Interruption of Insulin Pump Therapy | Accu-Chek insulin pump

Interruption of Insulin Pump Therapy

Consult with your doctor or healthcare team about when and for how long your insulin pump therapy can be interrupted.

Measure your blood glucose level regularly during any insulin interruption. Use a syringe or insulin pen to inject insulin according to the instructions of your doctor or healthcare team.

▲	Since only rapid-acting insulin is used for insulin pump
!	therapy, there is only a small insulin reserve in the
WARNING	body. If insulin is interrupted for any reason, such as:
	• if you stop the pump
	• there is a technical problem with the pump
	• there is leakage in the cartridge
	• there is occlusion in the infusion tube set or in the
	infusion headset
	• the cannula has slipped out of the infusion site
	you must be ready to replace the missing insulin
	immediately.
	Always carry spare sterile products and accessories
	(infusion set, insulin cartridge, batteries), an insulin
	pen/syringe, and insulin.
	Without insulin, diabetic ketoacidosis may develop
	and may require in-patient hospital treatment.

Chapter 3: Using Your Pump

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ACCU-CHEK Spirit Insulin Pump

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Accu-Chek insulin pump manual Interruption of Insulin Pump Therapy

Contents

Pump User Guide Dear ACCU-CHEKSpirit insulin pump owner How to use this guide Intended use of your ACCU-CHEK Spirit insulin pump Guarantee Contents Boluses and Temporary Basal Rates Appendix C Abbreviations Appendix E Vibrations Appendix F Symbols183 This page left blank intentionally ACCU-CHEK Spirit Insulin Pump DisplayTo malfunction Hint BacklightPump Support at 1-800-688-4578 immediately Key in areas of poor lighting as this will Keys and Key Combinations Key Combinations One beep in Stop modeExiting menus, function screens, Information screens without saving Locking Keys Using KeyLock Feature ScreensRUN Screen Information, Function, and Setup Screens Stop ScreenQuick Info Screen Follow the steps below to navigate through the screens Status Screen Messages, Beeps, and Vibrations Alarm Signals STOP-WarningTo Turn Off the STOP-Warning Accessories and Disposables Or void your warrantySterile Products Cartridges Out of the reach of children Recommended Possible Use only Adapter Battery Always make sure that you remove the battery if your Battery Cover Emergency Kit Battery Key This page left blank intentionally 32 for more information Inserting or Changing the Battery Press d to move to the Stop Your ACCU-CHEK screen Follow the steps below Pump begins its start-up process Use the cover to gently push the battery all the way System Check Start-Up Process Put the pump in Stop mode ACCU-CHEK logo appearsInsulin pump Pump Support at Contact Pump Support at Getting Started Since you may not receive the correct information for Setting Time and Date Settings are identicalInsulin pump’s memory Follow the steps below to set the Time and Date Getting Started Team to understand how to use the pump Your Personal SettingsInsulin delivery Your correction bolus ratio Your Basal Rate Profile Programming Your Basal Rate Profile Follow the steps below If you want to undo the changes If you want to save the changes Copying an Hourly Basal Rate Basal Rate and Bolus Preparing the Cartridge Always handle the items with clean hands To fill a cartridge, have the following materials ready Filling the Cartridge Plunger Plunger rod Getting Started System components if needed Connecting the Cartridge, Adapter, and Infusion Set Have the following materials readyThese parts Follow the instructions below Do not over-tightenResult in leakage Use a soft cloth to dry the compartment Inserting the Cartridge Follow the steps below Cartridge volume decreases accordingly on the display Press f after correctly inserting the cartridge To your body Priming the Infusion Set Stop Stopping the Priming Process Infusion Site Preparation Infusion Site Selection Getting Started Healthcare team’s recommendations Healthcare team Wearing Your Pump Before UsingDuring insulin pump therapy Pocket knives, and coins Acceptable temperature range When Not to Wear Your Pump Electromagnetic Fields and Hazardous AreasPump if you have a cardiac pacemaker Sports and Exercise TravelingIf you have questions, contact Pump Support at Your Insulin Pump and Water Disconnect and take off your insulin pumpAccidental Contact with Water What to Do After Any Water Contact Other LiquidsFog your display Starting Insulin Delivery Stopping Insulin Delivery Mode to continue insulin delivery STOP-Warning Interruption of Insulin Pump Therapy Short Interruption Put your pump in Stop modeResuming Insulin Pump Therapy For a long period of time Changing the Infusion Set Follow the steps below Using Your Pump Changing the Cartridge and Infusion Set Using Your Pump Understanding Boluses Your pump can deliver three types of bolusesStandard Bolus Team check your personal settings Personal settingsInappropriate insulin delivery Insulin ratio and your correction bolus ratio Programming a Standard Bolus There are two ways to program a Standard BolusProgramming a Quick Standard Bolus RUN Cancelling a Quick Standard Bolus Using the a and s keys of your insulin pumpDuring programming the bolus amount blinks No bolus is delivered Programming a Menu-Guided Scroll Standard Bolus Set the bolus amount to 0.0 units. Press f to exit Cancelling a Menu-Guided Scroll Standard Bolus Boluses and TBRs Programming an Extended Bolus Follow the steps below If you want to cancel the bolus At any function screen you have three options to exitIf you want to deliver the bolus During bolus delivery Cancelling an Extended Bolus Boluses and TBRs Programming a MultiWave Bolus ACCU-CHEK Boluses and TBRs Set the total bolus amount to 0.0 units and press f Cancelling a MultiWave Bolus When your insulin pump is in Stop mode, it does not deliver Programming a Temporary Basal Rate TBR Insulin pump therapyTypically, a basal rate is set to 100%, but you can Press a or s to increase or decrease the basal rate If you want to save the changes TBR Over Alert Cancelling a Temporary Basal Rate No Temporary Basal Rate is deliveredTemporary Basal Rate delivery is interrupted Insulin delivery Custom User Menu Advanced User Menu 100 Selecting a User Menu 101 102 New basal rate 103 Standard User Menu 104 Data Transfer 105 Setup for Data Transfer 106 Review the Bolus History Reviewing Pump DataEach Bolus History screen displays 107 Press d to move to the Information screen Press f to select Press a or s to review the entries Press f to exit108 109 Review the Alarm History 110 Review the History of Daily Insulin Totals 111 Review the Temporary Basal Rate History 112 Review the Time Remaining Setup Menu Standard Turning KeyLock On or Off113 114 115 116 Adjusting the Beep Volume Setting Up Alarm Signals Beep and vibrate117 Automatic Off Or healthcare team118 119 Battery Type 120 Display Orientation By 180, the a and s keys will also reverse their Your screen orientation121 Alarm Clock See the section Alarm Clock Advanced User Menu122 123 Basal Rate Profiles Check your personal settings Programming Additional Basal Rate Profiles124 125 Selecting a Basal Rate Profile 126 Alarm Clock Set Single or Multiple Alarms127 128 Turning Off the Alarm Clock Setup Menu Advanced Time Format129 You can set the date in the following formats American Date FormatEuropean 130 Bolus increment May cause inappropriate insulin delivery131 132 Prime Quantity 133 Lock Basal Rate Profiles Language To choose a language, do the following134 Your pump lets you adjust the display contrast Display Contrast135 136 Custom User Menu System Inspection Checklist Care of Your ACCU-CHEK Spirit Insulin Pump137 138 139 What to Do When You Drop Your Pump Disposal Storing Your ACCU-CHEK Spirit Insulin Pump Cleaning Your ACCU-CHEK Spirit Insulin Pump MaintenanceBattery Information Damage the pump 142 Repair 143 Troubleshooting Therapy-Related Issues Troubleshooting Table Problem Recommended Actions144 Problem Recommended Actions Single use only145 146 147 Alerts and Errors When you confirm A1 Cartridge LOW , E1 Cartridge Empty Confirming an Alert or ErrorFollow the steps below to confirm an alert or error 148 List of Alerts Alert A1 Cartridge LOW149 Alert A2 Battery LOW Alert A3 Review Time and Date150 See the section Alarm Clock page 127 for more information Alert A4 Alarm ClockAlert A5 Pump Timer 151 152 Alert A6 TBR Cancelled Temporary Basal Rate Cancelled Alert A8 Bolus Cancelled Alert A7 TBR Over Temporary Basal Rate Over153 List of Errors Error E1 Cartridge Empty154 Battery is out of power. Replace it immediately Error E2 Battery DepletedGathered data might not be meaningful 155 Error E4 Occlusion Error E3 Automatic OFFYour doctor’s or healthcare team’s instructions 156 157 158 Error E5 END of Operation 159 Error E6 Mechanical Error 160 Error E7 Electronic Error 161 Error E8 Power Interrupt Error E10 Cartridge Error Error E11 SET not Primed162 163 Error E12 Data Interrupted Error E13 Language Error See the section Data Transfer page 104 for more information164 Appendix a Technical Data General Technical Data165 166 167 168 Technical Standards on Electromagnetic Emissions Compliance169 KHz to 80 MHz MHz to E1 in V/m100 170 IEC Compliance Electromagnetic Technical Standards on Electromagnetic ImmunityTest Level 171 172 173 Accuracy of Flow Rate for Plastic Cartridges 174 Start-up graph over the stabilization period 175 176 Bolus≤ 177 Appendix B Configuration Parameters Basal Rate Maximum ParameterBolus 178 179 Typical Range Maximum Parameter Parameter Settings 180 Appendix C Abbreviations Appendix D Beeps and Melodies Each press181 Appendix E Vibrations Your ACCU-CHEK Spirit insulin pump vibrates when182 Appendix F Symbols General Symbols183 184 185 Symbol Definition 186 187 Appendix G Sterile Products and Accessories Name Comments188 189 Appendix H Glossary Headset also known as cannula housing Factory settingsDaily insulin total Diabetes Data Management DDM RUN mode Luer-lock connectorInfusion site Insulin Stop mode SettingsTimeout Scrolling 194 Limited FOUR-YEAR Warranty 195 Index KeyLock 77-80Turning On 80-82 Turning Off 196 No. Error What You Need to Do Quick Reference Table for Errors200 197 Diagram of User Menus Quick Reference Table for AlertsNo. Alert What You Need to Do Disetronic Medical Systems AG