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Accu-Chek insulin pump manual Programming an Extended Bolus

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Programming an Extended Bolus

The Extended Bolus is available in the ADVANCED and CUSTOM user menus. The Extended Bolus function lets you program a bolus to be delivered over a period of time. This function is helpful during long meals, dinners, or receptions, or when you have meals that are digested slowly. The Extended Bolus may also be appropriate for people who have gastroparesis (delayed digestion).

The duration of bolus delivery can be programmed in 15-minute intervals up to 24 hours and begins immediately after confirmation.

Note:

You can add a Standard Bolus to an ongoing Extended Bolus. If you cancel the Standard Bolus, the Extended Bolus continues to run.

During the delivery of an Extended Bolus, the programming of another Extended Bolus or a MultiWave Bolus is blocked. If you want to program a different Extended Bolus, put the pump in STOP mode to cancel the current bolus and to program a new one.

RUN	Extended	bolus	bolus
screen	bolus	amount	duration

stop your

ACCU-CHEK

A8: bolus cancelled

Chapter 4: Boluses and TBRs

83

ACCU-CHEK Spirit Insulin Pump

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Accu-Chek insulin pump manual Programming an Extended Bolus

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 E Vibrations Appendix F Symbols183 Appendix C AbbreviationsThis page left blank intentionally ACCU-CHEK Spirit Insulin Pump DisplayTo malfunction Backlight HintPump Support at 1-800-688-4578 immediately Key in areas of poor lighting as this willKeys and Key Combinations One beep in Stop mode Key CombinationsExiting menus, function screens, Information screens without savingLocking Keys Using KeyLock Feature ScreensRUN Screen Information, Function, and Setup Screens Stop ScreenQuick Info Screen Status Screen Messages, Beeps, and Vibrations Follow the steps below to navigate through the screensAlarm Signals STOP-WarningTo Turn Off the STOP-Warning Accessories and Disposables Or void your warrantySterile Products Out of the reach of children CartridgesUse only Recommended PossibleAdapter Battery Battery Cover Always make sure that you remove the battery if yourBattery Key Emergency KitThis page left blank intentionally Inserting or Changing the Battery 32 for more informationFollow the steps below Press d to move to the Stop Your ACCU-CHEK screenUse the cover to gently push the battery all the way Pump begins its start-up processPut the pump in Stop mode ACCU-CHEK logo appears System Check Start-Up ProcessInsulin pump Pump Support atContact 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 Your Personal Settings Team to understand how to use the pumpInsulin delivery Your correction bolus ratioYour Basal Rate Profile Programming Your Basal Rate Profile Follow the steps below If you want to save the changes If you want to undo the changesCopying an Hourly Basal Rate Basal Rate and Bolus Always handle the items with clean hands Preparing the CartridgeFilling the Cartridge To fill a cartridge, have the following materials readyPlunger 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 Inserting the Cartridge Use a soft cloth to dry the compartmentFollow the steps below Cartridge volume decreases accordingly on the display Press f after correctly inserting the cartridge Priming the Infusion Set To your bodyStop Stopping the Priming Process Infusion Site Selection Infusion Site PreparationGetting Started Healthcare team Healthcare team’s recommendationsBefore Using Wearing Your PumpDuring insulin pump therapy Pocket knives, and coinsAcceptable 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 Mode to continue insulin delivery Stopping Insulin DeliverySTOP-Warning Interruption of Insulin Pump Therapy Put your pump in Stop mode Short InterruptionResuming Insulin Pump Therapy For a long period of timeChanging 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 Personal settings Team check your personal settingsInappropriate insulin delivery Insulin ratio and your correction bolus ratioProgramming a Standard Bolus There are two ways to program a Standard BolusProgramming a Quick Standard Bolus RUN Using the a and s keys of your insulin pump Cancelling a Quick Standard BolusDuring programming the bolus amount blinks No bolus is deliveredProgramming a Menu-Guided Scroll Standard Bolus Cancelling a Menu-Guided Scroll Standard Bolus Set the bolus amount to 0.0 units. Press f to exitBoluses 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 Cancelling an Extended Bolus During bolus deliveryBoluses and TBRs Programming a MultiWave Bolus ACCU-CHEK Boluses and TBRs Cancelling a MultiWave Bolus Set the total bolus amount to 0.0 units and press fWhen 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 Advanced User Menu Custom User MenuSelecting a User Menu 100101 New basal rate 102Standard User Menu 103Data Transfer 104Setup for Data Transfer 105106 Reviewing Pump Data Review the Bolus HistoryEach Bolus History screen displays 107Press d to move to the Information screen Press f to select Press a or s to review the entries Press f to exit108 Review the Alarm History 109Review the History of Daily Insulin Totals 110Review the Temporary Basal Rate History 111Review the Time Remaining 112Setup Menu Standard Turning KeyLock On or Off113 114 115 Adjusting the Beep Volume 116Setting Up Alarm Signals Beep and vibrate117 Automatic Off Or healthcare team118 Battery Type 119Display Orientation 120By 180, the a and s keys will also reverse their Your screen orientation121 Alarm Clock See the section Alarm Clock Advanced User Menu122 Basal Rate Profiles 123Check your personal settings Programming Additional Basal Rate Profiles124 Selecting a Basal Rate Profile 125126 Alarm Clock Set Single or Multiple Alarms127 Turning Off the Alarm Clock 128Setup Menu Advanced Time Format129 Date Format You can set the date in the following formats AmericanEuropean 130Bolus increment May cause inappropriate insulin delivery131 Prime Quantity 132Lock Basal Rate Profiles 133Language To choose a language, do the following134 Your pump lets you adjust the display contrast Display Contrast135 Custom User Menu 136System Inspection Checklist Care of Your ACCU-CHEK Spirit Insulin Pump137 138 What to Do When You Drop Your Pump 139Storing Your ACCU-CHEK Spirit Insulin Pump DisposalMaintenance Cleaning Your ACCU-CHEK Spirit Insulin PumpBattery Information Damage the pumpRepair 142Troubleshooting 143Therapy-Related Issues Troubleshooting Table Problem Recommended Actions144 Problem Recommended Actions Single use only145 146 Alerts and Errors 147Confirming an Alert or Error When you confirm A1 Cartridge LOW , E1 Cartridge EmptyFollow the steps below to confirm an alert or error 148List of Alerts Alert A1 Cartridge LOW149 Alert A2 Battery LOW Alert A3 Review Time and Date150 Alert A4 Alarm Clock See the section Alarm Clock page 127 for more informationAlert A5 Pump Timer 151Alert A6 TBR Cancelled Temporary Basal Rate Cancelled 152Alert A8 Bolus Cancelled Alert A7 TBR Over Temporary Basal Rate Over153 List of Errors Error E1 Cartridge Empty154 Error E2 Battery Depleted Battery is out of power. Replace it immediatelyGathered data might not be meaningful 155Error E3 Automatic OFF Error E4 OcclusionYour doctor’s or healthcare team’s instructions 156157 Error E5 END of Operation 158Error E6 Mechanical Error 159Error E7 Electronic Error 160Error E8 Power Interrupt 161Error E10 Cartridge Error Error E11 SET not Primed162 Error E12 Data Interrupted 163Error 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 E1 in V/m KHz to 80 MHz MHz to100 170Technical Standards on Electromagnetic Immunity IEC Compliance ElectromagneticTest Level 171172 Accuracy of Flow Rate for Plastic Cartridges 173Start-up graph over the stabilization period 174175 Bolus≤ 176Appendix B Configuration Parameters 177Maximum Parameter Basal RateBolus 178Typical Range Maximum Parameter Parameter Settings 179Appendix C Abbreviations 180Appendix D Beeps and Melodies Each press181 Appendix E Vibrations Your ACCU-CHEK Spirit insulin pump vibrates when182 Appendix F Symbols General Symbols183 184 Symbol Definition 185186 187 Appendix G Sterile Products and Accessories Name Comments188 189 Appendix H Glossary Factory settings Headset also known as cannula housingDaily insulin total Diabetes Data Management DDMLuer-lock connector RUN modeInfusion site InsulinSettings Stop modeTimeout ScrollingLimited FOUR-YEAR Warranty 194Index 19577-80 KeyLockTurning On 80-82 Turning Off 196Quick Reference Table for Errors No. Error What You Need to Do200 197Diagram of User Menus Quick Reference Table for AlertsNo. Alert What You Need to Do Disetronic Medical Systems AG