measurement used to express the energy value of food. Calories come from carbohydrate, protein, fat, and alcohol. Complications (of diabetes) Harmful effects of diabetes such as damage to the eyes, kidney, heart, blood vessels, nervous system, teeth and gums, feet, and skin.
Glossary Diabetes Control and Complications Trial (DCCT) A study by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), conducted from 1983 to 1993 in people with type 1 diabetes, which showed that good blood glucose control significantly helped prevent or delay diabetes complications. Diabetes, diabetes mellitus A condition characterized by hyperglycemia (high blood glucose) resulting from the body’s inability to use blood glucose for energy.
Glossary Hemoglobin A1c (HbA1c) A test that measures a person’s average blood glucose level over the past 2 to 3 months. Also called glycosylated hemoglobin, the test shows the amount of glucose that sticks to the red blood cell, which is proportional to the amount of glucose in the blood. Hyperglycemia (high blood glucose) A higher-than-normal level of glucose in the blood; generally 180mg/dL or higher.
Glossary Ketoacidosis (diabetic ketoacidosis or DKA) A very serious condition in which extremely high blood glucose levels and a severe lack of insulin cause the body to break down fat for energy. The breakdown of fat releases ketones into the blood and urine. DKA can take hours or days to develop, with symptoms that include stomach pain, nausea, vomiting, fruity breath odor, and rapid breathing. It is important to rule out ketoacidosis when you experience symptoms that might otherwise indicate the flu.
Glossary Sharps Any medical item that may cause punctures or cuts to those handling them. Sharps include needles, syringes, scalpel blades, disposable razors, and broken medical glassware. Dispose of used sharps according to local waste disposal regulations. Sharps container A puncture-proof container used for storage and disposal of used sharps. Soft key A button on the PDM whose label or function appears on the screen directly above the button. The label changes depending on the task you are performing.
Index A activate a new OmniPod . . . . . . . . . . 44–58 active insulin . . . . . . . . . See insulin on board add basal segment or rate. . . . . . . . . . 18–22 bolus reminder . . . . . . . . . . . . . . . . . . . . 69 custom alerts . . . . . . . . . . . . . . . . . . . . . . 69 user information . . . . . . . . . . . . . . . . . .106 adhesive. . . . . . . . . . . . . . . . . . . . . . . . . . . . .4, 52 remover. . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 advisory alarms. . . . . . . . . . . .
Index BG reminder. . . . . . . . . . . . . . . . . . . . . . . 67 checking . . . . . . . . . . . . . . . . . . . . x, 77–98 code. . . . . . . . . . . . . . . . . . . . . . . . . . . . 81, 88 history. . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 level . . . . . . . . . . . . . . . . . . . . . . . . . . .29, 166 limit goal . . . . . . . . . . . . . . . . . . . . . . . . . . 70 monitoring . . . . . . . . . . . . . . . . . . . . . . . xi, 2 sound . . . . . . . . . . . . . . . . . . . . . . . . . .
Index bolus settings. . . . . . . . . . . . . . . . . . . . . . 62 carb presets. . . . . . . . . . . . . . . . . . . . . . . . 41 temporary basal presets . . . . . . . . . . . 27 user information . . . . . . . . . . . . . . . . . .106 check alarms . . . . . . . . . . . . . . . . . . . . . . . . . . 73 check blood glucose . . . . . . . . . . . . . . 77–98 cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 clock 12-hour or 24-hour . . . . . . . . . . . . . . . .
Index diabetic ketoacidosis . . . . . . . . . . . . . . See DKA diagnostic functions . . . . . . . . . . . . . . . . . . 73 check alarms . . . . . . . . . . . . . . . . . . . . . . 73 reset PDM . . . . . . . . . . . . . . . . . . . . . . . . . 74 DKA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170 avoiding. . . . . . . . . . . . . . . . . . . . . . . . . . 120 symptoms. . . . . . . . . . . . . . . . . . . . . . . . 120 treating. . . . . . . . . . . . . . . . . . . . . . . . . . .
Index hyperglycemia . . . . 98, 107, 116–119, 169 avoiding . . . . . . . . . . . . . . . . . . . . . . . . . .117 causes . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 symptoms . . . . . . . . . . . . . . . . . . . . . . . .116 treating . . . . . . . . . . . . . . . . . . . . . . . . . . .117 hypoglycemia . . .3, 98, 107, 112–116, 169 avoiding . . . . . . . . . . . . . . . . . . . . . . . . . .113 causes . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 symptoms . . . . . . . . . . . .
Index Bolus/basal/calcs . . . . . . . . . . . . . . . . . . 62 More actions . . . . . . . . . . . . . . . . . . . . . . . .7 My records . . . . . . . . . . . . . . . . . . . . . . . . . .7 Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Suspend/resume . . . . . . . . . . . . . . . . . . . .7 System setup. . . . . . . . . . . . . . . . . . . . . . 61 Temp basal . . . . . . . . . . . . . . . . . . . . . . . . . .7 microwave ovens . . . . . . . . . . . . . . . . . . . . .
Index specifications . . . . . . . . . . . . . . . . . . . . .149 storage. . . . . . . . . . . . . . . . . . . . . . . . . . . .139 submerged in water . . . . . . . . . . . . . . . 75 version. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix PDM error hazard alarm . . . . . . . . 128–130 PDM lock . . . . . . . . . . . . . . . . . . . . . . . . . 72, 139 set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 PDM options, System setup . . . . . . . . . . .
Index automatic priming . . . . . . . . . . . . . . . . . .8 automatic safety checks . . . . . . . . . . . . .8 electrical . . . . . . . . . . . . . . . . . . . . 152–155 occlusion detection . . . . . . . . . . . . . . . . .8 safety checks. . . . . . . . . . . . . . . . . . . . . . . . . 123 screen time-out. . . . . . . . . . . . . . . . . . . . . . . 72 set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 sensitivity factor . . . . See correction factor set backlight time-out . . . . . .
Index enable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 rename . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 temporary basal rate . . . . . . . . . 23–28, 171 temporary basal rate, one-time. . . . . . . . 24 test strips . . . . . . . . . . . . . . . . .2, 77, 78, 80, 87 code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 expiration. . . . . . . . . . . . . . . . . . . . . . . . . . 78 text, entering and changing18, 23, 25, 28, 39, 40 time . . . . . . . . . .
My Notes _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________
My PDM Settings Use this form to keep track of your important PDM settings. Remember to update your information as you change or add settings. This form, along with other resources, is available on the Insulet Corporation Web site, MyOmniPod.com/support/resources.
My PDM Settings Duration of Insulin Action Time that insulin will remain “active” in the body from a previous correction bolus. Bolus Presets ___________ hrs Correction Factor Correction factor for each time segment defined, starting at midnight.
