Insulin pump therapy follow-up, Everyday | Energizer 515, 715

Chapter: 7

Insulin pump therapy follow-up

We hope that you are now comfortable using the pump and your blood glucose values have improved through insulin pump therapy. Diabetes management requires much more than blood glucose control. You need to take care of your complete physical and mental health. This includes seeking treatment for any condition both directly related to and not related to diabetes. The following recommendations apply to general diabetes as well as insulin pump therapy follow-up. Remember, your healthcare professional is your best resource for successful diabetes management.

Recommended follow-up

Everyday

➠Check your blood glucose 4 to 6 times a day and always before bed

➠Test before driving and have a fast-acting carbohydrate with you when you drive

➠If your blood glucose is above 250 mg/dl (13.9 mmol/L) twice in a row, take an injection and change the infusion set

Every month

➠Review DKA prevention guidelines

➠Check 3:00AM blood glucose at least once during the month

➠Check 2-hour post-meal blood glucose for all meals on a given day

Every 3 months

➠Visit your healthcare professional, even if you feel well and your blood glucose values are within your target range

➠Review your blood glucose log and insulin pump settings with your healthcare professional

➠Make sure you have an HbA1c test done

Insulin pump therapy follow-up 107

Image 129

Energizer 515, 715 manual Insulin pump therapy follow-up, Recommended follow-up, Everyday, Every month, Every 3 months

Contents

User Guide Paradigm 715 Infusion Pumps REF MMT-515 Includes all models This page intentionally left blank Contents Basic programming Starting on insulin 107 Review your Bolus Wizard feature settings 110 109112 116 Alarm conditions 137 Alarms 135Battery 141 Storage Cleaning your pump 142 Alarms and error messages 143 Alarm history Backlight Basal Index Xii Contents Practice lessons and examples Easy bolus examples Glossary Xviii Glossary Glossary Xx Glossary Glossary Xxii Glossary Your personal information Basal rateStandard Carb ratios meal bolus information Pattern aPattern B Introduction AvailabilityAssistance Emergency kit Disposables Accessories Download pump and meter data ParadigmPAL How to wear your pump Term / symbol Meaning How to use this guide Indications User safetyContraindications Reservoir and infusion sets Precautions Avoid extreme temperaturesInfusion sets and sites Insulin pump and RF accessories Chapter Your pump Basics Do not apply force when you turn the cap Install battery Home screen Pump buttons Pump screen BatteryHome screen Screen icons Alert and alarm icons Reservoir volumeScroll bar Time display Beep/vibrate Operating modesScreen backlight Special Mode Menus Status U100 Status screen Pump settings If you remove your pumpInsulin Chapter Basic programming Setting the time and date Normal bolus Bolus insulin delivery types Total carbohydrate exchanges = Normal meal bolus using the exchange system Normal meal bolus using carbohydrate counting Bolus practiceTotal grams of carbohydrates = Meal bolus, correction bolus and insulin sensitivity Total grams of carbohydrate Practice Meal bolus Carb value Review your bolus deliveries Delivery stopped Bolus details Maximum bolus limit Example 1 Max bolusExample 2 Max bolus BG reminder 200 Start and stop times Basal Basal programming and delivery Your basal settings Start time flashing / to set Basal review Current basal deliveryDaily basal rates If you use patterns If you do not use patterns Max basal rate Example 1 Max BasalExample 2 Max Basal Suspend Stopping your pump Example Suspend function Resume pump delivery Basic programming Chapter Prepare your pump for use Starting on insulin Filling the reservoir Click Removing the reservoir Changing your infusion set Rewinding your pump Inserting the reservoir in your pump Manual prime Disconnect Make sure you are not connected to the pump Insert the infusion set Quick-set infusion set with Quick-serter Chapter Starting on insulin Connecting Quick-set Fixed prime Prime history Record keeping for diabetes management Determining your pump settings Using your daily journal Chapter Using the Bolus Wizard feature What is it?Information you need Carb ratios Start time Information Setting Carb unitsIf you count carbs Range Grams per unit If you count exchanges Active insulin time Information Setting BG target rangeNumber of Hours Range Hours How the Bolus Wizard feature works More about the Bolus Wizard feature About high or low blood glucose levelsAbout maximum delivery Estimate Details About active insulin Active insulin on page 64 for more information Bolus Wizard feature on/off How to program the Bolus Wizard feature Carb/Exch ratios Carb units Time for the next To set more than one carb ratio Press ESC Set the startRatio and press Set the value for Insulin sensitivity BG blood glucose units BG blood glucose target range Next insulinSensitivity and press To set just one BG Target To set more than one BG Target What it means Active insulin time Meter option Review your Bolus Wizard feature settings Add, delete, review meter IDs Meter rules Add DeleteReview Mg/dL Normal bolus using Bolus Wizard feature If this is a food bolus If this is a correction bolus Bolus Wizard feature examples Using the Bolus Wizard feature Chapter Using the Bolus Wizard feature Chapter Square Wave and Dual Wave boluses Optimizing pump therapy Dual/Square Wave bolus on-off Square Wave or Dual Wave bolus without Bolus Wizard feature Continue to step Example 2 Square Wave bolus gastroparesis Your turn Square Wave bolus practice Test Your turn Dual Wave bolus practice Using the Bolus Wizard feature Next screen, notice Screen shows the Normal Easy bolus Easy bolus setup Delivering an Easy bolus Step value setup 0U ACT Your turn Easy bolus practice Example 1 Easy bolus Patterns on/off Basal patterns Program a pattern Select a pattern Your turn Example Basal patterns How does temp basal work? Temp temporary basal rates Insulin rate Temp basal types Percent of basal Is 2.30 U/H Delivering a temp basal Selecting temp basal type Verifying temp basal delivery 60% Example Temp Basal for a decreased temporary basal rate Canceling a temp basal Example Temp Basal for an increased temporary basal rate Recommended follow-up Insulin pump therapy follow-upEveryday Every month Laboratory tests Every visitAnnually Setting your alert type Alarm reviewAlarm details Utilities Low resv alert Low reservoir warning Auto-off For Time For Insulin units What is included in the daily totals? Why should I review my daily totals?Where is the daily totals screen? Review daily insulin totals 27FEB Insulin 112.30U Pump data management Chapter Days to average Personal reminders Alarm clock Remote control option Add, delete, review remote control IDs Turn on remote control option Turn block on Block feature Example 2 Block Example 1 Block Selftest Lock keypad featureTo lock keypad To unlock keypad Go to the Utilities MENU. Select Selftest and press ACT Saving pump settings User settings Restoring pump settings Do not clear your pump settings unless directed by your Clear settingsIf you clear your pump settings, it will be necessary to Body History Language setting Chapter My pump has a no delivery alarm Troubleshooting What happens if I leave the battery out too long? Why doesn’t my pump battery last very long?What is a Check Settings alarm? My screen appears distorted Cannot get out of the priming loopPump is asking me to rewind My pump buttons are not acting right during a bolus My bolus stopped Submerged my pump in water Dropped my pump Why are alerts important? Cannot get to the User Settings menuAlert conditions What to do Low battery alert AlarmsWhy are alarms important? Low reservoir alert Alarm Message Alarm Alarm conditions Error Delivery Battery Pump maintenance BatteryStorage Cleaning your pump Alarms and error messages Pump specifications Bolus history Dual Wave bolus Normal bolus Program safety checks Status screen Pump specifications Bolus Wizard feature specifications Active Insulin Curve Settings Bolus Wizard feature examples Correction 70mg/dL 90mg/dL 20mg/dL Default factory settings Pump specifications Menu Default Limits Increments Setting Icon table Chapter Index Symbols Numerics Pump stroke Amount of insulin delivered per pump stroke Maximum number of daily totals records Management System 4 menus Basal Bolus Main Prime Utilities Quarterly every three months Rewind feature xxi rewinding your pump Described 19 factory settings Water resistance pump Index