Medtronic MiniMed 512 Paradigm 512 User Manual mp6024875 012 a

Medtronic MiniMed, Inc. Paradigm 512 mp6024875 012 a

UserManual.wiki >

Medtronic MiniMed >

512 User Manual

manual

Paradigm® 512Model MMT-512User Guidemp6024875_012_a.book Page 1 Monday, June 23, 2003 10:54 AM

© 2003, Medtronic MiniMed. All rights reserved.BD Logic™ is a trademark of Becton, Dickinson and CompanyDual Wave™ is a trademark of Medtronic MiniMed.Easy Bolus™ is a trademark of Medtronic MiniMed.Energizer® is a trademark of Eveready Battery Company.Glucagon Emergency Kit® is a trademark of Eli Lilly and Company.Paradigm® is a trademark of Medtronic MiniMed.Paradigm Link™ is a trademark of Medtronic MiniMed.Quick-serter® is a trademark of Medtronic MiniMed.Quick-set® Plus is a trademark of Medtronic MiniMed.Silhouette® is a trademark of Medtronic MiniMed.Sof-set® is a trademark of Medtronic MiniMed.Square Wave™ is a trademark of Medtronic MiniMed.U.S., international, and foreign patent applications are pending.6024875-012 5/03mp6024875_012_a.book Page 2 Monday, June 23, 2003 10:54 AM

PLEASE READ THIS ENTIRE USER GUIDE BEFORE YOU TRY TO OPERATE YOUR PUMP.mp6024875_012_a.book Page i Monday, June 23, 2003 10:54 AM

mp6024875_012_a.book Page ii Monday, June 23, 2003 10:54 AM

Table of contents iTable of contentsGlossary .............................................. iYour personal information ...........................vBasal rate ............................................................................................................. vInsulin type ........................................................................................................ viCarb ratios (meal bolus info) ....................................................................... viBG targets ......................................................................................................... viInsulin sensitivity ............................................................................................ viIntroduction ...................................... viiPurpose .............................................................................................................. viiAccessories ...................................................................................................... viiHow to wear your pump ............................................................................... viiHow to use this guide .................................................................................. viiiChapter 1 Before you begin... ................... 1Availability ................................................................................................................ 1Assistance ............................................................................................................... 1Emergency kit ........................................................................................................ 1Reservoir and infusion sets .............................................................................. 2Practice, practice, practice... .......................................................................... 2Chapter 2 The basics... ......................... 3Your pump .......................................................................................................... 3Install battery .................................................................................................... 4Pump buttons .................................................................................................... 6mp6024875_012_a.book Page i Monday, June 23, 2003 10:54 AM

ii Table of contentsThe pump screen ..............................................................................................7Is my pump on? ..................................................................................................... 7Scroll bar .................................................................................................................. 7Screen backlight ................................................................................................... 7Beep/vibrate ......................................................................................................7HOME screen ..................................................................................................... 8Operating modes ............................................................................................. 8Menus ....................................................................................................................9STATUS screen ...............................................................................................10Alert conditions ................................................................................................11What to do.... ......................................................................................................... 11Low reservoir alert ................................................................................................11Low battery alert ...................................................................................................11Alerts for special features ...........................................................................12If you remove your pump... ..........................................................................12Pump settings ......................................................................................................12Insulin .......................................................................................................................12Chapter 3 Basic programming ...................13Setting the time and date ............................................................................ 13BG reminder ......................................................................................................14Bolus ....................................................................................................................15Normal bolus .........................................................................................................15from the menu, or .................................................................................................15using the EXPRESS BOLUS button .................................................................15Review your bolus deliveries ......................................................................20Bolus details ...........................................................................................................21Maximum bolus limit .....................................................................................22mp6024875_012_a.book Page ii Monday, June 23, 2003 10:54 AM

Table of contents iiiBasal ....................................................................................................................23Start and stop times ........................................................................................ 23Your basal settings ............................................................................................24Basal programming and delivery ..................................................................24Basal review .........................................................................................................26Current basal delivery .........................................................................................26Daily basal rate(s) .................................................................................................26Max basal rate .................................................................................................28Stopping your pump ......................................................................................29Resume pump delivery ..................................................................................31Chapter 4 Starting on insulin ................... 33Prepare your pump for use ......................................................................... 33Filling the reservoir .......................................................................................34Changing your infusion set .........................................................................36Removing the reservoir ................................................................................... 36Rewinding your pump ...................................................................................... 37Inserting the reservoir in your pump ......................................................... 38Manual prime ....................................................................................................... 39Insert the infusion set ......................................................................................40Sof-set infusion set .............................................................................................40Silhouette infusion set ........................................................................................40Quick-set Plus infusion set (with Quick-serter) .......................................41Disconnecting Quick-set Plus ............................................................................. 43Reconnecting Quick-set Plus .............................................................................. 43Fixed prime ...........................................................................................................44Prime history ....................................................................................................45Record keeping for diabetes management ..........................................45Determining your pump settings .............................................................46mp6024875_012_a.book Page iii Monday, June 23, 2003 10:54 AM

iv Table of contentsUsing your daily journal ................................................................................46Chapter 5 Using Bolus Wizard ..................49What is it? .........................................................................................................49Information you need... ................................................................................49Food entry .............................................................................................................49Your BG reading ..................................................................................................49Your personal Bolus Wizard settings ..........................................................49How the Bolus Wizard works ..................................................................... 52More about Bolus Wizard... .............................................................................52About high or low BG levels... ...........................................................................52About maximum delivery .................................................................................. 53About active insulin ............................................................................................. 53How to program Bolus Wizard .................................................................. 54Bolus Wizard on/off ..........................................................................................54Carb units ..............................................................................................................54Carb/Exch ratios .................................................................................................55BG units ..................................................................................................................56Insulin sensitivity .................................................................................................56BG targets .............................................................................................................57Review your Bolus Wizard settings ......................................................... 59Meter option .................................................................................................... 59Meter rules ...........................................................................................................60Add, delete, review meter IDs ......................................................................60Normal bolus using Bolus Wizard ..............................................................62Chapter 6 Optimizing pump therapy ............67Square Wave and Dual Wave bolus .......................................................... 67Dual Wave/Square Wave bolus on-off ......................................................67mp6024875_012_a.book Page iv Monday, June 23, 2003 10:54 AM

Table of contents vSquare Wave or Dual Wave bolus without Bolus Wizard ................... 68Using Bolus Wizard for a Square Wave or Dual Wave bolus .............72Easy bolus ..........................................................................................................74Easy bolus setup .................................................................................................74Step value setup ...................................................................................................74Deliver Easy Bolus .............................................................................................. 75Basal patterns ..................................................................................................77Patterns on/off .................................................................................................. 77Program a pattern ............................................................................................. 78Select a pattern ................................................................................................. 79Temp basal rates .............................................................................................81How does temp basal work? ..........................................................................81Temp basal types ...............................................................................................81Insulin rate ...............................................................................................................82Percent of basal .................................................................................................... 83Selecting temp basal type .............................................................................84Deliver a temp basal .........................................................................................84Verifying temp basal delivery ....................................................................... 85Canceling a temp basal .................................................................................... 85Chapter 7 Insulin pump therapy follow-up ..... 89Chapter 8 Utilities .............................. 91Alarm review ....................................................................................................91Alarm details .........................................................................................................91Setting your alert type ..................................................................................91Auto-off ............................................................................................................92Low resv warning (Low reservoir warning) ..........................................92Review daily insulin totals ............................................................................93mp6024875_012_a.book Page v Monday, June 23, 2003 10:54 AM

vi Table of contentsPersonal reminders ........................................................................................94Alarm clock ...........................................................................................................94Remote control option .................................................................................94Turn on remote control option .....................................................................95Add, delete, review remote control IDs ...................................................95Block feature ...................................................................................................96Turn block on .......................................................................................................96Selftest ..............................................................................................................98Clear pump .......................................................................................................99Select your insulin type .............................................................................. 100Language setting .......................................................................................... 101Chapter 9 Troubleshooting and alarms ........ 103Troubleshooting ............................................................................................103My pump has a no delivery alarm... ............................................................ 103What happens if I leave the battery out too long? .............................104Why doesn’t my pump battery last very long? ....................................104What is a check settings alarm? .................................................................104My screen appears distorted... ...................................................................104I can’t get out of the priming loop... .........................................................105The pump is asking me to rewind... ........................................................... 105My bolus stopped... ..........................................................................................105My pump buttons are not acting right during a bolus... .....................105My pump won’t display my BG reading from my meter... ................106Alarms .............................................................................................................. 106What to do .......................................................................................................... 107Alarm conditions .......................................................................................... 108A (Alarm) .............................................................................................................108mp6024875_012_a.book Page vi Monday, June 23, 2003 10:54 AM

Table of contents viiAuto off ............................................................................................................... 108Batt out limit ...................................................................................................... 108Bolus stopped .................................................................................................... 108Button error ....................................................................................................... 108Check settings .................................................................................................. 108E (Error) ............................................................................................................... 108Empty reservoir ................................................................................................ 108Failed batt test ................................................................................................. 109Is priming complete? ...................................................................................... 109Max delivery ....................................................................................................... 109Motor error ........................................................................................................ 109No delivery ......................................................................................................... 109No reservoir ...................................................................................................... 109Off no power .................................................................................................... 109Reset ..................................................................................................................... 109Chapter 10 Pump maintenance ................ 111Battery ............................................................................................................... 111Storage .............................................................................................................. 111Cleaning your pump ..................................................................................... 112Precautions ..................................................................................................... 112Special circumstances ................................................................................. 113Chapter 11 User safety ....................... 115Indications ....................................................................................................... 115Contraindications .......................................................................................... 115Warnings .......................................................................................................... 115Reservoir and infusion sets ........................................................................... 115X-rays, MRIs and CT scans ............................................................................ 115mp6024875_012_a.book Page vii Monday, June 23, 2003 10:54 AM

viii Table of contentsPrecautions ..................................................................................................... 116Precautions - infusion sets and sites .........................................................116Notice ................................................................................................................117Insulin pump and RF accessories ................................................................. 117Chapter 12 Pump specifications ............... 119Alarms and error messages ....................................................................... 119Alarm history .................................................................................................. 119Backlight ........................................................................................................... 119Basal ................................................................................................................... 119BG target ......................................................................................................... 119Bolus delivery ................................................................................................ 120Bolus history .................................................................................................. 120Bolus units ...................................................................................................... 120Bolus Wizard .................................................................................................. 120Carb ratios ...................................................................................................... 120Carb units ........................................................................................................ 120Daily totals ...................................................................................................... 120Default screen .............................................................................................. 120Delivery accuracy ......................................................................................... 120Drive motor ..................................................................................................... 121Dual Wave bolus ............................................................................................ 121Easy bolus ........................................................................................................ 121Infusion pressure .......................................................................................... 121(insulin) sensitivity ........................................................................................ 121Insulin type ...................................................................................................... 121Low resv (reservoir) warning .................................................................... 121Meter value .................................................................................................... 122Normal bolus .................................................................................................. 122mp6024875_012_a.book Page viii Monday, June 23, 2003 10:54 AM

Table of contents ixOcclusion detection .................................................................................... 122Percent temp basal ..................................................................................... 122Power supply ................................................................................................. 122Prime function ............................................................................................... 122Prime history .................................................................................................. 123Program safety checks .............................................................................. 123Pump size ........................................................................................................ 123Pump weight .................................................................................................. 123Remote control ............................................................................................. 123Reservoir ......................................................................................................... 123Square Wave bolus ...................................................................................... 123Status screen ................................................................................................. 124Temporary (temp) basal rate .................................................................. 125Time and date screen ................................................................................. 125Water tight ..................................................................................................... 125Bolus Wizard specifications ...................................................................... 126Default settings ............................................................................................ 129Icon table ........................................................................................................ 130Index ........................................... 131Menu map ...................................... 135mp6024875_012_a.book Page ix Monday, June 23, 2003 10:54 AM

x Table of contentsmp6024875_012_a.book Page x Monday, June 23, 2003 10:54 AM

xi Practice lessons and examplesBolus examplesMeal bolusExample #1 Normal meal bolus using the exchange system ................................................ 16Bolus practice: ................................................................................................................................ 16Normal meal bolus practice using exchanges: ......................................................................... 16Example #2: Normal meal bolus using carbohydrate counting ........................................... 17Normal meal bolus practice using carbohydrate counting: .................................................. 17Correction bolusExample #3: Meal bolus, correction bolus and insulin sensitivity ...................................... 18Practice: Meal bolus ....................................................................................................................... 19Max bolusExample #1: Max bolus .................................................................................................................22Example #2: Max bolus ................................................................................................................22Basal examplesBasal programmingPractice: Basal programming .......................................................................................................25Max basalExample #1: Max Basal .................................................................................................................28Example #2: Max Basal ................................................................................................................28Suspend/Resume examplesExample: Suspend function ..........................................................................................................30Practice: Suspend function ..........................................................................................................30Practice: Resume basal delivery after a suspend ................................................................... 31mp6024875_012_a.book Page xi Monday, June 23, 2003 10:54 AM

xiiBolus Wizard examplesExample #1: Bolus Wizard, BG on target (normal BG) ..........................................................64Example #2: Bolus Wizard, BG above target (high BG) .......................................................64Example #3: Bolus Wizard, Blood glucose below target (low BG) .....................................65Example #4: Bolus Wizard, Blood glucose above target (high BG) with active insulin .65Square Wave bolus examplesExample #1: Square Wave bolus, Use of a Square Wave bolus while eating a meal high in fat .........................................................................................................69Example #2: Square Wave bolus, (gastroparesis) .................................................................69Your turn: Square Wave bolus practice ....................................................................................69Dual Wave bolus examplesExample #1: Dual Wave bolus Set a Dual Wave bolus for a barbecue style dinner ......70Example #2: Dual Wave bolus, Set a Dual Wave bolus for correcting elevated BG before a meal .....................................................................................................70Your turn: Dual Wave bolus practice ......................................................................................... 71Easy bolus examplesExample #1: Easy bolus ................................................................................................................76Your turn: Easy bolus practice ....................................................................................................76Basal patterns examplesExample #1: Basal patterns .........................................................................................................80Example #2: Basal patterns ........................................................................................................80Your turn: .........................................................................................................................................80Temp Basal examplesExample #1: Temp Basal for a decreased temporary basal rate .......................................86Example #2: Temp Basal for an increased temporary basal rate ......................................86Your turn: .........................................................................................................................................87Block examplesExample #1: Block ..........................................................................................................................97Example #2: Block .........................................................................................................................97mp6024875_012_a.book Page xii Monday, June 23, 2003 10:54 AM

Glossary i GlossaryAAccept - Pressing the ACT button to approve the selection or setting.Active Insulin -Bolus insulin that has been delivered to your body, but has not yet been used. Alarm -Audible or vibrating (silent) notice that indi-cates the pump is in Attention mode and immediate attention is required. Alarms are prefixed in the alarm history with the letter A.Alarm clock- Feature you can set to go off at speci-fied times of the day.ALARM HISTORY- Screen that displays the last twelve alarms/errors that have occurred on your pump.Alert-Audible or vibrating (silent) indicator that noti-fies you the pump needs attention soon or that you should be reminded of something. Insulin delivery continues as programmed.Attention mode - Operating mode that stops all cur-rent insulin delivery. This mode indicates an alarm or condition exists that requires immediate attention.BBacklight - Pump screen light. Turns on whenever the down button is pressed from the HOME screen, or during an alarm (except LOW BATT).Basal Rate - The pump setting that provides a con-tinuous infusion of insulin to keep the blood glucose stable between meals and during the night. Basal insulin mimics pancreatic insulin delivery --which meets all the body’s non-food related insulin needs. BASAL REVIEW - Screen that shows a record of your daily basal insulin delivery for the past 14 days. BG - Blood GlucoseBG reminder - Feature that you can set to remind you to check your blood glucose after a bolus. BG target - normal blood glucose level BG unit - blood glucose unit of measure (mg/dl or mmol/L)Block -Feature that restricts access to all programming except suspend, selftest and the delivery of a bolus with the remote control. Bolus - A dose of insulin given to cover an expected rise in blood glucose (such as the rise after a meal) or to lower a high blood glucose down to target range. BOLUS HISTORY - This screen displays the last twenty-four (24) boluses delivered by your pump.Bolus Wizard - Feature that calculates the bolus amount based on personal information of the pump user.CCarb ratio- (Carbohydrate ratio) Used when counting carbohydrates in grams. The amount of carbohydrates covered by one unit of insu-lin. (Also see exch ratio.)Carb units -The food entry when using the Bolus Wizard. Entered as (carbohydrate) grams or exchanges.CH - Carbohydratemp6024875_012_a.book Page i Monday, June 23, 2003 10:54 AM

ii GlossaryCorrection bolus - The amount of insulin needed to return a high blood glucose level back down to target range. Correction bolus factor - How much 1.0 unit of insulin will lower your blood glucose. This factor is used to calculate a correction bolus amount when your blood sugar is high.(BG level) – (BG target) = X. X ÷ (corr bolus factor) = corr bolus amountDDaily totals - Shows the total insulin delivered (basal and bolus) in the last 24-hours. Maximum records: 14 daysDKA - Diabetic KetoacidosisDual Wave bolus - Combination of a Normal bolus that is delivered immediately, then followed by a Square Wave bolus. The Square Wave portion is deliv-ered evenly over a period of time.Duration - Amount of time it takes to administer a bolus or basal delivery. Also, length of time for an action or condition.EEasy bolus - Method of delivery for a Normal bolus that using the Easy Bolus button .Exch ratio - (Exchange ratio) Used when counting carbohydrates as exchanges. The amount of insulin required to cover one (1) carbo-hydrate exchange. (Also see carb ratio.)Express bolus - Method of delivery for any bolus type using the express bolus button .FFixed prime - Fills the cannula with insulin. This is done after you insert the infusion set into your body and remove the introducer needle.Food bolus - A dose of insulin given to cover the expected rise in blood glucose that occurs after eat-ing.GGastroparesis -A condition of the digestive system that slows down the emptying of food from the stomach.HHbA1c - Glycosylated hemoglobin HDL - high-density lipoprotein A complex of lipids and proteins in approximately equal amounts that functions as a transporter of cholesterol in the blood. IIdle - The pump is at the HOME screen.Ins sensitivity - The amount that your blood glucose (BG) level is reduced by one unit of insulin. (Bolus Wizard data)Insulin type -Type of insulin used: U100 fast acting or U100 regular.mp6024875_012_a.book Page ii Monday, June 23, 2003 10:54 AM

Glossary iii LLDL - low-density lipoprotein A complex of lipids and proteins, with greater amounts of lipid than protein, that transports cholesterol in the blood. Link -To turn on and setup the meter option that allows the pump to receive BG readings from the Paradigm Link meter.Low resv warning - Programmable warning that notifies you with an alert when either a specified number of units remain in the reservoir or a specified amount of time remains before the reservoir will be empty.MManual bolus - Selectable item available in the BOLUS MENU when Bolus Wizard is active. One method of programming a bolus without Bolus Wizard. (see “Set bolus”)Manual prime - Fills the infusion set tubing with insu-lin before you insert the set into your body. (This function is available after a rewind) Max bolus - The maximum amount of bolus insulin that the pump will deliver at one time. (set by the user)Max basal insulin - The maximum amount of basal insulin that the pump will deliver at one time. (set by the user)Meter - The Paradigm Link Blood Glucose Monitor Powered by BD Logic Technology (Paradigm Link meter). Your pump can be programmed to receive your BG readings from this meter.Meter option - Feature that allows the pump to receive BG readings from the Paradigm Link meter.NNormal mode - Regular operating mode. No special features are active, no alert or alarm conditions exist. Insulin delivery is normal during this mode.Normal bolus - An immediate delivery of a specified unit amount of insulin. Now - The “Normal” portion of a Dual Wave bolus. The now portion delivers immediately and is then followed by the Square portion.PPattern feature - Extended pump feature that allows you to program optional basals (Pattern A, Pattern B) that support activities that are not a part of your day-to-day routine, but are usual in your life-style. Such activities could be a sport that you do once a week or a change in your sleep pattern over the weekend. Pattern, standard - Your normal basal that sup-ports your usual day-to-day activity. When the Pat-terns feature is off, the pump uses your standard (basal) pattern.Press - To push and release a button. Prime - (see fixed prime or manual prime)RResume - Restarts basal delivery after the pump is suspended.Rewind - The pump drive moves back to its starting position to prepare the pump for a new reservoir.RF - Radio frequencymp6024875_012_a.book Page iii Monday, June 23, 2003 10:54 AM

iv GlossarySScroll - Press the up or down arrow buttons to move through the screen text. Select - Pressing the up or down arrow buttons to highlight a desired screen item.Set bolus - Selectable item available in the BOLUS MENU when Bolus Wizard is inactive. One method of programming a bolus without Bolus Wizard. (see “Manual bolus”)Special mode - Operating mode that indicates one or more special functions is active or a condition exists that requires attention. Square Wave bolus - Immediate bolus delivered evenly over a specified time period (30 minutes to 8hours).Square Wave portion - (Sq) The second part of a Dual Wave bolus. The Square Wave portion delivers evenly over a period of time after the NOW portion delivers.Status screen - Displays the current operations of the pump, including active functions, the most recent basal and bolus deliveries, reservoir informa-tion, and battery condition.Step - Measurement of insulin that you set and use for Easy Bolus delivery.Suspend - Function that stops all insulin delivery. Any current bolus and/or prime deliveries are canceled. The basal delivery is paused until restarted.TTemp - TemporaryTemp basal - (Tmp basal) Temporary one-time basal insulin with a specified amount and duration. Used to support insulin needs for special activities or condi-tions that are not part of the normal daily routine.UuL - Units per Litermp6024875_012_a.book Page iv Monday, June 23, 2003 10:54 AM

Your personal information v Your personal informationYou may need the following information from your healthcare professional before going to your pump start appointment. If you are unsure, contact your healthcare professional or pump trainer for instructions.NOTE - This information is not for the Bolus Wizard. Refer to chapter 5 for Bolus Wizard settings.Basal rateBasal insulin is required to maintain your target glucose values when you are not eating. Your pump can be pro-grammed with up to three (3) basal patterns (standard, pattern A, pattern B) to accommodate your varying insulin needs on different days (example: weekday versus week-end day). Each pattern can have up to 48 basal rates. When you first start pump therapy, you may only have to pro-gram one or two basal rates. Get your basal rate settings from your healthcare professional.Standard Basal rate number Start time Basal rate(units per hour)#1 midnight#2#3(additional basal rates)#4#5#6#7#8Pattern A Basal rate number Start time Basal rate(units per hour)#1 midnight#2#3(additional basal rates)#4#5#6#7#8Pattern B Basal rate number Start time Basal rate(units per hour)#1 midnight#2#3(additional basal rates)#4#5#6#7#8mp6024875_012_a.book Page v Monday, June 23, 2003 10:54 AM

vi Your personal information Insulin typeYour pump is sent from the factory with the insulin type set to U100 fast acting. The insulin type can also be set to U100 regular acting.Carb ratios (meal bolus info)Your carb ratios are used to calculate your meal boluses.If you count grams: this ratio is the number of carb grams covered by one (1) unit of insulin.If you count exchanges: this ratio is the number of insulin units you need to cover one carb exchange.BG targets BG targets are the levels that your BG (blood glucose) should be and are required for pump therapy. Keeping your BG within target range is important for living well with diabetes. Your healthcare professional should help you determine these targets.Insulin sensitivity Your insulin sensitivity value indicates how much your blood glucose is reduced by 1 unit of insulin. Your insulin sensitivity values are used to calculate your cor-rection boluses for high BG.My insulin type is: U100 fast actingU100 regular actingWhen (grams/u or u/exch)breakfastlunchdinnersnacksWhen BG Target (mg/dL or mmol/L)before meals:2 hours after meals:bedtime:before driving:1 unit of insulin will lower my BG: mg/dL or mmol/Lmp6024875_012_a.book Page vi Monday, June 23, 2003 10:54 AM

Introduction vii IntroductionThank you for choosing Medtronic MiniMed as your partner in helping you gain better control of your diabetes. Whether you are beginning pump therapy for the first time or upgrading from a previous model, we believe that the combination of state-of-the-art technology and the simple, menu-driven programming of the pump will pro-vide many benefits. PurposeThis user guide is designed to help you to understand pump therapy and the operation of your pump. We strongly recommend that you work closely with your healthcare professional for a safe and complete pump start. Your pump is for insulin therapy to help you maintain a stable blood glucose target throughout the day. Based on your settings, the pump delivers your custom basal automatically and continuously 24-hours a day. It also pro-vides bolus deliveries to support your immediate insulin needs for food intake and/or high blood glucose. The Bolus Wizard feature can calculate your bolus amount for you based on your personal settings. Accessories➠Meter: Your pump can be used with the optional Paradigm Link Blood Glucose Monitor powered by BD Logic Technology. You can program your pump to automatically receive your BG reading from this meter.➠Remote control: The optional Paradigm remote control can be used with the pump to deliver boluses and suspend the pump from a distant location. How to wear your pumpThere are a different ways to wear your pump. Medtronic MiniMed has accessories that can hide, protect, and add to the convenience of wearing a pump. Refer to the accessories catalog or the website (www.minimed.com) for .➠Holster: to wear the pump on your belt.➠Pump clip: to wear the pump underneath your clothing. ➠Activity guard: If you are active in sports, or you are a child, use the guard to protect the pump from disconnecting.mp6024875_012_a.book Page vii Monday, June 23, 2003 10:54 AM

viii Introduction How to use this guideFor step-by-step instructions, refer to the applicable sections in this guide. Refer to the Glossary for defin-tions of terms and functions. The terms and symbols used in the step-by-step instructions are in the table below. Term / symbol Meaning“Press” to push and release the button“Hold” to push and keep pressure on the button“Select” to press/ to highlight a screen item you want to select“Exit the menus” Press ESC until the HOME screen appearsPump Buttons always bold and uppercase; for example, ESC, ACTScreen and menu names always uppercase; for example, MAIN MENU, REWIND screen Menu selections always bold; for example, 12-Hour Setup, On, Offflashing (blinking) screen item you can change the value for that item with the / buttonsNOTE- and TIP - additional helpful information for the preceding textCAUTION: warns of a potential hazard which, if not avoided, may result in minor or moderate injury to the equipment WARNING: notifies you of a potential hazard which, if not avoided, could result in death or serious injury. It may also describe potential serious adverse reactions and safety hazards“Go to the...screen.” when a step instructs you to “Go to” a screen, the path to that screen is shown. For example:1. From the MAIN MENU, select Utilities and press ACT.2. In the UTILITIES MENU, select Alarm and press ACT. 3. The ALARM MENU appears. Go to the ALARM MENU. Main > Utilities > Alarmmp6024875_012_a.book Page viii Monday, June 23, 2003 10:54 AM

2Chapter 1 Reservoir and infusion setsThe Medtronic MiniMed Paradigm infusion system includes the pump, reservoirs and infusion sets. The pump is intended for use with a Paradigm reservoir. Medtronic MiniMed provides a variety of Paradigm infusion sets to fit your needs. Installation instructions for Paradigm reservoir and infusion sets are provided in chapter 4.To order supplies call800-646-4633 (1-800-MiniMed)818-576-5555 (outside U.S.)www.minimed.comPractice, practice, practice...Before you begin pump therapy, it is important that you become familiar with your pump. WARNING: For your protection the pump has undergone extensive testing to confirm appropriate oper-ation when used with Paradigm reservoirs and Paradigm infusion sets manufactured or dis-tributed by Medtronic MiniMed. We recommend using Medtronic MiniMed infusion sets and reservoirs as we cannot guarantee appropriate operation if the pump is used with reservoirs or infusion sets offered by third-parties and therefore we are not responsible for any injury or malfunctioning of the pump that may occur in association with such use. Do Do NOT➠Read Book 1, “Introduction to Pump Therapy”➠Watch the instructional video➠Read this book➠Complete the practice exercises in this book (Refer to the table of contents for a list of practice exercises.)➠Explore and navigate the pump menus➠Practice programming a bolus➠Practice programming a basal rate➠Practice using the Medtronic MiniMed Pump school online at http://pumpschool.minimed.com➠DO NOT install a reservoir into the pump while you are practicing➠DO NOT, under any circumstances, begin insulin therapy without guidance from your healthcare professional mp6024875_012_a.book Page 2 Monday, June 23, 2003 10:54 AM

3 Chapter 2The basics...Your pumpTake a look at your pump. The reservoir window allows you to view the insulin in the reservoir. The reservoir with the tubing connector attached, is inserted into the reservoir compartment of the pump. CAUTION: Never use sharp objects to press the buttons on your Paradigm pump as this can damage the but-tons or compromise the watertight seal of the pump. Some examples of sharp objects that may damage your keypad are fingernail files, pens or pencils, paperclips, knives, scissors, and keys.ACTESCACTESCreservoirwindowscreenbatterycompartmenttubingconnectorreservoircompartmentbuttonsmp6024875_012_a.book Page 3 Monday, June 23, 2003 10:54 AM

4Chapter 2 Install batteryMedtronic MiniMed designed the pump to only accept a NEW battery. As a safety measure, if you install a bat-tery that does not have full power, the “failed batt test” alarm will sound. The pump uses one AAA alkaline bat-tery.1. Use the edge of a quarter to remove the battery cap. Turn the cap in a counter-clockwise direction. 2. Put the battery in the pump with the negative end [(-) symbol] going in first. Check the label on the back of the pump to make sure the battery is inserted correctly.NOTE - Do not use batteries that have been in cold storage (i.e., in the refrigerator or your car in the winter).3. Place the battery cap on the pump so that the slot is aligned in the orientation shown here: 4. Turn the battery cap clockwise 4 half-turns so the slot is aligned horizontally with the pump as shown here: Do NOT apply force when you turn the cap. CAUTION: Do not use a rechargeable or carbon zinc battery in your pump. A new AAA Alkaline Ener-gizer battery is strongly recommended. The use of any other battery type may not offer the same battery performance.CAUTION: Do NOT over-tighten the battery cap. You should not turn the cap more than four (4) half-turns. If you over-tighten the cap you may not be able to remove it, and you can damage your pump. Align the cap slot horizontally with the pump.one half-turnone half-turnmp6024875_012_a.book Page 4 Monday, June 23, 2003 10:54 AM

The basics... 5 5. While the pump turns on, it will show various screens until the HOME screen appears.If the HOME screen does not appear, do these steps:a. Check that the battery is inserted correctly. If the battery has been installed backwards, remove the battery and install a NEW battery.b. If your pump still does not turn on or you get a FAILED BATT TEST alarm, remove and replace the bat-tery with a new one.c. If the pump is still not on, call the Medtronic MiniMed 24-hour Product Help Line.6. Check to make sure the time and date are correct. If this is the first battery installed, or if more than 5 minutes have passed since you removed the battery, you must program the time and date. Refer to the section, “Set-ting the time and date” in chapter 3 for programming instructions. NOTE - If you do not program and verify the time and date, the CHECK SETTINGS alarm will occur as a reminder to check your time and date. 7. Press ESC to view the STATUS screen, making sure no alarms are active. If an alarm is active, follow the instructions on the screen.MiniMed MiniMedMiniMed7MiniMed(HOME screen)Ver 1.2Amp6024875_012_a.book Page 5 Monday, June 23, 2003 10:54 AM

6Chapter 2 Pump buttonsThe buttons on the pump are used to navigate through the menus and screens, and to program the features of the pump. From the HOME screen...(Easy Bolus button)Shortcut to set and deliver an Easy Bolus.Turns the backlight on/off.Opens the MAIN MENU.(express bolus button)Short-cut to the BOLUS MENU to setup any bolus type. Opens the STATUS screen.From the menus and programming screens...Increases / decreases value of a flashing item.Scrolls up and down the items in a list.Accepts a selected menu item or activates a selected setting. Returns the screen to the previous screen. Backs out of an unintentional menu selection if the ACT button has not been pressed yet.EXPRESSBOLUSbuttonESC buttonACT buttonDOWN buttonUP button(From the HOME screen, this is the EASY BOLUSbutton.)mp6024875_012_a.book Page 6 Monday, June 23, 2003 10:54 AM

The basics... 7 The pump screenThe screen shows five lines of text at one time. The first is the operating mode. The second is the current open menu or function. The last three lines show either information or text that you can select for the current function. NOTE - The screen text in the examples used in this guide might not exactly match the text on your pump screen. Please follow your pump screen instructions. If you have any questions, call the Medtronic MiniMed 24-hour Product Help Line.Is my pump on?When the pump is on, the word “MiniMed” always appears across the top of the screen. If “MiniMed” does not appear, the pump is not operating.Scroll barIf there is more text than the screen can show, a scroll bar appears in the right side of the screen. Press to view any additional text.Screen backlightWhen you press from the HOME screen, the light on the screen turns on or off. During programming, the light will stay on while you are pressing any of the pump buttons. It will turn off automatically 30 seconds after the last button is pressed.To conserve your battery, the backlight will turn off automatically while the pump is vibrating. After the vibra-tion is finished, the light will turn back on.Beep/vibrateYour pump will beep or vibrate to indicate activity. Refer to the section, “Setting your alert type” in chapter 8 for setup instructions. indicates the pump isoperatingMiniMedscroll barMiniMedmp6024875_012_a.book Page 7 Monday, June 23, 2003 10:54 AM

8Chapter 2 HOME screenThe HOME screen serves as the starting point to access the programming screens. When no buttons are pressed for about 30 seconds, the pump returns to this screen. When you press ACT from the HOME screen, the MAIN MENU will appear.Operating modesThe screen lets you know when a special feature is active or if there is a condition that needs your attention. The active features and pump status will determine the operating mode. The screens for the three modes are shown below. Normal - mode for standard pump operations for normal basal and bolus delivery. No special features are active (i.e., basal patterns, temp basal, etc.). No alarms and no alerts exist. Special - indicates a special feature is active or an alert condition(s) exists. Special mode does not restrict any of the pump functions. When the pump is in Special mode, open circles appear across the top of the screen and it will beep/vibrate peri-odically to remind you of the condition. The conditions and features that will put the pump in Special mode are: Attention - indicates insulin delivery has stopped. Either an alarm is active or an alarm condition exists that needs immediate attention for insulin delivery to resume. Solid circles appear across the top of the screen and the pump will beep periodically until the condition is cleared. The screen will show text describing the condition that put the pump in Attention mode. For example, if the reservoir is empty, “Empty Res-ervoir” will appear on the screen. ➠Low Reservoir condition➠Low Battery condition➠Block feature is on➠Dual or Square Wave bolus delivery➠Basal pattern A or B is active➠Temporary basal deliveryin the HOME screen, the area below “MiniMed” is blank.MiniMed MiniMedACT MAIN MENUBolusSuspendBasalNormal ModeMiniMedMiniMedSpecial ModeMiniMedAttention Modemp6024875_012_a.book Page 8 Monday, June 23, 2003 10:54 AM

The basics... 9 When the pump is in Attention mode, it will beep/vibrate periodically to remind you of the condition. The beep/vibrate frequency varies depending on the condition that caused the alarm. Refer to the section, “Alarm conditions” in chapter 9 for the conditions that will trigger the Attention mode. When the pump is in “Attention mode,” all insulin deliveries are stopped.MenusThe MAIN MENU is the highest level menu. There are submenus, functions, status and programming screens in the lower menu levels. The menus are described in the following paragraphs. A diagram of the menu structure is at the back of this user guide. TIP - If a screen item is flashing (blinking), during programming, press / to change the value.MAIN MENU - Highest menu level in the menu system. When you press ACT from the HOME screen, the MAIN MENU will appear.BOLUS MENU - Contains the settings and function for bolus deliveries. The button allows direct access to the BOLUS MENU without having to navigate through the menus. SUSPEND - Stops all current insulin deliveries (basal, bolus and fixed prime). Refer to section, “Stopping your pump” in chapter 3 for more information.BASAL MENU - Contains the functions to setup and deliver your basal. Refer to the section, “Basal” in chapter 3 for more information.PRIME MENU - Contains the functions required to change your reservoir and fill the infusion set with insulin. Refer to the section, “Changing your infusion set” in chapter 4 for more information.UTILITIES MENU - Contains features for your safety and convenience. Refer to chapter 8, “Utilities” for more information.mp6024875_012_a.book Page 9 Monday, June 23, 2003 10:54 AM

10 Chapter 2 STATUS screenThe STATUS screen shows information about what your pump is doing. The information that shows on the STATUS screen depends on the current activities and conditions of your pump. The screen includes information about:Refer to chapter 12, “Specifications” for a complete list of the information that is available is in the STATUS screen. NOTE - Only check your pump status (press ESC) when you are not programming your pump. If you press ESC during programming, you will cancel the settings you are trying to enter. ➠recent insulin deliveries (basal and bolus) ➠reservoir status ➠time and date➠special features that are turned on ➠battery status ➠insulin type➠To open the STATUS screen................................... Press ESC until the STATUS screen appears.➠To view more text on the STATUS screen........ Press / to scroll and view all of the information.➠To exit the STATUS screen ..................................... Press ESC until the STATUS screen disappears.STATUS 10:59A U100fastLast Bolus: N 3.8U9:07A 18 MARBasal 1: 0.15U/HReservoir Started:13MAR, 12:44PUnits left: 144UTime left: > 24 HoursReminder at 2:04PMiniMedMeter: OnBattery: NormalAuto Off - 12HRFri 21 MAR 2003S/N# 123456Sample STATUS screenModel 512VER 1.2A 1.1 OB OBmp6024875_012_a.book Page 10 Monday, June 23, 2003 10:54 AM

The basics... 11 Alert conditionsYour pump has a sophisticated network of safety checks and systems. If it detects an unusual condition that requires your immediate attention, it will beep or vibrate periodically to alert you. The pump will go into Special mode (open circles will display), and the backlight will illuminate. Additionally, the alert message will appear on the screen. ➤Why are alerts important? Your pump monitors activities and will alert you if a Special mode is active. Some alerts are a normal part of pump therapy, such as an active temporary basal. There are alerts that indicate a condition that is outside nor-mal pump activity. For example, your pump notifies you with an alert when you need to replace the reservoir (LOW RESERVOIR) or replace your pump battery (LOW BATTERY).What to do....When your pump beeps or vibrates notifying you that an alert condition exists:1. Read and follow the instructions on the screen. Press ESC, ACT to silence an alert. 2. Check the status screen to determine what caused the alert. 3. If the condition is due to a low battery, replace the battery.4. If the condition is due to a low reservoir, monitor the reservoir volume frequently and change the reservoir when appropriate. Make sure you have a new reservoir, infusion set and vial of insulin with you.Low reservoir alert You can program the pump to sound an alert when either a specified number of units remains or a specified amount of time remains before the reservoir will be empty. Low battery alertIf you get this alert, DO NOT go to sleep without replacing the battery. The back-light and the remote and Paradigm Link meter functions are disabled during a LOW BATTERY condition. If the alert type is set to “vibrate,” the pump will change to the audio alert “beep-medium.” Clear this alert before you replace your battery.3:36P LOWRESERVOIRESC, ACT to clearMiniMedLOWBATTERY10:09AReplace battery nowUse 1 AAA alkalineESC, ACT to clearMiniMedmp6024875_012_a.book Page 11 Monday, June 23, 2003 10:54 AM

12 Chapter 2 Alerts for special features Some features put the pump in Special mode, letting you know that an extended feature is active. When the feature is no longer active, the pump will return to Nor-mal mode. Your pump will alert you (with open circles) if any of these extended fea-tures are active: If you remove your pump... Pump settingsYou may have an occasion when you need or want to remove your pump. If you have to remove and store your pump, it is recommended that you store it with the battery in place. Keep a record of your current basal rates. To preserve battery life, reset the basal rates to 0 (zero), turn off the RF options (meter, remote), and set Auto-off to dashes or zeroes.NOTE - Your pump keeps a record of the basal and bolus insulin it delivers. Setting your basal to 0.0 while you are disconnected ensures the insulin delivery records in your pump are accurate.InsulinRemember, your body still needs insulin while your pump is removed. You can remove your pump for up to one (1) hour without taking insulin. If you remove your pump for more than an hour, you will have to use another way to take your insulin, such as injections of short-acting insulin, or reconnecting your pump to take boluses. Take the injection or bolus approximately every four (4) hours. Calculate the amount of insulin to take based on the total of your basal insulin in four (4) hours. Include the amount you need for meal and correction boluses. If you will have your pump off for several days, you will need to return to a multi-ple injection regimen. It is important that you consult with your healthcare professional to determine an alternate method of receiving your insulin. ➠Dual Wave or Square Wave bolus delivery➠Pattern A or B is active➠Temp basal delivery➠Block feature is onMiniMedmp6024875_012_a.book Page 12 Monday, June 23, 2003 10:54 AM

13 Chapter 3Basic programmingSetting the time and dateSetting the correct time and date in your pump is necessary for accurate basal insulin delivery and allows you to keep an accurate record of your insulin delivery and other pump functions. You can select a 12-hour or 24-hour clock. You must reset the time and date if you receive a CHECK SETTINGS alarm or you clear your pump (Clear Pump function).1. Go to the TIME/DATE SETUP screen. Main > Utilities > Time/Date2. Select 12-Hour Setup or 24-Hour Setup and press ACT.3. Press ACT again to change the settings. 4. Change each of the settings as follows: Hour Minutes Year Month DayChange the hour. Press ACT. For 12-hour setups, press / until the correct A (am) or P (pm) appears. Change the minutes. Press ACT. Change the year. Press ACT. Change the month. Press ACT. Change the day. Press ACT. MiniMedTIME / DATE SETUP24 Hour Setup12 Hour Setup ACTMiniMedTIME/DATE SET01JAN200312:00APress ACT to changeMiniMedSET HOUR12:00AMiniMedSET MINUTES9:00A 2003MiniMedSET YEAR SET MONTH01MiniMed MiniMedSET DAY01mp6024875_012_a.book Page 13 Monday, June 23, 2003 10:54 AM

14 Chapter 3 BG reminderWhen you deliver a bolus you may want to check your BG afterwards. The BG reminder is an optional feature that beeps or vibrates to remind you to check your blood glucose after a bolus. Your pump is set at the factory with this feature turned off. If the BG reminder is on, during bolus programming your pump will ask for the amount of time you want to be reminded after your bolus delivers. This time can be from 30 minutes to 5 hours, or NONE. If you do not want to use the BG Reminder at all, set the option to off.1. Go to the BG REMINDER SETUP screen. Main > Bolus > BG Reminder2. Select On and press ACT. The BG reminder is now enabled. Exit the menus. Now, the next time you program a bolus, your pump will ask you for the amount of time after your bolus when you want to be reminded to check your BG. NOTE - If you press ESC when the BG Reminder screen appears, your pump will begin delivering the bolus without setting a reminder. If you program another bolus with a BG reminder before a previously scheduled BG reminder goes off, the previous BG reminder will be canceled.5. The TIME SET AT screen will show the settings that you programmed. Press ACT and exit the menus. Your time/date settings are complete.When the BG reminder goes off, your pump will beep or vibrate and the message “CHECK BG” will appear onthe screen. Your pump will beep or vibrate periodically until it is cleared (ESC, ACT).When you set a BG reminder after a bolus, the STATUS screen will show the amount of time remaining before the reminder will go off. Here, the STATUS screen indicates BG reminder will go off in 18 minutes.TIME SET AT8:33 AM26FEB2003MiniMedAfter a “clear pump” function only: The TIME DATE CORRECT? screen will appear after you set the DAY. Select Yes to confirm the settings and press ACT. Your time/date settings are complete. You must now rewind your pump as described in the section, “Rewinding your pump” in chapter 4.MiniMedBG REMINDER SETUPOffOnMiniMedBG REMINDER2:00(flashing)CHECKMiniMedThis is a reminder12:40PBGto test your BGESC, ACT to clearMiniMedSTATUS 2:53P U100fastBG Reminder in 0:18hBattery: NormalTues 08 APR 2003mp6024875_012_a.book Page 14 Monday, June 23, 2003 10:54 AM

Basic programming 15 BolusThere are three bolus types: Normal, Square Wave, and Dual Wave. This section gives instructions for a Nor-mal bolus using the express bolus button and navigating through the menus. (For information about Square Wave and Dual Wave boluses, refer to chapter 6, “Optimizing pump therapy.”) The Normal bolus delivers an immediate food or correction bolus. It can be delivered at any time except during another Normal bolus. During a Normal bolus, most pump features are disabled until after all the bolus has been delivered. The suspend function and the STATUS screen, however, are always available.Normal bolusNormal bolus can be used to cover the carbohydrate in a meal or snack and/or to correct a blood glucose that is higher than the target that was chosen for you.The following instructions are for a Normal bolus without the Bolus Wizard.4. Press ACT to accept and deliver the bolus. The Normal bolus will start. As the bolus delivers, the amount shown on the screen will increase until the entire bolus has been delivered. from the menu, or using the EXPRESS BOLUS button1. Go to the BOLUS MENU.Main > BolusSelect Set Bolus and press ACT. Go to step 2.Press on your pump. Go to step 2.2. If the SET BOLUS screen appears: (Dual/Square Wave bolus is off)Go to step 3. If the BOLUS TYPE screen appears: (Dual/Square Wave bolus is on) Select Normal Bolus and press ACT. Go to step 3.3. Enter your bolus amount and press ACT.MiniMedBOLUS MENUBolus HistoryBolus Wizard SetupMax BolusDual/Square BolusEasy BolusBG ReminderSet BolusMiniMedSET BOLUS0.0UMiniMedBOLUS TYPESquare Wave BolusDual Wave BolusNormalMiniMedSET BOLUS*0.0UMiniMedSET BOLUS*2.5UACT/* “SET NORMAL BOLUS”will show if Dual/Square Wave is on.MiniMedBOLUS DELIVERY0.1U11:53ANORMALMiniMedBOLUS DELIVERY2.5U11:53ANORMALmp6024875_012_a.book Page 15 Monday, June 23, 2003 10:54 AM

16 Chapter 3 NOTE - The pump will beep/vibrate at the start of the bolus. When the bolus is finished, the pump will beep/vibrate again and the HOME screen will appear. Example #1 Normal meal bolus using the exchange systemNormal bolus can be used to cover the carbohydrate in a meal or snack and to correct a blood glucose that is higher than the target that was chosen for you.Fred has been taught that he needs to take 1 unit of insulin for every carbohydrate exchange that he eats (every milk, every starch or every fruit). For lunch today he will eat:Turkey sandwich with two slices of bread 2 starches1 small apple 1fruit1 cup of non-fat milk 1milk_________Total carbohydrate exchanges = 4Fred's lunch has a total of 4 carbohydrate exchanges so he will take a meal bolus of 4 units for his lunch.Bolus practice: Going through the menus, program a 2.0 unit Normal bolus now.Check here if you were able to program it.Using the express bolus button , program a 2.0 unit Normal bolus now.Check here if you were able to program it.Normal meal bolus practice using exchanges: Choose a meal you might eat and fill in the blanks.Food: ______________ exchange: ____________________________ exchange: ____________________________ exchange: ______________total exchanges: ______________You will take ________ units of insulin for each exchange. Your total bolus is ____________ for this meal.MiniMedmp6024875_012_a.book Page 16 Monday, June 23, 2003 10:54 AM

Basic programming 17 Example #2: Normal meal bolus using carbohydrate countingLydia has been taught that she needs to take 1 unit of insulin for every 10 grams of carbohydrate. This is her insulin to carbohydrate ratio. For dinner she will have:4 oz. broiled chicken 0 grams2/3 cup of rice 30 grams½ cup cooked broccoli 5 grams1 oz. Dinner roll 15 grams1 tsp Margarine 0 grams____________total grams of carbohydrates = 50 gramsLydia's dinner totals 50 grams of carbohydrate. Her insulin to carbohydrate ratio is 1 unit: 10 grams. She will take a meal bolus of 5 units for her dinner. She determined this by dividing 50 (total grams of carbohydrate) by 10 (insulin to carbohydrate ratio).Normal meal bolus practice using carbohydrate counting: Choose a meal you might eat and fill in the blanks.Food: ______________ grams of carbohydrate: ____________________________ grams of carbohydrate: ____________________________ grams of carbohydrate: ______________total grams of carbohydrate: ______________Your insulin to carbohydrate ratio: 1 unit of insulin for ________ grams carbohydrate.Divide your total carbohydrates by your insulin to carbohydrate ratio and take ______ units of insulin for your meal.mp6024875_012_a.book Page 17 Monday, June 23, 2003 10:54 AM

18 Chapter 3 * Insulin sensitivity should equal the amount (in mg/dL or mmol/L) that blood glucose will be lowered after taking 1 unit of insulin. To determine insulin sensitivity, divide 1500 by Total Daily Dose (TDD**) of Insulin . The answer is your “Correction Factor” (1500 Rule). As always, consult with your healthcare professional for guidance.**TDD = Total amount of basal and bolus insulin delivered in a 24-hour day. Example #3: Meal bolus, correction bolus and insulin sensitivity3a.Jason is ready to eat his breakfast. He has calculated that he will need 4.0 units for his food. He tests his blood glucose and finds that it is 200 mg/dl (11 mmol/L). Jason knows that his blood glucose level is above his pre-meal blood glucose target and will need additional insulin before he eats.Jason's healthcare professional has determined the following for him:pre-meal target BG: 110 mg/dL (6.1 mmol/L) *Insulin sensitivity: 30 mg/dL (1.7 mmol/L) 3b.Jason determines that he will need a correction bolus of 3.0 units insulin to lower his elevated blood glucose. The 3.0 correction bolus will lower his current BG of 200 mg/dL (11 mmol/L) to his pre-meal target of 110 mg/dL (6.1 mmol/L). elevated blood glucose: 200 - 110 = 90 mg/dL (11 - 6.1 = 5 mmol/L) correction bolus: 90 / 30 (insulin sensitivity) = 3.0 units (He will add this 3.0 correction bolus to the 4.0 units of insulin that he will need for his meal bolus. Jason will take a total bolus of 7.0 units.)mp6024875_012_a.book Page 18 Monday, June 23, 2003 10:54 AM

Basic programming 19 Practice: Meal bolusYou have determined your meal bolus as: _______ units.Your pre-meal target blood glucose range is: _______ to _______ (average is _______ ).Your current blood glucose level is: _________.Your correction factor is: 1 unit of insulin will drop your BG _________.You will take ________ unit(s) of insulin to correct your high BG level.Your total bolus (meal bolus plus correct bolus is _________. mp6024875_012_a.book Page 19 Monday, June 23, 2003 10:54 AM

20 Chapter 3 Review your bolus deliveriesYou can view a list of your bolus deliveries in the BOLUS HISTORY screen. This screen shows a list of the dates, times, units, and types for your last 24 boluses. This feature is helpful for record keeping or to check if you bolused for your last meal.If a bolus was stopped before delivery was complete, the BOLUS HISTORY screen will show only the amount actually delivered. Refer to the next section, “Bolus details” for instructions about viewing bolus details. Do the following steps to view the BOLUS HISTORY screen:1. Go to the BOLUS HISTORY screen and scroll through the bolus deliveries. Main > Bolus > Bolus HistoryIf you used Bolus Wizard to deliver any of these boluses, the screen shows the carbohydrate/food (CH) and BG values that Bolus Wizard used to calculate the boluses.2. Refer to the instructions in the next section, “Bolus details” to see the details for any of these boluses.MiniMedBOLUS HISTORYLast 12:48P 0.7Ndate05SEPtimeamount/type05SEPN = NormalS = Square WaveD = Dual Wave05SEP 01:05P 0.2NCH: 13 BG: 150Last 12:48P 0.7N06:30P01:05P4.8S0.2N(without Bolus Wizard)MiniMed(with Bolus Wizard)carb valueBG valueBOLUS HISTORYmp6024875_012_a.book Page 20 Monday, June 23, 2003 10:54 AM

Navigation menu

Upload a User Manual

Namespaces

Wiki Guide
HTML
PDF
Info

Views

User Manual
Discussion / Help

Navigation

© 2024 UserManual.wiki | Privacy Policy

Contact Us
DMCA