Insulet 019 UST600 PDM User Manual
Insulet Corporation UST600 PDM
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![Getting Started1022. Insert two (2) new AAA alkaline batteries into the compart-ment. 3. Replace the battery door.4. Turn the PDM face up. The PDM has begun to power on auto-matically.n The Setup WizardThe first time you turn on the Personal Diabetes Manager, the Setup Wizard comes on automatically. Although setup is easy with the Wizard, if you are a first-time user, your healthcare pro-vider must guide you through the process. Setup takes only a few minutes and is easy to do:• Use the Up/Down Controller buttons to increase or decrease a number, or to move up or down a list.• Press the Soft Key labeled Next, Select, Done, or Save to con-tinue to the next screen.• Press Back to return to the previous screen.To get started, press Next on the Wizard's Welcome Screen to begin setting up your PDM. It might be helpful to read each screen out loud as you proceed.The diagram inside the compartment shows you which direction to insert the batteries (Figure 2-2).Do not use any other type of batteries than AAA alkaline batteries to power the PDM. Never use old or used batteries; the PDM may not work properly.Figure 2-1 Figure 2-2Initial settings are “---” [blank] for target blood glucose value, insulin-to-carbohydrate ratio, correction factor, duration of insulin action, max basal rate, basal rate, lower and upper BG goals, correct above value, min BG, max bolus, low reservoir, and pod expiration.You can adjust these settings later as your needs change or as you fine-tune your OmniPod System.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-22.png)
![Getting Started112Enter your PDM ID1. Use the Up/Down Controller buttons to scroll through the list of characters. An up-and-down-arrow symbol on the screen indicates the character you are changing.2. Press the middle Soft Key (labeled with the right arrow) to move the underscore to the next character. 3. Enter each character one at a time. For example, if you want to enter your name, you might enter J, a, n, e, [space], S, m, i, t, h. (A blank character or space is the first and last option in the scrolling menu.)4. Press Next.Select the ID screen colorUse the Up/Down Controller buttons to choose a color, then press Next.Set date and time1. Use the Up/Down Controller buttons to increase or decrease the time. (Press 12/24hr if you prefer a different time format.) Then press Next (Figure 2-3).2. Enter the current year, then press Next.Your ID and the chosen color will be displayed on an identification (ID) screen that you must acknowledge every time you turn on the PDM. Always be sure you properly identify your PDM before using it.12 Midnight – 5:59 AM: “Night”6:00 AM – 11:59 AM: “Morning”12 Noon – 5:59 PM: “Afternoon”6:00 PM – 11:59 PM: “Evening”On some screens, the time may show as "a" for "AM" and "p" for "PM". Figure 2-3](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-23.png)
![Getting Started1325. Press Save to accept the basal program you have set. To see the basal program as a list, press List. To return to the graphic view, press Graph.6. Choose a temporary basal feature, then press Next. Choose % to show temporary basal rates as a percent increase or decrease of your current basal rate. Choose U/hr to show temporary basal rates in units per hour. Or choose Off to turn off the temporary basal feature. For details about setting tem-porary basal’s, see Chapter 3, Understanding and Adjusting Basal Rates.Enter BG goal1. Use the Up/Down Controller buttons to enter the lower limit for your blood glucose (BG) goal, then press Next.2. Enter the upper limit for your BG goal, then press Next.3. Press Save to accept the BG goal.Set the suggested bolus calculatorTo set the suggested bolus calculator feature, choose On or Off, then press Next.Enter target blood glucose value1. Use the Up/Down Controller button to enter a target blood glucose (BG) value, then press Next.2. Use the Up/Down Controller buttons to enter the “correct above” value or correction threshold (the BG value above which you want the PDM to suggest a correction bolus), then press Next. Press Confirm, then continue to step 3.3. To save the target BG value, press Done. To change these set-tings, select the segment you wish to change and press Edit.You can define up to 8 target BG time segments. To enter additional segments, choose [add new], then:a. Press New. b. Enter a start time for the target BG segment, then press Enter.You can add up to 7 basal programs and set 24 segments per program.Check with your healthcare provider before adjust-ing these settings.If the suggested bolus calculator is set to On, perform the following steps. If set to Off, you will be prompted to “Select bolus increment” and “Enter maximum bolus.”If the suggested bolus calculator is On, a correction bolus will be suggested only when your BG is above the value shown in brackets on the screen.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-25.png)
![Getting Started142c. Enter an end time for the target BG segment, then press Next.d. Enter a target blood glucose value, then press Next.Use the Up/Down Controller buttons to enter the “cor-rect above” value or “correction threshold” (the BG value above which you want the PDM to suggest a correction bolus), then press Next.e. Press Confirm to accept the target BG profile you have set (Figure 2-7)f. When you have finished entering segments, press Done.4. Press Save to accept the target BG profile you have set. To see the segments as a list, press List. To return to the graphic view, press Graph.Enter minimum BG allowed for use in bolus calculation1. Use the Up/Down Controller buttons to enter a minimum blood glucose value, below which the System will not calcu-late a suggested bolus. The values are in 1 mg/dL increments and range from 50 to 70 mg/dL.2. Press Next.Enter insulin-to-carbohydrate ratio1. Use the Up/Down Controller buttons to enter your insulin-to-carbohydrate ratio, then press Next. (Insulin-to-carbohy-drate ratio is the number of carbs covered by 1 unit of insulin.) Press Confirm, then continue to step 2.2. To save the ratio, press Done. To change the ratio, select the segment you wish to change and press Edit.You can define up to 8 insulin-to-carbohydrate time seg-ments. To enter additional ratios, choose [add new], then:a. Press New.b. Enter a start time for the segment, then press Next.c. Enter an end time for the segment, then press Next.d. Enter the insulin-to-carb ratio for the new time segment, then press Next.e. Press Confirm to accept the IC ratio you have set.f. To save the new ratio, press Done.3. To see the ratios as a list, press List. To return to the graphic view, press Graph.Figure 2-7](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-26.png)
![Getting Started1524. Press Save to accept the ratios you have set.Enter correction factor1. Use the Up/Down Controller buttons to enter how much one unit of insulin decreases your blood glucose, then press Next. Press Confirm, then continue to step 2.2. To save the correction factor, press Done. To change the factor, select the segment you wish to change and press Edit.You can define correction factors for up to 8 time segments. To enter additional correction factors, choose [add new], then:a. Press New.b. Enter a start time for the segment, then press Next.c. Enter an end time for the segment, then press Next.d. Enter the correction factor, then press Next.e. On the next screen, review the segment to ensure it is correct, then press Confirm.f. To save the new correction factor segment, press Done.3. To see the factors as a list, press List. To return to the graphic view, press Graph.4. Press Save to accept the correction factors you have set. Set reverse correction1. To set reverse correction, use the Up/Down Controller buttons to choose On or Off, then press Next.Enter the duration of insulin action1. Use the Up/Down Controller buttons to enter the duration of insulin action (how long insulin lasts in your body), then press Next.If you enter carbs and reverse correction is On, the System will subtract insulin from the suggested meal bolus to compensate for a low blood glucose (below the BG target you set). With reverse corrections Off, the System will not subtract insulin from the sug-gested meal bolus dose due to a low BG. Follow your healthcare provider’s recommendation to set reverse correction On or Off.The duration-of-insulin-action setting is used to calculate the amount of insulin on board (IOB) from a previous correction bolus or meal bolus when you use the suggested bolus calculator.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-27.png)
![Understanding and Adjusting Basal Rates183In addition to normal daily changes, insulin needs can vary with different routines or days of the week. For example, regular school or workday routines may differ from weekend routines, and insulin needs may differ, too. With your healthcare provider, you will decide on the basal rates that best match your lifestyle and insulin needs. You will enter at least one basal program (your Basal 1 Program) into your PDM during the setup process (see Chapter 2, Getting Started). You can add other programs later as you fine-tune your System settings or when your needs change.You can also create temporary basal presets to use on occasions when you need to adjust your basal rate for a short period of time. See “Temporary Basal Rates and Presets” later in this chapter.Create a basal programThe Personal Diabetes Manager can store up to 7 different basal programs. Each program can contain 24 rates, programmed in half-hour increments. Once you enter a basal program into the PDM, you only need to press a few buttons to pick the program you want. The Pod continues to deliver insulin at those rates until you change that program or switch to another one.1. On the Home screen, use the Up/Down Controller buttons to choose Settings; then press Select.2. Choose Basal programs (Figure 3-1), then press Select. 3. Choose [add new] (Figure 3-2), then press New.4. To use the default naming system, simply press Next. The default naming system automatically assigns program names in numerical order, such as basal 1, basal 2, basal 3.If you want to give a different name to the program:a. Press the Up/Down Controller buttons to scroll through the list of characters. An up-and-down arrow symbol on the screen indicates the character you are changing.Check with your healthcare provider before adjust-ing these settings.Figure 3-1 Figure 3-2](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-30.png)
![Understanding and Adjusting Basal Rates193b. Press the middle Soft Key (labeled with the right arrow) to move the underscore to the next character. c. Enter each character one at a time. For example, if your weekend schedule is different from your weekday sched-ule, you might enter W, e, e, k, e, n, d (Figure 3-3). (A blank character or space is the first and last option in the scroll-ing menu.) d. Press Next. 5. Enter the rate, in U/hr, for the first basal segment (from 0.05 to the maximum you entered during setup), then press Next.6. On the next screen, review the segment to ensure it is correct, then press Confirm.7. Review the list showing your new basal program.To use the same basal rate for the entire 24-hour program, press Done and continue with step 7.Or, to add basal segments and rates (for example, a higher basal rate between 8:00 am and 3:00 pm):a. Choose an existing basal segment, then press Edit.Or, choose [add new], then press New.b. Enter the start time (for example, 8:00 am), then press Next. Basal segments are in 30-minute increments.c. Enter the end time (for example, 3:00 pm), then press Next.d. Enter the rate for the new basal segment (for example, 0.80U/hr), then press Next.Figure 3-3 Figure 3-4As a safety feature, the words “Invalid basal program name” (Figure 3-4) appear if the name you entered does not have at least one character or if the name is being used for another basal program. Capitals and lowercase letters are considered the same. Press OK to return to the previous screen and enter a different name.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-31.png)
![Understanding and Adjusting Basal Rates223To edit or add a segment or rate in the basal program1. Choose Edit, then press Select. 2. Choose the segment to change, then press Edit (Figure 3-9).Or, choose [add new], then press New.3. Enter a start time for the segment you want to change, then press Next.4. Enter an end time for this segment, then press Next.5. Enter a basal rate for the new segment, then press Enter.6. Review this new segment for accuracy, then press Con-firm.7. To save the newly entered segment into the basal program, press Save (Figure 3-10). If you want to make additional edits, repeat steps 2–5. 8. To see the program as a list, press List. To see the graph again, press Graph.As a safety feature, you must suspend insulin delivery before editing an active basal program (see Chapter 5, Using the Pod). Remember to resume delivery after the edits are made.Figure 3-8 Figure 3-9Figure 3-10](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-34.png)
![Understanding and Adjusting Basal Rates243You can set a temporary basal rate for a duration of 30 minutes to 12 hours. Once the time limit is reached, the Pod automatically returns to the active basal program. Pod and PDM do not need to be close to each other.When using units per hour, the OmniPod System allows you to set temporary basal rates from 0.0 U/hr, up to your max basal rate. When using percent rate, you can set temporary basal rates from Off to +95% of your active rate, as long as the temporary rate is less than or equal to your max basal rate. Another limit on the temp basal rate when configured in % is that the rate cannot be decreased such that the resultant flow rate will be less than 0.05U/hr. Example – if flow rate is 0.10U/hr, you can’t create a temp basal decrease of 60%.See the sections below on creating, enabling, cancelling, and changing temporary basal presets.Enable a one-time temporary basal rate1. On the Home screen, use the Up/Down Controller buttons to choose Temp basal, then press Select.2. If you have created temp basal presets, choose [enter manu-ally] from the list, then press Select.If you have not created any temp basal presets, the PDM skips this step.3. Choose Increase or Decrease your basal rate, then press Next (Figure 3-11).4. Enter the temporary basal rate, depending on how you choose to show the rates or percent change, then press Enter (Figure 3-12 shows an example of a temporary basal increase. In this example, 25% MORE insulin will be delivered). 5. Enter the duration for the temporary rate, then press Enter (Figure 3-13 on the next page).During initial setup, you and your healthcare provider either turned Off temporary basal rates, or chose to show the rates as % or U/hr. To change this setting, see Chapter 6, Using the Personal Diabetes Manager.Figure 3-11 Figure 3-12](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-36.png)
![Understanding and Adjusting Basal Rates2536. Press Confirm to start the temporary basal rate shown on the screen (Figure 3-14 – in this example, 25% more basal insulin will be delivered for 0.5 hours). The Pod beeps to indicate that the temporary basal rate is running.Cancel a one-time temporary basal rate1. On the Home screen, use the Up/Down Controller buttons to choose Suspend/cancel, then press Select.2. Choose Cancel temp basal (Figure 3-15), then press Select.3. Press Confirm to cancel the temporary basal shown on the screen.Create a temporary basal preset1. On the Home screen, use the Up/Down Controller buttons to choose Settings, then press Select.2. Choose Presets, then press Select.3. Choose Temp basal presets, then press Select.4. Choose [add new], then press New.5. To use the OmniPod System’s default naming system, simply press Next. The default naming system automatically assigns program names in numerical order, such as temp basal 1, temp basal 2, temp basal 3.Or, to give a different name to the program:Figure 3-13 Figure 3-14Figure 3-15](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-37.png)
![Understanding and Delivering Bolus Doses3343. If you are going to eat now:a. Press Yes (Figure 4-4), enter the number of carbohydrates you are about to eat, then press Enter.b. On the next screen, review the BG and carb values to make sure they are correct, and then press Confirm (Figure 4-6 on the next page).If you’ve previously entered a carb preset, then either:• Use the Up/Down Controller buttons to choose [enter manually], then press Select. Enter the num-ber of carbohydrates that you are going to eat, then press Enter.• Use the Up/Down Controller buttons to choose favorites, snacks, or meals. From there, select a carb preset you have previously entered (see “Carb Presets” later in this chapter), then press Select.c. Press Enter to accept the suggested bolus (Figure 4-7 on the next page).Or press the User Info/Support (?) button to view calcula-tion information used for this suggested bolus. Press Close to return to the Suggested Bolus screen, then press Enter.In the Suggested Bolus screen (Figure 4-5), “adjusted for Insulin on Board (IOB)” appears only when Insulin on Board (IOB) is a factor in the calculation.To view detailed information about the calcula-tions used for this suggested bolus, press the User Info/Support button and scroll through the infor-mation screens. Press Close to return to the Suggested Bolus screen.Figure 4-4 Figure 4-5](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-45.png)
![Understanding and Delivering Bolus Doses384n Bolus PresetsBolus presets are bolus amounts that you program for frequent use. For example, if you often take the same bolus at lunchtime, you can create a bolus preset for that amount and name it “Lunch.”Create a bolus preset1. On the Home screen use the Up/Down Controller buttons to choose Settings; then press Select.2. Choose Presets, then press Select.3. Choose Bolus presets, then press Select.4. Choose [add new], then press New.5. To use the OmniPod System’s default naming system, simply press Next. The default naming system automatically assigns program names in numerical order, such as bolus 1, bolus 2, bolus 3.Or, to give a different name to the program:a. Press the Up/Down Controller buttons to enter the char-acters that spell the name you want. An up and down arrow symbol on the screen indicates which character you are changing.b. Press the middle Soft Key (labeled with the right arrow) to move the underscore to the next character.c. Enter each character one at a time. For example, if you frequently take the same bolus at lunchtime, you might enter L, u, n, c, h (Figure 4-18 on the next page).You can add what remained of the old extended bolus to the new one.Figure 4-17Bolus presets are available only when the suggested bolus calculator feature is turned Off. (If the suggested bolus calculator is turned On, you can still use carb pre-sets. See “Carb Presets” on Page 40.)](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-50.png)
![Understanding and Delivering Bolus Doses404Cancel an active bolus preset1. Press and hold the Power button to turn on the PDM (To check the Pod status, refer to page 57 for detailed instruc-tions. The ID screen must be confirmed before you can check Pod status.), if it is not already on. An on-screen message appears as long as a bolus is being delivered.2. Press Cancel.The Pod beeps to confirm the bolus is cancelled. An on-screen message tells you how much insulin was delivered before you cancelled the bolus.3. Press OK to return to the Status screen.For more details, see “Cancel Active Boluses” earlier in this chapter.n Carb PresetsCarb presets are favorite food items, snacks, or meals that you eat frequently. After you enter these items, you can quickly select one when entering carb amounts during the suggested bolus calculator process.Create a carb preset1. On the Home screen, use the Up/Down Controller buttons to choose Settings, then press Select.2. Choose Presets, then press Select.3. Choose Carb presets, then press Select.4. Choose the category for this carb preset: (Favorites, Snacks, or Meals), then press Select.5. Choose [add new], then press New.6. To use the OmniPod System’s default naming system, simply press Next. The default naming system automatically assigns program names in numerical order, such as carb preset 1, carb preset 2, carb preset 3.Or, to give a different name to the program:a. Press the Up/Down Controller buttons to enter the char-acters that spell the name you want. An up and down arrow symbol on the screen indicates the character you are changing.b. Press the middle Soft Key (the right arrow) to move the underscore to the next character.c. Enter each character one at a time. For example, if you frequently eat a breakfast consisting of plain low-fat yogurt with blueberries, sweetener, and cinnamon, you might enter B, l, u, e, [space], Y, o, g, u, r, t (Figure 4-20 on the next page).d. Press Next.7. Enter the grams of carbohydrate in the meal, then press Next.8. If you want, enter the grams of fiber, fat, and protein in the meal, and the total calories. Press Next after each entry.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-52.png)
![Using the Personal Diabetes Manager6563. Choose Bolus/basal/calcs, then press Select.4. Choose one of the options (Figure 6-6a and Figure 6-6b), then press Select. Each option is described below.Bolus calcsWhen the suggested bolus calculator is turned Off and you want to turn it On, press On and follow these steps:1. Target BG and correct-above value—You can edit existing time segments and add segments, up to a total of 8.a. To edit an existing target BG time segment, choose the segment, then press Edit. Use the Up/Down Controller buttons to choose a new start time, end time, target BG value, and correct-above value (correction threshold). Press Next after each entry.b. To add a segment, choose [add new], then press New. Use the Up/Down Controller buttons to choose a start time, end time, target BG value, and correct-above value (correction threshold). Press Next after each entry.c. When you have completed all the time segments you want, press Done, then Save.2. Min BG for calcs (minimum blood glucose value allowed for calculating boluses)—Use the Up/Down Controller buttons to enter a new minimum BG, then press Next.3. Insulin-to-carb (IC) ratio—You can edit existing time seg-ments and add segments, up to a total of 8.a. To edit an existing IC ratio time segment, choose the seg-ment, then press Edit (Figure 6-7 on next page). Use the Up/Down Controller buttons to choose a new start time, end time, and IC ratio. Press Next after each entry.b. To add a segment, choose [add new], then press New. Use the Up/Down Controller buttons to choose a start time, end time, and IC ratio. Press Next after each entry.c. When you have completed all time segments, press Done, then Save. Figure 6-6a Figure 6-6b](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-77.png)
![Using the Personal Diabetes Manager6664. Correction factor—You can edit existing time segments and add segments, up to a total of 8.a. To edit an existing correction factor time segment, choose the segment, then press Edit. Use the Up/Down Control-ler buttons to choose a new start time, end time, and cor-rection factor. Press Next after each entry. b. To add a segment, choose [add new], then press New. Use the Up/Down Controller buttons to choose a start time, end time, and correction factor. Press Next after each entry.c. When you have completed all time segments, press Done, then Save.5. Reverse correction—Choose On or Off, then press Next.6. Insulin action (duration)—Use the Up/Down Controller buttons to choose a duration of insulin action, then press Done.7. Press OK.Ratios/factors/targetsWhen the suggested bolus calculator is turned On, you can view and change all the settings using the Ratios/factors/targets menu option. Choose Review all settings, then press Select (Figure 6-8a) or choose one setting from the menu, then press Select (Figure 6-8b). The steps are the same whether you choose all settings or individual ones.Figure 6-7Figure 6-8a Figure 6-8b](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-78.png)
![Using the Personal Diabetes Manager6761. Target BG and correct-above value—You can edit existing segments and add segments, up to a total of 8.a. To edit an existing target BG time segment, choose the segment, then press Edit. Use the Up/Down Controller buttons to choose a new start time, end time, target BG value, and correct-above value (correction threshold). Press Next after each entry.b. To add a segment, choose [add new], then press New. Use the Up/Down Controller buttons to choose a start time, end time, target BG value, and correct-above value (correction threshold). Press Next after each entry.c. When you have completed all the time segments you want, press Done, then Save.2. Min BG for calcs (minimum blood glucose value allowed for calculating boluses)—Use the Up/Down Controller buttons to enter a new minimum BG, then press Enter.3. Insulin-to-carb (IC) ratio—Number of grams of carbohy-drate covered by one unit of insulin. You can edit existing time segments and add segments, up to a total of 8.a. To edit an existing IC ratio time segment, choose the seg-ment, then press Edit. Use the Up/Down Controller butons to choose a new start time, end time, and IC ratio. Press Next after each entry.b. Review the segment to ensure it is correct, then press Confirm. c. To add a segment, choose [add new], then press New. Use the Up/Down Controller buttons to choose a start time, end time, and IC ratio. Press Next after each entry.d. When you have completed all time segments, press Done, then Save.4. Correction factor—You can edit existing time segments and add segments, up to a total of 8.a. To edit an existing correction factor time segment, choose the segment, then press Edit. Use the Up/Down Control-ler buttons to choose a new start time, end time, and cor-rection factor. Press Next after each entry.b. To add a segment, choose [add new], then press New. Use the Up/Down Controller buttons to choose a start time, end time, and correction factor. Press Next after each entry.c. Review the segment to ensure it is correct, then press Confirm. d. When you have completed all time segments, press Done, then Save.5. Reverse correction—Choose On or Off, then press Select.6. Insulin action (duration) or Insulin on Board (IOB)—Use the Up/Down Controller buttons to choose a duration of insulin action, then press Enter.When the suggested bolus calculator is turned Off, the Ratios/factors/targets option does not appear in the Bolus/basal/calcs menu.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-79.png)
![Using the Personal Diabetes Manager706Custom reminders: Displays text reminders that you enter, at times that you select. You can choose to receive a notification Daily, One time only, or Off. You can change or delete these notifications at any time.Set alerts and reminders1. On the Home screen, use the Up/Down Controller buttons to choose Settings, then press Select.2. Choose System setup, then press Select.3. Choose Alerts/reminders, then press Select.4. Choose the option you want to set (Figure 6-9), then press Select.5. For all except Bolus reminders and Custom reminders, choose the desired option or set the desired value, then press Select or Enter.6. For Bolus reminders• Use the Up/Down Controller buttons to choose On or Off, then press Select.• If you chose On, you are taken to a new screen where you can add, edit or delete reminders:To add a Bolus remindera. Use the Up/Down Controller buttons to choose [add new], then press New.b. Choose a start time, then press Next.c. Choose an end time, then press Save.To edit a Bolus remindera. Choose the bolus reminder you wish to edit, then press Edit.b. Choose Edit, then press Select.c. Enter a new start time, then press Next.d. Enter a new end time, then press Save.Figure 6-9](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-82.png)
![Using the Personal Diabetes Manager716To delete a Bolus remindera. Choose the bolus reminder you wish to delete, then press Edit.b. Choose Delete then press Select.c. Press Delete to remove the bolus reminder.7. For Custom reminders• Use the Up/Down Controller buttons to choose [add new], then press New.• To use the OmniPod System’s default naming system, sim-ply press Next. The default naming system automatically assigns names in numerical order, such as alert 1, alert 2, alert 3.If you want to give a different name to the reminder:a. Use the Up/Down Controller buttons to scroll through the list of characters. An up-and-down arrow symbol on the screen indicates the character you are changing.b. Press the middle Soft Key (the right arrow) to move the underscore to the next character.c. Enter each character one at a time. For example, for a reminder to pick up a prescription, you might enter R, x (Figure 6-10). (A blank character or space is the first and last option in the scrolling menu.)d. Press Next.• Enter the time of day for the reminder, in 30-minute incre-ments, then press Next.• Choose Daily, One time only, or Off, then press Select.Custom reminders will repeat every 15 minutes until acknowledged.Figure 6-10](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-83.png)
![Using the Personal Diabetes Manager726n Change Blood Glucose SettingsYou can adjust blood glucose (BG) meter settings:• BG goal lower and upper limits (for BG history)• Manage BG tags list1. On the Home screen, use the Up/Down Controller buttons to choose Settings, then press Select.2. Choose System setup, then press Select.3. Choose BG meter, then press Select.4. Choose the setting you want to change (Figure 6-11), then press Select.Change BG goal limitsTo change the BG goal limits, press Edit, change either or both values, then press Save.Manage the blood glucose tags listYou can create up to 15 custom blood glucose tags and hide any of the standard tags you do not plan to use. Standard BG tags are shown first on the screen (Figure 6-12a), followed by custom tags, and then [add new] (Figure 6-12b). For more information about tagging BG readings, see Chapter 7, Entering Blood Glu-cose Information into Your PDM.Figure 6-11 Figure 6-12a Figure 6-12b](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-84.png)
![Using the Personal Diabetes Manager7361. To hide or show a standard BG tag, choose the tag, and press Show (if it is marked as hidden) or Hide.Tags you choose to show will be check marked; hidden ones will not be.2. To add a custom tag, choose [add new] at the end of the list of custom tags, then press New. In the Edit name screen, either:a. Press Save to save the new tag with the default name, custom tag1, custom tag2, and so on; orb. Use the Up/Down Controller buttons to choose letters and numbers for a name, followed by the middle Soft Key (the right arrow) to move forward one space. Then press Save.3. To delete a custom tag, choose the tag, press Delete, then press Delete again. Or press Cancel to leave the tag unchanged.n Customize the Personal Diabetes Manager Additional options let you customize how the PDM operates:ID screen: Identify your PDM by adding your name and choosing a color. The options you set will be shown on the ID screen every time you turn on the PDM.PDM lock: “Locks” the buttons on the PDM. The default setting is Off. This safety feature can help avoid accidentally changing basal rates or giving boluses.Screen time-out: The screen turns off after a time interval that you set, which occurs if you have not pressed any buttons on the PDM. This setting preserves battery power by turning off the screen when you are not using it. Set it at the lowest setting to maximize battery life. The ID screen must be confirmed before you can check Pod status. Press and hold the Power button to turn the screen back on. In some cases, if it has been less than 5 minutes since the screen timed out, pressing the Power button returns you to the same screen you were using. If it has been lon-ger than 5 minutes, the PDM brings you to the Status screen. To check the Pod status, refer to page 57 for detailed instructions.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-85.png)
![Using the Personal Diabetes Manager746Backlight time-out: The backlight is on by default while you are using the PDM. The time-out setting dims the backlight and causes the screen to dim when you have not used it within the time interval that you set. Set at the lowest setting to maximize battery life.Set PDM options1. On the Home screen, use the Up/Down Controller buttons to choose Settings, then press Select.2. Choose System setup, then press Select.3. Choose PDM options (Figure 6-13), then press Select.4. Choose one of the options (Figure 6-14), then press Select.Set ID screenTo change the ID:1. Choose ID, then press Select.2. Press the Up/Down Controller buttons to scroll through the list of characters. An up-and-down arrow symbol on the screen indicates the character you are changing.3. Press the middle Soft Key (labeled with the right arrow) to move the underscore to the next character. 4. Enter each character one at a time. For example, if you want to enter your name, you might enter J, a, n, e, [space], S, m, i, t, h. (A blank character or space is the first and last option in the scrolling menu.)5. Press Save.For extra brightness on the PDM screen, press and hold the User Info/Support button (?) for 2 seconds. This enables a “bright mode.” The screen will remain in this mode until the PDM times out or you turn it off. To preserve battery life, use this feature only when necessary.As a safety feature, an ID must be entered to enable the PDM to be identified.Figure 6-13 Figure 6-14](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-86.png)
![Understanding Your Records898Add or change user information1. On the Home screen, use the Up/Down Controller buttons to choose My records, then press Select.2. Choose My info, then press Select.3. Choose an existing line or [My info] (Figure 8-15), then press Edit.4. Press the Up/Down Controller buttons to scroll through the list of characters. An up-and-down arrow symbol ( ) on the screen indicates the character you are changing.5. Press the middle soft key to move the underscore to the next character.6. Enter each character one at a time. For example, if you want to enter your address, you might enter 5, 6, 5, [space], M, a, i, n, [space], S, t, [period]. (A blank character or space is the first and last option in the scrolling menu.)For your healthcare provider and local phone number, you might enter J, a, n, e, [space], S, m, i, t, h, [comma], [space], 5, 5, 5, [hyphen], 1, 2, 3, 4 (Figure 8-16).7. Press Save.8. Repeat steps 3–7 for each line of personal information you want to enter or change. Twenty lines are available.The User Info/Support icon is also displayed on the suggested bolus screen. For information about the support information displayed on these screens, see Chapter 4, Understanding and Deliver-ing Bolus Doses.The first line of My Info displays the information that was entered for the ID screen during your PDM setup. For information on editing this line, see Chapter 6, Using the Personal Diabetes Manager, “Customize the Personal Diabetes Manager.”Figure 8-15 Figure 8-16](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-101.png)
![Living with Diabetes1009To avoid hyperglycemia (high blood glucose)Check your blood glucose at least 4–6 times a day (when you wake up, before each meal, and before going to bed). In addi-tion, always check it:• If you feel nauseated or sick• Before driving a car• Whenever your blood glucose has been running unusually high or low• If you suspect that your blood glucose is high or low• Before, during and after exercise• As directed by your healthcare providerTo treat hyperglycemia (high blood glucose)Always check your blood glucose levels frequently while treating hyperglycemia. You don’t want to over-treat the condition and cause your BG level to drop too far.1. Check your blood glucose level. The result will help you to find out how much insulin is needed to return your blood glucose to the BG goal.2. If your blood glucose is 250 mg/dL or above, check for ketones. If ketones are present, follow your healthcare provider’s guidelines.3. If ketones are not present, take a correction bolus as pre-scribed by your healthcare provider.4. Check blood glucose again after 2 hours.5. If blood glucose levels have not decreased, take a second bolus by injection, using a sterile syringe. Ask your healthcare provider whether to inject the same amount of insulin as in step 3.6. If you feel nauseated at any point, check for ketones and call your healthcare provider immediately (see “Diabetic ketoaci-dosis (DKA)” later in this chapter).7. If blood glucose remains high after another 2 hours (a total of 4 hours), replace the Pod. Use a new vial of insulin to fill the new Pod. Then:• Contact your healthcare provider for guidance.• Drink eight ounces of water every 30 minutes until blood glucose is within BG goal. 8. Investigate possible cause for hyperglycemia to avoid similar problems in the future [see “Possible causes of hyperglyce-mia (high blood glucose)”].If you need emergency attention, ask a friend or family member to take you to the emergency room or call an ambulance. Do NOT drive yourself.](https://usermanual.wiki/Insulet/019.User-manual/User-Guide-1946634-Page-112.png)
