MP6025958-022 / A Icon Icon name What it means Connection The connection icon appears green when the Sensor feature is on and your transmitter is successfully communicating with your pump. The connection icon appears gray when the Sensor feature is turned on, Appears in place of the Connection icon if Airplane Mode is turned on. When Airplane Mode is turned on, the pump cannot receive wireless communication from other devices. The pump also cannot send wireless communication to other devices.
MP6025958-022 / A Icon Icon name What it means Calibration The approximate time left until your next sensor calibration is due. Appears only when the Sensor feature is turned on. The color and the fill level of the icon indicate the status. When your sensor is fully calibrated, the icon is solid green. As the time for your next sensor calibration approaches, the icon becomes emptier, and the color of the icon changes as shown in the following example.
MP6025958-022 / A Icon Block Mode Indicates that the pump is in Block Mode, and that certain functions are restricted. Caregivers, such as parents of a young child, can use Block Mode to restrict access to critical pump settings. For more information about Block Mode, see Block Mode, on page 139. Temporary Network Connection Appears while you are temporarily connected to a remote upload device.
MP6025958-022 / A Status screen Displays this information Settings Review The Settings Review screen provides a list of all your pump settings. The settings are organized by where they appear in the menu for your pump. For example, your bolus settings appear under the Insulin Settings section, and your brightness level setting appears under the Utilities section. Viewing the Status screens 1. Go to the Home screen. 2. Select the status bar that appears at the top of the Home screen.
MP6025958-022 / A ■ first steps The following options are available from the Menu screen: Select this To do this Suspend Delivery Stop your current basal and bolus insulin delivery. Audio Options Set your audio, vibrate, and volume options for the notifications you receive. History Access the Summary, Daily History, and Alarm History screens. If you are using a sensor, you can access the SG Review and ISIG History screens.
MP6025958-022 / A Scroll bar The scroll bar is located on the right side of the display, as shown in the following example. It appears only when there is more information available to view on the screen. Press or to move up or down the screen. scroll bar Power modes Your pump is designed to conserve battery power when you are not actively using the pump screens. In this D E S Your pump behaves like this mode Awake A E L Your pump screen is on.
MP6025958-022 / A In this Your pump behaves like this mode Sleep Your pump automatically enters sleep mode about two minutes after your pump enters power save mode if no buttons are pressed. At this time, your pump automatically locks. If any button is pressed, your pump returns to the Home screen. ■ first steps Note: In some cases, if there is an action you need to take, your pump returns to the screen last displayed.
MP6025958-022 / A D E S A E L E R 36 Chapter 2
MP6025958-022 / A basal D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ basal Basal Basal insulin is the "background" insulin that you need throughout the day and night to maintain your target blood glucose values when you are not eating. Your basal insulin accounts for approximately one half of your daily insulin requirements. Your pump mimics a pancreas by delivering insulin continuously over 24 hours. Your basal insulin is delivered according to a basal pattern. Basal patterns and other basal settings are described in the following sections.
MP6025958-022 / A Basal insulin settings Your basal insulin delivery settings are described in the following table. Setting What it is What it does for you Basal Pattern A set of one or more basal rates that cover a 24-hour period. Determines the amount of insulin you receive per hour throughout the day and night. Allows you to vary your basal rate according to your needs. You can set up to eight basal patterns. For details on setting up basal patterns, see Adding a new basal pattern, on page 42.
MP6025958-022 / A Max Basal Rate Max Basal Rate limits the amount of basal insulin that can be delivered per hour, based on the maximum rate you set. You are unable to set any basal rates, temp basal rates, or preset temp basal rates that exceed the max basal rate amount. You can set your max basal rate from 0 to 35 units per hour. Set your max basal rate as prescribed by your healthcare professional.
MP6025958-022 / A A basal pattern is made up of one to 48 basal rates that you set up to cover a full 24-hour period. If you only need one basal rate throughout the day, you set only one rate for the 24-hour period. If you need the basal rates to change during the day or night to better match your insulin needs, you can set more than one rate, each with a separate start and end time. The following example represents one basal pattern with three basal rates set for three different time periods. U/hr 1.
MP6025958-022 / A The Basal Pattern Setup screen appears. Your active basal pattern appears with a check mark and the 24-hour delivery amount, as shown in the following example. ■ basal 2. If this is your first time setting up a basal pattern, the unit amount will be 0.0. Select Basal 1 and proceed to step 5. If this is not your first time setting up a basal pattern, proceed to the next step to add a new pattern. 3. To add a new basal pattern, select Add New. D E S The Select Name screen appears.
MP6025958-022 / A Caution: Insulin is delivered in units per hour. If you set a basal rate of 0.025 U/hr for a 30-minute time period, this might result in no insulin delivered for that 30-minute period. 5. To create one continuous 24-hour basal rate for your basal pattern, continue with this step. To create more than one basal rate for your new basal pattern, skip to step 6. D E S a. Leave End time at 24:00 to set a 24-hour rate. The Start time of the first time segment is always 00:00. b.
MP6025958-022 / A ■ basal The Start time for the next rate is always the same as the End time of the previous rate. Note: If you need to make a change, you can press to scroll up to the rate you want to change. Adjust the End time or Rate values as desired. Note that pressing or when a field is selected (flashing) adjusts the value of that field. When there is no field selected, pressing or allows you to scroll up or down the list of basal rates. b.
MP6025958-022 / A Editing, copying, or deleting a basal pattern To edit, copy, or delete a basal pattern: 1. Go to the Basal Pattern Setup screen. Menu > Insulin Settings > Basal Pattern Setup The Basal Pattern Setup screen displays all of your existing basal patterns. 2. Select the basal pattern you want to edit, copy, or delete. 3. Select Options. 4. Do one of the following: • Select Edit to adjust the End time or rate values for one or more of the basal rates in this basal pattern.
MP6025958-022 / A Temporary basal rates The Temp Basal feature and Preset Temp feature allow you to set temporary basal rates to manage blood glucose levels during short-term activities or conditions that require a basal rate different than your current one, such as an illness or a change in physical activity. You can make an immediate change to your basal insulin for a set period of time (30 minutes to 24 hours), up to your max basal rate.
MP6025958-022 / A Starting a Temp Basal rate When you start a temp basal rate, your basal delivery changes to the temporary basal rate for the duration you set. When the duration is complete, your basal insulin automatically returns to the active basal pattern. To start a temp basal rate: 1. Go to the Temp Basal screen. Home screen > Basal > Temp Basal 2. Duration is flashing. Set the Duration for this temp basal rate. The Duration can be set from 30 minutes to 24 hours, in 15-minute increments.
MP6025958-022 / A 5. Depending on the Type you selected, do one of the following: Enter a percentage: • Enter a basal rate, making sure you do not exceed your max basal rate: ■ • basal D E S A E L 6. If desired, select Review to review your temp basal setting. 7. Select Begin to start the temp basal rate. E R Your Temp Basal rate continues for the duration you set. The Basal option on the Home screen appears as Basal (T) during your temp basal delivery.
MP6025958-022 / A There are four names you can use to match your preset temp basal rate to a situation: High Activity, Moderate Activity, Low Activity, and Sick. There are also four additional preset temp rates available to use for other circumstances (Temp 1 through Temp 4). Setting up and managing Preset Temp basal rates This section describes how to set up, edit, rename, or delete a preset temp basal rate.
MP6025958-022 / A • Select Edit to adjust the Type (Percent or Rate), the Percentage or Rate amount, and the Duration for this preset temp basal rate. • Select Rename to assign a different name to this preset temp basal rate. When the Select Name screen appears, you can select any available name from the list. • Select Delete to delete this preset temp basal rate. ■ Starting a Preset Temp basal rate basal You must set up preset temp basal rates before you can use the Preset Temp feature.
MP6025958-022 / A 2. Select the preset temp basal rate that you want to use, and then select Begin. Your preset temp basal rate continues for the duration you set. The Basal option on the Home screen appears as Basal (T) during your preset temp basal delivery. Your scheduled basal rate automatically starts again when your preset temp basal rate finishes. Canceling a Temp Basal or Preset Temp basal rate You can cancel a temp basal or preset temp basal rate at any time.
MP6025958-022 / A To do this: Do this: View your current basal rate Go to the Basal screen: Home screen > Basal The active basal pattern and current basal rate appear at the top of the Basal screen. ■ basal You can also view your current basal rate by selecting the Status Bar at the top of the Home screen, and then selecting Quick Status.
MP6025958-022 / A Stopping and resuming your insulin delivery Use Suspend Delivery if you need to stop all active basal and bolus insulin deliveries. When you suspend your insulin delivery, your pump beeps and vibrates periodically to remind you that insulin is not being delivered. When you are ready to continue your basal insulin delivery, use the Resume feature. When you use the Resume feature, your pump starts your programmed basal pattern, but does not start any previously programmed bolus deliveries.
MP6025958-022 / A To resume basal insulin delivery: 1. While insulin is suspended, go to the Home screen. 2. Select Resume. A confirmation message appears. 3. ■ To resume your basal insulin delivery, select Yes. If a Temp Basal was active when you suspended your pump, it resumes if the time is still within the duration that you set.
MP6025958-022 / A D E S A E L E R 56 Chapter 3
MP6025958-022 / A bolus D E S E R A E L
MP6025958-022 / A D E S E R A E L
MP6025958-022 / A ■ bolus Bolus A bolus is the amount of insulin taken to cover an expected rise in blood glucose, typically when you eat a meal or snack. You can also use a bolus to correct a high blood glucose reading. About bolus deliveries D E S There are different types of bolus deliveries you can use, depending on your insulin needs at the time. There are also different ways you can deliver a bolus. Discuss these options with your healthcare professional to determine what is best for you.
MP6025958-022 / A Type How it works When to use it Square Delivers a single bolus evenly over an extended period of time (30 minutes to 8 hours). You might use a Square Wave bolus: Wave™ • If you have delayed food digestion due to gastroparesis or meals high in fat. • When snacking over an extended period of time. • If a Normal bolus drops your blood glucose too rapidly. For details about using the Square Wave bolus feature, see Square Wave bolus, on page 76.
MP6025958-022 / A Bolus delivery options The following table describes the different ways you can deliver a bolus. Delivery Type of bolus available How it works Normal bolus, Square Wave bolus, Dual Wave You enter your BG meter reading and your carbs you plan to eat, and then the bolus Bolus Wizard calculates an estimated bolus amount based on your individual settings. method Bolus Wizard ■ bolus For details about using the Bolus Wizard feature, see Bolus Wizard, on page 65.
MP6025958-022 / A Delivery Type of bolus available How it works Normal bolus After the Easy Bolus feature is set up, you can deliver a Normal bolus by using method Easy Bolus™ button when the pump is in the sleep mode. For details about using the Easy Bolus feature, see Easy Bolus, on page 82. Remote Bolus from your compatible Bayer meter Normal bolus or any Preset Bolus set up on your pump.
MP6025958-022 / A Setting What it is What it does for you Bolus Increment The amount of insulin (in units) that is increased or decreased with each button press when adjusting your bolus amount. The Bolus Wizard will also use the increment to display the bolus total and adjustment amounts. This setting does not apply to Easy Bolus. Allows you to set your increment value according to your typical bolus amounts. The speed that your pump delivers your bolus insulin.
MP6025958-022 / A 4. Select Max Bolus, and then set the maximum number of insulin units your pump can deliver in one bolus. 5. Select Save. Bolus Increment The Bolus Increment setting determines the number of units that are increased or decreased with each button press when you adjust your bolus delivery amount in the Bolus Wizard, Manual Bolus, and Preset Bolus screens. Depending on your typical bolus amount, you can set your increment to 0.1 units, 0.05 units, or 0.025 units.
MP6025958-022 / A Bolus Wizard The Bolus Wizard is a feature that uses your individual Bolus Wizard settings to calculate an estimated bolus amount based on the BG values and carbs that you enter. Work with your healthcare professional to define your personal settings, which include your carb or exchange ratio, insulin sensitivity, BG target range, and active insulin time. ■ bolus Note: If you do not know how to count carbs, consult with your healthcare professional before using the Bolus Wizard.
MP6025958-022 / A Setting What it does BG Target The Bolus Wizard calculates your estimated bolus based on your BG target range. The high and low values you set are the values to which your blood glucose is corrected. To use a single target value rather than a range, set the same value for High and Low. If your BG value is above the high target value, a correction dose is calculated. If your BG value is below the low target value, a negative correction is calculated and subtracted from your food bolus.
MP6025958-022 / A ■ 2. Select Bolus Wizard to turn on the feature. bolus If this is the first time you have turned on the Bolus Wizard feature, your pump displays information about the settings you need to enter. D E S Make sure you have the values you need, and then select Next to continue. A E L Note: As you enter your personal settings, your pump displays information about each setting. Click Next to continue when you have read each explanation. E R 3.
MP6025958-022 / A Note: Your pump uses grams as the default carb unit. If you would like to change your carb unit to exchanges, see Carb Unit, on page 140. If your ratio value is outside the range of 5 to 50 grams per unit or 0.3 to 3 units per exchange, a message appears asking you to confirm your setting. 4. When the Edit Sensitivity screen appears, enter your insulin sensitivity factor. You can set up to eight different sensitivity factors using different time segments.
MP6025958-022 / A ■ 7. Select Save. bolus A message appears letting you know the Bolus Wizard setup is complete. You can now use the Bolus Wizard to calculate a bolus. Changing your Bolus Wizard settings This section shows you how to make changes to your personal settings after you initially set up the Bolus Wizard. These settings are available only if the Bolus Wizard is turned on.
MP6025958-022 / A 3. Select the carb or exchange ratio to adjust the Start time, the End time, and the ratio. You can set up to eight different carb or exchange ratios using different time segments. The time segments must cover a 24-hour period. If you set a value outside the typical range of 5 to 50 grams per unit or 0.3 to 3 units per exchange, a message appears asking you to confirm your setting. 4. When you have made your changes, select Save.
MP6025958-022 / A If your BG target is outside the typical range of 90 to 140 mg/dL, a message appears asking you to confirm your setting. 4. When you have made your changes, select Save. Changing your Active Insulin Time 1. Go to the Active Insulin Time screen. Menu > Insulin Settings > Bolus Wizard Setup > Active Insulin Time 2. Select Duration, then adjust your active insulin time (in hours), using 15minute increments. 3. Select Save.
MP6025958-022 / A Your current active insulin amount displays on the Home screen, and includes only the bolus insulin you have already received. When you are using the Bolus Wizard, the Bolus Wizard calculator uses your current active insulin value to determine if there is an active insulin adjustment needed.
MP6025958-022 / A Warning: What it means: What to do: Max Bolus Exceeded The bolus amount entered exceeds your Max Bolus setting. Check the bolus amount. Select No to cancel, or Yes to continue. If you select Yes, the bolus amount that you entered is reduced to your max bolus limit. ■ bolus Normal bolus A Normal bolus provides a single immediate dose of insulin. You use a Normal bolus to cover your food intake or to correct a high BG meter reading.
MP6025958-022 / A 3. If you are not using a wirelessly connected compatible Bayer meter, you can select BG to manually enter your BG meter reading. Note: If you choose not to enter a BG value, three dashes appear on the screen in place of the BG value. 4. For a food bolus, select Carbs to enter the carb count of your meal. For a correction bolus where no food was eaten, leave the Carbs value at 0. 5. Your calculated bolus appears in the Bolus field.
MP6025958-022 / A ■ 7. Select Deliver Bolus to start your bolus. Delivering a Normal bolus using Manual Bolus The following section describes how to deliver a Normal bolus using the Manual Bolus feature. To deliver a Normal bolus using Manual Bolus: 1. D E S Go to the Manual Bolus screen. A E L Home screen > Bolus > Manual Bolus Note: If the Bolus Wizard is turned off, the Manual Bolus screen appears when you select Bolus.
MP6025958-022 / A Your pump beeps or vibrates and displays a message when your bolus starts. The Home screen shows your bolus amount as it is being delivered. Your pump beeps or vibrates when your bolus is complete. Square Wave bolus A Square Wave bolus delivers a bolus evenly over a period of time (30 minutes to 8 hours). When using the Bolus Wizard, a Square Wave bolus is available only when giving a food bolus without a correction for an elevated BG.
MP6025958-022 / A To turn on or turn off the Square Wave feature: 1. Go to the Dual/Square screen. Menu > Insulin Settings > Dual/Square Wave 2. Select Square Wave to turn the feature on or off. 3. Select Save. ■ Delivering a Square Wave bolus with the Bolus Wizard To deliver a Square Wave bolus with the Bolus Wizard: 1. Go to the Bolus Wizard screen.
MP6025958-022 / A 4. Review your calculated bolus amount in the Bolus field. If you want to change the bolus amount, select Bolus and make your desired change. Remember, if there is a correction bolus amount calculated, you are not able to give a Square Wave bolus. Note: If you change your bolus amount, the word “Modified” appears next to the new bolus amount. 5. Select Next to review your bolus information. 6. Select Square. The Bolus Wizard screen appears with your bolus amounts. 7.
MP6025958-022 / A 5. Select Deliver Bolus to start your bolus. During a Square Wave delivery, the Bolus button on your Home screen appears as Bolus (S). You can select Bolus (S) to stop the bolus, to see details on the insulin that has been delivered, or to access the Bolus menu. The Bolus menu provides access to the Bolus Wizard, Manual Bolus, Preset Bolus, and Insulin Settings options.
MP6025958-022 / A 2. Go to the Bolus Wizard screen. Home screen > Bolus > Bolus Wizard The Bolus Wizard screen shows your current BG meter reading (if applicable) and any insulin that is still active from previous boluses. For more information about active insulin, see About active insulin, on page 71. For more information, see About your compatible Bayer meter, on page 111.
MP6025958-022 / A When you adjust the Now amount, the Square amount adjusts automatically. ■ bolus 9. Adjust the Duration over which you want the Square Wave portion to be delivered. The duration can be from 30 minutes to 8 hours. 10. Select Deliver Bolus to start your bolus. During a Dual Wave delivery, the Home screen shows the progress of the Now portion of your delivery. When the Now portion is complete, the Bolus button on your Home screen appears as Bolus (D).
MP6025958-022 / A 4. If you need to change the amounts, select the area of the screen with the Now value and adjust the Now amount. When you adjust the Now amount, the Square amount adjusts automatically. 5. Adjust the Duration over which you want the Square Wave portion to be delivered. The duration can be from 30 minutes to 8 hours. 6. Select Deliver Bolus to start your bolus. During a Dual Wave delivery, the Home screen shows the progress of the Now portion of your delivery.
MP6025958-022 / A Understanding Easy Bolus step sizes When setting up Easy Bolus, you can set the step size from 0.1 to 2.0 units. Your step size cannot be higher than your max bolus. Set the step size to a number that is convenient to use and easy to multiply. 4 steps = 2.0 units 3 steps = 1.5 units D E S 2 steps = 1.0 units 1 step = 0.5 units 0 EA 0.5 L E Setting up Easy Bolus R 1.0 Total number units 1.5 2 The Easy Bolus option is available only after you turn on the feature.
MP6025958-022 / A Delivering a bolus using Easy Bolus Initially you should use the Easy Bolus feature while looking at the pump screen as you count the tones or vibrations. Caution: Always check your pump if you hear any unanticipated beeps or vibrations. Caution: When using Audio or Vibrate, it is possible that an Audio or Vibration notification may not occur as expected if the speaker or vibrator in your pump malfunctions.
MP6025958-022 / A When you have reached the desired bolus amount, press and hold to confirm the amount. You should hear a confirmation tone or feel a vibration for each button press. Count to ensure the amount is correct. If the amount is not correct, press and hold until you hear a tone, and then start again from step 1. 4. When the bolus amount is confirmed, press and hold for about one second to deliver your bolus. Your pump beeps or vibrates. Your bolus starts immediately after the confirmation.
