MP6025958-022 / A To clear all your settings: 1. Make sure the pump is not connected to your body. 2. Go to the Manage Settings screen. Menu > Utilities > Manage Settings 3. Simultaneously press and hold appears. 4. Select Clear All Settings. and until the Manage Settings menu A confirmation screen appears asking if you want to clear all your settings. 5. To continue clearing your settings, select Yes. If you do not want to clear your settings, select No.
MP6025958-022 / A Manage Settings Save Settings Restore Settings Clear All Settings Clear Active Insulin Settings History ■ 3. Select Clear Active Insulin. A confirmation screen appears asking if you want to continue. 4. Select Clear to clear your active insulin value from your pump. If you do not want to clear your active insulin at this time, select Cancel. D E S A A message appears confirming that your active insulin value is cleared.
MP6025958-022 / A WARNING: Your insulin is suspended for up to two minutes while your pump runs the self test. Self Test includes the following tests: Test Description Display Turns on the display for up to 30 seconds. Notification light Turns on the notification light for three seconds and then turns it off. Vibration Generates two vibration cycles. Tone Generates an alert tone, an Easy Bolus (step 1) tone, and an alarm tone.
MP6025958-022 / A WARNING: Do not use Sensor Demo to make any decisions related to your therapy. Information seen in the Sensor Demo is not real data. It is an example of the type of information you can access when using the sensor feature. Making treatment decisions based on data that is not real can lead to low or high blood glucose conditions. ■ To view the sensor graphs: Go to the Sensor Demo screen.
MP6025958-022 / A Menu > Utilities > Sensor Demo 2. Select Alert Demo. 3. To see and hear sensor-related alerts, select any of the listed alerts. 4. To exit an alert example, press Sensor Demo, press . , then select OK to clear the alert. To exit Time and date Make sure the time and date are always set correctly on your pump. This is necessary to ensure the correct basal insulin delivery and to keep an accurate record of pump functions.
MP6025958-022 / A setting up continuous glucose monitoring D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ setting up continuous glucose monitoring Setting up Continuous Glucose Monitoring This chapter explains how to wirelessly connect your pump and transmitter, and how to enter your sensor settings and set up continuous glucose monitoring (CGM) on your pump.
MP6025958-022 / A • Showing the effects that your diet, exercise, and medication can have on your glucose levels • Giving you additional tools to help you prevent high and low glucose levels To learn more about the accuracy of sensor glucose (SG) readings versus blood glucose (BG) meter readings, see Enlite™ Sensor Performance for the MiniMed™ 640G Insulin Pump. SmartGuard SmartGuard is a feature that can automatically stop and resume insulin delivery based on your sensor glucose values and low limit.
MP6025958-022 / A sensor status icons 16:00 10 11 12 trend arrows 350 99 250 sensor graph 150 Bolus Act Ins. 0.10 U Basal SmartGuard suspend by sensor icon ■ 50 SG reading mg/dL Item Description Airplane Mode icon The Airplane Mode icon Calibration icon appears in place of the Connection icon if Airplane Mode is turned on. When Airplane Mode is turned on, the pump cannot receive wireless communication from other devices.
MP6025958-022 / A Item Description Connection icon The connection icon appears green when the Sensor feature is on and your transmitter is successfully communicating with your pump. The connection icon appears gray when the Sensor feature is turned on, but the transmitter is not connected or communication with your pump has been lost. For more information about the Sensor feature, see Understanding Continuous Glucose Monitoring (CGM), on page 151.
MP6025958-022 / A Item Description SmartGuard suspend by sensor icon The SmartGuard suspend by sensor icon appears only when either the Suspend before low or Suspend on low feature is set to on. For details on the SmartGuard feature, see SmartGuard, on page 152.
MP6025958-022 / A High Limit Alert on high Alert before high Resume basal alert Rise Alert Suspend before low Alert before low Sensor Glucose Suspend on low Alert on low Low Limit The high alerts are described in the High settings section on page 156. For details on low alerts and suspend options, see Low settings, on page 157.
MP6025958-022 / A High glucose Description setting Rise Alert The Rise Alert notifies you when your glucose is rising rapidly. This alert helps you understand how much your glucose levels are affected by meals or, for example, when forgetting to give a bolus. Rise Limit Low settings The low settings allow you to be alerted and/or have insulin delivery suspended when you are either approaching or have reached your low limit. This is done by using alerts and the SmartGuard feature described on page 152.
MP6025958-022 / A Low limit The low limit is the value on which the other low settings are based. The low limit can be set from 50 mg/dL to 90 mg/dL. You can set up to eight low limits for different periods of the day or night. Suspend before low The Suspend before low feature stops insulin delivery when your sensor glucose values are approaching your low limit. This feature is intended to suspend insulin delivery to minimize the amount of time spent low.
MP6025958-022 / A • Your SG is predicted to reach or fall below a level that is 20 mg/dL above your low limit within approximately 30 minutes. Responding to a Suspend before low event When you clear the Suspend before low alert, the SmartGuard suspend by sensor icon flashes and "Suspended before low" appears on your Home screen. If your SG reaches your low limit, an Alert on low occurs. Your SG is at least 20 mg/dL above your low limit.
MP6025958-022 / A When a Suspend before low event occurs and you respond within two hours and: • Stay suspended for the two hour maximum suspend time, the SmartGuard suspend by sensor features will be unavailable for 30 minutes after your basal insulin delivery resumes. • Your insulin automatically resumes due to your rising SG levels, the SmartGuard suspend by sensor features will be unavailable for 30 minutes after your basal insulin delivery resumes.
MP6025958-022 / A if Alert before low is on, and both suspend by sensor features are off, you receive the Alert before low 30 minutes before you reach your low limit. • If Suspend on low is on, and Alert before low is on, you receive an Alert before low 30 minutes before you reach your low limit. • If Suspend before low is on, and Alert before low is on, you receive a Suspend before low alert when insulin delivery is suspended. For details, see Suspend before low, on page 158.
MP6025958-022 / A When a Suspend on low event occurs, insulin delivery remains suspended for at least 30 minutes, unless you manually resume your basal delivery. For details, see Manually resuming basal delivery during a suspend by sensor event, on page 174. After the minimum 30-minute suspend time, basal insulin delivery will automatically resume if the following conditions are met: • Your SG is at least 20 mg/dL above your low limit.
MP6025958-022 / A • Manually resume your basal insulin delivery, the SmartGuard suspend by sensor features will be unavailable for 30 minutes after your basal insulin delivery resumes. If your pump has been suspended for two hours and you have not responded, basal insulin delivery automatically resumes. If you respond 10 minutes after your basal insulin delivery resumes, the SmartGuard suspend by sensor features will be unavailable for an additional 20 minutes.
MP6025958-022 / A • if insulin has been suspended for a minimum of 30 minutes and SG values are at least 20 mg/dL above the low limit and expected to be more than 40 mg/dL above the low limit in 30 minutes. • after a maximum of two hours. Resume basal alert When the Resume basal alert is on, you will be alerted when insulin is automatically resumed. If the Resume basal alert is off, basal insulin resumes, but you do not receive an alert.
MP6025958-022 / A 70 above Low Limit STOP ■ 20 above Low Limit Low Limit An hour later, her sensor glucose values are 21 mg/dL above her low limit. Her pump estimates her sensor glucose values will be 45 mg/dL above her low limit within 30 minutes. Her pump automatically resumes her basal insulin delivery. D E S When the concert ends, Sarah sees that her pump automatically suspended and resumed her insulin delivery and a potential low was avoided. She clears the messages by selecting OK.
MP6025958-022 / A Example 3: Suspend before low, responsive, stays suspended Doug has just finished his evening jog on the beach. As he is walking home, he receives a Suspend before low alert. He sees that his pump has automatically suspended his insulin delivery. Doug clears the alert by selecting OK on his pump. He knows that his pump is now suspended and insulin delivery has been stopped. He checks his BG to confirm and keeps his insulin suspended. A while later, Doug receives another alert.
MP6025958-022 / A ■ 20 above Low Limit setting up continuous glucose monitoring START STOP Low Limit 2 hours Since Michael has responded to his alert, the pump will suspend insulin delivery and alarm again if his sensor value reaches or falls below his low limit again. D E S Turning on the Sensor feature You must turn on the Sensor feature before you can set up your glucose alerts and start monitoring your sensor glucose. A E L E R To turn on the Sensor feature: 1.
MP6025958-022 / A Menu > Sensor Settings > High Settings The High Settings screen appears. 2. Select High Settings to turn on the feature. The High Setup screen appears. D E S 3. A E L Select the time segment. The End time starts flashing. E R The Start time of the first time segment is always 00:00. You can set up to eight time segments, each with a different high limit. If you set more than one time segment, the time segments must cover a 24-hour period. 4. Set the End time. 5.
MP6025958-022 / A ■ 7. Set the following alerts as desired: Select Alert before high if you want to receive an alert before you reach your high limit. b. If you turned on Alert before high, enter the Time before high to set how soon you want to be alerted before reaching your high limit. You can enter a value from 5 to 30 minutes. c. Select Alert on high if you want an alert when you reach your high limit. d. Select Rise Alert if you want to receive an alert when your SG is rising quickly.
MP6025958-022 / A • Select for an alert when your SG has been rising at a rate of 2 mg/dL per minute or more. • Select for an alert when your SG has been rising at a rate of 3 mg/dL per minute or more. Select OK, and skip to step 11. Note: These arrows appear on your Home screen to let you know the rate at which your SG has been rising. 10. To enter a custom rise limit, do the following: a. Select Custom. The Custom Limit screen appears. b.
MP6025958-022 / A 8. Review your settings, and select Save. High Snooze 1. Go to the High Settings screen. Menu > Sensor Settings > High Settings The High Settings screen appears. 2. Select Snooze and enter a value from 5 minutes to 3 hours, in 5 minute increments. D E S Setting up the Low Settings The steps below guide you through setting up the Low Settings. For details on the Low Settings, see Low settings, on page 157.
MP6025958-022 / A 2. Select Low Settings to turn on the feature. The Low Setup screen appears. 3. Select the time segment. The End time starts flashing. The Start time of the first time segment is always 00:00. You can set up to eight time segments, each with a different low limit. If you set more than one time segment, the time segments must cover a 24-hour period. 4. Set the End time. 5. Set your low limit. You can enter a value from 50 to 90 mg/dL, in increments of 5 mg/dL. 6.
MP6025958-022 / A Select Suspend on low to have insulin suspended when you reach or fall below your low limit. The Alert on low alert is automatically turned on and cannot be turned off. d. Select Alert on low if you want to receive an alert when your SG reaches or falls below your low limit. If either suspend feature is on, this will already be on. e. Select Resume basal alert if you want an alert when basal insulin delivery is resumed based on SG values during a suspend by sensor event.
MP6025958-022 / A 5. Select any alert setting to turn it on or off or to adjust the setting. 6. Select Next. 7. Select Done. 8. Review your settings, and select Save. Low Snooze Low Snooze is available once you have set your Low Settings. Low Snooze allows you to set the amount of time that you want to wait before you are reminded that an alert condition still exists.
MP6025958-022 / A 1. From the Home screen, select Suspended before low or Suspended on low. The SmartGuard screen appears. 2. Select Resume Basal. 3. Select Yes to resume basal delivery. ■ Wirelessly connecting your pump and transmitter using Auto Connect The Auto Connect process locates your transmitter without having to enter the serial number of the transmitter into your pump manually.
MP6025958-022 / A Note: Both lights on the charger are off when the transmitter is fully charged. For more information, see your transmitter user guide. 2. Go to the Auto Connect screen. Menu > Utilities > Device Options > Connect Device > Auto Connect 3. Make sure there are no other devices in search mode nearby, scroll down to the bottom of the Auto Connect screen, and select Continue. D E S A E L E R The New Device screen appears. 4.
MP6025958-022 / A ■ The following happens when you start the search process: On your pump, a message appears to let you know your pump is searching. • On your transmitter, a green light flashes briefly and then turns off. Note: The search process can take up to two minutes. You cannot access your pump screens or suspend your pump during the search process. D E S When your pump finds the transmitter, the Confirm Device SN screen appears. 6.
MP6025958-022 / A If your pump does not find your transmitter: 1. Place the transmitter back on the charger and make sure your transmitter is fully charged before continuing. 2. Place your pump and transmitter within an arm's length of each other. 3. Select Retry on your pump and immediately remove the transmitter from the charger to start the search process. 4.
MP6025958-022 / A Connecting your pump and transmitter using Manual Connect: 1. You need the serial number for your transmitter during the connection process. Write down the serial number in the following space provided. Find your serial number here: Write it here: Attach your transmitter to the charger, and make sure the transmitter is fully charged. Keep your transmitter attached to the charger.
MP6025958-022 / A 4. Use the pump navigation buttons to enter the serial number of the transmitter and select OK. The New Device screen appears. 5. Select Search on your pump and immediately remove the transmitter from the charger. D E S A E L E R The following happens when you start the search process: • On your pump, a message appears to let you know your pump is searching. • On your transmitter, a green light flashes briefly and then turns off.
MP6025958-022 / A If your pump does not connect to your transmitter: 1. • Select Retry to return to the Enter Device SN screen on your pump, and then return to step 4 of the procedure above and follow the instructions to search again. • Select Cancel to return to the Connect Device screen, where you can search again using Manual Connect or Auto Connect. ■ If you have tried to connect multiple times without success, see My pump cannot find the sensor signal, on page 234.
MP6025958-022 / A Connecting the transmitter to the sensor Always refer to your transmitter user guide for instructions on connecting the transmitter to the sensor. Starting the sensor After you insert your sensor and connect your sensor and transmitter, your pump starts communicating with the transmitter. The pump notifies you when the sensor is ready to use. To start a new sensor using the Start New Sensor message: 1. Select Start New Sensor when it appears on the pump screen.
MP6025958-022 / A "Warm up..." appears on the Home screen until the sensor is ready for first calibration. Your pump begins displaying SG data up to 15 minutes after you successfully calibrate your sensor. For details about calibration, see Calibrating your sensor, on page 183. If you receive a message that your pump cannot find the sensor signal, continue to the next section. ■ If your pump cannot find the sensor signal: 2.
MP6025958-022 / A After you have entered your first two calibrations, you must calibrate your sensor again within 12 hours. If you do not enter a BG meter reading within 12 hours, your pump displays the Calibrate now alert and stops calculating sensor glucose values until a calibration BG is successfully entered. The sensor must be calibrated at a minimum of every 12 hours throughout the life of the sensor.
MP6025958-022 / A 3. Select Save. Note: If you decide not to use the Auto Calibration in the future, select Auto Calibration to turn off the feature. Where to enter your calibration BG meter reading D E S Pump screen How to enter your calibration BG EA Home screen L E R When the calibration option is available, you can access the Calibrate Sensor screen. First highlight the sensor graph on the Home screen. Then press and hold the button to access the calibration screen.
MP6025958-022 / A Pump screen How to enter your calibration BG BG screen in Event Markers When you enter a BG meter reading in Event Markers, the Event Markers screen has an option to use the BG value for calibration. Menu > Event Markers > BG BG field in the Bolus Wizard screen Home screen > Bolus > Bolus Wizard When you enter a BG meter reading to deliver a bolus using the Bolus Wizard, the Bolus Wizard gives you the option to use the BG value for calibration after the bolus is delivered.
MP6025958-022 / A You can calibrate anytime. However, calibrating with two or three down trend arrows may temporarily decrease accuracy until the next calibration. For an example of trend arrows on the Home screen, see Home screen with CGM, on page 152. • If you are not using a compatible Bayer meter, enter your BG meter reading into the pump immediately after testing your BG. Your BG meter reading is only valid for 12 minutes, do not wait to enter it later.
MP6025958-022 / A D E S A E L E R 188 Chapter 10
MP6025958-022 / A using continuous glucose monitoring D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ This chapter provides information on how to use CGM on your pump and view your sensor glucose data. This information helps you identify sensor glucose trends, including being notified if your sensor glucose is falling or rising rapidly. You can also view historical sensor glucose readings in a graph format. Information is also included on how to silence your glucose alerts.
MP6025958-022 / A • Historical sensor glucose readings for the last 3-hour, 6-hour, 12-hour, or 24-hour periods • Your high and low glucose alert limit • The bolus deliveries you have given during the time period shown on the graph • Any suspend events that have occurred If an SG reading does not appear on the graph, some possible reasons for this include: • An error condition or a sensor-related alert is occurring. • A new sensor that you just inserted is still initializing.
MP6025958-022 / A SG has been rising at a rate of 2 mg/dL per minute or more, but less than 3 mg/dL per minute. SG has been falling at a rate of 2 mg/dL per minute or more, but less than 3 mg/dL per minute. SG has been rising at a rate of 3 mg/dL per minute or more. SG has been falling at a rate of 3 mg/dL per minute or more. ■ The Alert Silence feature allows you to make sensor glucose alerts silent for a set period of time.
MP6025958-022 / A This Alert Silences these alerts Silence setting All Sensor Alerts All of the alerts listed previously for High & Low Alerts, plus the following: • All calibration alerts, reminders, or error messages • All alerts relating to sensor insertion, including alerts about sensor warm-up, changing your sensor, sensor expiration, sensor errors, connection issues, and so on • All alerts related to your transmitter, including all alerts about your transmitter battery and all connection issues T
MP6025958-022 / A 3. Set the Duration time (from 30 minutes to 24 hours) for which the alerts will be silenced, and then select OK. 4. Select Begin. The Alert Silence settings immediately take effect and you are returned to the Sensor Settings screen. To cancel Alert Silence: 1. Go to the Alert Silence screen. ■ Menu > Sensor Settings > Alert Silence using continuous glucose monitoring 2. D E S Select Cancel Alert Silence.
MP6025958-022 / A D E S A E L E R 196 Chapter 11
MP6025958-022 / A A E L E R alarms, alerts, and messages D E S
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ alarms, alerts, and messages Alarms, alerts, and messages This chapter describes the general behavior of the most common and the most serious notifications and how to resolve them. About alarms, alerts, and messages Your pump has a sophisticated safety network. If this safety network detects anything unusual, it conveys this information in the form of notifications. Notifications include alarms, alerts, and messages.