Roche Diagnostics Diabetes Care GW Accu-Chek Solo micropump User Manual Part 4
Roche Diagnostics GmbH Diabetes Care Accu-Chek Solo micropump Part 4
Contents
User manual Part 4
Creating and Editing a Basal Rate Profile 8.2.3 Deleting a Basal Rate Profile Tap the basal rate profile you want to delete (for example, Profile 3). Tap the symbol in the upper right corner of the screen. If the active basal rate profile is to be deleted, the following display appears. The selected basal rate profile was deleted from the list of available basal rate profiles. Tap Yes to delete the basal rate profile. 169 man_07866364001_A_en.indb 169 28.07.2017 12:17:10 Basal Rate Profiles and Temporary Basal Rates 8.3 Temporary Basal Rates A Temporary Basal Rate (TBR) allows you to temporarily increase or decrease your active basal rate profile on a percentage basis for a specific duration. This helps you to better control your blood glucose level during illness, physical activity or in other situations. Temporary Basal Rates can be set in increments of 10 % over a period of 15 minutes to 24 hours. TBR Settings range Decrease 0–90 % Increase 110–250 % Note jj A TBR can only be programmed when the micropump is running. jj Stopping the pump (Stop mode) stops TBR delivery as well as any bolus delivery. jj When the duration of the TBR has expired, you are informed that the programmed basal rate has finished. 170 man_07866364001_A_en.indb 170 28.07.2017 12:17:10 Creating and Editing a TBR 8.4 Creating and Editing a TBR A Temporary Basal Rate can be programmed, edited and deleted in different ways. Start by using one of the following two options: or On the Status screen, tap the basal rate profile. In the Main menu, tap the Basal rate menu. Tap Temporary basal rate. 171 man_07866364001_A_en.indb 171 28.07.2017 12:17:10 Basal Rate Profiles and Temporary Basal Rates 8.4.1 Programming a TBR Tap Standard TBR. Tap Percentage to enter the percentage of the Temporary Basal Rate. Use and to set the percentage for adjusting the Temporary Basal Rate. Tap Duration to enter the running time for the Temporary Basal Rate. Tap Save. 172 man_07866364001_A_en.indb 172 28.07.2017 12:17:11 Temporary Basal Rates Note You can only activate the TBR if the percentage is less than or greater than 100 % (for example, 90 % or 110 %). cancels the Tapping activation of the standard TBR and takes you to the previous display. Use and to set the hours and minutes for the duration of the standard TBR. Tap Save. Tap Activate. The Standard TBR that was previously active, remains active. To confirm this step and start the standard TBR, press the insulin button lit up in green below the diabetes manager screen. 173 man_07866364001_A_en.indb 173 28.07.2017 12:17:11 Basal Rate Profiles and Temporary Basal Rates 8.4.2 Programming a Customised TBR You can program and save customised Temporary Basal Rates for recurring situations that change your insulin needs. For a customised TBR, the percentage and the duration are saved. These settings are used as default values each time you select this TBR. You also have the option of entering a name for a customised TBR. Example You want to run for 1 hour. You know that your body needs 25 % less insulin during this activity and the subsequent recovery phase of 2 hours. You program a TBR of 75 % for the next 3 hours. The diabetes manager shows the Status screen with the current TBR information. Tap to add a customised TBR. 174 man_07866364001_A_en.indb 174 28.07.2017 12:17:12 Temporary Basal Rates Tap the symbol. Enter the desired name for the Customised TBR (for example, Run). The name may have up to 12 characters. Confirm your entry with Tap Percentage to enter the Percentage for the Customised TBR. Note A customised TBR less than 100 % is indicated by this . A TBR greater symbol than 100 % is indicated by this symbol Use and to set the Percentage for adjusting the Customised TBR. Tap Save. 175 man_07866364001_A_en.indb 175 28.07.2017 12:17:12 Basal Rate Profiles and Temporary Basal Rates Tap Duration to enter the running time for the Customised TBR. Use and to set the hours and minutes for the duration of the Customised TBR. To save your settings for the Customised TBR without starting it, tap Save. The newly programmed Customised TBR appears in the list of Temporary Basal Rates. Tap Save. 176 man_07866364001_A_en.indb 176 28.07.2017 12:17:13 Temporary Basal Rates 8.4.3 Activating a TBR To save and start the TBR straight away, tap Activate. To activate a saved TBR, tap the desired entry in the list of Temporary Basal Rates. To confirm this step and start the TBR, press the insulin button lit up in green below the diabetes manager screen. The activated TBR is displayed on the Status screen. 177 man_07866364001_A_en.indb 177 28.07.2017 12:17:14 Basal Rate Profiles and Temporary Basal Rates 8.4.4 Cancelling a TBR Tap Cancel TBR?. Tap Yes. The active TBR is cancelled. The TBR is deleted from the Status screen. 178 man_07866364001_A_en.indb 178 28.07.2017 12:17:14 9 Replacing System Components In this chapter you will learn how and when the infusion assembly, the reservoir and the pump base should be replaced. The system components must be disposed of according to local regulations after use. Replace the system components early in the morning so that you can check your blood glucose level 1 to 3 hours later. The following table contains guidelines on the period of use of these system components: System component To be replaced Pump base every 4 months (maximum 120 days) Reservoir every 3-4 days (maximum 96 hours) Infusion assembly every 2-3 days (maximum 72 hours) Note jj When system components are replaced, the micropump is automatically stopped. Note that this cancels any ongoing boluses and Temporary Basal Rates. If you want to avoid this, delay system component replacement to a later point in time. jj The average life expectancy of the battery used to supply the micropump with power is 4 days. jj You will find animated videos on replacing system components and operating the micropump in the Main menu of the diabetes manager under the Help menu item. 179 man_07866364001_A_en.indb 179 28.07.2017 12:17:14 Replacing System Components 9.1 Starting the Replacement or 9.2 Replacing the Infusion Assembly Have the following system components at hand for this process: jj Micropump holder jj Cannula jj Insertion device jj Diabetes manager jj Disinfectant or sterile alcohol wipe Start the infusion assembly replacement process by tapping the reservoir symbol on the Status screen or the Replace menu in the Main menu. Note that any ongoing boluses and Temporary Basal Rates will be cancelled and must be programmed again. Always start as follows when replacing the infusion assembly, reservoir or pump base: On the Status screen, tap the area showing the reservoir symbol. or In the Main menu, tap the Replace menu. 180 man_07866364001_A_en.indb 180 28.07.2017 12:17:14 Starting the Replacement Removing the used infusion assembly The display for selecting the system components appears. Tap Replace. Press the flap to detach the micropump and remove the pump from the infusion assembly. Remove the infusion assembly by loosening the edges of the adhesive pad and pulling it off to the centre. Tap Infusion assembly. The micropump will be stopped. 181 man_07866364001_A_en.indb 181 28.07.2017 12:17:15 Replacing System Components Dispose of the used infusion assembly according to local regulations. If you want to see a video on how to replace the infusion assembly, tap Help. Tap Done. Tap Done when you have finished the handling step shown on the screen. jj Check the pulled out cannula to ensure that it has been completely removed. jj If you dampen the infusion assembly with warm water or apply an oily ointment, it becomes easier to pull off the adhesive pad. jj Before you attach the infusion assembly to the body, the new infusion site must be completely dry. jj A new infusion site should be at least 5 cm away from the last infusion site. 182 man_07866364001_A_en.indb 182 28.07.2017 12:17:16 Starting the Replacement Attaching the infusion assembly to the body Follow the handling step instructions in the section Attaching the infusion assembly to the body. Attach the micropump to the infusion assembly. Also observe the warnings and notes given in this chapter as well as the instructions on the screen of the diabetes manager. The infusion assembly is filled. To confirm this step and then restart the micropump and return to the Status screen, press the insulin button lit up below the in green diabetes manager screen. See Chapter 4 in this User’s Manual. Tap Next. 183 man_07866364001_A_en.indb 183 28.07.2017 12:17:16 Replacing System Components 9.3 Replacing the Reservoir Have the following at hand for this process: jj Reservoir assembly jj Insulin vial with U100 insulin jj Disinfectant or sterile alcohol wipe Front and back view of the reservoir assembly Filling aid Reservoir Always fill the reservoir with at least 80 U. The reservoir has a maximum holding capacity of 200 U (2.0 ml). Initiate reservoir replacement by tapping the reservoir symbol on the Status screen or the Replace menu in the Main menu. Note that any ongoing boluses and Temporary Basal Rates will be cancelled and must be programmed again. Protective film for battery Handle for piston rod 184 man_07866364001_A_en.indb 184 28.07.2017 12:17:16 Replacing the Reservoir Removing the reservoir The display for selecting the system components appears. Tap Replace. Press the flap to detach the micropump and remove the pump from the infusion assembly. Remove the used reservoir from the pump base. Tap Reservoir. The micropump will be stopped. 185 man_07866364001_A_en.indb 185 28.07.2017 12:17:17 Replacing System Components Replacing the reservoir See Chapter 4 in this User’s Manual. Dispose of the used reservoir according to local regulations. If you want to see an animated video on how to replace the reservoir, tap Help. Tap Done. Once you have completed the steps shown on the display, tap Done. 186 man_07866364001_A_en.indb 186 Follow the instructions in the sections: jj Filling a new reservoir with insulin jj Connecting the reservoir to the pump base jj Setting the reservoir fill amount jj Filling the reservoir needle jj Attaching the Micropump jj Activating the basal rate profile 28.07.2017 12:17:18 Replacing the Pump Base 9.4 Replacing the Pump Base The pump base can be used for approximately 4 months. It must not be used for longer than that because otherwise the delivery accuracy may be impaired. You will be reminded regularly to replace the pump base before the deadline expires. For information on the remaining running time of the micropump, see the settings in the System information menu. If you replace the pump base, you must also replace the reservoir. Before starting this process, have the following components ready: jj A new pump base jj A new reservoir assembly jj An insulin vial with U100 insulin jj Disinfectant or a sterile alcohol wipe Note jj Refer to the information in Chapter 4 Putting the Micropump Into Operation. jj When you replace the micropump, all pump settings saved in the diabetes manager are preserved. jj Order a new pump base in time before the operating life expires so that you always have a spare pump base available. Always fill the reservoir with at least 80 U. The reservoir has a maximum holding capacity of 200 U (2.0 ml). Initiate pump base replacement by tapping the reservoir symbol on the Status screen or the Replace menu in the Main menu. 187 man_07866364001_A_en.indb 187 28.07.2017 12:17:18 Replacing System Components Removing the pump The display for selecting the system components appears. The display showing the selected system components appears. Press the flap of the infusion assembly. Remove the used micropump from the infusion assembly. Dispose of the used reservoir and the used pump base according to local regulations. Tap Micropump base. The reservoir is automatically selected as well. Tap Replace. Tap Done. The micropump will be stopped. 188 man_07866364001_A_en.indb 188 28.07.2017 12:17:18 Replacing the Pump Base See Chapter 4 in this User’s Manual. Follow the instructions on the screen. Tap Done. Follow the handling step instructions in the sections: jj Filling the reservoir with insulin jj Connecting the reservoir to the pump base jj Pairing the diabetes manager and micropump jj Setting the reservoir fill amount jj Filling the reservoir needle jj Attaching the micropump jj Activating the basal rate profile 189 man_07866364001_A_en.indb 189 28.07.2017 12:17:18 Replacing System Components 190 man_07866364001_A_en.indb 190 28.07.2017 12:17:18 10 10 My Data 10.1 Overview 10.2 Logbook Analysing your therapy data saved in the diabetes manager is an effective way for you and your healthcare professional to determine how your diabetes is developing. This analysis is a valuable tool for making improvements to the treatment of your diabetes. You can display each single logbook entry on the screen of the diabetes manager. There, you will find all the information about blood glucose results along with time of test, carbohydrates, health events and boluses. In addition, you can change or add logbook entries. The diabetes manager generates charts and reports to help you analyse the information saved in the device. Each event in the logbook can be viewed separately. The diabetes manager can also display compilations of therapy data in the form of charts and overviews. The logbook saved in the diabetes manager replaces the handwritten blood glucose diary you may have kept in the past. The diabetes manager automatically stores up to 5,000 logbook entries with the time and date. You can view the most recent 250 logbook entries in the diabetes manager. If you are using a PC with compatible software, you can view all logbook entries. A logbook entry can contain the following: date and time, blood glucose result, time of test, carbohydrate intake, health events, bolus amounts, bolus type and notes 191 man_07866364001_A_en.indb 191 28.07.2017 12:17:18 My Data Note the following: jj The Logbook display shows the entries in the order in which they occurred with the most recent entry shown on top. jj Blood glucose results cannot be entered manually or be subsequently adjusted. jj If you want to add data to a logbook entry, you can also tap the Add data button on the Status screen or in the Main menu. jj Bolus data from the micropump is automatically saved on the diabetes manager. However, the bolus advice feature will initially treat quick boluses that you deliver spontaneously as correction insulin. Therefore, you should edit the quick boluses recorded in the logbook with regard to bolus distribution (meal/ correction insulin) and carbohydrates consumed. jj You should enter any boluses that were delivered independently of bolus advice using an insulin pen or syringe as new data in the logbook. jj The information remains saved in the logbook when the rechargeable battery is replaced. You must, however, check whether the time and date of the diabetes manager are still correct after replacing the battery. jj Once 5,000 entries have been saved in the logbook, adding a new entry causes the oldest logbook entry to be deleted. Save the entries on a PC if you want to keep all entries. jj Although control results are saved in the diabetes manager, they can only be viewed on a computer with suitable software. jj Before reviewing logbook entries on a PC, you first have to transfer the saved logbook entries to a PC that has specific diabetes management software. jj Logbook data that has been used for bolus advice cannot be subsequently adjusted (except notes). 192 man_07866364001_A_en.indb 192 28.07.2017 12:17:18 Logbook 10.2.1 Understanding the Logbook Main menu > My data > Logbook Column for displaying blood glucose information Blood glucose result range and blood glucose result. Column for displaying bolus information Bolus type, bolus advice and bolus amount. Column for displaying carbohydrate information Symbol for carbohydrates and carbohydrate amount. 10 4 Symbol for blood glucose result range information 5 Symbol for bolus type 6 Symbol for bolus advice 7 Symbol for carbohydrates 8 Carbohydrate amount 9 Bolus amount 10 Blood glucose result 11 Symbol for Stop mode 12 Symbol for health event 14 Symbol for note 15 Time of entry man_07866364001_A_en.indb 193 13 Symbol for general time of test 16 Date of entry 193 28.07.2017 12:17:19 My Data Symbol Symbol name Description Blood glucose result range The symbol colours have the following meaning: Blue : above the target range; green : within the target range Yellow : below the target range; red : below the hypo warning limit Standard bolus Bolus insulin from a standard bolus Extended bolus Bolus insulin from an extended bolus Multiwave bolus Bolus insulin from a multiwave bolus Basal insulin Basal insulin from an injection Manual bolus with pen/syringe Bolus was delivered using an insulin pen or syringe. Bolus advice accepted Bolus advice from the diabetes manager was accepted. Bolus advice not accepted Bolus advice from the diabetes manager was changed prior to delivery. Carbohydrates Carbohydrate data exists for the logbook entry. Time of test Data regarding the time of test exists for the logbook entry. Health event Health event data exists for the logbook entry. Pump stopped The micropump was stopped. Notes You entered a note. 194 man_07866364001_A_en.indb 194 28.07.2017 12:17:20 Logbook 10.2.2 Viewing and Adjusting Logbook Data Time of test Carbohydrates Scroll the display upwards or downwards to view additional logbook entries. After tapping a logbook entry, the Logbook entries display shown above appears. On the Logbook entries display, tap Time of test. Tap a time of test (for example, Before meal). On the Logbook entries display, tap Carbohydrates. Enter the amount of carbohydrates you consumed. Tap a logbook entry if you want to view or adjust the details. Tap the entry you want to view or adjust. Tap Save. 10 Tap Save. 195 man_07866364001_A_en.indb 195 28.07.2017 12:17:20 My Data Health events Bolus On the Logbook entries display, tap Health events. On the Logbook entries display, tap Bolus. On the Logbook entries display, tap Note. Tap the appropriate entries. You can select up to 4 health events. The display informs you about the bolus delivered. Type a note to save with this entry. Tap OK. Tap Note The bolus advice feature initially treats quick boluses as correction insulin. Mark the quick boluses in the logbook as a meal bolus or correction bolus according to their purpose. Enter consumed carbohydrates in the logbook. Tap Save. 196 man_07866364001_A_en.indb 196 28.07.2017 12:17:21 Logbook 10 10.2.3 Adding New Data On the Logbook display, tap to add new data to the logbook. Tap the entries you want to add. Note the instructions on the next pages. Note You can also access the Add data display by tapping the Add data function button on the Status screen or in the Main menu. Then tap Save. 197 man_07866364001_A_en.indb 197 28.07.2017 12:17:21 My Data 10.3 Trend Graph 1 Time period The diabetes manager uses the trend graph to display your blood glucose trends, basal rates, boluses, carbohydrates and other information. The logbook entries for the time period selected by buttons, you can move backwards you are used. Using the or forwards in time according to the selected time scale. 198 man_07866364001_A_en.indb 198 2 Events 3 Basal rate Illustrated time period Displays health events or indicates that the micropump was stopped. Blue line: The distance from the top edge of the graph shows the basal rate. Pink bars: Show the amounts of bolus insulin Crosses (x): Individual blood Blood glucose glucose results that are connected result by lines Brown bars: Show the 6 Carbohydrates carbohydrate amount consumed Red line: Warning limit for 7 Hypo warning limit hypoglycaemia Yellow line: Limit value for values Value below target that are below the target range range but that are still above the hypo warning limit. Green area: Range between the Blood glucose lower and upper blood glucose target range threshold 4 Bolus 10 Hyper warning limit 11 Selected time of test Blue line: Warning limit for hyperglycaemia Displays the logbook entries made for this time of test. 28.07.2017 12:17:21 Trend Graph Basal insulin amount Bolus values 10 On the upper left side (U) of the graph, the basal amount is displayed. By means of the scale, you can read the basal insulin amounts, which are represented by the blue basal insulin line. Scaling depends on the largest basal insulin amount delivered during the selected time period. Example The scale comprises a range of 1, 2, 5, 10, 20 and 40 U. For example, if the largest basal insulin amount in the selected time period is 3 U, the scale will show the range from 0 to 5 U. On the lower left side (mmol/L) of the graph, the blood glucose result is displayed. By means of the scale, you can read the blood glucose results, which are represented by a black line. The black line connects the individual test results indicated by a cross. Scaling depends on the largest blood glucose value measured during the selected time period. Blood glucose results Time scale Carbohydrate amount 199 man_07866364001_A_en.indb 199 28.07.2017 12:17:22 My Data On the upper right side (U) of the graph, the bolus amount is displayed. By means of the scale, you can read the bolus values of the pink bars. Scaling depends on the largest bolus delivered during the selected time period. Example The scale comprises a range of 1, 5, 15, 30 or 60 U. For example, if the largest bolus delivered during the selected time period is 8 U, the scale will show the range from 0 to 15 U. On the lower right side (g) of the graph, the carbohydrate amount is displayed. By means of the scale, you can read the carbohydrate values, which are represented by the brown bars. Scaling depends on the largest carbohydrate amount consumed during the selected time period. Example The scale comprises a range of 40, 80, 120, 160, 200 and 240 g, or the equivalent scale for BE, KE or CC. For example, if the largest carbohydrate amount in the selected time period is 86 g, the scale will show the range from 0 to 120 g. 200 man_07866364001_A_en.indb 200 28.07.2017 12:17:22 Trend Graph 10.3.1 Viewing the Trend Graph Time scale Graph options Tap to change the trend graph representation. Tap the setting you want to change. Tap the desired time period. Tap one or more of the available graph options (for example, Bolus) to be displayed in the graph. Tap Save. 10 Tap Save. 201 man_07866364001_A_en.indb 201 28.07.2017 12:17:22 My Data Time of test On the Time of test display you can select which logbook entries are to be represented. Only the logbook entries are displayed for which you entered a certain time of test. Tap the appropriate time of test (for example, After meal). Tap Save. 202 man_07866364001_A_en.indb 202 28.07.2017 12:17:23 Standard Week 10.4 Standard Week Standard week graph The diabetes manager uses the standard week graph to display your blood glucose averages, the individual tests and the standard deviations for the days of a standard week. Using the buttons, you can move backwards or forwards in time according to the selected time scale. Time period Represented time period, for example, 7 days Selected time of test Displays the logbook entries made for this time of test. Warning limit for hyperglycaemia Red line: Hyper warning limit Average Single blood glucose results Blood glucose unit mmol/L of measurement Day of week 10 Monday to Sunday man_07866364001_A_en.indb 203 The standard deviation indicates how the blood glucose results are scattered around the blood glucose average. A high standard deviation means that the blood glucose results are scattered away from the blood glucose average. 203 28.07.2017 12:17:23 My Data Standard week table Tap to switch to the standard week table. The standard week table displays the data of the standard week graph in table format. To return to the standard week graph, tap . Using the buttons, you can move backwards or forwards in time according to the selected time scale. Time period Selected time of test Day of week Lowest blood glucose result of the day of the standard week Blood glucose average of the day of the standard week Highest blood glucose result of the day of the standard week Standard deviation (SD) of the day of the standard week Number of tests on the day of the standard week Table? 204 man_07866364001_A_en.indb 204 3 4 6 7 28.07.2017 12:17:23 Standard Week 10.4.1 Displaying and Configuring the Standard Week Time scale Time of test Tap to change the settings that determine how your standard week data is displayed in the graph. Tap one of the entries available for selection. Make the desired settings. Tap the desired time period. Tap the appropriate time of test. 10 Tap Save. Tap Save. Tap Done. 205 man_07866364001_A_en.indb 205 28.07.2017 12:17:24 My Data 10.5 Target Range The diabetes manager displays a pie chart and a table illustrating your blood glucose results for the time period and time of test you selected. The chart is divided into the following blood glucose result ranges: Above, Within, Below and Hypo. Using the buttons, you can move backwards or forwards in time according to the selected time period. Time period Illustrated time period Selected time of test Displays the logbook entries made for this time of test. Target range chart Shows the target ranges of blood glucose results as a pie chart. Percentage distribution Shows the percentage of blood glucose results in each blood glucose result range. Blood glucose result ranges Coloured representation of the blood glucose result ranges Target range chart 206 man_07866364001_A_en.indb 206 28.07.2017 12:17:24 Target Range Tap to switch to the target range table. The target range table displays the target range data in table format. To return to the buttons, you can move target range chart, tap . Using the backwards or forwards in time according to the selected time period. Time period Illustrated time period Buttons for scrolling left or right Moves forwards or backwards in time according to the selected time period. Blood glucose result ranges Coloured representation of the blood glucose result ranges Target range table Number Times of test Target range table 10 Shows the logbook entries for this time of test. man_07866364001_A_en.indb 207 207 28.07.2017 12:17:24 My Data 10.5.1 Displaying and Configuring Target Range Data Time scale Time of test Tap to change the settings that determine how your target range data is displayed in the chart. Tap one of the entries available for selection. Tap the desired time period. Tap the appropriate time of test (for example, Bedtime). Tap Save. Make the desired settings and then tap Done. Tap Save. 208 man_07866364001_A_en.indb 208 28.07.2017 12:17:25 BG Averages Table 10.6 BG Averages Table The BG averages table displays your blood glucose averages and standard deviations (SD) for the time period and time of test you selected. Blood glucose averages table Time period Illustrated time period Buttons for scrolling left or right Moves forwards or backwards in time according to the selected time scale. Number of tests Used to calculate the averages and standard deviation of each time of test. Blood glucose standard deviation Blood glucose average Times of test 10 Data for all test results that are marked with the respective symbol for a certain time of test. man_07866364001_A_en.indb 209 209 28.07.2017 12:17:26 My Data 10.6.1 Viewing the BG Averages Table Tap to change the settings for the time period or time of test. Tap the desired time period. Tap the appropriate time of test (All, Before meal, After meal, Bedtime, Fasting or Other). Tap Save. Tap Save. 210 man_07866364001_A_en.indb 210 28.07.2017 12:17:26 11 11 Changing Settings In the Settings menu, you can make changes to the factory settings or change the settings you made. This allows you to adjust the micropump system to your individual treatment requirements and your personal preferences. Note When you edit a setting, any unsaved changes will be discarded when the diabetes manager turns off or a test strip is inserted into the test strip slot. For information on changing time blocks, health events and on settings for insulin sensitivity, carbohydrate ratio, meal rise, snack size, acting time and offset time, see the chapter Bolus Advice. For information on reminder settings , see the chapter Reminders. 211 man_07866364001_A_en.indb 211 28.07.2017 12:17:26 Changing Settings 11.1 Making Settings Main menu > Settings In the Main menu, tap the Settings menu. Scroll the list upwards to view additional list entries. w WARNING The therapy settings must be specified by your healthcare team and you may only change them after prior consultation. Otherwise, there is a risk of experiencing hyper- or hypoglycaemia. Tap the desired entry to change the respective settings. 212 man_07866364001_A_en.indb 212 28.07.2017 12:17:27 Making Settings 11.1.1 Warning Limits Main menu > Settings > Warning limits 11 Upper limit value Tap Upper warning limit or Lower warning limit. Use and to set the Upper warning limit (hyper). You can set blood glucose warning limits for hypoglycaemia or hyperglycaemia. When your blood glucose result is below the hypo warning limit or above the hyper warning limit, the diabetes manager displays an appropriate warning. Tap Save. 213 man_07866364001_A_en.indb 213 28.07.2017 12:17:27 Changing Settings Lower limit value Remaining running time Use and to set the Lower warning limit (hypo). Tap to return to the list of settings. If you want to make additional settings, tap the respective entry. Tap Save. The warning limit for the remaining running time of the micropump indicates the number of days as of which you want to receive a warning regarding the remaining running time of the micropump. Tap Micropump remaining running time. 214 man_07866364001_A_en.indb 214 28.07.2017 12:17:28 Making Settings 11 Reservoir level Use and to set the number of days as of which you want to receive a warning. The warning limit for the reservoir level indicates the number of insulin units as of which you want to receive a warning regarding the remaining insulin amount. The remaining insulin amount is the insulin amount that is still available in the micropump reservoir. Tap Reservoir level. Use and to set the number of insulin units as of which you want to receive a warning. Tap Save. Tap Save. 215 man_07866364001_A_en.indb 215 28.07.2017 12:17:29 Changing Settings Automatic off The automatic off function is a safety feature for emergency situations. If you have not touched any button on your micropump and not operated the diabetes manager for the specified number of hours, the micropump stops insulin delivery. In this case, it can be assumed that you are no longer able to stop the pump yourself, for example, due to severe hypoglycaemia. Tap Automatic off. Tap Status to turn the automatic off function on or off. The automatic off function is turned off by default. Note It is advisable to set a time span for the automatic off function that is longer than your usual bedtime period. 216 man_07866364001_A_en.indb 216 28.07.2017 12:17:29 Making Settings Tap Inactivity. Use and to set the number of hours after which the micropump is to be turned off. Tap Done. 11 Tap Save. 217 man_07866364001_A_en.indb 217 28.07.2017 12:17:30 Changing Settings 11.1.2 Time and Date Main menu > Settings > Time and date Tap Time format, Time or Date to make the respective settings. Tap the desired time format, for example, 24 hours. w WARNING Having the time and date set precisely is essential in order for your micropump system to function properly. A wrong time setting can have serious consequences. Tap Save. Then tap Done. 218 man_07866364001_A_en.indb 218 28.07.2017 12:17:30 Making Settings Use and to set the hours and minutes for the current time. Use and to set the day, month and year. Then tap Save. 11 Tap Save. Tap Save. 219 man_07866364001_A_en.indb 219 28.07.2017 12:17:31 Changing Settings 11.1.3 Bolus Settings Quick bolus buttons Main menu > Settings > Bolus settings A quick bolus is a bolus that can be programmed and delivered using the quick bolus buttons on the micropump. This section provides information on the following settings: jj Quick bolus buttons jj Maximum quick bolus jj Quick bolus increment jj Maximum bolus amount jj Delivery lag time Note If you turn off bolus advice, it must be set up again after turning it on the next time. The factory setting for the quick bolus buttons is on. For more information on the quick bolus, see the section Quick Bolus in the chapter Delivering a Bolus. Tap Quick bolus buttons to activate or deactivate the quick bolus buttons of the micropump. If you activate the Quick bolus buttons, you can program and deliver a quick bolus directly from the micropump, for example. 220 man_07866364001_A_en.indb 220 28.07.2017 12:17:31 Making Settings 11 Maximum quick bolus You use this setting to define the maximum insulin amount that may be delivered with a quick bolus. Tap the Maximum quick bolus entry to set the maximum bolus amount that can be programmed. Use and to set the maximum amount for the quick bolus. Note You cannot define a maximum quick bolus that is greater than the maximum bolus. Tap Save. 221 man_07866364001_A_en.indb 221 28.07.2017 12:17:32 Changing Settings Quick bolus increment The quick bolus increment indicates the amount by which your insulin dose is increased with each press of the quick bolus buttons while programming a quick bolus. Tap Quick bolus increment. Tap the desired Quick bolus increment. You can set the following quick bolus increments: 0.2 U 0.5 U 1.0 U 2.0 U Note down the set quick bolus increment in the log Settings for the Accu-Chek Solo micropump system. Example You have set a quick bolus increment of 0.2 U. If you want to program a bolus of 2.0 U using this increment, you must press the quick bolus buttons on the micropump 10 times. Tap Save. 222 man_07866364001_A_en.indb 222 28.07.2017 12:17:32 Making Settings 11 Maximum bolus amount This setting specifies the maximum insulin amount that may be delivered in any bolus. A bolus that exceeds the maximum bolus amount requires additional confirmation or must be reduced. Tap Maximum bolus amount to set the maximum insulin amount for a bolus. Use and to set the maximum bolus amount. Note For the maximum bolus, you can set an amount between 0 U and a maximum of 25 U in increments between 0.05 U and 1.0 U (depending on the total amount). Tap Save. 223 man_07866364001_A_en.indb 223 28.07.2017 12:17:33 Changing Settings Delivery lag time In some situations (for example, if you have gastroparesis) it may be helpful to only start a meal bolus after you have started eating. For each meal bolus, you can use the delivery lag time setting to specify a delay of up to 60 minutes between programming a bolus and the actual start of bolus delivery. Note You can set the desired duration when programming a bolus. You can set a duration of 0, 15, 30, 45 or 60 minutes. Delivery of a bolus that contains correction insulin cannot be delayed. Tap Delivery lag time to turn the feature for delaying bolus delivery on or off. 224 man_07866364001_A_en.indb 224 28.07.2017 12:17:33 Making Settings 11.1.4 Tone and Vibration Main menu > Settings > Tone and vibration 11 Signal modes Tap Tone and vibration. Tap Loud, Normal, Quiet or Vibration to set the desired signal mode. You can define how the diabetes manager should attract your attention in case of an event (for example, a warning). You can choose whether the diabetes manager issues an acoustic signal, vibrates or both. The settings you make are called signal mode in the rest of this User’s Manual. You can also suspend the signals for warnings for a specific period of time (for example, over night). You can make the tone and vibration settings in the Settings menu in menu under the Tone and vibration entry. The Signals the Main menu allows you to easily access the appropriate Signal mode and the Turn off signals feature. You can select the Quiet signal mode in a quiet environment, for example. Then tap Done. 225 man_07866364001_A_en.indb 225 28.07.2017 12:17:34 Changing Settings Volume Set the volume for the default setting by moving the slider to this position: Loud to the right-hand side, Normal to the centre or Quiet to the left of the centre. Turn vibration on or off. Note When the volume slider is set to 0 percent in the far left position, vibration is automatically turned on. Vibration Blood glucose test Tap Vibration. The volume slider is on the far left. Tap Blood glucose test to turn the signals for a blood glucose test on or off. Tap Save. When you have made the desired setting, tap Done. Tap Save. 226 man_07866364001_A_en.indb 226 28.07.2017 12:17:35 Making Settings Touchscreen feedback Note Signals during a blood glucose test: jj Insert test strip jj Blood application detected jj Test completed Insulin delivery signal Tap Touchscreen to set how the diabetes manager reacts when you make a selection using the touchscreen. Tap the desired touchscreen setting. Tap Insulin delivery signal. When you have made the desired setting, tap Done. 11 Tap Save. If you turn on the signal, the diabetes manager issues a signal when you confirm delivery of a basal rate or bolus. Tap Done. 227 man_07866364001_A_en.indb 227 28.07.2017 12:17:36 Changing Settings 11.1.5 Turning Off Signals Note Signals for system messages: jj USB plug connected to USB socket jj USB plug removed from USB socket jj Diabetes manager restart jj Bluetooth communication completed You can turn off the signals for warnings for a certain period of time. However, since error and maintenance messages require your immediate attention, you cannot suspend the signals for these events. You can set up signal deactivation as a one-time event or as an event that is repeated at the same time every day. Note Warnings that occur while the signals are turned off are displayed once the diabetes manager is turned on or the signal deactivation period ends. In the Main menu, tap Signals. 228 man_07866364001_A_en.indb 228 28.07.2017 12:17:36 Making Settings Tap Turn off signals. Tap the Status switch to turn on the Turn off signals feature. Tap Start time to set the start of signal deactivation. Use and to set the hours and minutes for the start time. 11 Tap Save. 229 man_07866364001_A_en.indb 229 28.07.2017 12:17:37 Changing Settings Tap End time to set the end of signal deactivation. Use and to set the hours and minutes for the end time. Tap Frequency to set the repetition interval for turning off the signals. Note With the Once setting, the signals for warnings are turned off only once for the time period you specified. With the Repeat setting, the signals for warnings are turned off daily in the time period you specified. Once the signal deactivation time has expired, the signals for the warnings that occurred are issued again. Tap Save. Tap Done. 230 man_07866364001_A_en.indb 230 28.07.2017 12:17:38 Making Settings 11.1.6 General Settings Main menu > Settings > General settings 11 Language Tap Language or Brightness to make the desired settings. Tap the entry for the language in which you want the menus and texts to appear on the screen. You can make the following settings in the General settings: jj Language You can select the language for the texts displayed on the screen from a predefined list of languages. jj Brightness You can adjust the brightness of the diabetes manager screen for different lighting conditions. jj Check system functions For more information, see the chapter Care and Maintenance. 231 man_07866364001_A_en.indb 231 28.07.2017 12:17:38 Changing Settings 11.1.7 Screen Lock Brightness Main menu > Settings > Screen lock The diabetes manager is equipped with a screen lock, which can be used to protect the device against unauthorised access. You can define a personal identification number (PIN) to be used for access. The PIN is a secret number with four to eight digits that you can enter and change in the Screen lock menu. By factory default, the PIN is “0000”. w WARNING To prevent unauthorised access, you should always leave the screen lock turned on. Set the Brightness of the screen. Move the slider to the left to decrease the Brightness or to the right to increase the Brightness. Tap Done to return to the list of settings. Note jj The screen lock is turned on by factory default. jj Choose a PIN that you can easily memorise and enter. Tap Save. 232 man_07866364001_A_en.indb 232 28.07.2017 12:17:38 Making Settings 11 Turning off the screen lock Tap Screen lock. Tap Status (PIN) to turn off the screen lock. Note If you want to change the PIN, you have to turn the screen lock off and on again. When you turn off the screen lock, the above display appears for your information. Tap Yes if you do not want to enter a PIN or want to change the PIN. 233 man_07866364001_A_en.indb 233 28.07.2017 12:17:39 Changing Settings Turning on the screen lock Entering the PIN Confirming the PIN Tap Status (PIN) to turn on the screen lock. Enter a PIN with 4 to 8 digits. Enter the PIN again to confirm it. Note If you have forgotten your PIN, you have to enter the PIN unlock code instead of the PIN to unlock the diabetes manager. You will find the PIN unlock code on the back of this User’s Manual. Tap Save. Tap Save. 234 man_07866364001_A_en.indb 234 28.07.2017 12:17:40 Making Settings 11.1.8 System Information Changing the background image Tap Background image to set the pattern for the background image of the active screen lock. 11 Tap the tile with the desired background image. Tap None if you do not want to have a background image. Then tap Done. Main menu > Settings > System information The system information provides various details on the micropump system: jj Serial number of the diabetes manager jj Firmware of the diabetes manager jj Firmware of the blood glucose meter in the diabetes manager jj Radio frequency signal of the RFI firmware jj Selected language jj Status of rechargeable battery jj Date of manufacture jj Diabetes manager hardware update jj Number of resets/times switched on/off jj Number of blood glucose tests/control tests jj Serial number, micropump battery status, firmware version of micropump In addition, you can read legal information and the License Terms and Conditions. Tap Done. Some of this information is primarily used by technical customer support and may be requested by your Customer Support and Service Centre. 235 man_07866364001_A_en.indb 235 28.07.2017 12:17:40 Changing Settings Tap System information. The list of System information is displayed. Tap the Legal information entry to view the stored license agreements. Scroll the display upwards to be able to read more text. Scroll the display upwards to see additional System information. to return to the Tap previous display. 236 man_07866364001_A_en.indb 236 28.07.2017 12:17:41 Travelling and Flight Mode 11 11.2 Travelling and Flight Mode Time zone changes Flight mode Having the date and time set accurately is very important for the Accu-Chek Solo micropump system to work correctly. If you travel across different time zones, you may need to adjust the time setting and also possibly the date. Discuss the settings that must be changed for your journey to other time zones with your healthcare team in advance. You can turn on flight mode for flights that do not allow Bluetooth wireless technology from electronic devices. Flight mode enables the diabetes manager to comply with the airline regulations and ensures that the wireless functions of the diabetes manager cannot be used. For information on how to change the date and time settings of the micropump system, see the section Setting the time and date. If you change the time of the micropump system, the basal rate will be delivered according to the time set. This also holds true for changing the clocks in summer and winter time. If the quick bolus feature was activated, you can continue to deliver boluses using the quick bolus buttons on the micropump. As soon as flight mode is turned off, the diabetes manager and micropump synchronise and update the event data. For information on using the micropump system with a pen or syringe, see the chapter Injection Therapy Mode. Example You change the time of the micropump system from 10:00 to 13:00. After the change, the micropump delivers the basal rate for that time at 13:00. 237 man_07866364001_A_en.indb 237 28.07.2017 12:17:41 Changing Settings 11.2.1 Turning On Flight Mode In the Main menu, tap Flight mode. Tap Status so that the switch is in the ON position. Confirm the displayed information by tapping OK. The symbol in the status bar indicates that flight mode is turned on. Tap Done. No current micropump data is displayed in flight mode. 238 man_07866364001_A_en.indb 238 28.07.2017 12:17:42 Travelling and Flight Mode 11.2.2 Turning Off Flight Mode Note It is not possible to turn off flight mode on the micropump using the diabetes manager. 11 Turning off flight mode on the diabetes manager In the Main menu, tap the Flight mode menu. Tap Status so that the switch is in the OFF position. Confirm the displayed information by tapping OK. To turn off flight mode on the pump, you must use the quick bolus buttons. Tap Done. 239 man_07866364001_A_en.indb 239 28.07.2017 12:17:43 Changing Settings Turning off flight mode on the micropump When flight mode is turned off, the micropump issues a sequence of signals. Tap Done. Flight mode is turned off. 3× 10 s Press both quick bolus buttons on the micropump simultaneously 3 consecutive times within 10 seconds. Tap Next. The flight mode symbol is no longer displayed in the status bar. 240 man_07866364001_A_en.indb 240 28.07.2017 12:17:43 12 12 Reminders Main menu > Settings > Reminders Setting You can set reminders for specific appointments and events. This can be useful when you have to make specific preparations, for example, for replacing the infusion assembly. A message on the screen and a signal attract your attention to the respective reminder at the set time. You can select any tone from the option list for each reminder. In the factory settings, all reminders are deactivated. You can turn the reminders on or off by using the ON and OFF switch. Explanation This switch position indicates that the reminder is turned off (deactivated). This switch position indicates that the reminder is turned on (activated). Time The time of day the reminder occurs. Date The date the reminder occurs. You can make different settings for the various reminder types: Remind after Period of time following an event (for example, blood glucose value being too high) after which a reminder is to occur. Tone The tone that is used for the reminder. Frequency One-time reminder or regular reminder that is to occur every day at the same time. 241 man_07866364001_A_en.indb 241 28.07.2017 12:17:44 Reminders 12.1 Types of Reminders Reminder Explanation Replace infusion assembly Reminds you to replace the infusion assembly after a specified number of days. Alarm clock/Customised The alarm clock sounds at the specified time. The alarm clock reminds you, for example, to test your blood glucose or about any other daily appointment. Test blood glucose Reminds you to test your blood glucose at a specified time. After meal Reminds you to test your blood glucose after eating if you have previously marked a blood glucose result as Before meal. The diabetes manager turns on after the specified amount of time and displays the reminder (as long as a test strip has not been inserted). Test after low blood glucose result Reminds you to test your blood glucose if your test result was below the hypo warning limit ( ). Test after high blood glucose Reminds you to test your blood glucose if your test result was above the target range ( ). result Missed bolus This reminder occurs if no bolus was delivered within 2 hours prior to the programmed time. Inject basal insulin Reminds you to deliver basal insulin (available in injection mode only). Healthcare professional visit, Reminds you of a healthcare professional visit or lab test. Lab test 242 man_07866364001_A_en.indb 242 28.07.2017 12:17:44 Programming Reminders 12.2 Programming Reminders Set the desired time and frequency for each reminder. If you choose Repeat, you will be reminded of the event at certain intervals, for example, daily. 12 Reminder tone Tap the desired tone to use for the reminder. Choose Once or Repeat. Some reminders only appear when certain conditions are met, for example, depending on a previous test result. You can add more reminders by tapping . Once the maximum number of reminders has been reached, you will see the information that no more reminders can be added, instead of the symbol. By tapping , you can delete an existing reminder. You can assign a tone from an option list to each programmed reminder. Tap in the option list to listen to the tone. Tap to listen to the tone beforehand. If you choose Repeat, you will be reminded daily, every 2 days or every 3 days. Tap Save. Tap Save. 243 man_07866364001_A_en.indb 243 28.07.2017 12:17:44 Reminders 12.2.2 Reminder: Replace Infusion Assembly 12.2.1 Reminder: Alarm Clock Tap Replace infusion assembly. Tap the Status switch so that it is in the ON position. Tap Recurrence, Time, Tone to make the desired settings. Tap Alarm clock 1. Tap to assign a name to the alarm clock reminder. Once you have made all settings, tap Done. 244 man_07866364001_A_en.indb 244 28.07.2017 12:17:45 Types of Reminders 12 12.2.3 Reminder: Test Blood Glucose Enter a name for the alarm clock reminder using the keyboard. The name can be up to 8 characters long. Tap the Status switch so that it is in the ON position. Tap Time, Tone or Frequency to make the desired settings. Tap Done. Once you have made all settings, tap Done. Note When you test your blood glucose, the diabetes manager dismisses any blood glucose test reminders that are pending within the next 30 minutes. If necessary, a new reminder is scheduled based on the blood glucose result. Tap Test blood glucose. 245 man_07866364001_A_en.indb 245 28.07.2017 12:17:46
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