Veo 1300 User's Guide

Paradigm® Veo™User Guide

Understanding pump therapy ... 12Basal rate ...

Bolus Wizard feature settingsInformation SettingBG Target range:If your current blood glucose is above the BG Target range, theBolus Wizard feature wi

Bolus Wizard warningsWhen using the Bolus Wizard feature, the pump may display a HIGH BG, LOW BG, and MAX BOLUS EXCEEDEDwarnings.HIGH BGIf your blood

Once the settings are programmed, you do not have to program them again unless the values change. Afteryou program one setting, the screen will automa

Setting the Carb/Exch ratiosYour pump allows you to set up to eight Carb/Exch ratios because this ratio may vary throughout the day.Your healthcare pr

Setting the BG unitsYou can select mmol/L or mg/dL as your Blood Glucose Unit (measurement type). You can also set theseunits in the Sensor and Captur

9 Press ACT. The SET START TIME 3 screen appears. The second insulin sensitivity is now set.10 If you do not need to set up any more insulin sensitiv

Pumps are sent from the factory with default BG Target range of 5.6–5.6 mmol/L (100–100 mg/dL). 1 Make sure the EDIT SETTINGS screen is open.Main >

Your Paradigm pump is shipped from the factory with an active insulin time setting of six hours, which mostclosely matches the published scientific da

Meter optionYou can set up your pump to automatically receive your bloodglucose reading from the linked meter. This meter may not beavailable in all c

Add, delete, review meter IDsThe meter programming screens are very similar to those for the remote control. Make sure to select Metersin the DEVICE O

Screen icons ... 29Battery ...

Use the button to deliver a Normal bolus at any time except during another Normal bolus. A Normal boluswill temporarily interrupt a Square Wave or D

Bolus Wizard feature examplesFor the scenarios that follow, Michael has his Bolus Wizard feature turned on with the following settings:Carb ratio: 15

Example 2: Blood glucose above target (high blood glucose) and no active insulinThe next day, Michael wakes up before school. Before eating the same b

Example 3: Blood glucose below target (low blood glucose) and no active insulinOn another morning, Michael sits down before eating the same breakfast.

Example 4: Blood glucose above target (high blood glucose) with active insulinMichael is at school and wants to eat a snack in the late morning. He te

Example 5: Blood glucose below target (low blood glucose) with active insulinAnother day at school, Michael is getting ready to eat lunch. He tests hi

Using the Bolus Wizard feature96

Optimizing pump therapySquare Wave and Dual Wave bolusSquare Wave bolus delivers a bolus evenly over a period of time (30 minutes to 8 hours). This bo

See the following graphic for a description of the different bolus types:TIMEINSULIN123DUAL WAVEBOLUSSQUARE WAVEBOLUSNORMALBOLUSNowPortionSquarePortio

4 For a Square Wave bolus, do these steps:a. Select Square Wave Bolus, then press ACT. The SET SQUARE BOLUS screen appears.b. Enter the desired amou

Review your bolus deliveries ... 44Bolus details ...

Square Wave bolus practiceYour target pre-meal blood glucose range is ______ to _______.Check your pre-meal blood glucose. Are you within your target?

Dual Wave bolus practiceCan you think of any meals where this feature would help you with blood glucose control?Your target pre-meal blood glucose ran

The Bolus Wizard feature must be turned on and the settings must be programmed (see the How to programthe Bolus Wizard feature section in the Using th

The Bolus Wizard feature recommends splitting the food portion of your bolus 50/50 between theSquare and Now portions. The entire correction amount is

Easy bolus setup1 Go to the EASY BOLUS OPTION screen.Main > Bolus > Bolus Setup > Easy BolusSelect On/Set, then press ACT.NOTE: If you are us

Delivering Easy BolusPractice using the Easy Bolus feature while looking at the pump screen as you count the beeps. This featureonly works from the HO

Example 1: Easy bolusAlexander is a busy executive with an accounting firm. He wears his Paradigm pump on his belt and doesnot want to take it off to

Missed Bolus ReminderMissed Bolus Reminder feature helps you remember to give yourself a meal bolus. It triggers a MISSED BOLUSalert if you do not del

Basal patternsThe Basal Patterns feature is optional for pump users. You can set your pump to deliver a standard basal andtwo additional basal pattern

3 The SET BASAL RATE 1 screen appears. The basal rate flashes, indicating that it can be changed. Set yourfirst rate, then press ACT.The start time f

Rewinding your pump ... 66Inserting the reservoir in your pump ...

Example 1: Basal patternsKen has had his insulin pump for about a month. He tests his blood glucose 4–6 times a day and records hisresults in his logb

Temp basal ratesTemp basal should be used based on the guidance of your healthcare professional. This feature is useful tomanage blood glucose levels

If you make changes to your normal basal rate, your U/H temp basal is not affected and will continue todeliver as programmed.1.50 U/H(rate 1)2.55 U/H(

Your current basal rates: Your Maximum basal rate setting: 2.0 U/HSegment #1: 00:00 1.50 U/HSegment #2: 11:00 1.60 U/H (largest)Segment #3: 16:00 1.30

You cannot make changes to your normal basal rate while a percent temp basal is active. You must eitherwait until the temp basal is finished or cancel

Selecting temp basal typeYour pump will remember the temp basal type setting. Once the type is set, you do not have to set it again.To select a temp b

Verifying temp basal deliveryTemporary basal information is available in the STATUS screen only.During a temporary (temp) basal, the pump is in Specia

Example 1: Temp Basal for a decreased temporary basal rateRamon and his friends got together for an unplanned game of soccer. Before using the pump, h

Your turn:Think of an activity where you might need to use a Temporary Basal Rate.At what rate is your current basal rate running? ____________What Te

Sensor featuresThe optional sensor and transmitter can provide continuous glucose measurements to help you control yourglucose levels better. The sens

Example 2: Blood glucose above target (high blood glucose) and no active insulin ... 92Example 3: Blood glucose below target (low blood glucos

Turning on the Glucose AlertsThe Glucose alerts must be turned on if you want the system to send you an alert when the sensor glucosemeasurements reac

Selecting the BG unitsYou must select the blood glucose units (BG Units) for the system (either mmol/L or mg/dL). All BGmeasurements will show in the

Setting the Glucose Limits start timeIf your healthcare professional recommends that you set more than one pair of Glucose Limits, you mustenter a sta

6 To set a second pair of Glucose Limits, select the time of day you want this pair to become active. 7 Press ACT. The SET GLUCOSE LIMITS 2 screen ap

Setting the Low RepeatAfter you receive and clear a Low Glucose, Fall Rate of Change, or Low Predictive alert, the alert will repeatuntil the conditio

Understanding the Time Sensitivity SettingsTo use the Predictive alerts, you need to first set your Low or High Glucose Limits, and then your TimeSens

Setting the Rate of Change AlertsThe Rate of Change alerts tell you when your sensor glucose (SG) changes at, or faster than, the per-minuterate pre-s

Setting the Low Glucose SuspendIf the Glucose, Predictive, and Fall Rate of Change alerts are set up, your pump will generate an alert towarn you abou

Setting the Cal ReminderThe Cal Reminder feature allows you to set a reminder to calibrate your system. For example, if you set yourreminder to four h

Write the Transmitter ID of the transmitter you are using here: __________________.1 Make sure the EDIT SETTINGS screen is open.Main > Sensor >

Chapter 8: Sensor features ... 119Entering your sensor settings ...

Setting the sensor glucose graph timeoutThe sensor glucose graph timeout is how long the graphs show on the pump screen until the HOME screenautomatic

Using the Sensor DemoThe Sensor Demo shows you a demonstration of a sensor graph. To view the Sensor Demo screen, you mustfirst turn on the Sensor Dem

• Set up the sensor features.• Insert the sensor.• If you are using the Enlite Sensor (MMT-7008), wait five minutes. If you are using a different s

7 To detach the Serter from the pedestal, place two fingers on the pedestal arms and slowly pull the Serterstraight up. Do not detach the pedestal fr

9 To insert the sensor, complete the following four steps:A Press the button in and then release.A B C DB Wait 5 seconds to allow adhesive time to

WARNING: If bleeding occurs, apply steady pressure using sterile gauze or clean cloth for up to 3minutes.11 Straighten the sensor adhesive tab so that

Connecting the transmitter to the sensorBefore connecting the transmitter to the sensor, you must have the transmitter fully charged and set up (seeyo

4 [Optional]: Apply occlusive dressing over the transmitter and the sensor.5 Follow the instructions in the next section to start your sensor.Preparin

Follow these guidelines for best calibration results:• Calibrate three to four times spread out throughout the day.• Avoid calibrating when your glu

• If the Bolus Wizard is on, the saved BG is above your BG Target range, and the calculatedcorrection estimate is more than the preset scroll rate in

24-hour graph ... 147How to check for rapid changes in sensor gl

Sensor features140

Using your sensorStatus screensYour STATUS screens tell you what is going on in your pump. In the SENSOR STATUS screen you can check thestatus of sens

Reading the sensor glucose graphsNOTE: If your graphs say DEMO in the upper left corner of your screen, you must turn off the SENSORDEMO mode to see y

Opening and viewing the graphsThe following table describes how to use the graphs.If you want to:Do the following:Open the graphs From the HOME screen

The graphsAll graphs show High and Low Glucose Limits lines, a continuous SG measurement line, a data section, andthe cursor (flashing vertical line).

NOTE: There are many reasons your graphs may not show an SGmeasurement, but your system does not alert for every one.Therefore, your system’s alarm/al

6-hour graphEach part of the graph between the vertical dashed lines represents one hour. In this example, the selectedSG measurement was taken at 1:1

24-hour graphEach part of the graph between the vertical dashed lines represents 12 hours. The shaded area helps youmore easily see the sensor glucose

How to check for rapid changes in sensor glucoseIf your sensor glucose (SG) rises or falls faster than a certain rate, rapid change arrows automatical

How to make glucose alerts silentThe Alert Silence feature allows you to silence glucose alerts for a preset amount of time. You may use thisfeature w

User settings ... 167Saving the settings ...

• Alert Silence: Hi/Lo• Alert Silence: All4 To change the current alert silence settings, select Alert Silence, then press ACT.5 Select the alert si

Disconnecting the transmitter and removing the sensorDisconnecting the sensor from the transmitterIf you are not going to replace the sensor, turn the

Using your sensor152

UtilitiesAlarm reviewYou can review alarms and their details in the ALARM HISTORY screen. This screen shows up to 36 past alarms,errors, or LOW RESERV

Auto-offThe factory setting for this feature is Off. This is a safety feature that stops insulin delivery after a definedtime period (from 1 to 24 hou

a. For Insulin units:In the WARNING UNITS screen enter the number of units you want remaining for the first warning,then press ACT.The pump displays

Pump data managementThe pump data management feature allows you and your healthcare professional to view and manage yourbasal and bolus insulin delive

Item Description#Food Only The number of times the Bolus Wizard feature delivered a food bolusonly.Corr Only The total amount of insulin delivered usi

Item Description#Predict Lo The number of Low Predictive Glucose alerts.#Rise Rate The number of Rise Rate alerts.#Fall Rate The number of Fall Rate a

5 To view sensor glucose information for the same day you have selected in step 2, press ACT from theDELIVERY STATS screen. The SENSOR STATS screen ap

LOW RESERVOIR ... 181LOW BATTERY ...

7Press to view more information. See the table in the Sensor glucose information section in thischapter for descriptions of the information shown her

In the following example the AUC Limits are defined as 3.9 to 7.8 mmol/L (70 to 140 mg/dL), and arerepresented by the light shaded area. The actual AU

5 Select your High AUC Limit. The number must be between 2.2 and 22.2 mmol/L (40 and 400 mg/dL). Itcan be equal to, but not lower than, the AUC Low Li

Personal remindersAlarm clockThe alarm clock is a feature that allows you to set a maximum of eight daily reminders for various events.The factory set

To use the remote control, these pump settings must be programmed:• Remote Options = On• Remote control ID code entered in pump (code is on back of

Other Devices optionThe factory setting for this feature is Off.Other devices may be available to be linked to your pump. If available, refer to the a

Example 2: BlockOscar is an elderly man with diabetes who needs assistance with all of his daily living activities. He needshis caregiver or family me

NOTE: If the pump detects a condition such as low battery, the selftest will not finish. A message willappear to show the condition that caused the te

Saving the settingsDo these steps to save your current pump settings:1 Go to the UTILITIES MENU screen and select User Settings.Main > Utilities &g

Clearing the settingsTake the following steps only if you want to clear your pump to factory default settings.WARNING: Do not clear your pump settings

NO DELIVERY ... 189NO RESERVOIR ...

Utilities170

Therapy management softwareMedtronic provides software to optimize your pump use. Contact your local representative for moreinformation.CareLink® Pers

You can share your reports with your healthcare professional. These reports can help you and your healthcareprofessional to discover trends and other

Insulin pump therapy follow-upWe hope that you are now comfortable using the pump and your blood glucose values have improved throughinsulin pump ther

Laboratory tests• Test for HbA1c four or more times a year• Test for cholesterol, HDL, LDL, triglyceride yearly• Test for microalbuminuria yearlyEv

Troubleshooting, alerts and alarmsThis chapter is designed to help you understand the messages that your pump is giving you when you get analarm or an

What happens if I leave the pump battery out too long?If you leave the pump battery out too long (more than five minutes) you may receive a BATT OUT L

What is a CHECK SETTINGS alarm?This alarm occurs after an E alarm or after you clear your pump. It is advising you to make sure that all yoursettings

My pump buttons are not acting right during a bolusIf the , or buttons are pressed and held down while a bolus is being delivered, the screen wil

I submerged my pump in waterYour pump is designed to resist accidental contact with water. Do not submerge in water during bathing,swimming, or other

©2008 Medtronic MiniMed, Inc. All rights reserved.Bolus Wizard®, CareLink®, Dual Wave®, Guardian®, MiniLink®, Paradigm®, Quick-serter®, Quick-set®, Si

Easy bolus ... 201Filling the infusion set ...

Answer: Your pump monitors activities and will alert you if a Special mode is active. Some alerts are a normalpart of pump therapy, such as an active

Pump alert conditionsListed below are alerts that indicate a condition that is outside normal pump activity. LOW RESERVOIRYou can program the pump to

MISSED BOLUSReason: You have not delivered a bolus during the time period you specified in the Missed Bolus Reminderfeature.Action: Set a meal bolus

Action: Recharge your transmitter as soon as possible. See your transmitter user guide for charginginstructions. CHARGE TRANSMTRReason: The transmitt

Action: Follow the guidelines in the Calibrating the sensor section in the Sensor features chapter to entera new meter BG for calibration. If you rece

HIGH PREDICTEDReason: The sensor glucose measurements may reach or go above your High Glucose Limit in the length oftime you selected for the High P

NOTE: The STATUS screen shows any alarms and alerts that are active.Question: Why are alarms important?Answer: Your pump monitors activities and notif

Alarm conditionsAlarms put the pump in Attention mode. A (ALARM)This alarm shows the letter A followed by two numbers. A-alarms cause all insulin del

CHECK SETTINGSWhen this alarm is active, you should check and/or reprogram your pump settings, including the time/date. E (ERROR)An E-error alarm w

MAX DELIVERYThis alarm alerts you when you have taken more insulin than expected based on Maximum bolus and Maximumbasal rates. MOTOR ERRORInsulin

IntroductionThank you for choosing Medtronic Diabetes (legally known as Medtronic MiniMed, Inc.) as your partner inhelping you gain better control of

LOW SUSPENDWhen your sensor glucose measurement is below the Low Suspend Limit, the LOW SUSPEND alarm screenappears, and all insulin delivery stops.

To keep your insulin delivery suspended after clearing the alarm:1 Press ACT with the Suspend option highlighted in the LOW SUSPEND/CHECK BG screen.2

Testing the transmitterThe tester acts like a sensor. If you get sensor-related alerts, use the tester to make sure that the transmitteris working.Con

Disconnecting the tester1 Hold the transmitter body as shown and pinch the side arms of the tester.2 With the tester arms pinched, gently pull the tra

Find lost sensorIf you receive a Lost Sensor alert:1 Relocate the pump closer to the sensor, and go to the LINK SENSOR MENU.Main > Sensor > Link

MaintenanceIt is recommended that you read your warranty statement included in this user guide for information aboutwhat is covered during your warran

StorageIf you have to remove and store your pump, it is recommended that you store it with the battery in place.Keep a record of your current basal ra

Pump specificationsThis section provides detailed information on specifications related to your pump. The safety features ofyour pump are individually

Backlight• LCD (Liquid Crystal Display) type• Time-out: 30 secondsBasal• Delivery: 0.025–35 units/hour (maximum units: 35/hour)• Factory maximum s

Bolus unitsIncrements: Based on selected scroll rateBolus Wizard featureSee the Bolus Wizard feature specifications section in this chapter for inform

CAUTION: If you give yourself insulin by using a syringe, the Bolus Wizard feature will not be able tocorrectly determine the active insulin in your s

The following is a representative delivery accuracy curve. All infusion sets have +/-5 percent overall deliveryaccuracy error.Percent Error (%)Deliver

Easy bolus• Features programming using audible tones (or vibrate pulses) in user-defined increments.• Beep mode range: 0 to maximum bolus• Vibrate

Low resv (reservoir) warningValues are based on displayed amount, not actual amount.time:2–24-hours, and @ 1:00 hour beforeempty08:00 hours (default w

Power supplyThe pump is powered by a standard 1.5 V AAA alkaline battery, size E92, type LR03 (Energizer brandrecommended).Reservoir + Set historyMaxi

Square Wave bolusDelivers bolus insulin over a duration of 30 minutes up to eight hours (limited by the Max bolus setting).Temporary (temp) basal rate

Item When WhatBG Reminder*(Only if enabled)Time remaining before BG Reminder is set to go off H:MM h (if less than 1 hour, 0:XXh where XX is minutes r

Item When WhatTime (always appears)*If all of the Reminders and the Alarm Clock are enabled, only the reminder that is nearest to alarmingwill appear

Bolus Wizard feature specificationsThere are four different formulas the Bolus Wizard feature uses to estimate a bolus, depending on yourcurrent BG. T

3 If your current BG is between or equal to your High or Low BG Target, the total bolus estimate is basedonly on the food estimate.(food estimate)food

• The Bolus Wizard feature may utilize your current BG measurement, carbohydrate consumption, andactive insulin to calculate your estimated bolus.•

• Sensor — The sensor (MMT-7002/MMT-7003/MMT-7008) continuously converts tiny amounts of glucosefrom your fatty layer under the skin into an electron

Bolus Wizard feature examplesSettings:• Carb ratio: 30 grams/unit• BG Target: 5.0–6.7 mmol/L (90–120 mg/dL)• Insulin Sensitivity: 2.2 mmol/L/units

3 No active insulin from previous bolus delivery. User inputs 60 grams of carbs and a BG of 3.9 mmol/L(70 mg/dL).Food estimate:60 g30 g/u= 2 units= -0

5 Previous bolus activity results in a calculation of 1.5 units unabsorbed (active) insulin. User inputs60 grams of carbs and a BG of 11.1 mmol/L (200

Insulin delivery default settingsMenu Item DefaultSettingLimits IncrementsBolus Menu: Bolus Wizard feature: OffEasy bolus: OffEasy bolus step: 0.1 u 2

Menu Item DefaultSettingLimits IncrementsCapture Option: OffLow reservoir warning: (20) insulinunitsif units: 1st @ 5–50 u; 2nd @ halfamountremaining

Bolus Wizard feature default settingsItem DefaultSettingLimits Increments Warning Limitscarb units: grams — — —ins to carb (orexch) ratio:15 grams/u o

Feature Options Default Setting Limits, Range of ValuesGlucose Limits 1 • Low:4.4 mmol/L (80 mg/dL)• High:13.3 mmol/L (240 mg/dL)Low: On 4.4 mmol/

Feature Options Default Setting Limits, Range of ValuesRate of ChangeAlerts• On• OffFall Rate Limit OffRise Rate Limit OffFall Rate Limit range:0.06

Feature Options Default Setting Limits, Range of ValuesAlert Silence • Off• Hi Alerts• Lo Alerts• Hi and Lo Alerts• All Sensor AlertsOff If any o

Guidance and manufacturer's declarationGuidance and Manufacturer's Declaration - Electromagnetic EmissionsThe Paradigm 554/754 pump system (

Conventions MeaningPump buttons always bold and uppercase; for example, ESC, ACTScreen and menu names always uppercase; for example, MAIN MENU, REWIND

Guidance and Manufacturer's Declaration - Electromagnetic ImmunityThe Paradigm 554/754 pump system (consisting of the MMT-554/754 pump and MMT-77

Guidance and Manufacturer's Declaration - Electromagnetic ImmunityThe Paradigm 554/754 pump is intended for use in the electromagnetic environmen

Guidance and Manufacturer's Declaration - Electromagnetic ImmunityThe Paradigm 554/754 pump is intended for use in the electromagnetic environmen

Guidance and Manufacturer's Declaration - Electromagnetic ImmunityThe Paradigm 554/754 pump is intended for use in the electromagnetic environmen

Recommended separation distances between portable and mobile RF communicationsequipment and the Paradigm 554/754 pump systemThis section provides info

Icon tableFollow instructions for useAttention: Read all warnings and precautions in instructions for use.ManufacturerDate of manufacture (year - mont

Signifies compliance to Australian EMC and Radio communicationsrequirementsSignifies compliance with Industry Canada EMC and Radio communicationsrequir

GlossaryAA1C (HbA1c) test - A 2-3 monthaverage of blood glucosevalues expressed in percent.The normal range varies withdifferent labs and is expressed

pump for the delivery of basalinsulin: Standard, A, and B. Foreach pattern, there is anoption of setting up to 48 basalrates.Basal rate - The pump set

bolus) in the last 24-hours.Maximum records: 32 daysDefault - A setting or value foryour pump that is assignedautomatically by your system.Some defaul

The continuous glucose values provided by the Paradigm 554/754 pump systems are not intended to be useddirectly for making therapy adjustments. Rather

Generate - create a result (yourpump will generate a graph).Glucagon - A hormone that raisesthe level of glucose in theblood. The alpha cells of thepa

Interstitial fluid - The fluidbetween the cells in thehuman body.Introducer needle - This needleallows the insertion of acannula or a sensor into thes

NNormal bolus - An immediatedelivery of a specified unitamount of insulin.Normal mode - Regular operatingmode. No special features areactive, no alert

Sensitive - Easily irritated(sensitive skin), or able tomeasure very slightdifferences (a sensitiveinstrument).Sensor Age - Sensor age is theamount of

Transmtr Batt - The status of thetransmitter battery. Possiblevalues are Good, Low, orBad.Transmtr ID - The serial numberof the transmitter currently

IndexNumerics3-hour graph 1456-hour graph 14612-hour graph 14624-hour graph 147Aaccessories 2activity guard 3CareLink USB 3holster 3leather ca

basal ratedaily 56maximum 57patterns 108programming 55stop delivery of 58temp 111bathing 151battery, pump 195, 203install 26removing 176shor

continuous sensor glucoselevels 144correction bolus 40, 89, 90correction estimate 139, 207DDaily totals 156DAILY TOTALS screenReview 155default s

setting Predictiveglucose alert 124setting Rate of Changealerts 126setting the CalReminder 128turning on GlucoseAlerts 120graphs 144continuous gl

modesAttention 32Normal 32Special 32MWT1 2MWT1 technology 77, 139Nno delivery 175Normal boluswith Bolus Wizard 89without Bolus Wizard 40Normal

Magnetic fieldsDo not use pump cases that have a magnetic clasp.Do not expose your insulin pump to MRI equipment or other devices that generate very s

default settings 215disconnected 182disconnecting fromtransmitter 151information 141ISIG 192life 183precaution 7programming 119reconnecting 1

setting Rate of Changealerts 126setting the CalReminder 128turning on GlucoseAlerts 120sensor glucose graphtimeout 130settings, reviewing 130show

Index242

Infusion sets and sitesAvoid using an infusion set insertion site that will be irritated by clothing and accessories, or by rigorousstretching and exe

These standards are designed to provide reasonable protection against excessive radio frequencyinterference and prevent undesirable operation of the d

The pump includes a programmable WEAK SIGNAL alert that notifies you when one or more expectedtransmissions were not received as expected by the pump.

Contacts:Africa:Medtronic Africa (Pty) Ltd.Tel: +27 (0) 11 677 4800Australia:Medtronic Australasia Pty. Ltd.Tel: 1800 668 670 (product orders)Tel: 180

Introduction10

Introduction to pump therapyTheory of insulin pump therapyInsulin pumps deliver insulin closer to the way the human pancreas delivers insulin than any

As long as you are ready to learn how to use the pump, the pump can work for you.Understanding pump therapyIf you are new to pump therapy, you will ne

Active InsulinActive insulin is the bolus insulin that has already been delivered to your body, but has not yet been used.The pump considers your acti

• At bedtime• If you feel nauseous• One hour after any BG above 13.9 mmol/L (250 mg/dL)Below are target guidelines from the American Diabetes Assoc

As you know, you cannot always avoid low blood glucose. It is important that you create a routine to followwhen your BG is low. If you have a routine,

High blood glucose (hyperglycemia)High blood glucose can occur while using the pump for the same reasons it can while using daily injections:• too mu

Treating hyperglycemia from illness or infection through insulin pump therapy will be discussed on thefollowing pages.Diabetes ketoacidosis (DKA)DKA r

Sick day managementManaging diabetes during an illness or infection requires frequent blood glucose and urineketone testing. Illness and infection put

NutritionGood nutrition and making healthy choices are important for everyone. Additionally, for those with diabetes,it is more important to know the

Macedonia:KemofarmTel: +389 2 260 36 03Fax: +389 2 260 36 49Magyarország:Medtronic Hungária Kft.Tel: +36 1 889 0688Malaysia:Medtronic International Lt

Facts on the nutrition labels on packaged food will help you to figure how much carbohydrate is in a certainfood. There are a number of paperback book

Fat and blood glucoseAlthough fat does not have carbohydrate, it may affect your blood glucose level. Your blood glucose can benormal two hours after

Other things that affect blood glucoseFiber may slow down the rise in blood glucose after a meal. Fiber grams are not absorbed. They can besubtracted

The body needs insulin during exercise. Therefore, it is not suggested that you stop the pump unless theexercise is for a short amount of time (one ho

Introduction to pump therapy24

The basicsYour pumpCAUTION: Never use sharp objects to press the buttons on your Paradigm pump as this can damage thebuttons or compromise the seal of

Install batteryCAUTION: Do not use a rechargeable or carbon zinc battery in your pump. For best results use a newEnergizer AAA alkaline battery, size

5 While the pump turns on, it will show one or more screens until theHOME screen appears.If the HOME screen does not appear, do these steps:a. Check

The following table describes how to use the buttons on your pump from the HOME screen:ButtonDescriptionEASY BOLUS™ button – Shortcut to set and deliv

The pump screenThe screen shows five lines of text at one time. The first is the operating mode. The second is the currentopen menu or function. The l

Česká republika:Medtronic Czechia s.r.o.Tel: +420 233 059 401Non-stop help line:+420 233 059 059

Time displayThe current time of day is displayed across the top of the pump screen in theformat you select—12-hour or 24-hour. The AM or PM is only di

Scroll barIf there is more text than the screen can show, a scroll bar appears onthe right side of the screen. Press to view any additional text.Scre

Normal modeMode for standard pump operations for normal basal and bolus delivery.No special features are active (such as basal patterns, temp basal, a

When the pump is in Attention mode, it will beep or vibrate periodically to remind you of the condition. Thebeep or vibrate frequency varies depending

CAPTURE EVENTContains the options you use to enter information about different events into the system. Examples of eventsinclude: the amount of insuli

• Special features that are turned on• Last alarm/alert that was cleared within 24 hours• Most recent BG meter reading received within 24 hours• R

The basics36

Basic programmingSetting the time and dateSetting the correct time and date in your pump is necessary for accurate basal insulin delivery and allowsyo

4 Change each of the settings as follows:a. HourChange the hour. Press ACT.For 12-hour setups, press or until the correct A (am) orP (pm) appears.

5 The TIME SET AT screen will show the settings that youprogrammed. Press ACT and exit the menus.Your time/date settings are complete.Selecting the la

The Normal bolus delivers an immediate food or correction bolus. It can be delivered at any time exceptduring another Normal bolus. During a Normal bo

Normal meal bolus using the exchange systemNormal bolus can be used to cover the carbohydrate in a meal or snack and to correct a blood glucose thatis

Normal meal bolus practice using exchangesChoose a meal you might eat and fill in the blanks.Food:__________ exchange:______________________ exchange:

Normal meal bolus practice using carbohydratesChoose a meal you might eat and fill in the blanks.Food:__________ grams of carbohydrate:_______________

Practice: Meal bolusYou have determined your meal bolus as: _______ units.Your target blood glucose range is: _______ to _______ (average is _______).

If you used the Bolus Wizard feature to deliver any of these boluses, the BOLUS HISTORY screen showsthe carbohydrate/food (CH) and blood glucose value

• delivered bolus amount• Bolus Wizard feature information (if used)To see the details of any bolus, do these steps:1 In the BOLUS HISTORY screen, s

Maximum bolus limitThe Maximum bolus (Max bolus) is a safety feature that limits the amount of insulin that can be delivered ina single bolus. The fac

When you set the scroll rate to 0.05, you can use the following increments to program a bolus:• 0.05 unit increments for a bolus of 9.95 units or les

When the BG Reminder goes off, your pump will beep or vibrate and CHECK BG will appear on the screen.Your pump will beep or vibrate periodically until

Important Safety InformationRegarding Your Paradigm Insulin Pump(includes all models)Avoid Immersing Your Pump In WaterAlthough it is unlikely that wa

Entering BG measurementsYou can save non-calibrating BG readings in device history. Non-calibration meter BG measurements are thosethat are taken at t

• If you want to use the new BG measurement for calibration, select Save and Calibrate. This optionis available when the Auto Calibration feature is

Entering carbohydrate informationThis section shows you how to enter information about the carbohydrates you eat or drink.Before you beginBefore you c

Entering Other markersThis section shows you how to enter markers other than Enter BG, Insulin Marker, Meal Marker, or ExerciseMarker. Examples of Oth

Start and stop timesWhen you set your basal rate(s) in the BASAL MENU, your pump prompts you to set the start time for eachbasal delivery. The start t

For best results, setting or changing your basal rate(s) should be discussed with your healthcareprofessional.Your basal settingsYou must program your

9 The BASAL RATE screen appears. Your basal rate(s) will now deliver as programmed. Exit the menus.NOTE: The pump delivers basal amounts in 0.025 U/H

3 If you do not use patterns, the STANDARD screen appears.The delivery details for your standard basal will appear.basal rate start timesbasal deliver

If you are setting your Max basal rate after your basal rates have been set, you cannot set a Max basal thatis less than any of the programmed basal r

When suspended, your pump is in Attention mode with a solid circle showing on the pump. When inSuspend, you can only resume your basal or view the STA

NOTE: A bolus or fill cannula that was stopped by suspend will not restart when you resume your pump.You must reprogram and activate it to finish deli

Practice: Resume basal delivery after a suspendMake sure you are NOT connected to your pump while practicing.1 Give a 3.0 unit bolus now. While it is

Basic programming62

Starting on insulinThe Paradigm pump is intended for use with U100 insulin.Prepare your pump for useBefore continuing with the steps in this chapter,

Filling the reservoir 1 Remove the reservoir from the package. Make sure the plunger rod is fully extended. 2 Swab the vial with alcohol. 3 Making sur

10 Place the tubing connector onto the reservoir. Turn the connector clockwise, pressing gently against thereservoir until you feel it slide in. Push

Changing your infusion setRemoving the reservoirEach time you remove and replace a reservoir in your pump, you have to rewind your pump, and fill thei

WARNING: Make sure the infusion set is disconnected from your body before you rewind your pump orfill the infusion set tubing. Never insert the reserv

3 Turn the tubing connector approximately 1/2 -turn clockwise until the connector is seated. The tubingconnector should be aligned horizontally with t

WARNING: If the FILL TUBING screen does not display, do NOT continue. Do NOT insert the infusionset into your body. Please contact your local represen

ContentsChapter 1: Introduction ... 1Assistance ...

• and fill the infusion set with insulinShown here are the best body areas (shaded) for infusion set insertion.Avoid the 5.0 cm (2-inch) area around

Quick-set infusion set (with Quick-serter®)There are different infusion sets that you can use with your pump. As an example, the following proceduresh

Filling the cannulaFilling the soft cannula with insulin is required after the infusion set is inserted into your body and theintroducer needle is pul

Disconnecting Quick-setThe Quick-set allows you the freedom to temporarily disconnect from your pump without removing theinfusion set from your body.1

Record keeping for diabetes managementNow that you are using the pump, we will be asking you to test your blood glucose regularly. It is importantto t

After you and your healthcare professional are satisfied with your initial pump settings, you may begin toexperiment with different food choices, meal

Starting on insulin76

Using the Bolus Wizard featureWhat is it?Bolus Wizard is a feature that calculates an estimated bolus to support your food intake or to correct a high

• target blood glucose range• active insulin time (hours)Get this information from your healthcare professional, and, for best results, talk to your

Bolus Wizard feature settingsInformation SettingInsulin sensitivity:This ratio is used for your correction bolus calculations.This ratio is the BG uni