Medtronic MiniMed 1510 620G/630G/640G/670G Insulin Delivery Pump User Manual 3

Medtronic MiniMed, Inc. 620G/630G/640G/670G Insulin Delivery Pump Users Manual 3

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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 Wavebolus.Note: The Type field appears only when you have the Dual Wavebolus or Square Wave bolus features turned on. If you set the type to Square Wave or Dual Wave, additional settings appear.6. If you are setting up a Square Wave bolus or Dual Wave bolus, do thefollowing:• For a Square Wave bolus, set the Duration of time for the bolus delivery.• For a Dual Wave bolus, adjust the Now/Square percentages as needed,then set the Duration of time for the Square Wave portion of the bolus.Note: If you later turn off the Dual Wave or Square Wave feature,your existing Preset Bolus settings are still available for use. 7. Select Save.Changing, renaming, or deleting a Preset BolusYou cannot delete, rename, or edit a Preset Bolus while it is delivering.Note: You cannot edit a Dual Wave or Square Wave Preset Bolus whenthe Dual Wave or Square Wave features are turned off. You can, however,rename or delete a Dual Wave or Square Wave Preset Bolus when thefeatures are turned off. To change, rename, or delete a Preset Bolus:1. Go to the Preset Bolus Setup screen.Menu > Insulin Settings > Preset Bolus SetupThe Preset Bolus Setup screen appears, showing any existing Preset Bolussettings.86 Chapter 4MP6025958-022 / ARELEASED

2. Select the desired Preset Bolus.3. Select Options.4. Do one of the following:• Select Edit to adjust the Bolus value and Type, if applicable. If you changeto a Square Wave bolus, you need to enter the Duration. If you change toa Dual Wave bolus, you need to enter the Now and Square amounts, andthe Duration.• Select Rename to assign a different name to this Preset Bolus. When theSelect Name screen appears, you can select any available name from thelist.• Select Delete to delete this Preset Bolus.Delivering a Preset BolusFollow these steps to deliver a Preset Bolus. You must set up Preset Bolusdeliveries before you can use the Preset Bolus feature. For more information, seeSetting up and managing Preset Bolus deliveries, on page 85. To deliver a Preset Bolus:1. Go to the Home screen.2. Select Bolus.The Bolus screen appears.3. Select Preset Bolus.The existing preset bolus settings appear, showing your current BG value (ifapplicable) and any insulin that is still active from previous boluses. For moreinformation about active insulin, see About active insulin, on page 71.4. Select the Preset Bolus you want to deliver.5. Verify your bolus amounts, and then select Deliver Bolus.Your pump beeps or vibrates and displays a message when your bolus starts.■ bolus Bolus 87MP6025958-022 / ARELEASED

Stopping a bolus deliveryThe following procedures describe how to stop a Normal bolus or a Dual Wavebolus during the Now portion delivery, and how to stop a Square Wave bolus or aDual Wave bolus during the Square portion delivery.Note: This procedure describes how to stop a bolus that is in progress. Itdoes not stop your basal insulin delivery. If you need to stop all insulindelivery, use the Suspend Delivery feature (Menu > Suspend Delivery). To stop a Normal bolus delivery or the Now portion of a Dual Wave bolusdelivery:1. While your pump is delivering your Normal bolus or the Now portion of aDual Wave bolus, select Stop Bolus from the Home screen.2. To stop your bolus, select Yes to confirm.Note: If you are delivering a Normal bolus and a Square Wave bolusat the same time, or a Normal bolus and the Square portion of aDual Wave bolus at the same time, both boluses are stopped. The Bolus Stopped screen appears and shows the amount of bolus delivered,and the original bolus amount you set up. To stop a Square Wave bolus delivery or the Square portion of a Dual Wavebolus delivery:1. Select Bolus (S) or Bolus (D) from the Home screen.2. Select Stop Bolus.3. To stop your bolus, select Yes to confirm.88 Chapter 4MP6025958-022 / ARELEASED

Note: If you are delivering a Normal bolus and a Square Wave bolusat the same time, or a Normal bolus and the Square portion of aDual Wave bolus at the same time, both boluses are stopped. The Bolus Stopped screen appears and shows the amount of bolus delivered,and the original bolus amount you set up.■ bolus Bolus 89MP6025958-022 / ARELEASED

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reservoir and infusion setMP6025958-022 / ARELEASED

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Reservoir and infusion setSetting up the reservoir and infusion setWhen you are ready to use your pump with insulin, make sure the time and dateare correct on your pump. For details on changing the time and date on yourpump, see Time and date, on page 148. You must also program your settings asinstructed by your healthcare professional.You will need these items:• MiniMed 640G insulin pump• Vial of insulin (U100)• MiniMed reservoir• MiniMed-compatible infusion set and its user guideWARNING: If this is the first time you are using your pump withinsulin, and you have practiced giving boluses on your pump, youneed to clear the active insulin value before starting on insulin. Fordetails, see Clearing your active insulin, on page 144.Removing the reservoirIf this is the first time you are inserting a reservoir into your pump and you do notcurrently have a reservoir loaded, skip to Rewinding your pump, on page 94. Reservoir and infusion set 93■ reservoir and infusion setMP6025958-022 / ARELEASED

WARNING: Make sure the infusion set is disconnected from yourbody before you remove the reservoir from your pump. To remove your reservoir:1. Wash your hands.2. Remove the entire infusion set from your body.3. If you have the optional activity guard attached to the reservoir compartmenton your pump, remove it now.4. Turn the tubing connector a half-turn counter-clockwise, then pull thereservoir and connector out from the pump.tubing connector 5. Dispose of the used reservoir and infusion set according to local regulations.Rewinding your pumpWARNING: Make sure the infusion set is disconnected from yourbody before you rewind your pump or fill the infusion set tubing.Never insert the reservoir into the pump while the tubing isconnected to your body. Doing so could result in an accidentalinfusion of insulin, which may cause low BG.When you rewind your pump, the piston in the reservoir compartment returns toits starting position and allows a new reservoir to be placed into the pump.94 Chapter 5MP6025958-022 / ARELEASED

Note: The piston is located in the reservoir compartment of your pump.It engages the reservoir and pushes insulin through the tubing.piston To rewind your pump:1. Go to the New Reservoir screen.Menu > Reservoir & Tubing > New ReservoirThe New Reservoir screen appears.If you have not yet removed the infusion set and reservoir, do so now.2. Select Rewind.The piston in the reservoir compartment of your pump returns to its startingposition. This may take several seconds. During this process, a "Rewinding"message appears.Another message appears to let you know that your pump has finishedrewinding, and then the New Reservoir screen appears.■ reservoir and infusion set Reservoir and infusion set 95MP6025958-022 / ARELEASED

3. Follow the instructions in the next section to fill your reservoir.Filling the reservoirWARNING: Do not use the reservoir or infusion set if any liquidgets on the top of the reservoir or inside the tubing connector (asshown in the image). Liquid can temporarily block the vents. Thismay result in the delivery of too little or too much insulin, whichcan cause hypoglycemia or hyperglycemia. If any liquid gets on thetop of the reservoir or inside the tubing connector, start over with anew reservoir and infusion set.TubingconnectorTop ofreservoirWARNING: Always allow your insulin to reach room temperaturebefore use. Cold insulin can cause air bubbles in the reservoir andtubing which may result in inaccurate insulin delivery. 96 Chapter 5MP6025958-022 / ARELEASED

To fill the reservoir, do these steps:1. Remove the reservoir from the package, and fully extend the plunger.plungerreservoir transfer guard12. Swab the vial with alcohol (not shown).3. Press the transfer guard onto the vial without pushing down on the plunger.vial34. Push down on the plunger to pressurize the vial. Hold down the plunger rod.5. While still holding down the plunger rod, flip the vial over so the vial is ontop. Slowly pull down on the plunger to fill the reservoir.6. Gently tap the side of the reservoir to make any air bubbles rise to the top ofthe reservoir.654■ reservoir and infusion set Reservoir and infusion set 97MP6025958-022 / ARELEASED

7. Slowly push up on the plunger just enough to remove any air bubbles fromthe reservoir.8. Slowly pull down on the plunger to fill the reservoir to the number of unitsdesired.9. To avoid getting liquid on the top of the reservoir, flip the vial over so that itis upright. Turn the reservoir counter-clockwise, then pull straight up toremove the reservoir from the transfer guard.10. Place the tubing connector onto the reservoir. Turn the connector clockwise,pressing gently against the reservoir until you feel it slide in. Push in andcontinue turning until the reservoir and the connector lock with a click.9810711. Tap the side of the reservoir to remove any air bubbles.12. To purge air bubbles that have risen to the top of the reservoir, push up onthe plunger until you see insulin in the tubing.13. Without pulling, turn the plunger counter-clockwise to remove it from thereservoir.11 12 1314. Select Next from the New Reservoir screen.98 Chapter 5MP6025958-022 / ARELEASED

The New Reservoir screen now instructs you to place the reservoir in yourpump.Note: If the New Reservoir screen has timed out and the Homescreen appears, select Load Reservoir from the Home screen. 15. Follow the instructions in the next section to insert the reservoir into thereservoir compartment of your pump immediately after filling it.Inserting the reservoir into your pumpBe sure to perform the following steps in the order they are presented.Caution: Do not insert the reservoir into your pump for the first timeuntil you have received training.■ reservoir and infusion set Reservoir and infusion set 99MP6025958-022 / ARELEASED

WARNING: Never insert the reservoir into the pump while thetubing is connected to your body. Doing so could result in anaccidental infusion of insulin, which may cause low BG.You must rewind your pump before installing a new reservoir toensure correct insulin amount. To insert the reservoir into your pump:1. If you are using the pump for the first time, remove the shipping cap fromthe reservoir compartment.2. Rewind your pump if you have not yet done so. See Rewinding your pump, onpage 94 for more information.3. Insert the reservoir into the top of the reservoir compartment.4. Turn the tubing connector approximately a half-turn clockwise until theconnector is locked. The tubing connector should be aligned horizontally withthe pump case as shown in the following example.tubing connector5. Your pump should be displaying the New Reservoir screen shown in thefollowing example. Select Next to continue.100 Chapter 5MP6025958-022 / ARELEASED

Note: If the New Reservoir screen has timed out and the Homescreen appears, select Load Reservoir from the Home screen. Afterthe New Reservoir screen appears, you may have to select Next toget to the screen shown previously. 6. When the reservoir is inserted, select and hold Load until you see acheckmark on the screen and your pump beeps or vibrates. Holding Loadmoves the piston up in the reservoir compartment until it engages with thebottom of the reservoir.Note: If you press the Back button after the loading process begins,a Loading incomplete alarm will occur. When the loading process is completed, the following screen appears.7. Select Next to continue.8. Follow the instructions in the next section to fill the tubing with insulin.Filling the tubingYou need to fill the infusion set tubing with insulin before you insert the set intothe body.■ reservoir and infusion set Reservoir and infusion set 101MP6025958-022 / ARELEASED

WARNING: Make sure the infusion set is disconnected from yourbody before you rewind your pump or fill the infusion set tubing.Never insert the reservoir into the pump while the tubing isconnected to your body. Doing so could result in an accidentalinfusion of insulin, which may cause low BG.WARNING: Always check your tubing for air bubbles. Continue topress Fill until the bubbles have been removed from the tubing. Airbubbles may result in inaccurate insulin delivery. To fill the tubing:1. After you load your reservoir and select Next from the Load Reservoir screen,the Fill Tubing screen appears.2. Select and hold Fill. Your pump beeps six times to let you know it ispositioning the reservoir. Continue holding Fill until insulin droplets form onthe tip of the infusion set needle, then release. Your pump beeps as it fills thetubing, and the amount of insulin you are using appears on the screen.If you get the Max Fill Reached alarm, it means you have used more than30 units of insulin to fill your tubing. For details, go to Pump alarms, alerts, andmessages, on page 202, and see the description for Max Fill Reached.3. Select Next to continue.4. Follow the instructions in the next section to insert the infusion set into yourbody before filling the cannula.102 Chapter 5MP6025958-022 / ARELEASED

Inserting the infusion setWARNING: Do not remove the reservoir from the pump while theinfusion set is connected to your body. This could lead to over orunder delivery of insulin.You must have completed the following procedures, as described previously,before inserting the infusion set into your body:•Rewinding your pump.• Filling your reservoir.• Inserting the reservoir into pump.• Filling the tubing with insulin.Shown here are the best body areas (shaded) for infusion set insertion. Avoid the5.0 cm (2-inch) area around the navel to help ensure a comfortable infusion siteand to help with adhesion.Caution: Rotate the infusion set insertion sites so that they do notbecome overused.Caution: Change your infusion set every two to three days to avoidinfusion set occlusion or site infection.■ reservoir and infusion set Reservoir and infusion set 103MP6025958-022 / ARELEASED

To keep sites healthy, some people find it helpful to use a visual scheme to helpthem rotate their insertion sites in an organized way. For example, here are twocommonly used methods. For maximum effectiveness, use both methods,alternating between them:• Visualize an imaginary clock drawn on your abdomen surrounding your bellybutton. Rotate infusion set insertion sites by starting at 12 o’clock and thenrotate the site clockwise to 3 o’clock, 6 o’clock, and so on.• Imagine a letter M or a letter W on either side of your belly button. Start atthe end of one letter and proceed through the letter, rotating to eachintersection in turn.Medtronic Diabetes offers a variety of infusion sets for your pump. The instructionsfor the Quick-set infusion set are provided here as an example.After your infusion set is inserted, see Filling the cannula, on page 105 to fill theinfusion set cannula.104 Chapter 5MP6025958-022 / ARELEASED

Quick-set infusion set (with Quick-serter™)There are different infusion sets that you can use with your pump. As an example,the following procedure shows how to insert the Quick-set infusion set. Alwaysrefer to the instructions that shipped with your infusion set.245 789 10 1112 13 14316Filling the cannulaFilling the soft cannula with insulin is required after the infusion set is inserted intoyour body and the introducer needle is pulled out. The insulin amounts requiredto fill the cannula depend on the type of infusion set you are using. Refer to yourinfusion set instructions for this information.■ reservoir and infusion set Reservoir and infusion set 105MP6025958-022 / ARELEASED

Note: If you are using an infusion set with a needle, you do not need tofill the cannula. Select Done when the system prompts you to continuewith the fill process. To fill the cannula:1. After you fill your tubing and insert your infusion set, the Fill Cannula? screenappears.Note: If your screen turns off before you are ready to fill yourcannula, press any button on your pump to turn it on again. 2. To fill your cannula now, select Fill. If you are using an infusion set with aneedle, you do not need to fill the cannula. Select Done to skip this step.The Fill Cannula screen appears.3. Adjust the Fill amount for your particular infusion set, and then select FillNow. If you are unsure about the fill amount, see the instructions that camewith your infusion set.4. As the cannula starts filling, your screen displays the amount of units beingdelivered. The pump beeps or vibrates when the delivery is complete.106 Chapter 5MP6025958-022 / ARELEASED

After the cannula is filled, the Home screen appears. Your pump is now readyto deliver insulin. To stop filling the cannula:1. Select Stop Filling, to stop filling the cannula.2. Select Yes.The Fill Stopped screen appears confirming amount delivered.3. Select Done.Disconnecting and reconnecting your infusion setAs an example, these steps show you how to disconnect and reconnect the Quick-set infusion set. If you are using an infusion set other than Quick-set, always referto the instructions that shipped with the infusion set.Disconnecting the Quick-set infusion setThe Quick-set infusion set allows you the freedom to temporarily disconnect fromyour pump without removing the infusion set from your body.1. Hold the side grips of the connector part with your fingers.2. Twist the connector counter-clockwise.3. Remove the connector from the site.■ reservoir and infusion set Reservoir and infusion set 107MP6025958-022 / ARELEASED

123Reconnecting the Quick-set infusion setPlace the connector part (flat side facing down) on the infusion site until it is fullyseated. Do not squeeze the connector part by the flat side grips.123108 Chapter 5MP6025958-022 / ARELEASED

meterMP6025958-022 / ARELEASED

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MeterYou can wirelessly connect up to six compatible Bayer meters to your pump. If youdo not connect a meter to your pump, you must enter your blood glucosereadings manually. To wirelessly connect your pump and meter, you will need thefollowing items:• MiniMed 640G insulin pump• Compatible Bayer meter• Compatible Bayer meter user guideAbout your compatible Bayer meterYou can set up your pump to automatically receive blood glucose readings fromyour compatible Bayer meter. When the pump is on the Home screen, it beeps orvibrates when it receives a blood glucose reading from the meter. Your BG Meterscreen appears, where you can view your current blood glucose reading and, ifnecessary, deliver a bolus. Once received, your BG values will appear on yourpump screen for 12 minutes, along with any insulin that is still active from anyprevious boluses. If your blood glucose reading is outside the range of 70 to 250mg/dL, the pump displays an alert. In this case, treat your low blood glucose orhigh blood glucose as directed by your healthcare professional.The compatible Bayer meter may not be available in all countries.You can also deliver a Normal Bolus or Preset Bolus from your compatible Bayermeter. For more information about setting up your pump to use the Remote Bolusfeature, see Setting up Remote Bolus , on page 112. Consult your healthcareprofessional before using the Remote Bolus feature. Meter 111■ meterMP6025958-022 / ARELEASED

Wirelessly connecting your pump and meterAlways refer to your compatible Bayer meter user guide for instructions onconnecting the meter to the pump.Setting up Remote Bolus Remote Bolus allows you to send a Normal Bolus or Preset Bolus remotely fromyour meter. To access this option, your compatible Bayer meter and pump mustbe wirelessly connected, and the Remote Bolus option on your pump must beturned on. Consult your healthcare professional before using the Remote Bolusfeature.The following procedure describes how to turn the Remote Bolus feature on or off.For information on using Remote Bolus, see the user guide that came with yourcompatible Bayer meter.Note: Remote Bolus default setting is on. To turn on or off Remote Bolus:1. Make sure that your pump and compatible Bayer meter are connected.2. Go to the Remote Bolus screen.Menu > Utilities > Remote BolusThe Remote Bolus screen appears.3. Select Remote Bolus to turn the feature on or off.4. Select Save.Deleting a meter from your pumpFollow this procedure to delete your compatible Bayer meter from the pump. To delete the meter from the pump:1. Go to the Manage Devices screen.Menu > Utilities > Device Options > Manage DevicesThe Manage Devices screen appears.112 Chapter 6MP6025958-022 / ARELEASED

2. Identify and select your meter by the serial number. See your compatibleBayer meter user guide for instructions on locating your serial number.3. Select Delete.4. A screen appears confirming that you would like to delete the device. SelectYes to confirm or No to cancel.■ meter Meter 113MP6025958-022 / ARELEASED

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history and eventsMP6025958-022 / ARELEASED

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History and eventsThis chapter describes the History and Event Markers features. The History screensprovide personal pump therapy details, including information about your insulindeliveries, BG meter readings, sensor glucose (SG) readings, and any alarms andalerts you received. The Event Markers feature allows you to enter and saveinformation, such as manual BG readings, carbohydrates eaten, and exercise.HistoryThe History feature includes the Summary, Daily History, and Alarm History screens.The SG Review and ISIG History screens are available if you are using the Sensorfeature.Summary screenThe Summary screen shows details about past insulin deliveries and meterreadings. If you are using a sensor, the Summary screen also shows informationabout your sensor alerts and sensor glucose readings.You can view historical details for a single day, or you can select multiple days toview an average of all the results for the number of days that you selected. To view your Summary screen:1. Go to the Summary screen.Menu > History > Summary2. Select the time period for the Summary screen.The Summary screen appears, showing information for the number of daysthat you selected. History and events 117■ history and eventsMP6025958-022 / ARELEASED

3. You can scroll down to view the entire screen. If you are using the 1 Dayview, you can use the and buttons on your pump to view the results foreach day in history.Understanding the Summary screenThe Summary screen separates information into five categories:•overview•bolus•BG meter•sensor•SmartGuardSummary screen: overviewThe following table describes the overview portion of the Summary screen.Note: If you are viewing a single day of Summary results, then the valuesshown are the actual results for the selected day. If you are viewing morethan one day of Summary results, then the value is an average of thedays that you selected. Name DescriptionTDD Total daily dose of insulin units.Basal • Insulin units devoted to basal delivery.• Percentage of insulin devoted to basal delivery.Bolus • Insulin units devoted to bolus delivery.• Percentage of insulin devoted to bolus delivery.Total Carbs Daily carbohydrate amount, in grams or exchanges.Summary screen: BolusThe following table describes the bolus portion of the Summary screen:118 Chapter 7MP6025958-022 / ARELEASED

Note: If you are viewing a single day of Summary results, then the valuesshown are the actual results for the selected day. If you are viewing morethan one day of Summary results, then the value is an average of thedays that you selected. Name DescriptionCarb bolus only • Total insulin units delivered using the Bolus Wizard with foodamount only.• Number of times the Bolus Wizard delivered a food bolusonly.BG Correction only • Total insulin units delivered using the Bolus Wizard with BGcorrection amount only.• Number of times the Bolus Wizard delivered a BG correctionbolus only.Carb bolus + BGCorrection• Total insulin units delivered using the Bolus Wizard with foodand BG correction amount.• Number of times the Bolus Wizard delivered a carb and BGcorrection bolus.Manual Bolus • Total bolus insulin units delivered using Manual Bolus, PresetBolus, or Easy Bolus.• Number of bolus deliveries using Manual Bolus, Preset Bolus,or Easy Bolus.Summary screen: BG meterThe following table describes the BG meter portion of the Summary screen:Name DescriptionBG Total number of BG meter readings, including readings from acompatible Bayer meter and BG meter readings enteredmanually.Average BG Average BG meter readings.Meter Low Lowest BG meter readings received from a compatible Bayermeter.■ history and events History and events 119MP6025958-022 / ARELEASED

Name DescriptionMeter High Highest BG meter readings received from a compatible Bayermeter.Manual Low Lowest BG meter readings entered manually.Manual High Highest BG meter readings entered manually.Summary screen: SensorThe following table describes the sensor portion of the Summary screen. If thesensor feature has never been turned on, this portion of the screen does notappear. If the sensor feature was turned on at least once, but is currently turnedoff, this portion of the screen appears gray.Name DescriptionSG Average Average sensor glucose value.SG Std. Dev. Standard deviation of the SG readings.Above High Limit Percentage of SG readings that were above your high glucosealert limit. If you have not set a high glucose alert limit, yourpump uses the default values. For more details on setting yourhigh glucose alert limit, see High settings, on page 156.Within Limits Percentage of SG readings that were between your high andlow glucose alert limits. If you have not set your high and lowglucose alert limits, your pump uses the default values. Formore details on setting your high and low glucose alert limits,see High settings, on page 156 and Low settings, on page 157.Below Low Limit Percentage of SG readings that were below your low glucosealert limit. If you have not set a low glucose alert limit, yourpump uses the default values. For more details on setting yourlow glucose alert limit, see Low settings, on page 157.Alert before high Number of Alert before high alerts that occurred.Alert on high Number of Alert on high alerts that occurred.Rise Alert Number of Rise alerts that occurred.Alert before low Number of Alert before low alerts that occurred.Alert on low Number of Alert on low alerts that occurred.120 Chapter 7MP6025958-022 / ARELEASED

Summary screen: SmartGuardThe following table describes the SmartGuard portion of the Summary screen. Fordetails on the SmartGuard feature, see SmartGuard, on page 152.Name DescriptionSuspend before low The average number of Suspend before low events per day.Suspend on low The average number of Suspend on low events per day.Time suspended bysensorThe average duration (amount of time) suspended as a result ofSuspend on low or Suspend before low events per day.# SG readings Number of SG readings per day.Daily HistoryThe Daily History screen displays a list of actions you performed on your pump orevent entries that you made for the selected day, such as your BG meter readings,bolus deliveries, any temp basal rates you have used, and so on. The list displaysthe most recent action or event first. From this list, you can display further detailsabout any action or event. To view your Daily History:1. Go to the Daily History screen.Menu > History > Daily HistoryA list of dates appears.2. Select a specific date of history to view. A list appears with any pump actionsor events entered on the specified day.3. You can select any item in the list to open the Detail screen, which displaysmore information about the selected action or event. For example, if you viewthe details of a bolus delivered using the Bolus Wizard, the Detail screenshows you all of the data associated with that bolus, such as the BGcorrection amount, active insulin adjustment, carbs entered, and calculatedbolus.■ history and events History and events 121MP6025958-022 / ARELEASED

Alarm HistoryThe Alarm History screen displays a list of alarms and alerts that occurred on theselected day. The list displays the most recent alarm or alert first. From this list, youcan display further details about any alarm or alert. To view your Alarm History:1. Go to the Alarm History screen.Menu > History > Alarm HistoryA list of dates appears.2. Select a specific date of alarm history to view. A list appears showing anyalarms or alerts that occurred on the specified day.3. You can select any alarm or alert in the list to open the Alarm Detail screen,which displays more information about the selected alarm or alert.Using Sensor Glucose ReviewThe Sensor Glucose Review feature allows you to view a graph of your SG history,based on high and low limits you enter. You can view information for one day, orview an average of your SG data over a number of days.This Sensor Glucose Review feature is available if you are using the Sensor feature.Note: The limits that you set in this screen are for the purpose ofviewing your sensor glucose data only, and are not the same as the Highand Low Alert Limits used for your sensor alerts. Changing your SensorGlucose Review limits does not affect your high and low glucose limits. To review your sensor glucose history:1. Go to the SG Review screen.Menu > History > Sensor Glucose ReviewThe SG Review screen appears. The high and low limits that appear are eitherthe values you entered for the last SG Review, or the default values of180 mg/dL for the High Limit and 70 mg/dL for the Low Limit.122 Chapter 7MP6025958-022 / ARELEASED

SG ReviewLow LimitDays to AverageHigh Limit22:00180 mg/dL70 mg/dL1Next2. Enter the High Limit and Low Limit that you want to use for the sensorglucose review.There must be a minimum of 20 mg/dL difference between the high and lowSG limits.3. Enter the number of days of sensor glucose history to average, and selectNext.A graph of your SG data appears. If you specified one day of history to view,the graph shows details about when your SG was above, below, or withinyour specified limits. You can scroll down to view the number of hours andpercentage of time you were above, within, and below your SG limits.If you have no data saved, a message appears on the screen letting you knowthere is no data available.35025015050mg/dLSG Review4:00Fri, Jan 1812 3 6 9 12 15 18 21 24If you view information for multiple days, the graph shows the averagepercentage of time that your SG was above, below, or within your specificlimits.■ history and events History and events 123MP6025958-022 / ARELEASED

Within 9:00 hr 38 %SG Review7 Days (Avg/Day)Below707:00 hr15 %Above1808:00 hr33 %4:00ISIG HistoryISIG represents a signal measured by the sensor that is used to calculate yoursensor glucose value. The ISIG History feature shows the history of your ISIG valuesover the previous 24-hour period. This information is primarily used by supportpersonnel for troubleshooting, and is available only after you have turned on theSensor feature. To view your ISIG History:1. Go to the ISIG History screen.Menu > History > ISIG History2. Select a time for which you want to view the ISIG history. The ISIG historyappears for the hour you selected.Event MarkersThe Event Markers feature allows you to electronically save certain types ofinformation.When using this feature, enter events when they happen because the systemrecords the time of the entry. You cannot change entries after you have put theinformation into your pump. You can view your saved events in the Daily Historyscreen.The entered information can be sent to CareLink™ Personal therapy managementsoftware. There it can be used to generate reports you can share with yourhealthcare professional. To enter Event Markers:1. Go to the Event Markers screen.Menu > Event Markers124 Chapter 7MP6025958-022 / ARELEASED

2. Select and enter event information for any of the following categories:BG If you are not using the Bolus Wizard or a compatible Bayermeter to record your BG meter readings in your pump, you canenter them here. If you are using a sensor, you may use a BGmeter reading you enter here for calibration. You can also enternon-calibration BG meter readings, such as those readings takenwhen eating or when your BG is rising or falling rapidly.Injection Enter the number of units of any insulin you have given byinjection.Note: Insulin units entered using the injectionevent marker are not added to your ActiveInsulin amount tracked on the pump. Food Enter the amount of carbohydrates that you have eaten ordrunk that have not been entered in the Bolus Wizard. Forexample, you might enter carbs that you ate to correct a lowBG.Do not enter carbs here that you have already entered in theBolus Wizard.Exercise Enter the length of time you exercised. It is helpful to beconsistent and enter the information either before or after eachtime you exercise.Other Examples of Other event markers can include when you takemedications, when you feel ill, or when you are under stress.■ history and events History and events 125MP6025958-022 / ARELEASED

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remindersMP6025958-022 / ARELEASED

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RemindersReminders help you remember to do important routine activities. There are specificreminders that prompt you to check your BG after a bolus, give a food bolus,check your reservoir level, and change your infusion set. There are also personalreminders you can use for any purpose. If you have the sensor feature turned on,the calibration reminder prompts you to calibrate your sensor.Personal remindersThe Personal reminders include six numbered reminders, along with the specificreminders for BG Check and Medication. To create a new Personal reminder:1. Go to the Personal screen.Menu > Reminders > Personal2. Select Add New.The Select Name screen appears showing the available reminders.3. Select the reminder that you want to set.The Edit screen appears for the selected reminder.4. Enter the time that you want the reminder to occur.5. Select Save. The Personal reminder occurs at the specified time each dayunless you change or delete it. To change, rename or delete an existing Personal reminder:1. Go to the Personal screen. Reminders 129■ remindersMP6025958-022 / ARELEASED

Menu > Reminders > Personal2. Select the reminder that you want to change.3. Do one of the following:• Select Reminder to turn this reminder on or off.• Select Edit to change the time of the reminder.• Select Rename to select a new name for this reminder.• Select Delete to delete this reminder.Bolus BG Check reminderBolus BG Check reminder helps you remember to check your blood glucose after abolus. After you start a bolus, the pump asks you when you want to be remindedto check your blood glucose. The timer counts down from the time the bolusstarted.Note: The Bolus BG Check reminder is not available when you deliver abolus using the Remote Bolus feature from your compatible Bayer meter. To turn on or turn off Bolus BG Check reminders:1. Go to the BG Check screen.Menu > Reminders > Bolus BG Check2. To turn the reminder on or off, select Reminder.3. Select Save. To use a Bolus BG Check reminder when delivering a bolus:1. After you turn on the Bolus BG Check reminder, each time you start a bolus,the following screen appears:130 Chapter 8MP6025958-022 / ARELEASED

2. Enter a time from 30 minutes to 5 hours, in 30 minute increments. Select OK.If you do not want a reminder after the bolus, select the dashes withoutadding a time, and then select OK. If needed, press to return to the dashes.Missed Meal Bolus reminderThe Missed Meal Bolus reminder alerts you if a bolus is not delivered within a timeperiod that you set. These time periods are usually set around your typical mealtimes to help ensure a meal bolus is not missed. You can set up to eight MissedMeal Bolus reminders. To create a new Missed Meal Bolus reminder:1. Go to the Missed Meal Bolus screen.Menu > Reminders > Missed Meal Bolus2. Select Add New.3. Select Start Time, and enter a time.4. Select End Time, and enter a time. The time range is from one minute to24 hours.5. Select Save. To turn on or off, change, or delete existing Missed Meal Bolus reminders:1. Go to the Missed Meal Bolus screen.Menu > Reminders > Missed Meal Bolus2. Select one of the reminders that you have already created.3. Change any of the following:• Select Reminder to turn this reminder on or off.• Select Edit to change the time of this reminder.■ reminders Reminders 131MP6025958-022 / ARELEASED

• Select Delete to delete this reminder.Low Reservoir reminderThe Low Reservoir reminder alerts you when the insulin level in your reservoir islow. This feature allows you to program your pump to generate a reminder beforeyour reservoir is empty. You can select one of the following types of Low Reservoirreminders:•Units – alerts you when your reservoir has a specified number of unitsremaining, and then alerts you again when half of remaining units are used.•Time – alerts you when there is a specified amount of time remaining beforeyour reservoir is empty and then again one hour before insulin runs out,depending on your programmed basal insulin delivery.Note: The amount of time or units remaining in your reservoir can befound on the Quick Status screen. For more information on accessing theStatus Screens, see Viewing the Status screens, on page 32. If you use Time for your Low Reservoir reminder, be aware that the reminder timeis based only on your basal insulin delivery rate. If you give a bolus, the timeremaining will decrease more quickly.For example, if your reservoir has 10 hours remaining when you go to bed atnight, and you sleep for eight hours without giving any bolus insulin, you will stillhave two hours of basal insulin remaining when you wake up. In contrast, supposeyour reservoir has 10 hours remaining when you leave the house for work in themorning. If you give boluses to cover your mid-morning snack and your lunch, thenumber of hours remaining decreases accordingly, and your insulin will run outbefore you end your eight-hour work day.WARNING: When the pump detects a low reservoir conditionduring a bolus or fill cannula delivery, the Low reservoir alertdisplays. When delivery has finished, check the amount left in thereservoir to make sure your pump does not run out of insulin, asthis could lead to an under delivery of insulin. 132 Chapter 8MP6025958-022 / ARELEASED

Low Reservoir reminder setup:1. Go to the Low Reservoir screen.Menu > Reminders > Low Reservoir2. Select Type to set the reminder using either Units or Time.3. Depending on the type you selected, do one of the following:• Select Units to enter the number of units. You can set a value from5 units to 50 units.• Select Time to enter the number of hours you want to use for yourreminder. You can enter from 2 to 24 hours.4. Select Save.Set Change reminderThe Set Change reminder helps you remember to change your infusion set. Afteryou turn on this reminder, it automatically tracks the time between infusion setchanges and reminds you to change your infusion set. To turn on or off, or change the Set Change reminder:1. Go to the Set Change screen.Menu > Reminders > Set Change2. Select Reminder to turn the reminder on or off. If you turn on the reminder,select Time and choose two or three days for the reminder.3. Select Save.Calibration remindersThe Calibration reminder is available if you are using the Sensor feature. Thisfeature helps you remember to calibrate your sensor. For example, if you set yourreminder to four hours, you receive a Calibrate By alert four hours before the nextBG meter reading is due. To turn on or off, or change the Calibration reminder:1. Go to the Calibration screen.Menu > Reminders > Calibration■ reminders Reminders 133MP6025958-022 / ARELEASED

2. Select Reminder to turn the reminder on or off.3. If you turn on the reminder, select Time and enter a time between 5 minutesand 6 hours.4. Select Save.134 Chapter 8MP6025958-022 / ARELEASED

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General settingsThis chapter provides information about common tasks for various settings.Airplane ModeAirplane Mode temporarily stops wireless communication with your pump. Usethis mode during airline travel when you are instructed to turn off wireless devices.Check airline policies for specific instructions about operating medical devicesduring a flight. Check local airport policies for specific instructions about medicaldevices and security procedures.The following table provides special instructions when using Airplane Mode andadditional devices with your pump:When usingthis device:Do this:CompatibleBayer meterWhen Airplane Mode is turned on, the Remote Bolus feature is notavailable, and you must enter BG meter readings manually. WhenAirplane Mode is turned off, use your compatible Bayer meternormally.Non-linked BGmeterUse your non-linked BG meter normally whether Airplane Mode ison or off. General settings 137■ general settingsMP6025958-022 / ARELEASED

When usingthis device:Do this:Sensor andtransmitterWhen Airplane Mode is turned on, your pump does not receivesensor readings from your transmitter. Your transmitter continues tocollect your sensor readings, and can store up to 10 hours of sensordata.When Airplane Mode is turned off, it can take up to 15 minutesbefore the pump and the transmitter start to wirelesslycommunicate again. The transmitter begins to send the last10 hours of your sensor information to the pump.When you turn off Airplane Mode:• If Airplane Mode was turned on for six hours or less, wait15 minutes for the sensor and transmitter to wirelessly send yourpump the missing sensor glucose readings.• If Airplane Mode was turned on for more than six hours,disconnect and reconnect the transmitter and sensor, and thenselect Reconnect Sensor when it appears on the pump screen. To turn on or turn off Airplane Mode:1. Go to the Airplane Mode screen.Menu > Utilities > Airplane Mode2. Select Airplane Mode to turn the feature on or off.3. Select Save.When Airplane Mode is turned on, the status bar shows the Airplane Modeicon in place of the Connection icon.Audio OptionsThe Audio Options screen lets you change the volume of most alerts andnotifications, and set the audio and vibrate settings. You can choose one of thethree audio options:• audio• vibrate138 Chapter 9MP6025958-022 / ARELEASED

• audio and vibrateThe audio option that you are currently using displays on the status bar. For moreinformation, see Status bar, on page 28. To adjust the audio and vibrate settings:1. Go to the Audio Options screen.Menu > Audio Options2. Select the Audio or Vibrate option you want to use.3. If Audio or Audio & Vibrate option is selected, the volume can be changed.Select Volume and use left or right button to the desired level.4. Select Save.Auto SuspendAuto Suspend is a safety feature that stops all insulin delivery and sounds an alarmif you do not press any buttons for a specified period of time. For example, yourhealthcare professional may have you set the time based on the number of hoursthat you typically sleep at night. Discuss with your healthcare professional how tobest use this feature. To set up Auto Suspend:1. Go to the Auto Suspend screen.Menu > Insulin Settings > Auto Suspend2. Select Alarm.3. Select Time and enter the number of hours that you want to set.4. Select Save.Block ModeThe Block Mode feature allows caregivers, such as parents of a young child, torestrict access to critical pump settings.Caution: You can still manually suspend the pump while in blockmode. This could result in high blood glucose and ketoacidosis.■ general settings General settings 139MP6025958-022 / ARELEASED

When Block Mode is on, you cannot start a new bolus delivery, start a new basalpattern, or start a new temp basal delivery. However, any previous bolus and basaldeliveries continue normally, and the pump user can stop a bolus delivery at anytime.When your pump is in Block Mode, you can suspend insulin delivery, receive SGvalues, receive BG values from a compatible Bayer meter, review history, test thepump, and clear alarms and alerts. However, you cannot change any settings.WARNING: Block Mode does not prevent Remote Bolus deliveriesfrom your compatible Bayer meter. When your pump is in BlockMode, you can still deliver a bolus from your compatible Bayermeter using the Remote Bolus feature. To turn Block Mode on or off:1. Go to the Block Mode screen.Menu > Utilities > Block2. Select Block Mode to turn the feature on or off.3. Select Save. While Block Mode is turned on, a lock icon displays on thestatus bar.If you are turning on Block Mode, a message appears asking if you would liketo change your Remote Bolus setting as well. This message appears only ifthe Remote Bolus setting was on.4. Select Yes to change Remote Bolus setting.5. Select Remote Bolus to turn the feature on or off.6. Select Save.Carb UnitThe Carb Unit setting determines whether to enter and display carbohydrates ingrams (g) or exchanges (exch). You enter carbohydrate information when usingthe Bolus Wizard and recording food in Event Markers. To change the Carb Unit setting:1. Go to the Carb Unit screen.140 Chapter 9MP6025958-022 / ARELEASED

Menu > Utilities > Carb Unit2. Select either Grams or Exchanges.3. Select Save.Display OptionsThe Display Options allow you to increase or decrease the brightness of yourscreen. From the Display Options screen, you can also adjust the amount of timethe backlight stays on after you press a button. To adjust the display options:1. Go to the Display Options screen.Menu > Utilities > Display Options2. Select Brightness to adjust the brightness of your screen. You can set a levelfrom 1 to 5, or select Auto to have the screen automatically adjust to yourcurrent environment.Note: The brightness setting you select can affect the life of yourbattery. For a longer lasting battery, consider using a lower levelsetting. 3. Select Backlight to adjust the timeout for the backlight on your pump screen.You can select 15 seconds, 30 seconds, 1 minute, or 3 minutes.Note: The backlight can affect the life of your battery. For a longerlasting battery, consider setting the screen timeout to 15 seconds. 4. Select Save.LanguageYou can change the language that your pump uses to display information. To change the Language setting:1. Go to the Language screen.Menu > Utilities > Language■ general settings General settings 141MP6025958-022 / ARELEASED

A checkmark indicates which language is active.2. Select your desired language.3. Select Yes when the confirmation message appears.Managing your pump settings Manage Settings lets you save, restore, or clear your settings.The following table describes the Manage Settings options:Save Settings Saves a record of your current settings that you can use if afuture event requires you to re-enter your settings.Restore Settings Allows you to restore your settings, using the backupsettings that you saved using the Save Settings feature.Clear AllSettingsErases your settings and returns them to the factory defaults.To use your pump again after clearing all settings, you mustuse Restore Settings. This enables you to restore a previousversion of your settings or enter your settings again.Clear ActiveInsulinThis option appears only if you have never cleared youractive insulin. Use this feature when you are ready to useyour pump with insulin for the first time. You can only clearyour active insulin once.Settings History Displays a history of recent activities that relate to managingyour settings, such as saving, clearing, and restoring yoursettings.Saving your settingsSaving a record of your settings allows you to restore your settings at a later date,if necessary. To save your current settings:1. Go to the Manage Settings screen.Menu > Utilities > Manage Settings2. Simultaneously press and hold and until the Manage Settings menuappears.3. Select Save Settings.142 Chapter 9MP6025958-022 / ARELEASED

If these are the first settings you have saved, a message appears telling youthat your settings are saved.If you have previously saved settings, a message appears asking if you wouldlike to replace your previous settings with your current settings. Select Yes toaccept. Select No to cancel.Restoring your settingsThis option allows you to replace your current pump settings with the last settingsthat you have saved. The Restore Settings menu option is available only if youhave previously saved your settings. To restore your previous settings:1. Go to the Manage Settings screen.Menu > Utilities > Manage Settings2. Simultaneously press and hold and until the Manage Settings menuappears.3. Select Restore Settings.4. To replace your current settings with your previous settings, select Yes. Tocancel, select No.Clearing your settingsThe Clear All Settings feature erases your current settings and returns them to thefactory defaults. After you clear your settings, your pump displays the StartupWizard, where you can re-enter your pump settings. You must re-enter yoursettings to continue using your pump.The Clear All Settings feature does not delete wireless connections to otherdevices, such as your transmitter or compatible Bayer meter.Caution: Do not clear the settings on the pump unless directed byyour healthcare professional. If you clear your settings, you must re-enter all your personal settings as directed by your healthcareprofessional. ■ general settings General settings 143MP6025958-022 / ARELEASED