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

Users Manual 3

The Edit screen for that particular Preset Bolus appears.
4. Select Bolus to set the bolus amount.
5. Select Type to set this as a Normal bolus, Square Wave bolus, or Dual Wave
bolus.
Note: The Type field appears only when you have the Dual Wave
bolus or Square Wave bolus features turned on.
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 the
following:
• 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 Bolus
You cannot delete, rename, or edit a Preset Bolus while it is delivering.
Note: You cannot edit a Dual Wave or Square Wave Preset Bolus when
the Dual Wave or Square Wave features are turned off. You can, however,
rename or delete a Dual Wave or Square Wave Preset Bolus when the
features are turned off.
 
To change, rename, or delete a Preset Bolus:
1. Go to the Preset Bolus Setup screen.
Menu > Insulin Settings > Preset Bolus Setup
The Preset Bolus Setup screen appears, showing any existing Preset Bolus
settings.
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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 change
to a Square Wave bolus, you need to enter the Duration. If you change to
a Dual Wave bolus, you need to enter the Now and Square amounts, and
the Duration.
• Select Rename to assign a different name to this Preset Bolus. When the
Select Name screen appears, you can select any available name from the
list.
• Select Delete to delete this Preset Bolus.
Delivering a Preset Bolus
Follow these steps to deliver a Preset Bolus. You must set up Preset Bolus
deliveries before you can use the Preset Bolus feature. For more information, see
Setting 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 (if
applicable) and any insulin that is still active from previous boluses. For more
information 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.
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Stopping a bolus delivery
The following procedures describe how to stop a Normal bolus or a Dual Wave
bolus during the Now portion delivery, and how to stop a Square Wave bolus or a
Dual Wave bolus during the Square portion delivery.
Note: This procedure describes how to stop a bolus that is in progress. It
does not stop your basal insulin delivery. If you need to stop all insulin
delivery, use the Suspend Delivery feature (Menu > Suspend Delivery).
 
To stop a Normal bolus delivery or the Now portion of a Dual Wave bolus
delivery:
1. While your pump is delivering your Normal bolus or the Now portion of a
Dual 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 bolus
at the same time, or a Normal bolus and the Square portion of a
Dual Wave bolus at the same time, both boluses are stopped.
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 Wave
bolus 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.
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Note: If you are delivering a Normal bolus and a Square Wave bolus
at the same time, or a Normal bolus and the Square portion of a
Dual Wave bolus at the same time, both boluses are stopped.
The Bolus Stopped screen appears and shows the amount of bolus delivered,
and the original bolus amount you set up.
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Reservoir and infusion set
Setting up the reservoir and infusion set
When you are ready to use your pump with insulin, make sure the time and date
are correct on your pump. For details on changing the time and date on your
pump, see Time and date, on page 148. You must also program your settings as
instructed 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 guide
WARNING: If this is the first time you are using your pump with
insulin, and you have practiced giving boluses on your pump, you
need to clear the active insulin value before starting on insulin. For
details, see Clearing your active insulin, on page 144.
Removing the reservoir
If this is the first time you are inserting a reservoir into your pump and you do not
currently have a reservoir loaded, skip to Rewinding your pump, on page 94.
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WARNING: Make sure the infusion set is disconnected from your
body 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 compartment
on your pump, remove it now.
4. Turn the tubing connector a half-turn counter-clockwise, then pull the
reservoir and connector out from the pump.
tubing connector
5. Dispose of the used reservoir and infusion set according to local regulations.
Rewinding your pump
WARNING: Make sure the infusion set is disconnected from your
body before you rewind your pump or fill the infusion set tubing.
Never insert the reservoir into the pump while the tubing is
connected to your body. Doing so could result in an accidental
infusion of insulin, which may cause low BG.
When you rewind your pump, the piston in the reservoir compartment returns to
its starting position and allows a new reservoir to be placed into the pump.
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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 Reservoir
The 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 starting
position. This may take several seconds. During this process, a "Rewinding"
message appears.
Another message appears to let you know that your pump has finished
rewinding, and then the New Reservoir screen appears.
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3. Follow the instructions in the next section to fill your reservoir.
Filling the reservoir
WARNING: Do not use the reservoir or infusion set if any liquid
gets on the top of the reservoir or inside the tubing connector (as
shown in the image). Liquid can temporarily block the vents. This
may result in the delivery of too little or too much insulin, which
can cause hypoglycemia or hyperglycemia. If any liquid gets on the
top of the reservoir or inside the tubing connector, start over with a
new reservoir and infusion set.
Tubing
connector
Top of
reservoir
WARNING: Always allow your insulin to reach room temperature
before use. Cold insulin can cause air bubbles in the reservoir and
tubing which may result in inaccurate insulin delivery.
 
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To fill the reservoir, do these steps:
1. Remove the reservoir from the package, and fully extend the plunger.
plunger
reservoir transfer
guard
1
2. Swab the vial with alcohol (not shown).
3. Press the transfer guard onto the vial without pushing down on the plunger.
vial
3
4. 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 on
top. 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 of
the reservoir.
6
5
4
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7. Slowly push up on the plunger just enough to remove any air bubbles from
the reservoir.
8. Slowly pull down on the plunger to fill the reservoir to the number of units
desired.
9. To avoid getting liquid on the top of the reservoir, flip the vial over so that it
is upright. Turn the reservoir counter-clockwise, then pull straight up to
remove 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 and
continue turning until the reservoir and the connector lock with a click.
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810
7
11. 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 on
the plunger until you see insulin in the tubing.
13. Without pulling, turn the plunger counter-clockwise to remove it from the
reservoir.
11 12 13
14. Select Next from the New Reservoir screen.
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The New Reservoir screen now instructs you to place the reservoir in your
pump.
Note: If the New Reservoir screen has timed out and the Home
screen appears, select Load Reservoir from the Home screen.
15. Follow the instructions in the next section to insert the reservoir into the
reservoir compartment of your pump immediately after filling it.
Inserting the reservoir into your pump
Be sure to perform the following steps in the order they are presented.
Caution: Do not insert the reservoir into your pump for the first time
until you have received training.
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WARNING: Never insert the reservoir into the pump while the
tubing is connected to your body. Doing so could result in an
accidental infusion of insulin, which may cause low BG.
You must rewind your pump before installing a new reservoir to
ensure 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 from
the reservoir compartment.
2. Rewind your pump if you have not yet done so. See Rewinding your pump, on
page 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 the
connector is locked. The tubing connector should be aligned horizontally with
the pump case as shown in the following example.
tubing connector
5. Your pump should be displaying the New Reservoir screen shown in the
following example. Select Next to continue.
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Note: If the New Reservoir screen has timed out and the Home
screen appears, select Load Reservoir from the Home screen. After
the New Reservoir screen appears, you may have to select Next to
get to the screen shown previously.
6. When the reservoir is inserted, select and hold Load until you see a
checkmark on the screen and your pump beeps or vibrates. Holding Load
moves the piston up in the reservoir compartment until it engages with the
bottom 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 tubing
You need to fill the infusion set tubing with insulin before you insert the set into
the body.
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WARNING: Make sure the infusion set is disconnected from your
body before you rewind your pump or fill the infusion set tubing.
Never insert the reservoir into the pump while the tubing is
connected to your body. Doing so could result in an accidental
infusion of insulin, which may cause low BG.
WARNING: Always check your tubing for air bubbles. Continue to
press Fill until the bubbles have been removed from the tubing. Air
bubbles 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 is
positioning the reservoir. Continue holding Fill until insulin droplets form on
the tip of the infusion set needle, then release. Your pump beeps as it fills the
tubing, 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 than
30 units of insulin to fill your tubing. For details, go to Pump alarms, alerts, and
messages, 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 your
body before filling the cannula.
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Inserting the infusion set
WARNING: Do not remove the reservoir from the pump while the
infusion set is connected to your body. This could lead to over or
under 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 the
5.0 cm (2-inch) area around the navel to help ensure a comfortable infusion site
and to help with adhesion.
Caution: Rotate the infusion set insertion sites so that they do not
become overused.
Caution: Change your infusion set every two to three days to avoid
infusion set occlusion or site infection.
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To keep sites healthy, some people find it helpful to use a visual scheme to help
them rotate their insertion sites in an organized way. For example, here are two
commonly used methods. For maximum effectiveness, use both methods,
alternating between them:
• Visualize an imaginary clock drawn on your abdomen surrounding your belly
button. Rotate infusion set insertion sites by starting at 12 o’clock and then
rotate 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 at
the end of one letter and proceed through the letter, rotating to each
intersection in turn.
Medtronic Diabetes offers a variety of infusion sets for your pump. The instructions
for 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 the
infusion set cannula.
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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. Always
refer to the instructions that shipped with your infusion set.
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6
Filling the cannula
Filling the soft cannula with insulin is required after the infusion set is inserted into
your body and the introducer needle is pulled out. The insulin amounts required
to fill the cannula depend on the type of infusion set you are using. Refer to your
infusion set instructions for this information.
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Note: If you are using an infusion set with a needle, you do not need to
fill the cannula. Select Done when the system prompts you to continue
with the fill process.
 
To fill the cannula:
1. After you fill your tubing and insert your infusion set, the Fill Cannula? screen
appears.
Note: If your screen turns off before you are ready to fill your
cannula, 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 a
needle, 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 Fill
Now. If you are unsure about the fill amount, see the instructions that came
with your infusion set.
4. As the cannula starts filling, your screen displays the amount of units being
delivered. The pump beeps or vibrates when the delivery is complete.
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After the cannula is filled, the Home screen appears. Your pump is now ready
to 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 set
As 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 refer
to the instructions that shipped with the infusion set.
Disconnecting the Quick-set infusion set
The Quick-set infusion set allows you the freedom to temporarily disconnect from
your 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.
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Reconnecting the Quick-set infusion set
Place the connector part (flat side facing down) on the infusion site until it is fully
seated. Do not squeeze the connector part by the flat side grips.
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Meter
You can wirelessly connect up to six compatible Bayer meters to your pump. If you
do not connect a meter to your pump, you must enter your blood glucose
readings manually. To wirelessly connect your pump and meter, you will need the
following items:
• MiniMed 640G insulin pump
• Compatible Bayer meter
• Compatible Bayer meter user guide
About your compatible Bayer meter
You can set up your pump to automatically receive blood glucose readings from
your compatible Bayer meter. When the pump is on the Home screen, it beeps or
vibrates when it receives a blood glucose reading from the meter. Your BG Meter
screen appears, where you can view your current blood glucose reading and, if
necessary, deliver a bolus. Once received, your BG values will appear on your
pump screen for 12 minutes, along with any insulin that is still active from any
previous boluses. If your blood glucose reading is outside the range of 70 to 250
mg/dL, the pump displays an alert. In this case, treat your low blood glucose or
high 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 Bayer
meter. For more information about setting up your pump to use the Remote Bolus
feature, see Setting up Remote Bolus , on page 112. Consult your healthcare
professional before using the Remote Bolus feature.
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Wirelessly connecting your pump and meter
Always refer to your compatible Bayer meter user guide for instructions on
connecting the meter to the pump.
Setting up Remote Bolus
Remote Bolus allows you to send a Normal Bolus or Preset Bolus remotely from
your meter. To access this option, your compatible Bayer meter and pump must
be wirelessly connected, and the Remote Bolus option on your pump must be
turned on. Consult your healthcare professional before using the Remote Bolus
feature.
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 your
compatible 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 Bolus
The Remote Bolus screen appears.
3. Select Remote Bolus to turn the feature on or off.
4. Select Save.
Deleting a meter from your pump
Follow 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 Devices
The Manage Devices screen appears.
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2. Identify and select your meter by the serial number. See your compatible
Bayer 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. Select
Yes to confirm or No to cancel.
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History and events
This chapter describes the History and Event Markers features. The History screens
provide personal pump therapy details, including information about your insulin
deliveries, BG meter readings, sensor glucose (SG) readings, and any alarms and
alerts you received. The Event Markers feature allows you to enter and save
information, such as manual BG readings, carbohydrates eaten, and exercise.
History
The 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 Sensor
feature.
Summary screen
The Summary screen shows details about past insulin deliveries and meter
readings. If you are using a sensor, the Summary screen also shows information
about your sensor alerts and sensor glucose readings.
You can view historical details for a single day, or you can select multiple days to
view 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 > Summary
2. Select the time period for the Summary screen.
The Summary screen appears, showing information for the number of days
that you selected.
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3. You can scroll down to view the entire screen. If you are using the 1 Day
view, you can use the and buttons on your pump to view the results for
each day in history.
Understanding the Summary screen
The Summary screen separates information into five categories:
•overview
•bolus
•BG meter
•sensor
•SmartGuard
Summary screen: overview
The following table describes the overview portion of the Summary screen.
Note: If you are viewing a single day of Summary results, then the values
shown are the actual results for the selected day. If you are viewing more
than one day of Summary results, then the value is an average of the
days that you selected.
Name Description
TDD 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: Bolus
The following table describes the bolus portion of the Summary screen:
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Note: If you are viewing a single day of Summary results, then the values
shown are the actual results for the selected day. If you are viewing more
than one day of Summary results, then the value is an average of the
days that you selected.
Name Description
Carb bolus only • Total insulin units delivered using the Bolus Wizard with food
amount only.
• Number of times the Bolus Wizard delivered a food bolus
only.
BG Correction only • Total insulin units delivered using the Bolus Wizard with BG
correction amount only.
• Number of times the Bolus Wizard delivered a BG correction
bolus only.
Carb bolus + BG
Correction
• Total insulin units delivered using the Bolus Wizard with food
and BG correction amount.
• Number of times the Bolus Wizard delivered a carb and BG
correction bolus.
Manual Bolus • Total bolus insulin units delivered using Manual Bolus, Preset
Bolus, or Easy Bolus.
• Number of bolus deliveries using Manual Bolus, Preset Bolus,
or Easy Bolus.
Summary screen: BG meter
The following table describes the BG meter portion of the Summary screen:
Name Description
BG Total number of BG meter readings, including readings from a
compatible Bayer meter and BG meter readings entered
manually.
Average BG Average BG meter readings.
Meter Low Lowest BG meter readings received from a compatible Bayer
meter.
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Name Description
Meter High Highest BG meter readings received from a compatible Bayer
meter.
Manual Low Lowest BG meter readings entered manually.
Manual High Highest BG meter readings entered manually.
Summary screen: Sensor
The following table describes the sensor portion of the Summary screen. If the
sensor feature has never been turned on, this portion of the screen does not
appear. If the sensor feature was turned on at least once, but is currently turned
off, this portion of the screen appears gray.
Name Description
SG 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 glucose
alert limit. If you have not set a high glucose alert limit, your
pump uses the default values. For more details on setting your
high glucose alert limit, see High settings, on page 156.
Within Limits Percentage of SG readings that were between your high and
low glucose alert limits. If you have not set your high and low
glucose alert limits, your pump uses the default values. For
more 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 glucose
alert limit. If you have not set a low glucose alert limit, your
pump uses the default values. For more details on setting your
low 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.
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Summary screen: SmartGuard
The following table describes the SmartGuard portion of the Summary screen. For
details on the SmartGuard feature, see SmartGuard, on page 152.
Name Description
Suspend 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 by
sensor
The average duration (amount of time) suspended as a result of
Suspend on low or Suspend before low events per day.
# SG readings Number of SG readings per day.
Daily History
The Daily History screen displays a list of actions you performed on your pump or
event 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 displays
the most recent action or event first. From this list, you can display further details
about any action or event.
 
To view your Daily History:
1. Go to the Daily History screen.
Menu > History > Daily History
A list of dates appears.
2. Select a specific date of history to view. A list appears with any pump actions
or events entered on the specified day.
3. You can select any item in the list to open the Detail screen, which displays
more information about the selected action or event. For example, if you view
the details of a bolus delivered using the Bolus Wizard, the Detail screen
shows you all of the data associated with that bolus, such as the BG
correction amount, active insulin adjustment, carbs entered, and calculated
bolus.
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Alarm History
The Alarm History screen displays a list of alarms and alerts that occurred on the
selected day. The list displays the most recent alarm or alert first. From this list, you
can display further details about any alarm or alert.
 
To view your Alarm History:
1. Go to the Alarm History screen.
Menu > History > Alarm History
A list of dates appears.
2. Select a specific date of alarm history to view. A list appears showing any
alarms 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 Review
The 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, or
view 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 of
viewing your sensor glucose data only, and are not the same as the High
and Low Alert Limits used for your sensor alerts. Changing your Sensor
Glucose 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 Review
The SG Review screen appears. The high and low limits that appear are either
the values you entered for the last SG Review, or the default values of
180 mg/dL for the High Limit and 70 mg/dL for the Low Limit.
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SG Review
Low Limit
Days to Average
High Limit
22:00
180 mg/dL
70 mg/dL
1
Next
2. Enter the High Limit and Low Limit that you want to use for the sensor
glucose review.
There must be a minimum of 20 mg/dL difference between the high and low
SG limits.
3. Enter the number of days of sensor glucose history to average, and select
Next.
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 within
your specified limits. You can scroll down to view the number of hours and
percentage 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 know
there is no data available.
350
250
150
50
mg/dL
SG Review
4:00
Fri, Jan 18
12 3 6 9 12 15 18 21 24
If you view information for multiple days, the graph shows the average
percentage of time that your SG was above, below, or within your specific
limits.
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Within 9:00 hr 38 %
SG Review
7 Days (Avg/Day)
Below
70
7:00 hr
15 %
Above
180
8:00 hr
33 %
4:00
ISIG History
ISIG represents a signal measured by the sensor that is used to calculate your
sensor glucose value. The ISIG History feature shows the history of your ISIG values
over the previous 24-hour period. This information is primarily used by support
personnel for troubleshooting, and is available only after you have turned on the
Sensor feature.
 
To view your ISIG History:
1. Go to the ISIG History screen.
Menu > History > ISIG History
2. Select a time for which you want to view the ISIG history. The ISIG history
appears for the hour you selected.
Event Markers
The Event Markers feature allows you to electronically save certain types of
information.
When using this feature, enter events when they happen because the system
records the time of the entry. You cannot change entries after you have put the
information into your pump. You can view your saved events in the Daily History
screen.
The entered information can be sent to CareLink™ Personal therapy management
software. There it can be used to generate reports you can share with your
healthcare professional.
 
To enter Event Markers:
1. Go to the Event Markers screen.
Menu > Event Markers
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2. Select and enter event information for any of the following categories:
BG If you are not using the Bolus Wizard or a compatible Bayer
meter to record your BG meter readings in your pump, you can
enter them here. If you are using a sensor, you may use a BG
meter reading you enter here for calibration. You can also enter
non-calibration BG meter readings, such as those readings taken
when eating or when your BG is rising or falling rapidly.
Injection Enter the number of units of any insulin you have given by
injection.
Note: Insulin units entered using the injection
event marker are not added to your Active
Insulin amount tracked on the pump.
Food Enter the amount of carbohydrates that you have eaten or
drunk that have not been entered in the Bolus Wizard. For
example, you might enter carbs that you ate to correct a low
BG.
Do not enter carbs here that you have already entered in the
Bolus Wizard.
Exercise Enter the length of time you exercised. It is helpful to be
consistent and enter the information either before or after each
time you exercise.
Other Examples of Other event markers can include when you take
medications, when you feel ill, or when you are under stress.
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Reminders
Reminders help you remember to do important routine activities. There are specific
reminders 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 personal
reminders you can use for any purpose. If you have the sensor feature turned on,
the calibration reminder prompts you to calibrate your sensor.
Personal reminders
The Personal reminders include six numbered reminders, along with the specific
reminders for BG Check and Medication.
 
To create a new Personal reminder:
1. Go to the Personal screen.
Menu > Reminders > Personal
2. 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 day
unless you change or delete it.
 
To change, rename or delete an existing Personal reminder:
1. Go to the Personal screen.
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Menu > Reminders > Personal
2. 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 reminder
Bolus BG Check reminder helps you remember to check your blood glucose after a
bolus. After you start a bolus, the pump asks you when you want to be reminded
to check your blood glucose. The timer counts down from the time the bolus
started.
Note: The Bolus BG Check reminder is not available when you deliver a
bolus 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 Check
2. 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:
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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 without
adding a time, and then select OK. If needed, press to return to the dashes.
Missed Meal Bolus reminder
The Missed Meal Bolus reminder alerts you if a bolus is not delivered within a time
period that you set. These time periods are usually set around your typical meal
times to help ensure a meal bolus is not missed. You can set up to eight Missed
Meal Bolus reminders.
 
To create a new Missed Meal Bolus reminder:
1. Go to the Missed Meal Bolus screen.
Menu > Reminders > Missed Meal Bolus
2. 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 to
24 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 Bolus
2. 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.
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• Select Delete to delete this reminder.
Low Reservoir reminder
The Low Reservoir reminder alerts you when the insulin level in your reservoir is
low. This feature allows you to program your pump to generate a reminder before
your reservoir is empty. You can select one of the following types of Low Reservoir
reminders:
•Units – alerts you when your reservoir has a specified number of units
remaining, and then alerts you again when half of remaining units are used.
•Time – alerts you when there is a specified amount of time remaining before
your 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 be
found on the Quick Status screen. For more information on accessing the
Status Screens, see Viewing the Status screens, on page 32.
If you use Time for your Low Reservoir reminder, be aware that the reminder time
is based only on your basal insulin delivery rate. If you give a bolus, the time
remaining will decrease more quickly.
For example, if your reservoir has 10 hours remaining when you go to bed at
night, and you sleep for eight hours without giving any bolus insulin, you will still
have two hours of basal insulin remaining when you wake up. In contrast, suppose
your reservoir has 10 hours remaining when you leave the house for work in the
morning. If you give boluses to cover your mid-morning snack and your lunch, the
number of hours remaining decreases accordingly, and your insulin will run out
before you end your eight-hour work day.
WARNING: When the pump detects a low reservoir condition
during a bolus or fill cannula delivery, the Low reservoir alert
displays. When delivery has finished, check the amount left in the
reservoir to make sure your pump does not run out of insulin, as
this could lead to an under delivery of insulin.
 
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Low Reservoir reminder setup:
1. Go to the Low Reservoir screen.
Menu > Reminders > Low Reservoir
2. 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 from
5 units to 50 units.
• Select Time to enter the number of hours you want to use for your
reminder. You can enter from 2 to 24 hours.
4. Select Save.
Set Change reminder
The Set Change reminder helps you remember to change your infusion set. After
you turn on this reminder, it automatically tracks the time between infusion set
changes 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 Change
2. 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 reminders
The Calibration reminder is available if you are using the Sensor feature. This
feature helps you remember to calibrate your sensor. For example, if you set your
reminder to four hours, you receive a Calibrate By alert four hours before the next
BG meter reading is due.
 
To turn on or off, or change the Calibration reminder:
1. Go to the Calibration screen.
Menu > Reminders > Calibration
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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 minutes
and 6 hours.
4. Select Save.
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General settings
This chapter provides information about common tasks for various settings.
Airplane Mode
Airplane Mode temporarily stops wireless communication with your pump. Use
this mode during airline travel when you are instructed to turn off wireless devices.
Check airline policies for specific instructions about operating medical devices
during a flight. Check local airport policies for specific instructions about medical
devices and security procedures.
The following table provides special instructions when using Airplane Mode and
additional devices with your pump:
When using
this device:
Do this:
Compatible
Bayer meter
When Airplane Mode is turned on, the Remote Bolus feature is not
available, and you must enter BG meter readings manually. When
Airplane Mode is turned off, use your compatible Bayer meter
normally.
Non-linked BG
meter
Use your non-linked BG meter normally whether Airplane Mode is
on or off.
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When using
this device:
Do this:
Sensor and
transmitter
When Airplane Mode is turned on, your pump does not receive
sensor readings from your transmitter. Your transmitter continues to
collect your sensor readings, and can store up to 10 hours of sensor
data.
When Airplane Mode is turned off, it can take up to 15 minutes
before the pump and the transmitter start to wirelessly
communicate again. The transmitter begins to send the last
10 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, wait
15 minutes for the sensor and transmitter to wirelessly send your
pump the missing sensor glucose readings.
• If Airplane Mode was turned on for more than six hours,
disconnect and reconnect the transmitter and sensor, and then
select 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 Mode
2. 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 Mode
icon in place of the Connection icon.
Audio Options
The Audio Options screen lets you change the volume of most alerts and
notifications, and set the audio and vibrate settings. You can choose one of the
three audio options:
• audio
• vibrate
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• audio and vibrate
The audio option that you are currently using displays on the status bar. For more
information, see Status bar, on page 28.
 
To adjust the audio and vibrate settings:
1. Go to the Audio Options screen.
Menu > Audio Options
2. 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 Suspend
Auto Suspend is a safety feature that stops all insulin delivery and sounds an alarm
if you do not press any buttons for a specified period of time. For example, your
healthcare professional may have you set the time based on the number of hours
that you typically sleep at night. Discuss with your healthcare professional how to
best use this feature.
 
To set up Auto Suspend:
1. Go to the Auto Suspend screen.
Menu > Insulin Settings > Auto Suspend
2. Select Alarm.
3. Select Time and enter the number of hours that you want to set.
4. Select Save.
Block Mode
The Block Mode feature allows caregivers, such as parents of a young child, to
restrict access to critical pump settings.
Caution: You can still manually suspend the pump while in block
mode. This could result in high blood glucose and ketoacidosis.
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When Block Mode is on, you cannot start a new bolus delivery, start a new basal
pattern, or start a new temp basal delivery. However, any previous bolus and basal
deliveries continue normally, and the pump user can stop a bolus delivery at any
time.
When your pump is in Block Mode, you can suspend insulin delivery, receive SG
values, receive BG values from a compatible Bayer meter, review history, test the
pump, and clear alarms and alerts. However, you cannot change any settings.
WARNING: Block Mode does not prevent Remote Bolus deliveries
from your compatible Bayer meter. When your pump is in Block
Mode, you can still deliver a bolus from your compatible Bayer
meter using the Remote Bolus feature.
 
To turn Block Mode on or off:
1. Go to the Block Mode screen.
Menu > Utilities > Block
2. Select Block Mode to turn the feature on or off.
3. Select Save. While Block Mode is turned on, a lock icon displays on the
status bar.
If you are turning on Block Mode, a message appears asking if you would like
to change your Remote Bolus setting as well. This message appears only if
the 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 Unit
The Carb Unit setting determines whether to enter and display carbohydrates in
grams (g) or exchanges (exch). You enter carbohydrate information when using
the Bolus Wizard and recording food in Event Markers.
 
To change the Carb Unit setting:
1. Go to the Carb Unit screen.
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Menu > Utilities > Carb Unit
2. Select either Grams or Exchanges.
3. Select Save.
Display Options
The Display Options allow you to increase or decrease the brightness of your
screen. From the Display Options screen, you can also adjust the amount of time
the backlight stays on after you press a button.
 
To adjust the display options:
1. Go to the Display Options screen.
Menu > Utilities > Display Options
2. Select Brightness to adjust the brightness of your screen. You can set a level
from 1 to 5, or select Auto to have the screen automatically adjust to your
current environment.
Note: The brightness setting you select can affect the life of your
battery. For a longer lasting battery, consider using a lower level
setting.
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 longer
lasting battery, consider setting the screen timeout to 15 seconds.
4. Select Save.
Language
You 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
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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 a
future event requires you to re-enter your settings.
Restore Settings Allows you to restore your settings, using the backup
settings that you saved using the Save Settings feature.
Clear All
Settings
Erases your settings and returns them to the factory defaults.
To use your pump again after clearing all settings, you must
use Restore Settings. This enables you to restore a previous
version of your settings or enter your settings again.
Clear Active
Insulin
This option appears only if you have never cleared your
active insulin. Use this feature when you are ready to use
your pump with insulin for the first time. You can only clear
your active insulin once.
Settings History Displays a history of recent activities that relate to managing
your settings, such as saving, clearing, and restoring your
settings.
Saving your settings
Saving 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 Settings
2. Simultaneously press and hold and until the Manage Settings menu
appears.
3. Select Save Settings.
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If these are the first settings you have saved, a message appears telling you
that your settings are saved.
If you have previously saved settings, a message appears asking if you would
like to replace your previous settings with your current settings. Select Yes to
accept. Select No to cancel.
Restoring your settings
This option allows you to replace your current pump settings with the last settings
that you have saved. The Restore Settings menu option is available only if you
have previously saved your settings.
 
To restore your previous settings:
1. Go to the Manage Settings screen.
Menu > Utilities > Manage Settings
2. Simultaneously press and hold and until the Manage Settings menu
appears.
3. Select Restore Settings.
4. To replace your current settings with your previous settings, select Yes. To
cancel, select No.
Clearing your settings
The Clear All Settings feature erases your current settings and returns them to the
factory defaults. After you clear your settings, your pump displays the Startup
Wizard, where you can re-enter your pump settings. You must re-enter your
settings to continue using your pump.
The Clear All Settings feature does not delete wireless connections to other
devices, such as your transmitter or compatible Bayer meter.
Caution: Do not clear the settings on the pump unless directed by
your healthcare professional. If you clear your settings, you must re-
enter all your personal settings as directed by your healthcare
professional.
 
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