Insulin pump and continuous glucose monitoring system
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Document Outline
Mp6025250-013_b.pdf
Contents
Introduction
Assistance
Emergency kit
Consumables
Accessories
How
to wear your pump
How to use this guide
User safety
Indications: Paradigm 522/722
Pump
Sensor and transmitter
Indications: Paradigm 522K/722K (pediatric version)
Pump
Sensor and transmitter
Meter
Contraindications
Warnings
Pump
Reservoir and infusion sets
Tubing Connector
Sensor
Transmitter
Magnetic fields
X-rays, MRIs and CT scans
Precautions
Avoid extreme temperatures
Infusion sets and sites
Sensor
Adverse reactions
Notice
Insulin pump and RF accessories
RF interference from other devices
Introduction to
pump therapy
Theory of insulin pump therapy
Understanding pump therapy
Basal rate
Meal bolus
Gram counting
Exchange counting
BG targets
Insulin sensitivity
Active Insulin
Blood glucose and A1C testing
BG testing
A1C
Low blood glucose (hypoglycemia)
Hypoglycemia protocol: the rule of 15
High blood glucose (hyperglycemia)
Hyperglycemia protocol
Diabetes ketoacidosis (DKA)
Preventing DKA
Sick day management
Sick day protocol
Sick day supplies
Nutrition
Carbohydrate counting
Carbohydrate
gram counting
Carbohydrate exchange system
Reading a food label
Fat and blood glucose
Protein and blood glucose
Other things that affect blood glucose
Healthy eating habits
Exercise
The basics
Your pump
Install battery
Pump buttons
The pump screen
HOME screen
Screen icons
Battery
Time display
Reservoir volume
Alert and alarm icons
Sensor icons
Scroll bar
Screen backlight
Beep/vibrate
Operating modes
Normal mode
Special mode
Attention mode
Menus
MAIN MENU
BOLUS MENU
SUSPEND
BASAL MENU
SENSOR
PRIME MENU
UTILITIES MENU
STATUS screen
If you remove your pump
Basic programming
Setting the time and date
Selecting the language
Bolus
Setting the Normal bolus
Normal meal bolus using the exchange system
Bolus practice:
Normal meal bolus practice using exchanges: Choose a meal you might eat and fill in the blanks.
Normal meal bolus using carbohydrate counting
Choose a meal you might eat and fill in the blanks.
Meal bolus, correction bolus and insulin sensitivity
Practice: Meal bolus
Review your bolus deliveries
Bolus details
Maximum bolus limit
Example 1: Max bolus
Example 2: Max bolus
BG Reminder
Basal
Start
and stop times
Your basal settings
Basal programming and delivery
Current basal delivery
Daily basal rate(s)
Setting the Max
basal rate
Example 1: Max basal
Example 2: Max basal
Stopping your pump
Resume pump delivery
Example: Suspend function
Practice: Suspend function
Practice: Resume basal delivery after a suspend
Starting on insulin
Prepare your pump for use
Filling the reservoir
Changing your infusion set
Removing the reservoir
Rewinding your pump
Inserting the reservoir in your pump
Manual prime
Inserting the infusion set
Quick-set infusion set (with Quick-serter®)
Fixed prime
Prime history
Disconnecting Quick-set
Reconnecting Quick-set
Record keeping for diabetes management
Determining your pump settings
Using
the Bolus Wizard feature
What is it?
Carbohydrate counting
Your blood glucose reading
Your personal Bolus Wizard feature settings
How the Bolus Wizard feature works
Bolus Wizard warnings
HIGH BG
LOW BG
MAX BOLUS EXCEEDED
How to program the Bolus Wizard feature
Turning on the Bolus Wizard feature
Selecting the Carb units
Setting the Carb/Exch ratios
Setting the BG units
Insulin sensitivity
Setting the BG Targets
About active insulin
Active insulin time
Review your Bolus Wizard feature settings
Meter option
Meter rules
Add, delete, review meter IDs
Normal bolus using Bolus Wizard feature
Bolus Wizard feature examples
Example 1: Blood glucose on target (normal blood glucose) and no active insulin
Example 2: Blood glucose above target (high blood glucose) and no active insulin
Example 3: Blood glucose below target (low blood glucose) and no active insulin
Example 4: Blood glucose above target (high blood glucose) with active insulin
Example 5: Blood glucose below target (low blood glucose) with active insulin
Optimizing pump therapy
Square Wave and Dual Wave bolus
Turning on the Dual Wave/Square Wave option
Square Wave or Dual Wave bolus without Bolus Wizard feature
Square Wave bolus practice
Dual Wave bolus practice
Using the Bolus Wizard feature for a Square Wave or Dual Wave bolus
Easy bolus
Easy bolus setup
Step value setup
Delivering Easy Bolus
Example 1: Easy bolus
Your turn: Easy bolus practice
Basal patterns
Turning on the patterns
Programming a pattern
Select a pattern
Example 1: Basal patterns
Example 2: Basal patterns
Your turn:
Temp basal rates
How does temp basal work?
Temp basal types
Insulin rate (U/H)
Percent of basal
Selecting temp basal type
Delivering
a temp basal
Verifying temp basal delivery
Canceling a temp basal
Example 1: Temp Basal for a decreased temporary basal rate
Example 2: Temp Basal for an increased temporary basal rate
Your turn:
Sensor features
Entering your sensor
settings
Turning on the sensor
Selecting the BG units
High Glucose Alert
Setting the High Snooze
Example
Low Glucose Alert
Setting the Low Snooze
Setting the Alarm Snooze
Setting the Cal Reminder
Entering the transmitter ID
Setting up the Missed Data feature
Reviewing your settings
The transmitter
Transmitter charger
Charging the transmitter
Starting the sensor
Inserting the sensor
Connecting the transmitter to the sensor
Preparing the sensor for communication
Calibrating the sensor
Entering
meter BG
Using your sensor
Status screens
Reading the sensor glucose graphs
Opening and viewing the graphs
The graphs
Examples of real-time sensor glucose graphs
3-hour graph
24-hour graph
How to check for rapid changes in sensor glucose
The rapid change arrows
Calibration history
Sensor alarm history
Disconnecting the transmitter and removing the sensor
Disconnecting the sensor from the transmitter
Removing the sensor
Storage
Using your system in water
Utilities
Alarm review
Setting your alert type
Auto-off
LOW RESV WARNING (Low reservoir warning)
Review daily insulin totals
Pump data management
Meter blood glucose information
Personal reminders
Alarm clock
Remote control option
Turn on remote control option
Add, delete, review remote control IDs
Block feature
Turning block on
Example 1: Block
Example 2: Block
Lock keypad feature
Locking the keypad
Unlocking the keypad
Selftest
User settings
Saving the settings
Restoring the settings
Clearing the settings
History
Therapy software
CareLink™ Personal Software
Reports
Logbook
Insulin pump therapy follow-up
Recommended follow-up
Everyday
Every month
Every 3 months
Laboratory tests
Every visit
Annually
Troubleshooting and alarms
Alerts
Example:
What to do
Pump alert conditions
LOW RESERVOIR
LOW BATTERY
Sensor alert conditions
WEAK SIGNAL
LOST SENSOR
LOW TRANSMTR
BAD TRANSMTR
BAD SENSOR
SENSOR END
CAL ERROR
METER BG NOW
METER BG BY
LOW XX MG/DL (XX = SG measurement)
HIGH XXX MG/DL (XXX = SG measurement)
SENSOR ERROR
Alarms
What to do
Alarm conditions
A (ALARM)
AUTO OFF
BATT OUT LIMIT
BOLUS STOPPED
BUTTON ERROR
CHECK SETTINGS
E (ERROR)
EMPTY RESERVOIR
FAILED BATT TEST
MAX DELIVERY
MOTOR ERROR
NO DELIVERY
NO RESERVOIR
OFF NO POWER
RESET
WEAK BATTERY
Testing the transmitter
Connecting
the tester
Disconnecting the tester
Troubleshooting sensor features
Reconnect old sensor
Find lost sensor
Understanding your transmitter, tester, and charger
Maintenance
Battery
Storage
Cleaning your pump
Cleaning the transmitter
Cleaning the Sen-serter
Pump specifications
Alarms and error messages
Alarm history
Audio frequency
Backlight
Basal
BG Target
Bolus delivery
Bolus history
Bolus units
Bolus Wizard feature
Carb ratios
Carb units
Daily totals
Default screen
Delivery accuracy
Pump motor
Dual Wave bolus
Easy bolus
Infusion pressure
Insulin sensitivity
Low resv (reservoir) warning
Meter value
Normal bolus
Occlusion detection
Percent temp basal
Power supply
Prime function
Prime history
Program safety checks
Pump size
Pump weight
Remote control
Reservoir
Square Wave bolus
Temporary (temp) basal rate
Time and date screen
Environmental conditions
Status screen
Bolus Wizard feature specifications
Bolus Wizard feature examples
Insulin delivery default settings
Bolus Wizard feature default settings
Sensor features default settings
Guidance and manufacturer's declaration
Icon table
Warranty
Sensor accuracy
Performance results in adults
Accuracy of Guardian RT readings
Precision of Guardian RT readings
Low and High Alerts in adults
The Low Glucose Alert
The High Glucose Alert
Guardian RT sensor performance and calibration stability as a function of time
Effects of calibration frequency
Time-elapsed plots
Performance results in children and adolescents
Accuracy of Guardian RT readings
Low and High Alerts in children and adolescents
The Low Glucose Alert
The High Glucose Alert
Glossary
Index
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