5 Activating and Changing Your Pod Begin insulin delivery (screen step ): 1. If you applied the Pod to a lean area, squeeze the skin around the Pod. 2. Tap START to insert the cannula. Confirm Pod is securely attached 1. Confirm that the Pod is securely attached to your body, then tap YES. 2. If you are squeezing your skin, stop squeezing when the Omnipod 5 App asks if the cannula is properly inserted. 5.5.
Activating and Changing Your Pod 5 Once the cannula is inserted, the Pod automatically fills the cannula with insulin. The Pod then begins delivering the basal rate of insulin according to the Basal Program in progress. The cannula can be inserted only once with each Pod. 6. Review the list of active reminders, then tap CLOSE. Note: 90 minutes after Pod activation, a Check BG reminder prompts you to check your blood glucose reading and infusion site.
5 Activating and Changing Your Pod 5.7. Deactivating an Active Pod Warning: DO NOT apply a new Pod until you have deactivated and removed the old Pod. A Pod that is not deactivated properly can continue to deliver insulin as programmed, putting you at risk of over-delivery of insulin, which can lead to hypoglycemia. Caution: NEVER reuse the Pod or fill syringe or try to use a fill syringe that did not come with your Pod.
Activating and Changing Your Pod 5 c. Check the infusion site for signs of infection (see "Avoiding Infusion Site Infections" on page 95). d. Dispose of the used Pod according to local waste disposal regulations. 4. To activate a new Pod, tap SET UP NEW POD. 5.8. More Information about Pod Use Avoiding Infusion Site Infections Caution: ALWAYS rotate insulin infusion sites to help prevent infusion site complications like scar tissue and infection.
Activating and Changing Your Pod Pod and apply a new Pod in a different location. Then contact your healthcare provider. If you observe any problems with the Pod, deactivate the Pod and activate a new one. Additional Information Tip: Develop a routine so you can change your Pod at a convenient time. If you know of an upcoming event that could interfere with changing your Pod, you can change your Pod early to avoid a disruption in insulin delivery.
CHAPTER 6 Basal Programs Contents 6.1. About Basal Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 6.2. Reviewing All Basal Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 6.3. Creating New Basal Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 6.4. Editing a Basal Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 6.5.
6 Basal Programs 6.1. About Basal Programs While in Manual Mode, Basal Programs are used to deliver a steady amount of insulin throughout the day. This is known as your basal insulin. Different days can have different routines. The Omnipod 5 System lets you create different Basal Programs for your different routines. For example, you may use one Basal Program on weekdays and a different one on weekends.
Basal Programs 6 6.3. Creating New Basal Programs To create a new Basal Program: 1. Navigate to the Create Basal Program screen: Menu button ( ) > Basal Programs 2. Tap CREATE NEW. Note: If you already have 12 Basal Programs, CREATE NEW does not appear. If necessary, you can delete an existing Basal Program. See "6.5. Deleting a Basal Program" on page 100. 3. See "Create a Basal Program" on page 69 to continue creating your new Basal Program. 4.
6 Basal Programs 5. Tap DONE. 6. Tap NEXT. 7. See steps 2 - 7 of "6.2. Reviewing All Basal Programs" on page 98 to continue editing your Basal Program. 8. To activate the newly edited Basal Program: • If you edited the Basal Program in progress, tap START INSULIN. • If you edited a saved Basal Program and want to start it, tap START. 9. If you do not want to start the newly edited Basal Program, tap NOT NOW. 6.5. Deleting a Basal Program You can only delete a Basal Program that is not in progress.
Basal Programs 6 • Tap the Options button ( ) to the right of a saved Basal Program, then tap START. 3. Tap START again to start the newly selected Basal Program. 6.7. Basal Insulin Delivery Even without eating, our bodies need a small, constant supply of insulin for normal daily living, which is referred to as "basal" insulin. In people without diabetes, the pancreas continuously delivers this basal insulin.
6 Basal Programs Insulin needs vary throughout the day. Therefore, most people set their basal rates to deliver more or less insulin at certain times of the day. For example, you could deliver a lower rate of insulin during the night and a higher rate during the day. In order to create the Basal Program shown in the example above, the following basal segments are programmed into the Omnipod 5 App: Segment Basal rate 1: Midnight–10:00 am 0.20 U/hr Between midnight and 10:00 am, the Pod delivers 0.
CHAPTER 7 Temporary Basal Rates and Presets Contents 7.1. About Temporary Basal Rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 7.2. Starting a Temp Basal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 7.3. Canceling a Temp Basal or Temp Basal Preset. . . . . . . . . . . . . . . . . . . . . 107 7.4. Creating a New Temp Basal Preset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 7.5.
7 Temporary Basal Rates and Presets 7.1. About Temporary Basal Rates When in Manual Mode, you can use a temporary basal rate, or “temp basal,” to handle a temporary change in your routine. For example, a temp basal can be used when you are exercising or when you are sick. When a temp basal ends, the Pod will start delivering the scheduled Basal Program. If there is a temp basal that you use often, you can create a "temp basal preset" for rapid activation in the future.
Temporary Basal Rates and Presets 7 7.2. Starting a Temp Basal Note: You cannot start or cancel a temp basal during an immediate bolus, but you can start or cancel a temp basal while an extended bolus is in progress. To start a temp basal: 1. Navigate to: Menu button ( ) > Set Temp Basal The screen shows a graph of the Basal Program in progress. 2.
7 Temporary Basal Rates and Presets 4. Examine the temp basal graph at the top of the screen. The proposed temp basal is displayed over the Basal Program in progress. • The lighter blue shaded area shows the proposed temp basal rate for each segment. • If you set a decrease, the Basal Program in progress is shown as a horizontal dotted line. 5. Tap CONFIRM to continue. 6. Review the temp basal details. If corrections are needed, tap on the row to change. Then enter your corrections and confirm them. 7.
Temporary Basal Rates and Presets 7 7.3. Canceling a Temp Basal or Temp Basal Preset A temp basal stops automatically at the end of its time period and the last scheduled Basal Program starts. To cancel a temp basal before the end of its time period: 1. Navigate to the Home screen's TEMP ON tab. 2. Tap CANCEL. 3. Tap YE S to confirm cancellation. The Omnipod 5 App cancels the temp basal and starts the last scheduled Basal Program. 7.4.
7 Temporary Basal Rates and Presets • If using a flat rate (U/hr), scroll the wheel to select the basal rate for the entire temp basal period. 8. Tap the Duration field and scroll to a duration for the preset. The temporary change to the Basal Program is shown on the graph. 9. Tap CONFIRM. 10. Review the temp basal details. If corrections are needed, tap on the row to change. Then enter your corrections and confirm them. 11. Tap SAVE to save this as a temp basal preset. 12.
Temporary Basal Rates and Presets 7 7.6. Deleting a Temp Basal Preset Note: You cannot delete a temp basal preset that is in progress. To delete a temp basal preset: 1. Navigate to the Temp Basal Presets screen: Menu button ( ) > Temp Basal Presets 2. Tap the Options button ( ) next to the preset you want to delete. 3. Tap DELETE. 4. Tap DELETE to confirm deletion of the preset. Note: Always make sure you are deleting the correct temp basal preset.
7 Temporary Basal Rates and Presets Temp basal settings: Units per hour (U/hr) or percent (%) Temp basals can be set using percent (%) or units per hour (U/hr). Setting temp basals to units per hour (U/hr) means that the Pod delivers insulin at a flat rate for the duration of the temp basal. In other words, the details of the currently scheduled Basal Program are ignored during these temp basals.
Temporary Basal Rates and Presets 7 The calculations for the 50% increase temp basal in the example above figure are: Segment boundaries* Basal rate of 50% increase Basal Program (U/hr) (U/hr) Resulting temp basal rate: (U/hr) Midnight–7:00 am 0.20 7:00 am–10:00 am 0.20 0.20 x 50%=0.10 0.20 + 0.10 = 0.30 10:00 am–2:00 pm 0.60 0.60 x 50%=0.30 0.60 + 0.30 = 0.90 2:00 pm–4:30 pm 0.30 0.30 x 50%=0.15 0.30 + 0.15 = 0.45 4:30 pm–midnight 0.
7 Temporary Basal Rates and Presets Tip: Using a temp basal to turn off basal insulin delivery is useful if you want your Basal Program to automatically start when the temp basal ends. Temp basal presets Some temporary changes in your daily routine are easy to predict, and you may know from experience how they affect your insulin needs. For example, you might join a summer soccer league or attend an exercise class.
Chapter 8: Blood Glucose Readings CHAPTER 8 Blood Glucose Readings Contents 8.1. About Blood Glucose Readings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 8.2. Entering Your Blood Glucose Reading. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 8.3. High and Low Blood Glucose Readings . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 How Blood Glucose Readings are Displayed. . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Blood Glucose Readings 8.1. About Blood Glucose Readings Warning: ALWAYS follow your healthcare provider's guidance on appropriate glucose monitoring to avoid hyperglycemia and hypoglycemia. The Omnipod 5 System receives regular glucose values from the CGM when you have connected the CGM to an active Pod. Once connected, CGM values are displayed and can be used in the Omnipod 5 App in both Manual and Automated Modes. There may be times when you need to check your blood glucose using a separate BG meter.
Blood Glucose Readings 8 8.2. Entering Your Blood Glucose Reading To enter your blood glucose reading: 1. Check your blood glucose following your BG meter's instructions for use. 2. Go to the Enter BG screen on your Omnipod 5 App: Menu button ( ) > Enter BG Or from the SmartBolus Calculator, tap the Glucose field. 3. Manually enter or edit a blood glucose value as follows: a. Tap the box inside the circle. b. Enter and confirm your blood glucose reading using the number pad. c.
8 Blood Glucose Readings 8.3. High and Low Blood Glucose Readings Warning: ALWAYS follow your healthcare provider's guidance on appropriate glucose monitoring to avoid hyperglycemia and hypoglycemia. Warning: Glucose below 70 mg/dL may indicate hypoglycemia (low glucose). Glucose above 250 mg/dL may indicate hyperglycemia (high glucose). Follow your healthcare provider's suggestions for treatment. Warning: ALWAYS promptly treat hypoglycemia.
Blood Glucose Readings Glucose reading Screen display Above 600 mg/dL or HI HI 20-600 mg/dL 0-19 mg/dL or LO LO 8 How Blood Glucose Readings are Displayed The Omnipod 5 App displays the blood glucose reading inside a colored circle. The circle is: • Yellow if your blood glucose is above your Glucose Goal Range. • Green if your blood glucose is within your Glucose Goal Range. • Red if your blood glucose is below your Glucose Goal Range.
8 Blood Glucose Readings 8.4. Tagging Your Blood Glucose Readings You can add informational tags to your blood glucose reading for future reference. For example, you may tag the blood glucose reading as pre-meal. To add a tag to the current blood glucose reading: 1. Tap ADD TAGS. 2. Tap a tag to select it. You can add up to four tags. 3. To remove a tag, tap the tag again to deselect it.
CHAPTER 9 Pausing and Starting Insulin Delivery Contents 9.1. Pausing Insulin Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Pause insulin delivery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 9.2. Methods to Temporarily Pause Insulin Delivery in Manual Mode. 121 9.3. Starting Insulin Delivery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 Pausing and Starting Insulin Delivery 9.1. Pausing Insulin Delivery Caution: ALWAYS tap START INSULIN to start insulin delivery after a pause period has ended during Manual Mode use. Insulin delivery does not automatically start after a pause. If you do not start insulin delivery, you could develop hyperglycemia. Sometimes you may need to pause insulin delivery briefly. For example, you must pause insulin delivery prior to editing a Basal Program in progress or changing the time zone.
Pausing and Starting Insulin Delivery 9 9.2. Methods to Temporarily Pause Insulin Delivery in Manual Mode There may be times when you want to pause all insulin delivery, or at least all basal insulin delivery, for a period of time. If you do not want to deactivate your current Pod, you can request a temporary halt of insulin delivery as follows: • Pause insulin delivery • Set a temp basal to turn off insulin delivery: The following table compares these options for pausing insulin delivery.
9 Pausing and Starting Insulin Delivery 9.3. Starting Insulin Delivery Caution: ALWAYS tap START INSULIN to start insulin delivery after a pause period has ended during Manual Mode use. Insulin delivery does not automatically start after a pause. If you do not start insulin delivery, you could develop hyperglycemia. Start insulin delivery before the pause period ends 1. Navigate to: Menu button ( ) > Start Insulin 2.
CHAPTER 10 Changing Settings Contents 10.1. General Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Network Connectivity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Airplane mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 Changing Settings 10.1. General Settings Warning: DO NOT start to use your system or change your settings without adequate training and guidance from your healthcare provider. Initiating and adjusting settings incorrectly can result in over-delivery or under-delivery of insulin, which could lead to hypoglycemia or hyperglycemia.
Changing Settings 10 Screen Display Use the screen display settings to control the screen time-out and brightness. Screen time-out The Controller screen turns black if you have not used it for the specified amount of time in order to preserve battery power. To change the amount of time: 1. Navigate to: Menu button ( ) > Settings > General > Screen Time-Out 2. Tap a desired amount of time to select it. Tip: A shorter screen time-out extends the battery charge. 3. Tap SAVE.
10 Changing Settings PIN To change your personal identification number or PIN: 1. Navigate to: Menu button ( ) > Settings > General > PIN. 2. Enter your current PIN. 3. Enter the new four-digit PIN. Tip: Tap the eye icon to display or hide the PIN. 4. Tap Done to accept the PIN. 5. Re-enter the new PIN, and then tap Done. Note: To change your PIN, you must have cellular or Wi-Fi connectivity. Note: If you have problems with your PIN, contact Customer Care.
Changing Settings 10 Device time zone Your device time zone is the time displayed outside of the Omnipod 5 App on the status bar and the lock screen. Your device time will update automatically when you travel to a new time zone or for Daylight Saving Time when you have the Automatic Time Zone setting ON. It is recommended that you keep your Automatic Time Zone setting ON so your device time zone will always be your local time zone. To turn Automatic Time Zone ON or OFF: 1.
10 Changing Settings 10.2. Reminder Settings Caution: AVOID setting your Controller or smartphone to Silent, Vibrate or any other setting that prevents you from hearing alarms and notifications from your Omnipod 5 App, such as Digital Wellbeing for Android tools that limit sounds and notifications. If you do not hear alarms and notifications from your Controller or smartphone, you might not make the changes you need to make to your insulin therapy in a timely manner.
Changing Settings 10 Pod Shut-Off Warning: You must use the Omnipod 5 App within 15 minutes of the onset of the Pod Shut-Off advisory alarm. If you do not respond to this alarm within this time, the Omnipod 5 App and Pod sound a hazard alarm and your Pod stops delivering insulin which can lead to hyperglycemia. If the Pod Shut-Off feature is ON, the Pod automatically deactivates if you do not use the Omnipod 5 App within the defined time.
10 Changing Settings Program Reminders When program reminders are ON, the Pod beeps every 60 minutes while a temp basal or extended bolus is in progress. To turn program reminders ON or OFF: 1. Navigate to: Menu button ( ) > Settings > Reminders. 2. Scroll as needed and tap the Program Reminders toggle to turn program reminders ON or OFF. Note: You cannot turn OFF beeps that occur during a temp basal set to deliver no (zero) insulin.
Changing Settings 10 Add a new custom reminder To add a new custom reminder: 1. Navigate to: Menu button ( Reminders. ) > Settings > Reminders > Custom 2. Tap Add Reminder. 3. Tap the toggle to select Single Reminder or Recurring Reminder. • For single reminders, tap the Reminder date field and select the date for the reminder. • For recurring reminders, specify the days of the week by tapping the boxes next to the days you want. A selected box has a checkmark in it. 4.
10 Changing Settings 10.3. Basal and Temp Basal Settings The following sections describe how to change settings that control basal insulin delivery. Note: These settings only apply when using Manual Mode. Maximum Basal Rate The Maximum Basal Rate defines an upper limit for any basal rate used in your Basal Programs and temp basals during Manual Mode only. Consult your healthcare provider before changing this setting. To change your Maximum Basal Rate: 1. Navigate to: Menu button ( Basal Rate.
CHAPTER 11 Browsing Your History and Records Contents 11.1. About Your Recent History and Past Records . . . . . . . . . . . . . . . . . . . . 134 11.2. Viewing the CGM Graph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 11.3. CGM Graph States. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 History Information Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 Browsing Your History and Records 11.1. About Your Recent History and Past Records The Omnipod 5 App can store 90 days of history records. Once the memory is full, new records begin to replace the oldest records. You can browse but not edit the information in your records. Your records are displayed on: • CGM Graph (recent) • History Detail screens, which show insulin, glucose, carbohydrate, Pod events, and Auto Events • History of alarms and notifications can be viewed on the Notification screen.
Browsing Your History and Records 11 11.3. CGM Graph States The top section of the CGM Graph changes color based on your current system mode. When the Omnipod 5 System is in Manual Mode, the graph heading is light gray. 1 2 6 3 4 7 5 The graph shows your most recent CGM values over the last 3 hours. Note: You can tap the ? symbol in the lower right hand corner to see a Legend of symbols used in the CGM graph. Tip: Use your Dexcom G6 app to view CGM values that are more than 3 hours old. 1.
11 Browsing Your History and Records • Dark gray background when Omnipod 5 was delivering insulin in Automated Mode: Limited state • A red line during the time that SmartAdjust technology paused insulin • An orange line during time that the maximum amount of basal insulin was delivered by the Omnipod 5 System • Bolus button at the time you started a bolus 6. Vertical axis: Displays CGM values in mg/dL 7. Time scale: Displays hour and half-hour markings.
Browsing Your History and Records 11 When the Omnipod 5 System is in Automated Mode: Limited state, the graph heading is dark gray. History Information Overview You can access the history summary and detail information, and a list of automated events from the History Detail screen. ¾ Navigate to: Menu button ( ) > History Detail.
11 Browsing Your History and Records 11.4. History Summary Section The upper section of the History screens summarizes the records for the day. Summary item Description Row 1 - CGM Average CGM Average of CGM values for the day. CGM in Range Percentage of CGM values within your Glucose Goal Range. CGM Above Percentage of CGM values above your Glucose Goal Range. CGM Below Percentage of CGM values below your Glucose Goal Range.
Browsing Your History and Records 11 When insulin delivery is unconfirmed After delivering a bolus or basal dose of insulin, the Pod sends a confirmation to the Omnipod 5 App once completed. If a bolus, basal, or total insulin delivery has not been confirmed, the following icons will display: Bolus Insulin amount for the day is displayed as dashes (- -) along with a gray exclamation point (!) if there are estimated bolus deliveries.
11 Browsing Your History and Records 11.5. Calculations for History Summaries This section lists the calculations for the summary data shown on the History screens. Glucose Summaries The calculations used for the glucose summaries include CGM values (including HIGH and LOW values) and exclude manually-entered readings. Item Calculation Row 1 Average = Sum of all CGM values CGM Total number of CGM values Note: HIGH CGM values are included as 401 and LOW CGM values as 39.
Browsing Your History and Records 11 When your Omnipod 5 System has not received updates from the Pod about confirmed insulin delivery, the insulin delivery calculations are estimates based on the scheduled insulin delivery.