Insulin pump and continuous glucose monitoring system

Chapter 6: Using the Bolus Wizard feature ............................................  71
What is it? ....................................................................................................  71
Carbohydrate counting ..................................................................................  71
Your blood glucose reading .............................................................................  71
Your personal Bolus Wizard feature settings .........................................................  72
How the Bolus Wizard feature works ..................................................................... 75
Bolus Wizard warnings ...................................................................................... 75
HIGH BG .................................................................................................... 75
Contents
x

LOW BG ....................................................................................................  76
MAX BOLUS EXCEEDED ...................................................................................  76
How to program the Bolus Wizard feature ..............................................................  76
Turning on the Bolus Wizard feature  .................................................................  77
Selecting the Carb units  ................................................................................  77
Setting the Carb/Exch ratios ...........................................................................  77
Setting the BG units  .....................................................................................  78
Insulin sensitivity  ........................................................................................  79
Setting the BG Targets  ..................................................................................  80
About active insulin ......................................................................................  81
Active insulin time .......................................................................................  82
Review your Bolus Wizard feature settings .............................................................  82
Meter option .................................................................................................  83
Meter rules  ...............................................................................................  84
Add, delete, review meter IDs  ........................................................................  84
Normal bolus using Bolus Wizard feature ................................................................ 85
Bolus Wizard feature examples ...........................................................................  86
Chapter 7: Optimizing pump therapy ...................................................  91
Square Wave and Dual Wave bolus .......................................................................  91
Turning on the Dual Wave/Square Wave option  ..................................................... 92
Square Wave or Dual Wave bolus without Bolus Wizard feature  .................................  92
Using the Bolus Wizard feature for a Square Wave or Dual Wave bolus .......................... 95
Easy bolus ....................................................................................................  97
Easy bolus setup ..........................................................................................  97
Step value setup  .........................................................................................  97
Delivering Easy Bolus  .................................................................................... 98
Basal patterns ..............................................................................................  100
Turning on the patterns  ...............................................................................  100
Programming a pattern  ................................................................................ 100
Select a pattern  ........................................................................................  101
Temp basal rates ...........................................................................................  102
How does temp basal work? ...........................................................................  103
Temp basal types ........................................................................................ 103
Insulin rate (U/H)  .................................................................................... 103
Percent of basal ......................................................................................  105
Contents
xi

Chapter 8: Sensor features ..............................................................  111
Entering your sensor settings ............................................................................  111
Turning on the sensor ................................................................................... 111
Selecting the BG units .................................................................................. 112
High Glucose Alert ......................................................................................  112
Setting the High Snooze ................................................................................ 113
Low Glucose Alert ....................................................................................... 113
Setting the Low Snooze ................................................................................  114
Setting the Alarm Snooze  .............................................................................  114
Setting the Cal Reminder ..............................................................................  115
Entering the transmitter ID ............................................................................ 115
Setting up the Missed Data feature ..................................................................  116
Reviewing your settings  ...............................................................................  116
The transmitter ............................................................................................  117
Transmitter charger .......................................................................................  117
Charging the transmitter ..............................................................................  117
Starting the sensor ........................................................................................  119
Inserting the sensor .......................................................................................  119
Connecting the transmitter to the sensor  ............................................................. 122
Preparing the sensor for communication ............................................................... 123
Calibrating the sensor  ....................................................................................  123
Entering meter BG ......................................................................................... 124
Chapter 9: Using your sensor ............................................................ 125
Status screens ..............................................................................................  125
Reading the sensor glucose graphs ...................................................................... 125
Opening and viewing the graphs ...................................................................... 126
The graphs ...............................................................................................  127
Examples of real-time sensor glucose graphs ....................................................... 128
3-hour graph ..........................................................................................  128
24-hour graph .........................................................................................  129
How to check for rapid changes in sensor glucose ...................................................  129
The rapid change arrows ............................................................................... 129
Calibration history .........................................................................................  131
Sensor alarm history  ...................................................................................... 131
Disconnecting the transmitter and removing the sensor ............................................  132
Disconnecting the sensor from the transmitter ....................................................  132
Contents
xii

Removing the sensor .................................................................................... 132
Storage ......................................................................................................  132
Using your system in water ............................................................................... 133
Chapter 10: Utilities  ...................................................................... 135
Alarm review ...............................................................................................  135
Setting your alert type .................................................................................... 135
Auto-off .....................................................................................................  136
LOW RESV WARNING (Low reservoir warning) .........................................................  136
Review daily insulin totals ................................................................................ 137
Pump data management .................................................................................. 138
Meter blood glucose information .....................................................................  138
Personal reminders ........................................................................................  141
Alarm clock  .............................................................................................. 141
Remote control option ....................................................................................  141
Turn on remote control option  .......................................................................  142
Add, delete, review remote control IDs  ............................................................  142
Block feature ...............................................................................................  143
Turning block on  ........................................................................................  143
Lock keypad feature ......................................................................................  144
Locking the keypad .....................................................................................  144
Unlocking the keypad ..................................................................................  144
Selftest ......................................................................................................  144
User settings ................................................................................................ 145
Saving the settings  .....................................................................................  145
Restoring the settings  .................................................................................  146
Clearing the settings  ................................................................................... 147
History  ...................................................................................................  147
Chapter 11: Therapy software ..........................................................  149
CareLink™ Personal Software ............................................................................  149
Reports ...................................................................................................  149
Logbook ................................................................................................... 150
Chapter 12: Insulin pump therapy follow-up ......................................... 151
Recommended follow-up .................................................................................  151
Everyday .................................................................................................. 151
Contents
xiii

Every month .............................................................................................  151
Every 3 months ..........................................................................................  151
Laboratory tests ......................................................................................... 152
Every visit ................................................................................................  152
Annually ..................................................................................................  152
Chapter 13: Troubleshooting and alarms .............................................  153
My pump has a NO DELIVERY alarm .....................................................................  153
What happens if I leave the pump battery out too long? ............................................ 154
Why does my pump battery not last very long? .......................................................  154
What is a CHECK SETTINGS alarm? ......................................................................  155
My screen appears distorted .............................................................................  155
I cannot get out of the priming loop .................................................................... 156
The pump is asking me to rewind .......................................................................  156
My bolus stopped ..........................................................................................  156
My pump buttons are not acting right during a bolus ................................................  156
My pump will not display my blood glucose reading from my meter ..............................  157
I dropped my pump ........................................................................................ 157
I submerged my pump in water .........................................................................  158
I cannot get to the User Settings screen ...............................................................  158
Alerts ........................................................................................................  158
What to do ...............................................................................................  159
Pump alert conditions ..................................................................................  160
LOW RESERVOIR  ...................................................................................... 160
LOW BATTERY .........................................................................................  160
Sensor alert conditions ................................................................................. 160
WEAK SIGNAL .......................................................................................... 160
LOST SENSOR  .........................................................................................  161
LOW TRANSMTR  ......................................................................................  161
BAD TRANSMTR .......................................................................................  162
BAD SENSOR ...........................................................................................  162
SENSOR END ...........................................................................................  162
CAL ERROR ............................................................................................  162
METER BG NOW .......................................................................................  163
METER BG BY ..........................................................................................  163
LOW XX MG/DL (XX = SG measurement) ..........................................................  163
HIGH XXX MG/DL (XXX = SG measurement) ......................................................  163
Contents
xiv

SENSOR ERROR ........................................................................................  163
Alarms .......................................................................................................  164
What to do ...............................................................................................  164
Alarm conditions ...........................................................................................  165
A (ALARM)  ...............................................................................................  165
AUTO OFF  ................................................................................................ 165
BATT OUT LIMIT  ......................................................................................... 165
BOLUS STOPPED  ........................................................................................  165
BUTTON ERROR ..........................................................................................  166
CHECK SETTINGS  .......................................................................................  166
E (ERROR)  ...............................................................................................  166
EMPTY RESERVOIR  ......................................................................................  166
FAILED BATT TEST  ......................................................................................  166
MAX DELIVERY  ........................................................................................... 166
MOTOR ERROR ...........................................................................................  166
NO DELIVERY .............................................................................................  167
NO RESERVOIR ...........................................................................................  167
OFF NO POWER ..........................................................................................  167
RESET .....................................................................................................  167
WEAK BATTERY ..........................................................................................  167
Testing the transmitter ...................................................................................  167
Connecting the tester ..................................................................................  167
Disconnecting the tester ............................................................................... 168
Troubleshooting sensor features  ........................................................................ 169
Reconnect old sensor ...................................................................................  169
Find lost sensor .......................................................................................... 169
Understanding your transmitter, tester, and charger .............................................. 170
Chapter 14: Maintenance ................................................................  173
Battery ......................................................................................................  173
Storage ......................................................................................................  174
Cleaning your pump .......................................................................................  174
Cleaning the transmitter .................................................................................  174
Cleaning the Sen-serter ................................................................................... 175
Chapter 15: Pump specifications .......................................................  177
Alarms and error messages ............................................................................... 177
Contents
xv

Alarm history ...............................................................................................  177
Audio frequency ...........................................................................................  177
Backlight ....................................................................................................  177
Basal .........................................................................................................  178
BG Target ...................................................................................................  178
Bolus delivery ..............................................................................................  178
Bolus history ................................................................................................  178
Bolus units ..................................................................................................  178
Bolus Wizard feature ......................................................................................  178
Carb ratios ..................................................................................................  179
Carb units ...................................................................................................  179
Daily totals .................................................................................................. 179
Default screen .............................................................................................. 179
Delivery accuracy ..........................................................................................  180
Pump motor ................................................................................................  181
Dual Wave bolus ............................................................................................ 181
Easy bolus ...................................................................................................  181
Infusion pressure ........................................................................................... 181
Insulin sensitivity ..........................................................................................  181
Low resv (reservoir) warning ............................................................................. 182
Meter value .................................................................................................  182
Normal bolus ...............................................................................................  182
Occlusion detection .......................................................................................  182
Percent temp basal ........................................................................................ 183
Power supply ...............................................................................................  183
Prime function .............................................................................................  183
Prime history ...............................................................................................  183
Program safety checks ....................................................................................  183
Pump size ...................................................................................................  183
Pump weight ................................................................................................ 183
Remote control ............................................................................................. 184
Reservoir ....................................................................................................  184
Square Wave bolus ......................................................................................... 184
Temporary (temp) basal rate ............................................................................  184
Time and date screen .....................................................................................  184
Environmental conditions ................................................................................  184
Status screen ...............................................................................................  185
Contents
xvi

Bolus Wizard feature specifications ....................................................................  186
Bolus Wizard feature examples .......................................................................... 190
Insulin delivery default settings .........................................................................  193
Bolus Wizard feature default settings ..................................................................  195
Sensor features default settings ......................................................................... 196
Guidance and manufacturer's declaration .............................................................  197
Icon table ...................................................................................................  204
Warranty ....................................................................................................  206