MP6025958-022 / A 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. 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.
MP6025958-022 / A 2. Select the desired Preset Bolus. 3. Select Options. 4. Do one of the following: • 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.
MP6025958-022 / A 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. 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).
MP6025958-022 / A 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.
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MP6025958-022 / A A E L E R reservoir and infusion set D E S
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ 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.
MP6025958-022 / A 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 D E S 5.
MP6025958-022 / A 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. D E S A E L E R 2. Select Rewind.
MP6025958-022 / A 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.
MP6025958-022 / A To fill the reservoir, do these steps: 1. Remove the reservoir from the package, and fully extend the plunger. 1 reservoir transfer guard plunger ■ Swab the vial with alcohol (not shown). 3. Press the transfer guard onto the vial without pushing down on the plunger. 3 D E S A E L vial E R 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.
MP6025958-022 / A 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.
MP6025958-022 / A ■ reservoir and infusion set The New Reservoir screen now instructs you to place the reservoir in your pump. D E S Note: If the New Reservoir screen has timed out and the Home screen appears, select Load Reservoir from the Home screen. A E L E R 15. Follow the instructions in the next section to insert the reservoir into the reservoir compartment of your pump immediately after filling it.
MP6025958-022 / A 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.
MP6025958-022 / A 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. A E L Note: If you press the Back button after the loading process begins, a Loading incomplete alarm will occur. E R When the loading process is completed, the following screen appears. 7. Select Next to continue. 8.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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. D E S 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. A E L To fill your cannula now, select Fill.
MP6025958-022 / A 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. D E S Disconnecting and reconnecting your infusion set A E L As an example, these steps show you how to disconnect and reconnect the Quickset infusion set.
MP6025958-022 / A 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.
MP6025958-022 / A meter D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ 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.
MP6025958-022 / A 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.
MP6025958-022 / A 2. Identify and select your meter by the serial number. See your compatible Bayer meter user guide for instructions on locating your serial number. 3. Select Delete. 4. A screen appears confirming that you would like to delete the device. Select Yes to confirm or No to cancel.
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MP6025958-022 / A history and events D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A 22:00 SG Review High Limit 180 mg/dL 70 mg/dL Low Limit Days to Average 1 Next ■ 2. There must be a minimum of 20 mg/dL 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.
MP6025958-022 / A 4:00 SG Review 7 Days (Avg/Day) Below Above 70 180 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.
MP6025958-022 / A 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 D E S example, you might enter carbs that you ate to correct a low BG.
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MP6025958-022 / A reminders D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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. D E S To create a new Missed Meal Bolus reminder: 1. A E L Go to the Missed Meal Bolus screen. Menu > Reminders > Missed Meal Bolus E R 2. Select Add New. 3.
MP6025958-022 / A • 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.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
MP6025958-022 / A general settings D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ 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. D E S Check airline policies for specific instructions about operating medical devices during a flight.
MP6025958-022 / A 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.
MP6025958-022 / A • 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.
MP6025958-022 / A 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.
MP6025958-022 / A Menu > Utilities > Carb Unit 2. Select either Grams or Exchanges. 3. Select Save. 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. D E S Note: The brightness setting you select can affect the life of your battery.
MP6025958-022 / A 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.
MP6025958-022 / A 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.
