Changing your active insulin time The active insulin time setting lets the pump know which active insulin time to use in calculating the amount of active insulin to subtract before estimating a bolus. Your healthcare professional prescribes the active insulin time that is best for you. To change your active insulin time: 1. Press and go to the Active Insulin Time screen. Options > Delivery Settings > Bolus Estimate Setup > Active Insulin Time 2.
When you use the Bolus Wizard feature, the Bolus Wizard calculator uses your current active insulin value to determine if there is an active insulin adjustment needed. The active insulin adjustment calculation considers both the bolus insulin that has previously been delivered (the amount shown on the Home screen), as well as any insulin that will be delivered by an active Square Wave bolus.
Alert: What it means: What to do: Max Bolus exceeded The bolus amount exceeds your Max Bolus setting. Check the bolus amount. Select No to cancel, or Yes to continue. If you select Yes, the bolus amount is reduced to your max bolus limit. Let your healthcare professional know if you routinely receive the Max Bolus exceeded alert so they can adjust your pump settings. Normal bolus A Normal bolus provides a single immediate dose of insulin.
The Bolus Wizard screen shows your current BG meter reading, if applicable, and any insulin that is still active from previous boluses. For more information about active insulin, see About active insulin, on page 96. For more information about the meter, see About your Accu-Chek Guide Link meter, on page 133. ■ Bolus 3. If you are not using a paired meter, you can select BG to manually enter your BG meter reading.
6. Select Next to review your bolus information. Your bolus amount appears. Note: If you modified your bolus amount in the previous step, Bolus Calculated shows your original bolus amount, Modification shows the amount you added or subtracted from your bolus, and Bolus shows the actual bolus amount. 7. Select Deliver Bolus to start your bolus. Your pump beeps or vibrates and a message appears when your bolus starts. The Home screen shows your bolus amount as it is being delivered.
Delivering a Normal bolus using Manual Bolus The following procedure describes how to deliver a Normal bolus using the Manual Bolus feature. To deliver a Normal bolus using Manual Bolus: 1. Press and go to the Manual Bolus screen. Bolus > Manual Bolus ■ Bolus Note: If the Bolus Wizard feature is turned off, the Manual Bolus screen appears when you select Bolus. The Manual Bolus screen shows your current BG value, if applicable, and any insulin that is still active from previous boluses.
• You have delayed food digestion due to gastroparesis or meals high in fat. • When you snack over an extended period of time. • A Normal bolus drops your BG too rapidly. Since the Square Wave bolus extends delivery over a period of time, the insulin is more likely to be available as you need it. Note: You cannot perform the following functions during a Square Wave bolus delivery: • Enable Auto Mode. • Change the Max Bolus or the Active Insulin Time settings.
To deliver a Square Wave bolus with the Bolus Wizard feature: 1. Press and go to the Bolus Wizard screen. Bolus > Bolus Wizard ■ If you are not using a paired meter, you can select BG to manually enter your BG meter reading. Bolus 2. The Bolus Wizard screen shows your current BG meter reading, if applicable, and any insulin that is still active from previous boluses. For more information about active insulin, see About active insulin, on page 96.
During a Square Wave bolus delivery, the Square Bolus banner displays on and your Home screen until bolus delivery is complete. You can press select Bolus to stop the bolus, to see details on the insulin that has been delivered, or to access the Bolus menu. Delivering a Square Wave bolus using Manual Bolus The Square Wave bolus option is available in the Manual Bolus screen only after you turn on the Square Wave feature. To deliver a Square Wave bolus manually: 1. Press and go to the Manual Bolus screen.
Turning on or off the Dual Wave bolus feature You can deliver a Dual Wave bolus only after you turn on the Dual Wave bolus feature. To turn on or turn off the Dual Wave bolus feature: 1. Press and go to the Dual/Square screen. Options > Delivery Settings > Dual/Square Wave 3. Select Save. Bolus Select Dual Wave to turn the feature on or off. ■ 2.
Note: If you change your bolus amount, the word “Modified” appears next to the new bolus amount. 6. Select Next to review your bolus information. 7. Select Dual. The Bolus Wizard screen appears, with the food bolus amount split evenly between the Now and Square portions. 8. If you need to change the amounts, select the area of the screen with the Now value and adjust the Now amount. When you adjust the Now amount, the Square amount adjusts automatically. 9.
The Manual Bolus screen appears. 2. Set your bolus delivery amount in units, and then select Next. 3. Select Dual. The Manual Bolus screen appears, with the Now and Square portions split evenly. ■ Bolus 4. If you need to change the amounts, select the area of the screen with the Now value and adjust the Now amount. When you adjust the Now amount, the Square amount adjusts automatically. 5. Adjust the Duration over which you want the Square Wave bolus portion to be delivered.
To help you count your Easy Bolus steps, each time you press the button, your pump makes a different tone. There are five different tones that repeat in a pattern for every five steps you use. If your audio options are set to Vibrate only, the pump does not beep at all, and instead it vibrates once with each key press. Understanding the Easy Bolus step sizes When you set up the Easy Bolus feature, you can set the step size from 0.1 to 2.0 units. Your step size cannot be higher than your max bolus.
Delivering a bolus using the Easy Bolus feature Initially, use the Easy Bolus feature while you look at the pump screen as you count the tones or vibrations. To deliver a bolus using the Easy Bolus feature: 1. While your pump is in sleep mode, press and hold for about one second. After your pump beeps or vibrates, release . You can now start to program your bolus with the Easy Bolus feature. Note: If your pump does not respond when you press not be in sleep mode, even if the screen is dark. 2.
3. When you reach the desired bolus amount, press and hold to confirm the amount. Your pump beeps or vibrates for each button press. Count to ensure the amount is correct. If the amount is incorrect, press and hold until you hear a tone, and then start again from step 1. 4. When the bolus amount is confirmed, press and hold for about one second to deliver your bolus. Your pump beeps or vibrates. Your bolus starts immediately after the confirmation.
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. Bolus If you set the type to Square Wave or Dual Wave, do the following: • For a Square Wave bolus, set the Duration of time for the bolus delivery.
3. Select Options. 4. Do any of the following: • Select Edit to adjust the Bolus value and Type, if applicable. If you change to a Square Wave bolus, enter the Duration. If you change to a Dual Wave bolus, enter the Now and Square amounts, and the Duration. • Select Rename to assign a different name to this preset bolus. When the Select Name screen appears, select any available name from the list. • Select Delete to delete this preset bolus.
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 and select Suspend delivery, use the Suspend Delivery feature (press Delivery). While your pump is delivering your Normal bolus or the Now portion of a from the Home screen. Dual Wave bolus, press 2. Select Stop Bolus, then select Yes to confirm. Bolus 1.
To stop a Square Wave bolus delivery or the Square portion of a Dual Wave bolus delivery: from the Home screen. 1. Press 2. Select Bolus. 3. Select Stop Bolus. 4. To stop your bolus, select Yes to confirm. Note: If you are delivering a Normal bolus and a Square Wave bolus at the same time, or a Normal bolus and the Square portion of a Dual Wave bolus at the same time, both boluses are stopped.
