GETTING STARTED WITH THE MINIMED 640G INSULIN PUMP

Transcription

1 GETTING STARTED WITH THE MINIMED 640G INSULIN PUMP

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3 TABLE OF CONTENTS Section 1: Getting Started...3 Getting Started with the MiniMed 640G Inslin Pmp Pmp Mechanics and the Delivery of Inslin Infsion Set Reservoir Pmp Pmp Basics The Front of Yor Pmp The Bottom of Yor Pmp The Back of Yor Pmp Attaching the Skins Inserting the Battery Startp Wizard Home Screen Unlocking the Pmp Stats Bar Stats Screens Men Scroll Bar Basic Men Map Navigation Men Options Alerts Alarms Men Options - A Closer Look Adio Options Display Options Basal Patterns Basal Pattern Setp One Basal Rate Basal Pattern Setp Changing a Basal Rate Basal Pattern Setp Mltiple Basal Rates Basal Pattern Setp Removing Basal Rates Select Basal Pattern Bols Wizard Calclator Using the Bols Wizard Calclator Checking Last Bols Sspend Delivery Charging the Contor Next LINK 2.4 Meter...33 Section 2: Medtronic CareLink Personal Software Introdction to Medtronic CareLink Personal Software...34 Section 3: Connecting the MiniMed 640G Inslin Pmp & the Contor Next LINK 2.4 Meter Section 4: Getting Started Using the Contor Next LINK 2.4 Meter Giving a Remote Bols...36 Section 5: Changing the Reservoir and Infsion Set Reservoir & Tbing

4 TABLE OF CONTENTS Section 6: Additional Featres History Smmary Daily History Alarm History Manal Bols Inslin Settings Max Basal Adding New or Copying Basal Patterns Temp Basal Preset Inslin Settings Preset Temp Setp Preset Bols Max Bols Advanced Bols Sqare Wave Dal Wave Bols Increment Easy Bols Ato Sspend Bols Speed Event Markers Reminders Personal Reminder Bols BG Check Reminder Missed Meal Bols Reminder Low Reservoir Reminder Set Change Reminder Trning Reminders Off Utilities Airplane Mode Time & Date Block Remote Bols Self Test Carb Unit Manage Settings Sensor Demo Langage Section 7: Training Handots Basal Qick-Reference Gide for the MiniMed 640G Inslin Pmp Bols Wizard Qick-Reference Gide for the MiniMed 640G Inslin Pmp Changing the MiniMed Sre-T Infsion Set with the MiniMed 640G Inslin Pmp Changing the MiniMed mio Infsion Set with the MiniMed 640G Inslin Pmp.77 2

5 INTRODUCTION : WELCOME GETTING STARTED WITH THE MINIMED 640G INSULIN PUMP Welcome! We are glad that yo have chosen inslin pmp therapy and are excited for yo to begin sing yor inslin pmp. Whether yo ve chosen pmp therapy becase of its convenience, the flexibility it provides, or to help improve yor glcose control, yor pmp will be a valable tool in helping to manage yor diabetes. This gide provides step-by-step instrctions on the basic operation and programming of yor pmp. Using yor pmp to complete each practice exercise will help yo become comfortable with the basics and prepare yo for yor in-person training. The information is presented in an order that will bild yor skills and knowledge. Dring yor in-person training, yor trainer will bild on this information and help ensre yo are confident to begin pmp therapy. DID YOU KNOW? A complete explanation of the technical and operational aspects of yor pmp can be fond in the MiniMed 640G System User Gide. Here are some qick tips to keep in mind as yo work throgh this information: Be sre yo are not attached to yor inslin pmp while yo practice. It s okay if yo make a mistake. If yo press the wrong btton, se the to go back to the previos screen and try again. If yo do not toch a btton for 15 seconds, the pmp screen will trn dark. Press any btton and the pmp screen will retrn. Avoid the Reservoir & Tbing men option as yo practice. Yo will review these steps dring yor in-person training. DID YOU KNOW? An interactive online version of this training is available at We hope yo enjoy learning abot yor new inslin pmp.! IMPORTANT Do NOT attach the inslin pmp to yor body or attempt to se inslin in yor pmp as yo se this gide to practice and learn. Attaching and sing mst only be done when yo receive formal training with yor healthcare professional or a certified prodct trainer. 3

6 SECTION 1 : GETTING STARTED 1.1 PUMP MECHANICS AND THE DELIVERY OF INSULIN Before we begin, let s make sre yo know how inslin is delivered when sing an inslin pmp. The parts that make p the pmp s delivery system are the infsion set, the reservoir, and the pmp Infsion Set The infsion set consists of tbing (1) that carries inslin from the pmp to yo. On one end of the tbing is the reservoir connector (2) that attaches to the reservoir which holds the inslin. On the other end is the insertion site section (3) that attaches to yo. Infsion Set * 1 Tbing 2 Reservoir Connector 3 Insertion Site Section 4 Cannla 5 Adhesive 6 Reservoir Compartment The insertion site section has a small insertion needle that places a tiny flexible tbe called a cannla (4) into yor body **. Once the infsion set is inserted, yo remove the needle, leaving jst the cannla behind. A small piece of adhesive (5) holds the infsion set in place Reservoir The reservoir is similar to a syringe and holds 2- to 3-days spply of inslin. The reservoir fits into the pmp s reservoir compartment (6). Yo will be replacing both the infsion set and the reservoir every 2 to 3 days Pmp Inside the pmp, at the bottom of the reservoir compartment, is a piston. The piston acts like the plnger rod on a syringe, pshing p on the bottom of the reservoir, moving inslin into the tbing, throgh the cannla, and into yor body. The piston is controlled by a mini compter inside the pmp that s able to deliver inslin in very small doses, sometimes as small as nits. It mst be rewond each time a newly filled reservoir is placed into the reservoir compartment. 4 2 Reservoir 6 Pmp *Medtronic Qick-set infsion set shown in illstration. **Some infsion sets do not se a cannla bt have a small needle that remains inserted in the body. 4

7 SECTION 1 : GETTING STARTED 1.2 PUMP BASICS Before inserting the battery or pressing any bttons, let s take a closer look at yor pmp. 1.2The Front of Yor Pmp Up, Down, Left, and Right Press to scroll p or down throgh a men or list Press to move to desired area on the screen Press to change the vale in an area Back Press to retrn to a previos screen Press and hold to retrn to the starting screen, called the Home screen Back Select Up Press to select or confirm a vale or Left men option that is highlighted Press when directions say select Notification Light Men Press to get to the Men Men Right Select Notification Light Down Flashes when an Alert or an Alarm is occrring 1.2The Bottom of Yor Pmp 1.2The Back of Yor Pmp US Medtronic Diabetes Helpline Telephone Nmber For prodct assistance within Astralia please se the local nmber to call the 24-hor helpline: Pmp Serial and Model Nmber Yo may need to provide these nmbers if yo call for assistance. 5

8 SECTION 1 : GETTING STARTED 1.24 Attaching the Skins Yo can prchase adhesive skins to attach to the back of the pmp and the front of the belt clip. Yo can find these on the Medtronic eshop. In addition to personalising the look of yor pmp, skins provide additional protection against srface scratches. Apply the skins sing the instrctions provided with them Inserting the Battery Yor inslin pmp is powered by a AA battery. A lithim, alkaline, or rechargeable AA battery can be sed. The battery yo place into yor pmp shold always be new or flly charged. To insert the battery and get started, yo will need: the battery cap fond with the pmp the belt clip fond with the accessories the AA battery fond with the accessories STEP 1. Place the battery into the battery compartment with the negative (flat) end going in first. STEP 2. Place the battery cap onto the pmp. Use the edge of the belt clip to trn the cap to the right (clockwise) and tighten ntil the slot is horizontal to the pmp. See image below. NOTE: Do not ndertighten or try to overtighten the battery cap. It shold be aligned horizontally with the pmp case as shown here. 6

9 SECTION 1 : GETTING STARTED 1.3 STARTUP WIZARD Always look for the item on the screen that is highlighted in yellow. This is the item that can be selected. Use and bttons to highlight the item yo want to choose and press the btton to select it. The pmp will power on and Startp wizard will begin. Select English. Select 12 Hor (AM/PM) or press to 24 Hor and press. This example ses 12 hor. The hor will be flashing. Select Year. Press to the Press / to the correct correct year and press. hor and press. Select Month. Press / to The mintes will be flashing. the correct month and press. Press / to the Select Day. Press / to correct mintes and press. the correct day and press. The AM/PM will be flashing. Select Next. Press / if needed and press. To scroll faster, press and hold Select Next. the or btton. Once yo reach the correct vale or item, press to select. Wait a moment. Select OK. 7

10 SECTION 1 : GETTING STARTED 1.4 HOME SCREEN Yo are now on the Home screen. The Home screen will be yor starting place to access all featres in the pmp. When yo haven t pressed any bttons for a while, the pmp screen will look dark. The pmp is still on. It is jst saving battery power. Yo can simply press any btton to make the screen reappear. The following information is displayed on the Home screen. Stats bar: provides a qick look at the pmp s stats Crrent time Bols: gives yo access to the bols delivery screen and other bols inslin options Basal: gives yo access to basal inslin options BG reading: displays a BG taken in the last 12 mintes Active inslin: displays any inslin still active from a previos bols KEEPING THE SCREEN ON LONGER... Margaret noticed when she wasn t pressing bttons on her pmp, the screen wold trn dark. This happens to save battery life. She soon learned she cold simply press any btton to trn the screen back on. Helpfl Hint: If the pmp is going into Power Save mode too qickly, the setting can be changed. Yo will learn how to do this on page 17. 8

11 SECTION 1 : GETTING STARTED 1.41 Unlocking the Pmp After the Backlight has been off for a few mintes, the pmp goes into Sleep mode and the pmp is locked. When yo begin sing yor pmp again, yo will see a screen like the one shown here when yo leave the Home screen. Yo will need to press the arrow key that is highlighted to nlock the pmp. This confirms yo are reading the screen and the btton presses are not accidental. If the wrong arrow key is pressed, yo will see the screen here. Select OK to retrn to the Home screen and try again. Yo can press and hold if yo wish to pt the pmp into Sleep mode and keep it locked when yo are not sing it. Doing this can also help save battery life Stats Bar The Stats Bar displays the following icons so yo can qickly view important information. When sing yor pmp, yo will see 3 of these icons. Battery icon: Shows the level of charge yor battery has. As the battery charge decreases, the icon will become less fll and change to yellow and then red. Reservoir icon: Shows the approximate amont of inslin left in yor reservoir. As inslin is sed, the icon will become less fll and change to yellow and then red. Adio icon: Shows the adio mode yo are sing: adio, vibrate or adio and vibrate. 9

12 SECTION 1 : GETTING STARTED 1.43 Stats Screens There will be times when yo need additional stats information. For example, the Stats Bar icon shows yo if the inslin in yor reservoir is getting low, bt yo may need to know exactly how many nits are left. This additional stats information can be fond in the stats screens. 1) Press to highlight the Stats Bar and press. 2) If prompted, press the arrow key that appears to nlock the pmp. 3) Press to view Notifications or press to highlight the stats screen yo wish to view and press. Here yo can see the stats information that can be fond when yo select each men item: Notifications - shows the name and times of alarms, alerts, messages, and reminders that yo have received over the past 24 hors. Qick Stats - provides a crrent smmary of pmp information inclding the last bols yo delivered, the last BG entered, and yor crrent basal rate. Pmp - provides detailed information abot yor pmp, inclding the date yo last changed the reservoir, and the nmber of nits left in it. Settings Review - displays the settings yo have programmed into yor pmp. REMEMBER: Yo can go back to the previos screen by pressing. 10

13 SECTION 1 : GETTING STARTED 1.5 MENU Pressing the btton will take yo to the Men. Scroll Bar There are 9 items listed on the Men. Each men item contains the featres and fnctions that pertain to that men item. Yo will find the items meant to be most qickly accessible closest to the top of the Men Scroll Bar When a screen or men has more than five lines of information, a scroll bar appears on the right side of the screen. Press to scroll down and view the additional items. On the following page, yo will find a map of the basic men. This shows yo the options that yo will find nder each of the Men items. NOTE: Yo will not be sing all of these options right away. We will focs on the ones that yo will need to get started. 11

14 SECTION 1 : GETTING STARTED 1.52 BASIC MENU MAP Press Sspend Delivery Adio Options History Reservoir & Tbing Inslin Settings Sensor Settings Event Markers Reminders Utilities Home Screen Sspend Delivery History Smmary Daily History Alarm History Adio Options Adio Adio & Vibrate Vibrate Volme Reservoir & Tbing New Reservoir Fill Cannla 12

15 SECTION 1 : GETTING STARTED 1.53 Navigation Press from any screen to open the Men. Press and to scroll throgh the men items. Press on the desired men item to open. The scroll bar appears on mens to indicate when additional text is available. Press to scroll down to view additional items. Press to scroll back p. Press to go to previos screen. Hold to retrn to the Home screen. Sensor Settings Sensor Reminders Personal Bols BG Check Missed Meal Bols Low Reservoir Set Change Inslin Settings Bols Wizard Setp Basal Pattern Setp Preset Temp Setp Preset Bols Setp Dal/Sqare Setp Bols Increment Max Basal/Bols Easy Bols Ato Sspend Bols Speed Event Markers BG Injections Food Exercise Other Utilities Airplane Mode Display Options Time/Date Remote Bols Block Self Test Carb Unit Manage Settings Sensor Demo Device Options Langage 13

16 SECTION 1 : GETTING STARTED 1.54 Men Options Here yo see a brief smmary of the information fond within each men item. SUSPEND DELIVERY: Lets yo stop inslin delivery. This is commonly sed when disconnecting to swim or bathe. AUDIO OPTIONS: Lets yo choose adio, vibrate or both to inform yo of alerts and notifications. Yo can also change the volme here. HISTORY: Shows information abot recent inslin delivery, actions yo performed on yor pmp, and alerts and alarms received. Yo can look back to previos days when necessary. RESERVOIR & TUBING: Contains steps to changing the reservoir and infsion set. INSULIN SETTINGS: Contains all featres and settings that affect or change yor pmp s delivery of inslin. These settings help yo to individalise the pmp to meet yor inslin needs. SENSOR SETTINGS: Contains all options related to sensor se. These are set when sing continos glcose monitoring. EVENT MARKERS: Lets yo se yor pmp instead of a written log to record events sch as taking an injection or exercising. REMINDERS: Lets yo set the pmp to remind yo to do important rotine activities sch as checking BG and changing yor infsion set. UTILITIES: Contains varios other featres and settings related to pmp se. THE MENU... When Lisa first started on her pmp, she didn t know if she cold ever learn how to se all the featres the pmp had available. Bt, she jst focsed on the basics first, and then she started learning the additional featres that she fond helped her the most. Helpfl hint: Take some time to get comfortable with basics first. Then learning the additional featres will be mch easier and more fn to do. 14

17 SECTION 1 : GETTING STARTED 1.6 ALERTS An alert makes yo aware of a sitation that may need yor attention. When an alert occrs, yo shold check to see what yor pmp is telling yo. Examples of alerts inclde Low reservoir or Low battery. When an alert occrs: Notification Light: The red light on the pmp will blink once followed by a pase, blink again followed by a pase. This seqence contines ntil the alert is cleared. The flashing pattern is shown here: Adio: Depending on yor Adio Option settings, the pmp emits a repeated alert tone, a continos two-plse vibration, or both. Display: The pmp will display a notification with a yellow icon and instrctions on what to do. To address and clear the alert: 1) Read the text on the screen to nderstand the alert and the steps that shold be taken. 2) Press. 3) Press on the desired option. Press If yo do not respond to an alert, the adio / vibration pattern repeats every five mintes ntil the alert is cleared. 15

18 SECTION 1 : GETTING STARTED 1.7 ALARMS When an alarm occrs, something has been detected that is preventing inslin from being delivered. Yo are not getting inslin. It is important that yo address an alarm right away. Examples of alarms are Inslin flow blocked and Replace battery now. When an alarm occrs: Notification Light: The red light on the pmp will blink twice, followed by a pase, blink twice again followed by a pase. This seqence contines ntil the alert is cleared. The flashing pattern is shown here: Adio: Depending on yor Adio Option settings, the pmp emits a repeated alert tone, a continos three-plse vibration, or both. Display: The pmp will display a notification with a red icon and instrctions on what to do. To address and clear the alarm: 1) Read the text on the screen to nderstand the alarm and the steps that shold be taken. 2) Press. 3) Press on the desired option. Press If yo do not respond to an alarm, the adio / vibration pattern repeats every minte for 10 mintes. After 10 mintes, the alarm begins to siren.! IMPORTANT: It is important that yo are able to address an Inslin flow blocked alarm. This alarm means that inslin is not able to get throgh the tbing or cannla. If this alarm occrs, check to see if yor infsion set has become dislodged or if yor tbing is kinked. If yo don t detect an isse and are nable to change yor reservoir and infsion set right away, yo might choose to select Resme Basal. If an Inslin flow blocked alarm occrs again, follow the steps on the screen. Select Rewind and change yor reservoir and infsion set. If yo detect an isse or if yor reservoir has rn ot of inslin, follow the steps on the screen. Select Rewind to change yor reservoir and infsion set. 16

19 SECTION 1 : GETTING STARTED 1.8 MENU OPTIONS - A CLOSER LOOK Yo are now ready to set a cople of the basic featres within the Men Adio Options Yo will se Adio Options to set pmp to beep (Adio), beep and vibrate (Adio & Vibrate), or jst vibrate (Vibrate). If yo set Adio or Adio and Vibrate, yo can also increase or decrease the Volme. Let s Practice: 1) Press to open the Men. 2) Press to Adio Options and press. 3) Press to the option that yo prefer and press. If yo choose Adio or Adio & Vibrate, yo are able to adjst the volme. 4) Press to Volme and press. 5) Press or to desired volme and press. 6) Select Save. The icon shown here will display on the Stats Bar on the Home screen. The Option yo select trns On Display Options Display Options allows yo choose the brightness of yor pmp screen. This is also where yo go to change the amont of time yor pmp stays on before it goes into Power Save mode. Let s Practice: 1) Press to open the Men. 2) Press to Utilities and press. 3) Press to Display Options and press. If yo want to adjst the screen brightness: 4) Select Brightness. 5) Press to the setting yo prefer and press. To adjst the backlight: 6) Select Backlight. 7) Press to the setting yo prefer and press. 8) Select Save. The Ato setting atomatically adjsts the screen brightness to match yor crrent environment. NOTE: How yo adjst these settings can affect battery life. For instance, increasing the Backlight time will decrease the life of yor battery. 17

20 SECTION 1 : GETTING STARTED 1.9 BASAL PATTERNS Remember, yor body needs inslin so glcose can be moved into yor cells providing energy for yor body. Inslin is needed 24 hors a day, even between meals and dring the night. This is called basal inslin. The pmp spplies basal inslin by delivering small amonts throghot each hor, every hor of the day and night. This allows for inslin to be increased and decreased to adjst for yor body s needs. U/hr 00:00 0:00 24:00 24 Hors Basal inslin amonts mst be programmed into yor pmp. This is done by setting a basal pattern. A basal pattern consists of one or more basal rates being delivered over the corse of 24 hors. BEFORE HER PUMP... Lynn always had to remember to take her injection of longacting inslin at bedtime. Taking it at the same time every night like her doctor asked her to was difficlt. She is at niversity and some nights she wold go to bed early, others she wold be at the library ntil late stdying. Now with her pmp, she doesn t have to worry abot taking an injection. She is getting her basal inslin atomatically 24 hors a day Basal Pattern Setp One Basal Rate Yor healthcare professional will calclate the horly basal rate or rates are best for yo to se when yo start on yor pmp. Yo may simply start with a basal pattern that has only one basal rate. The pmp will deliver that exact basal amont evenly over each hor, 24 hors a day. For example, if yor starting basal rate is 1.0 nit, yor pmp wold deliver one nit of inslin throghot each hor. This means yo wold receive a total of 24 nits of basal inslin every 24 hors. To set yor Basal Patterns, yo will need to go to the Inslin Settings men option and then to Basal Pattern Setp. There are two ways to access Inslin Settings: 1) From the Home screen, select Basal and press to Inslin Settings OR 2) Press and press to Inslin Settings 18

21 SECTION 1 : GETTING STARTED Let s Practice: Setting a Basal Pattern with one Basal Rate Let s set a Basal pattern with a basal rate of 0.75 U/hr from 00:00-24:00 1) From the Home screen, select Basal. 2) Press to Inslin Settings and press. 3) Press to Basal Pattern Setp and press. 4) Select Basal 1. 5) Crrently, the pmp is delivering U/hr. Select Options. 6) Select Edit. 7) Press on the time segment. The End time will be flashing. Since yo are setting only one basal rate for all 24 hors, the End time does not need to be changed. 8) Press. 9) Press to and press. 10) Select Done. 11) Verify that Basal 1 is entered correctly. If NO changes need to be made: 12) Select Save. This basal pattern delivers 18 U over 24 hors. If changes need to be made: 12) Press. 13) Press press. Repeat Steps ) Select Save. 19

22 SECTION 1 : GETTING STARTED This basal rate amont entered, U/hr in this example, will atomatically be delivered throghot each hor continosly from one day to the next. U/hr :00 24: U/hr 00:00 06:00 12:00 18:00 24:00 24 Hors 1.92 Basal Pattern Setp Changing a Basal Rate If yor glcose levels are rnning too high or too low, this basal amont may need to be changed. Let s Practice: Changing a Basal Rate Change Basal 1 basal rate from to U/hr. 1) From the Home screen, select Basal. 2) Press to Inslin Settings and press. 3) Press to Basal Pattern Setp and press. 4) Select Basal 1. 5) Select Options. 6) Select Edit. 7) Press on the time segment. 8) Select End time. 9) Press to change to ) Select Done. 11) Verify that Basal 1 is entered correctly. 12) Select Save. 20

23 SECTION 1 : GETTING STARTED 1.93 Basal Pattern Setp Mltiple Basal Rates After yo start sing yor inslin pmp, yor glcose readings will help yo and yor healthcare professional determine if yor basal pattern needs to be changed. Not only might yo need to increase or decrease yor crrent rate, yo may also need to add basal rates to give yo different amonts of basal inslin dring certain parts of the day or night. HAVING MORE THAN ONE BASAL RATE... When Jessica was taking inslin injections, her BG readings were always high in the morning. If she increased her nighttime inslin, then she wold have low BGs later in the day. Now that she has her pmp, it is set to deliver more inslin in the early morning so her BGs aren t high when she wakes p, and less inslin later in the day when she doesn t need as mch. Helpfl hint: Most people need more than one basal rate to get the best control with their pmp. Work with yor healthcare professional to get yor basal rates adjsted correctly when yo start on pmp therapy. For example, yor healthcare professional has reviewed yor BG readings and has determined that this basal rate works well part of the day, bt that yo need a lower basal rate, U/hr, between the hors of 08:00 and 18:00. Yor basal pattern wold look like this: U/hr :00 08:00 18:00 00: U/hr 08:00 18: U/hr U/hr 00:00 06:00 12:00 18:00 24:00 24 Hors Now, let s make the changes to yor basal pattern. 21

24 SECTION 1 : GETTING STARTED Let s Practice: Setting Mltiple Basal Rates 1) From the Home screen, select Basal. 2) Press to Inslin Settings and press. 3) Press to Basal Pattern Setp and press. 4) Select Basal 1. 5) Select Options. 6) Select Edit. 7) Press on the time segment. The basal rate will now need to end at 08:00 since this is the time that yor basal rate needs to decrease. 8) Press to 08:00 and press. 9) Press again as this basal rate will stay the same. Yo can see yo are atomatically asked to enter the end time of the second basal rate. This basal rate will need to end at 18:00 and will need to be changed to ) Press to change End time. 11) Press to 18:00 and press. 12) Press to and press. Yo can now enter the next end time. Yo will need to enter 24:00 to complete the fll 24 hors. 13) Press to change End time. 14) Press to 24:00 and press. 15) Press to and press. 16) Select Done. 17) Verify that Basal 1 is entered correctly. Press to view all basal rates. 18) Select Save. scroll bar 22

25 SECTION 1 : GETTING STARTED Let s Practice: Changing Mltiple Basal Rates Now change the 08:00 to 18:00 basal rate to 08:00 to 17:30 and change to U/hr. 1) From the Home screen, select Basal. 2) Press to Inslin Settings and press. 3) Press to Basal Pattern Setp and press. 4) Select Basal 1. 5) Select Options. 6) Select Edit. 7) Press to the 08:00 to 18:00 time segment and press. 8) Press to 17:30 and press. 9) Press to and press. Notice the start time of the 3rd time segment changed to 17:30. 10) Press to change End time. 11) Press to 24:00 and press. 12) Press to and press. 13) Select Done. 14) Verify that Basal 1 is entered correctly. Press to view all basal rates. 15) Select Save. 23

26 SECTION 1 : GETTING STARTED 1.94 Basal Pattern Setp Removing Basal Rates There may be times when yo have basal rates entered that need to be removed. This is done by simply changing the end time of the last basal rate that yo need to 24:00. Let s Practice: Removing Basal Rates 1) From the Home screen, select Basal. 2) Press to Inslin Settings and press. 3) Press to Basal Pattern Setp and press. 4) Select Basal 1. 5) Select Options. 6) Select Edit. 7) Press on the time segment. 8) Press to 24:00 and press. 9) Press. Notice that all other basal rates have been removed. 10) Select Done. 11) Verify that Basal 1 is entered correctly. Press to view all basal rates. 12) Select Save. NOTE: Creating a new basal pattern will not reslt in it atomatically becoming the active pattern Select Basal Pattern Once mltiple basal patterns are set, yo can then select the basal pattern yo wish to be active. 1) From Home Screen, select Basal. 2) Select Basal Patterns. 3) Select the Basal Pattern yo wish to be active. 4) Select Begin. 24

27 SECTION 1 : GETTING STARTED 1.10 BOLUS WIZARD CALCULATOR Calclating how mch bols inslin to give can be challenging. When sing the Bols Wizard, all yo will need to do is enter yor crrent BG reading along with the amont of carbs yo are abot to eat. Once yo do this, the Bols Wizard ses the individal settings provided by yor health care professional to estimate yor bols amont. Becase these settings are specific to yo, yo can rely on it to calclate the precise amont of bols inslin yo need for yor food and BG. This can help yo better control yor glcose levels (refer to page 69 for details on setting p the Bols Wizard ) Using the Bols Wizard Calclator Here yo can see the Bols Wizard calclation screen and a short description of the steps below: If yo have tested yor glcose sing yor compatible Bayer meter, the BG and correction dose will already be showing. Yo will first test and enter yor crrent BG. Yo will then enter grams of carbohydrates to be eaten. The pmp displays estimated amont of inslin to be delivered. Yo will learn more abot sing the Bols Wizard at yor in-person training. There, yor trainer will help yo program yor individal settings and have yo practice giving bolses sing this featre. USING THE BOLUS WIZARD... Larry is so excited that his inslin pmp has made his glcose management easier. Before his pmp he had to try to calclate on his own how mch inslin he needed. Now, his meter sends his BG to his pmp, he enters his carbs, and the pmp delivers the bols. Helpfl hint: After yo begin pmp therapy, testing yor BG two hors after meals will help yo determine if yor Bols Wizard settings are correct. If yor BG is too high or too low, yor healthcare professional can help yo adjst yor set tings to help yo achieve better glcose control. 25

28 SECTION 1 : GETTING STARTED Let s Practice: Food and Correction Bols Now yo are ready to practice giving a bols. This example shows giving a bols for a BG and carbs. In this example we will se a BG vale of 6.9 mmol/l and 35 grams of carb (refer to page 69 for details on setting p the Bols Wizard ). p! IMPORTANT: Make sre yo are NOT connected to the pmp while yo are giving practice bolses. 1) From the Home screen, select Bols. 2) Select Bols Wizard. Bols Wizard now appears. Yo can also give a Manal Bols from here. 3) If sing the compatable Bayer meter, BG will be on screen. If not, select BG. 4) Press or to enter crrent BG, and press. Active Ins. adjst. is the active inslin from previos bolses that is being adjsted (sbtracted) from the correction dose. 5) Select Carbs. 6) Press to enter the amont of carbs yo are eating and press. 7) Select Next. 8) Select Deliver Bols. The BG vale entered appears on the home screen and will remain here for 12 mintes. 26

29 SECTION 1 : GETTING STARTED There may be times yo enter either a BG vale or carbs. For example, yo wold enter: only grams of carb if yo finished yor meal, bt are eating additional carbs. only a BG vale if yo tested 2 hors after yor meal to see if yo needed a bols. Let s Practice: Food bols with no BG 1) From the Home screen, select Bols. 2) Select Bols Wizard. 3) Press to Carbs and press. 4) Press to enter the amont of carbs yo are eating and press. 5) Select Next. 6) Select Deliver Bols. NOTE: Yo will receive messages when yo enter a BG below 3.9 mmol/l or above 13.9 mmol/l. These prompt yo to take appropriate steps to treat as instrcted by yor healthcare professional. Yo will see an example in the next practice exercise. 27

30 SECTION 1 : GETTING STARTED Let s Practice: Correction Bols With No Food This example shows giving a bols for a BG vale of 14.7 mmol/l. 1) From the Home screen, select Bols. 2) Select Bols Wizard. 3) If sing the compatable Bayer meter, BG will be on screen. If not, select BG. 4) Press or to enter crrent BG, and press. 5) Press to Next and press. 6) The High BG message will appear. Read text and press. 7) Contine reading text and take appropriate action to prevent DKA. 8) Select OK. For more information on addressing Alerts, see page 15. 9) Select Deliver Bols. NOTE: Yo can learn how to give the other types of bolses in the Additional Featres section. 28

31 SECTION 1 : GETTING STARTED STOPPING A BOLUS... Karen gives a bols for lnch, bt before she can begin eating, the phone rings. It s her cosin calling long distance so Karen knows this phone call will take a while. She decides to wait to eat ntil after the call. She stops the delivery of the bols so that she does not receive the inslin that is no longer needed right now. Helpfl hint: Always check the Bols Stopped screen to see how mch of the bols was delivered before it was stopped, so yo know how mch inslin yo received. Let s Practice: Stopping a Bols Give a manal bols of 1.5 nits and stop the bols once it has started to deliver. 1) With Bols highlighted, press. 2) Press to 1.5 U and press. 3) Select Deliver Bols. 4) Select Stop Bols. 5) Press and select Yes to stop bols delivery. 6) Review Bols Stopped screen to see how mch of the bols was delivered. 7) Select Done. 29

32 SECTION 1 : GETTING STARTED Checking Last Bols There may be times when yo need to see the time or amont of the last bols that was given. For example, yo may not remember if yo took a bols at lnch and want to check to make sre. Yo can see the last bols delivered in the Qick Stats screen. Let s Practice: Checking Last Bols 1) From the Home screen, press to the Stats Bar and press. 2) Press to Qick Stats and press. The (N) behind the Last bols amont means the bols was delivered as a normal bols. There are additional ways to give a bols which yo will learn abot later in this gide. 1.2Checking Bols History Yo may also want to review the last several bolses that were delivered. For example, a parent might want to view the bolses their child gave throghot the day. Yo can see the last several bolses delivered in Daily History. Let s Practice: Checking Bols History Yo can see the last several bolses yo delivered in Daily History. 1) Press. 2) Press to History and press. 3) Press to Daily History and press. 4) Press on the day yo wold like to review. DID YOU KNOW? Yo can se the and arrows to move from day to day. Yo can also see frther details by pressing on any item listed. 30

33 SECTION 1 : GETTING STARTED 1.11 SUSPEND DELIVERY Remember yor pmp is delivering basal inslin throghot every hor of the day. Althogh yo shold never stop this inslin delivery for more than an hor or so, there will be times when yo will want to manally sspend, or stop delivery, and disconnect from yor pmp. This is done sing the Sspend Delivery featre. Using Sspend Delivery stops all inslin delivery. The most common reasons to manally sspend delivery might inclde bathing and water activities. Infsion sets are designed so yo can easily disconnect from yor pmp and leave it in a safe place. Let s Practice: Placing the Pmp in Manal Sspend 1) Press. 2) Select Sspend Delivery. 3) Press and select Yes to sspend inslin delivery. A confirmation screen appears. Notice that the Home screen has changed. 31

34 SECTION 1 : GETTING STARTED Let s Practice: Resme Basal Inslin Delivery 1) Select Resme. 2) Press and select Yes to resme inslin delivery. A confirmation screen appears. The original Home screen retrns. REMEMBER: When delivery is resmed, basal inslin will begin to deliver again. The pmp will not deliver any of the basal inslin yo missed while the pmp was sspended. If yo manally sspend delivery while a bols is delivering, the bols delivery will stop. When yo resme delivery, the remainder of the bols will not be delivered. 32

35 SECTION 1 : GETTING STARTED 1.12 CHARGING THE CONTOUR NEXT LINK 2.4 METER This Contor Next LINK 2.4 meter from Bayer is the only blood glcose (BG) meter able to commnicate wirelessly with yor MiniMed 640G inslin pmp. This can make yor diabetes management easier by atomatically sending yor BG meter readings over to the pmp. This is especially helpfl when sing the Bols Wizard and the Event Marker options. Review the parts of yor meter here: Men and Power Btton USB Connector Test Strip Port* and Port Light :24 l Before Meal mmol L Bols Reminder Notes Protective USB Cap Display Screen Selection/Scrolling Bttons Contor Next LINK 2.4 Meter Yor meter has a permanent rechargeable battery. It is important that the meter be charged prior to yor in-person training. To charge yor meter: 1) Remove the cap with on it to reveal the USB connector. 2) Plg the USB connector into a compter. The compter mst be ON and not in sleep, hibernate or power save mode. 3) The meter will briefly display Do Not Test-charging and the test strip port light will flash. Yo cannot do a blood glcose test while the battery is charging. 4) When charging is complete, the test strip port light will trn off. Yo can then nplg yor meter. Yo will connect yor pmp and meter at yor in-person training. Steps to do this can be fond in the Training Handots section on page 66. For more information on sing yor meter, see the User Gide fond in the meter box. * The Contor Next LINK 2.4 meter only works with Contor Next glcose testing strips. 33

36 SECTION 2 : MEDTRONIC CARELINK PERSONAL SOFTWARE 2.1 INTRODUCTION TO MEDTRONIC CARELINK PERSONAL SOFTWARE Medtronic CareLink Personal software is a web-based program that is provided free of charge. This software allows yo to pload the data from yor pmp and glcose meter to a secre website and organise it into easy-to-read reports and charts. These reports provide an overview of how inslin, food intake and exercise affect yo glcose control. Reviewing the data on these reports, allows yo and yor healthcare professional to identify glcose patterns and trends so yo can determine if any pmp settings need to be adjsted. Yo will need to set p yor Medtronic CareLink Personal accont so yo can pload yor pmp and meter every 2 to 3 days after yo start sing yor pmp. With yor permission, yor healthcare professional can then access yor information and have yo adjst yor pmp settings as needed. USING MEDTRONIC CARELINK Jlia ploads her pmp and meter information to Medtronic CareLink Personal before each visit with her doctor. She has given him access to her reports so he can review them, saving a great deal of time dring her office visit. Her doctor has the information he needs to make adjstments to her pmp settings. Follow these steps to set p yor Medtronic CareLink Personal accont prior to yor in-person training: 1. Go to 2. Click the Sign Up Now btton. 3. Choose yor contry and langage. 4. Read and Accept the Terms of Use and Privacy Statement. 5. Create a Username and Password and enter all reqired information. 6. Click the Sbmit btton. When ploading information from yor pmp to Medtronic CareLink Personal, yo will se the Bayer meter as the commnication device from the pmp to yor compter. USB connector sed for Medtronic CareLink pload :24 l Before Meal mmol L Bols Reminder Notes Contor Next LINK 2.4 Meter Yo will learn more abot sing Medtronic CareLink software at yor in-person training 34

37 SECTION 3 : CONNECTING THE MINIMED 640G INSULIN PUMP & THE CONTOUR NEXT LINK 2.4 METER 1. Hold Men the btton ntil meter trns on. 2. Scroll to yor langage and press OK. Press OK to confirm. 3. Press OK when asked Connect to a MiniMed Pmp? 4. Press OK. 5. Press Ato Connect. Pt the meter down and pick p yor pmp. 6. Press. 7. Select Utilites. 8. Select Device Options. 9. Select Connect Device. 10. Select Ato Connect on yor pmp. 11. Press. 12. Select Contine. LANGUAGE English Detsch Español CONNECT TO PUMP Connect to a MiniMed Pmp? CONNECT TO PUMP Select "Connect Device" on yor Pmp. CONNECT TO PUMP OK Skip OK Go Back Manal Connect Ato Connect OK 15. Check to see that the Device SN (serial nmber) on the pmp screen matches the Device SN on the meter. 16. If they match, select Confirm on the pmp. 17. Check to see that the SN on the back of the pmp matches the SN now on the meter screen. 18. Select Next on the meter. 19. Select Always.* 20. Then select OK. 21. Select Date Format. 22. Select OK. If time and date are not correct, yo mst change them on the pmp. 23. Press Accept to select AtoLog is Off. AtoLog allows yo to mark a test reslt as Before Meal, After Meal, or Fasting.* 24. Accept or Change High and Low Alerts.* SEND Always Atomatically send reslts to the Ask me Pmp? Never DATE Select CONNECT TO PUMP Use Pmp to confirm Device SN: BGJ133333F PUMP CONNECTED MiniMed Pmp connected: AA B Month/Day/Year Day.Month.Year DATE/TIME Date / Time is set by Pmp. 10: AUTOLOG AtoLog is Off. Next Delete OK Accept Trn On HIGH AND LOW LOW ALERTS High: 13.9 mmol/l Accept Low: 3.9 mmol/l Change Place the meter and pmp next to each other. 25. Accept or Change the Target Range.* Press Accept again to confirm. TARGET Accept Change 13. Select search on yor pmp 26. Setp is now complete and yo are ready to se meter. Setp is complete. Insert strip to start a test. *For more detail on this featre see yor meter gide. 14. Select Search on yor meter. CONNECT TO PUMP Select Search on Yor Pmp Search and meter. Cancel The search may take p to 2 mintes. 35

38 SECTION 4 : USING THE CONTOUR NEXT LINK 2.4 METER 4.1 GIVING A REMOTE BOLUS Once yor pmp and meter are connected, yo have the option of delivering a manal bols throgh the meter withot accessing the pmp. 1) Press 2) Select Utilities. 3) Select Remote Bols. 4) Select On. Yo can now follow these steps to deliver a bols: 1) If yo have jst tested, press Bols on the meter while the test reslt is displayed OR From the men, press Bols. 10: mmol L Sent, Before... Bols Reminder Notes 2) Press Manal Bols. If yo have a Preset Bols set in yor pmp, it can be also be delivered from the meter.* MENU Bols Logbook Trends BOLUS OK Manal Bols Preset Bols 3) Use the btton to set the bols amont. In this example, a U bols has been set. MANUAL BOLUS SET BOLUS AMOUNT U OK 4) Press Yes to send the bols to yor pmp. MANUAL BOLUS Deliver Bols? U Yes No 5) A confirmation screen appears on the meter. Manal Bols was sent U OK 6) The bols delivery appears on the pmp as it is delivering. * For more detail on this featre see yor meter gide. Visit for more spport sing CareLink. 36

39 SECTION 5 : CHANGING THE RESERVOIR AND INFUSION SET 5.1 RESERVOIR & TUBING The MiniMed 640G ses the same infsion sets and reservoirs as previos Medtronic Paradigm inslin pmps. If yo were sing a Medtronic pmp, mch of this process will be the same. However, please follow these steps as there are a few very important changes. If yo have not sed a Medtronic pmp or wold like more detail, please se the Qick Reference Gide to changing yor infsion set or see pages if sing the Sre-T or mio infsion sets.! IMPORTANT: Remember to always remove crrent reservoir and infsion set before rewinding the pmp. X Changing Reservoir and Infsion Set 1) Press. 2) Select Reservoir & Tbing. 3) Select New Reservoir. 4) Remove the sed infsion set from yor body. 5) Remove the empty reservoir from the pmp. 6) Select Rewind. Yo will see this screen while the pmp is rewinding. The pmp will beep and/or vibrate when rewind is complete. 37

40 SECTION 5 : CHANGING THE RESERVOIR AND INFUSION SET Complete these steps jst like yo have done in the past. 1) Fill the reservoir with inslin. 2) Connect the infsion set tbing to the reservoir. 3) Press Next. 4) Place the newly filled reservoir into the pmp and lock. 5) Select Next.! IMPORTANT: Pay close attention to these next steps. First, yo will Load Reservoir. This moves the piston to the bottom of the reservoir: 6) Select Load and keep holding ntil the checkmark appears. 7) Select Next. Then yo will Fill Tbing. This moves inslin throgh the end of the tbing. 8) Select Fill and keep holding ntil yo see drops at the end of the tbing. 38

41 SECTION 5 : CHANGING THE RESERVOIR AND INFUSION SET 9) Press and select Next. To finish, insert infsion set and fill the cannla: 10) Prepare and insert the infsion set into the body. REMEMBER: Always rotate yor site when yo change yor infsion set. 11) Yo will now fill the cannla. 12) Select Fill. If yo se a steel needle set (for example, the Medtronic Sre-T infsion set), select Done. Otherwise, proceed to step ) Select Fill Amont. 14) Press to correct nits and press. If yo don t know how many nits to se, see the User Gide in the infsion set box. 15) Select Fill Now. The pmp will remember the Fill amont yo enter. The Home screen will show the cannla fill. If for any reason yo need to stop filling, for example, yo realised yo sed the wrong amont, select Stop Fill. Yor infsion set change is now complete. 39

42 SECTION 6 : ADDITIONAL FEATURES Additional Featres Yo have now learned the featres that are necessary to se yor pmp. There are, however, additional featres that yo may already se on yor crrent pmp and others that are new that yo might find helpfl. This section will discss the additional men options and featres that are available on yor new inslin pmp. 6.1 HISTORY The History option allows yo review information from previos days. This section will look more closely at what items can be fond here. To access History: 1) Press. 2) Press to History and press. When yo select the Men item, yo will see the following items. By selecting each item, yo will see the following information: Smmary Shows the Total Daily Dose of inslin delivered Provides a smmary of the total Basal inslin delivered, total Bolses given, total carbs, descriptions of bolses given and BGs recorded Yo can look at one day or an average of 7, 14, or 30 days Daily History List of actions yo performed or event entries that yo made, for example, BG readings, bols deliveries, temp basals, etc. Yo can scroll left and right to move to previos or next day Alarm History Lists Alarms and Alerts that occrred dring each day Yo can scroll left and right to move to previos or next day 40

43 SECTION 6 : ADDITIONAL FEATURES 6.2 MANUAL BOLUS When giving a manal bols, yo simply enter the amont of bols inslin that yo think yo need for the carbohyrates yo are eating, or to lower yor BG if it is high. 1) From the Home screen, select Bols. 2) Press to 1.0 and press. 3) Select Deliver Bols. 4) Confirmation that Bols has started will appear. The Home screen will show the amont as it is being delivered. Notice that Stop Bols also now appears. Once the bols has finished delivering, the pmp will retrn to the normal Home screen. Notice that yo can view yor Active Inslin amont from the Home screen. 6.3 INSULIN SETTINGS Inslin Settings men contains featres and settings that affect or change yor pmp s delivery of inslin. We previosly went to Inslin Settings to access Bols Wizard Setp and Basal Pattern Setp (Refer to page for details). We will now look at the additional items fond in this men.! IMPORTANT: Yo shold practice sing the following featres BEFORE yo start sing inslin in yor new pmp. If yo are already sing the pmp, DO NOT deliver any bolses or change inslin delivery ntil necessary to do so. ALWAYS disconnect yor pmp while yo practice sing these new featres. 41

44 SECTION 6 : ADDITIONAL FEATURES Max Basal Before yo contine, yo may need to change yor Max Basal amont. Max Basal is the maximm amont of basal inslin that can be delivered in one hor. Check yor crrent pmp settings. If yor Max Basal is an amont other than 2.0 U/hr, follow these steps to change: 1) Press. 2) Select Inslin Settings. 3) Select Max Basal/Bols. 4) Select Max Basal.! IMPORTANT: Changes to yor Max Basal or Max Bols shold only be made in consltation with yor healthcare professional. 42

45 SECTION 6 : ADDITIONAL FEATURES Adding New or Copying Basal Patterns Yo may be sing additional basal patterns. These are basal patterns set to accont for days that reqire different basal amonts. For example, a pattern might be sed for weekends becase a person is less active than they are dring the week. When setting an additional pattern, yo can simply enter the basal rates into a new pattern, or yo can copy and then make edits to a basal pattern that is already set. To enter another basal pattern, follow these steps: 1) From the Home screen, select Basal. 2) Press to Inslin Settings and press. 3) Press to Basal Pattern Setp and press. Choose one of these two options: Add a New Basal Pattern 4) Press and select Add New 5) Select a name 6) Enter times and basal rates for the additional pattern. OR Copy and Edit an Existing Basal Pattern 4) Select Basal 1 or another crrently programmed Basal Pattern. 5) Select Options. 6) Press to Copy. This copies the basal pattern that yo have programmed and allows yo to make the necessary changes. 7) Select name for this Basal Pattern. 8) Press to Edit. 9) Contine by making the necessary changes to the programmed basal rates. To change active basal pattern, see Basal Patterns on page 18. Additional Options from Basal on Home Screen Yo have selected Basal on the Home screen to access Inslin Settings and setp yor basal patterns. Let s take a look at the other options fond here. 43

46 SECTION 6 : ADDITIONAL FEATURES Temp Basal This featre lets yo immediately increase or decrease yor basal inslin for the period of time (dration) that yo set. It is often sed for exercise and sick days. A Temp Basal can be set in either: Percent: delivers a percent of the crrent basal rate Rate: delivers the amont that yo enter A temp basal can be set to deliver more or less than yor crrent basal rate. It can be set in any 30 minte increment for p to 24 hors. Let s Practice: Setting a Temp Basal This example will show setting a Temp Basal to deliver 60% of the crrent basal rate for the next 2 hors. 1) From the Home screen, select Basal. 2) Select Temp Basal. 3) Press to set dration and press. 4) Select Next. 5) Select Percent. 6) Press or to enter the percent of crrent basal rate desired. NOTE: If yo choose to se Rate, press to Type and press. Yo can then enter the U/hr yo want delivered. 7) Select Begin. The Home screen now reads Basal (T) to indicate that yo have a Temp Basal active. Select Basal (T) to review the details of the active Temp Basal. When the Temp Basal delivery is complete, the basal will atomatically retrn to the reglarly programmed basal rate. 44

47 SECTION 6 : ADDITIONAL FEATURES USING A TEMP BASAL... Patricia loves to work in her garden. She often finds, however, that her glcose levels rn lower when she does. Now she ses a temp basal rate to decrease the amont of inslin she gets while she is working. This helps keep her glcose levels from dropping too low. Let s Practice: Canceling a Temp Basal If yo need to retrn to yor reglarly programmed basal rate before yor Temp Basal is completed, yo can cancel it. 1) From the Home screen, select Basal (T). 2) Yo can see the details abot the Temp Basal. Select Cancel Temp Basal. If yo decide not to cancel, jst press. Yo can see that the Home screen has now retrned to Basal. 45

48 SECTION 6 : ADDITIONAL FEATURES 6.4 PRESET INSULIN SETTINGS USING A PRESET TEMP BASAL... Janya ses the same Temp Basal every time she takes her favorite exercise class. Now instead of programming the Temp Basal before every class, she can simply start the Preset Temp that she has programmed Preset Temp Setp Like a Temp Basal, a Preset Temp Basal is sed to increase or decrease yor crrent basal inslin amont. When the same Temp Basal is reqired on a freqent basis, yo can set a Preset Temp Basal for that amont and dration. The Preset Temp Basal can then simply be started when the basal rate change is needed. X Setting a Preset Temp Basal 1) Press. 2) Select Inslin Settings. 3) Select Preset Temp Setp. 4) Select Add New. 5) Press to the desired name and press. In this example, we will se High Activity. 6) Press and select Percent to set percent of crrent basal rate yo wish to receive. Select Type to change to Rate if yo prefer to set the nmber of nits to be delivered. 7) Select Dration and press to the length of time yo wish the Temp Basal to be active. 8) Select Save. 46

49 SECTION 6 : ADDITIONAL FEATURES X Starting a Preset Temp Basal When yo are ready to se yor Preset Temp Basal: 1) From the Home screen, select Basal. 2) Select Preset Temp. Preset Temp now appears on the Basal screen. 3) Select the Preset Temp yo wish to start. 4) Select Begin. The Home screen will again show Basal (T) Preset Bols A Preset Bols can be set and sed for bols amonts that yo give repeatedly. For example: yo might se for yor meal bolses if yo give set inslin doses. yo might set this for commonly eaten items that yo know the carb content and how mch inslin yo need. USING PRESET BOLUS... Ana ses the Bols Wizard to give her bolses. Bt she knows that every morning, it calclates 1.7 for her latte. She set p a Preset Bols for 1.7 and finds it easier to give her bols this way. 47

50 SECTION 6 : ADDITIONAL FEATURES X Setting a Preset Bols 1) Press. 2) Select Inslin Settings. 3) Select Preset Bols. 4) Select Add New. 5) Press to the desired name and press. In this example, we will se Snack. 6) Select Bols. 7) Press to enter the desired nits and press. 8) Select Type if yo want to set as Sqare or Dal Wave. A Preset Bols can also be set to deliver as a Sqare or Dal Wave bols. X Giving a Preset Bols When yo are ready to se yor Preset Bols: 1) From the Home screen, select Bols. 2) Select Preset Bols. Preset Bols now appears on the Bols screen. 3) Select the Preset Bols yo wish to start. 4) Select Deliver Bols. 48

51 SECTION 6 : ADDITIONAL FEATURES 6.5 MAX BOLUS Before yo contine, yo may need to change yor Max Bols amont. Max Bols is the maximm amont that can be given by any one bols. Check yor crrent pmp settings. If yor Max Bols is an amont other than 10.0 U, follow these steps to change: 1) Press. 2) Select Inslin Settings. 3) Select Max Basal/Bols. 4) Select Max Bols. 5) A screen will appear to ensre yo are entering a vale that has been determined by yo and yor healthcare professional. If this change has been recommended by yor healthcare professional, press and select Contine. 6) Select Max Bols. 7) Press or to enter nmber of nits and press. 8) Select Save.! IMPORTANT: Changes to yor Max Basal or Max Bols shold only be made in consltation with yor healthcare professional. 49

52 SECTION 6 : ADDITIONAL FEATURES 6.6 ADVANCED BOLUS The practice bolses that were given earlier were delivered as Normal bolses; that is, as a single immediate dose of inslin. This is the type of bols yo wold typically se to cover normal food intake and to correct a high BG. The pmp also lets yo deliver bols inslin as a Dal Wave or Sqare Wave bols. These can help better match the effects food has on yor glcose levels. X Trning Dal and Sqare Wave Bols On To se either of these bols options, it mst first be trned on. 1) Press. 2) Select Inslin Settings. 3) Select Dal/Sqare Wave. 4) Select Dal Wave to trn On if desired. 5) Select Sqare Wave to trn On if desired. 6) Select Save Sqare Wave A Sqare Wave bols delivers a bols over an extended period of time. This can be helpfl: to match delayed food digestion de to gastroparesis. for meals very low in carbohydrate bt high in fat. when snacking on small amonts of carb over period of time, for example, at a reception. When setting a Sqare Wave bols, yo will need to determine the dration that yo want the bols to deliver (30 mintes to 8 hors in 30 minte increments). This will vary depending on yo individally, as well as the sitation for which the Sqare Wave bols is being sed. Freqent glcose testing shold be done ntil yo and yor healthcare professional have determined the best se for yo. Yo will be nable to deliver a Sqare bols if the Bols Wizard has estimated a bols for a high BG, since that inslin is needed right away. 50

53 SECTION 6 : ADDITIONAL FEATURES USING A SQUARE WAVE BOLUS... Sarah eats at her desk at work and it takes her a while to finish becase she often gets distracted. She delivers her lnch bols as a Sqare Wave over 45 mintes to help make sre her inslin doesn t start to work before her carbs are digested. X Giving a Sqare Wave Bols This example will show a Sqare Wave bols sing the Bols Wizard with a BG vale of 5.7 mmol/l and 41 grams of carb. 1) From the Home screen, select Bols. 2) Select Bols Wizard. 3) Enter BG and Carbs. 4) Select Next. 5) Press and to Sqare and press. 6) Select Dration. 7) Press to desired time and press. 8) Select Deliver Bols. 51

54 SECTION 6 : ADDITIONAL FEATURES Bols (S) will appear on the Home screen ntil bols delivery is complete. Select Bols (S) and: review bols stats, then press to retrn to Home screen. select Stop Bols to stop delivery. select Bols Men to deliver a normal bols while the sqare is delivering Dal Wave A Dal Wave bols combines the Normal and the Sqare Wave bols. It delivers part of the bols as a Normal Bols (Now) and part as a Sqare (over time). A Dal Wave bols can be helpfl for meals high in both carbs and fat. Fat delays the digestion of carbs, meaning glcose doesn t enter bloodstream right away. Giving some inslin as a normal bols covers any immediate glcose rise. Giving the rest over time as a sqare helps to match the delayed glcose rise. When setting a Dal Wave bols, yo will need to determine: the percentage / amont of inslin yo want delivered immediately and how mch over time. the dration of time over which yo want the sqare portion delivered. This will vary depending on yo individally, as well as the types of foods that are in the meal for which the Dal Wave bols is being sed. Freqent glcose testing shold be done ntil yo and yor healthcare professional have determined the best se for yo. 52

55 SECTION 6 : ADDITIONAL FEATURES X Giving a Dal Wave Bols This example will show a Dal Wave bols sing the Bols Wizard with a BG vale of 7.3 mmol/l (131 mg/dl) and 63 grams of carb. 1) From the Home screen, select Bols. 2) Select Bols Wizard. 3) Enter BG and Carbs. Notice in this example, the total bols for BG is 0.6U and 4.2U for carbs. 4) Select Next. 5) Press to Dal and press. Sqare is not an option since a correction bols was estimated so some inslin is needed now. 6) Select and press or to change the amont of the bols that is delivered Now and the amont delivered as Sqare if needed. 7) Select Dration. Bols for carbs is divided 50% 8) Press to desired time and press. Now/50% 9) Select Deliver Bols. Sqare. Bols for BG is added to Now. Bols (Dal) will appear on the Home screen while the Now portion is delivering. Bols (D) will appear on the Home screen ntil the Sqare delivery is complete. 53

56 SECTION 6 : ADDITIONAL FEATURES Select Bols (D) and: review bols stats, then press to retrn to Home screen. select Stop Bols to stop delivery. select Bols Men to deliver normal bols while the sqare is delivering. USING A DUAL WAVE BOLUS... When William ate pizza, his glcose level wold be good for a while, bt then 3 or 4 hors later it wold be high. Now he ses a Dal Wave bols to help redce these post-meal highs Bols Increment The Bols Increment determines the nmber of decimal places a bols will be set or calclated. Yo will notice the bols increment: in the amont that a bols is increased or decreased with each btton press when setting a Manal or Preset Bols (this does not apply to Easy Bols). on the Bols Wizard details screen in the nmber of decimal points sed to calclate the bols. Note: Changing this setting may be most helpfl if yo give small bolses. X Setting the Bols Increment If yo need to se a Bols Increment other than 0.1 U, follow these steps to change: 1) Press. 2) Select Inslin Settings. 3) Select Bols Increment. 4) Select Increment. 5) Press to change Increment. Increment can be set to 0.1 U, 0.05 U, or U. 6) Select Save. 54

57 SECTION 6 : ADDITIONAL FEATURES 6.7 EASY BOLUS The Easy Bols allows yo to give a bols sing the amont by the nmber of times yo press. btton on yor pmp. Yo determine the bols This featre may be beneficial if yo: are giving manal bolses for meals. want to be discreet when bolsing. want to confirm a bols amont sing beep or vibrate. Before sing the Easy Bols, yo mst trn the featre On and select the increment. The increment is the amont that each press of the btton represents. It will be important that yo remember what this increment is - it will determine how mch bols yo are giving. For example, if the increment is set at 0.5, and yo need a 3.0 nit bols, yo will need to press 6 times to get to 3.0 nits. USING THE EASY BOLUS... Marten prefers to se the Easy Bols when he is in a meeting and having a snack. This allows him to be more discreet. X Setting p the Easy Bols 1) Press. 2) Select Inslin Settings. 3) Select Easy Bols. 4) Select Easy Bols to trn On. 5) Press to Step Size and press. 6) Press to change increment to desired nits. This example shows the Step Size at 0.1 U. Each press of the btton will represent 0.1 U. 7) Select Save. 55

58 SECTION 6 : ADDITIONAL FEATURES X Giving an Easy Bols 1) With the pmp in Sleep mode, hold for abot 1 second. Yor pmp sonds a tone or vibrates and the Easy Bols screen appears. NOTE: If the pmp does not sond a tone or vibrate, yo may not be in Sleep mode. Hold the men key for abot 2 seconds and then hold again. 2) Press the nmber of times needed to set yor bols based on the increment that yo chose. Yor pmp sonds a tone or vibrates for each btton press. In this example sing an increment of 0.4 U, was pressed 3 times. 3) When yor desired bols amont is set, press and hold for abot 1 second to confirm the amont. The pmp repeats a tone or vibrate for each increment. Cont to ensre the amont is correct. 4) Is the amont correct? Yes: hold No: press for abot 1 second to deliver the bols. to cancel and retrn to Step 1 to start again.! IMPORTANT: Pressing dring any part of this process, cancels the Easy Bols. Yo will hear three tones signifying a bols has not been given. 56

59 SECTION 6 : ADDITIONAL FEATURES 6.8 AUTO SUSPEND Ato Sspend is a safety featre that sonds an alarm and stops all inslin delivery if yo do not press any bttons for the nmber of hors that yo set. It is meant for sitations when yo are not responding to hypoglycaemia. Ato Sspend is most sefl if yo live or travel alone. It is important to se if yo have difficlty responding appropriately to lows, have hypoglycaemia nawareness, if yo are ssceptible to lows de to alcohol intake, or have a history or fear of lows at night. Ato Sspend shold be set based on yor schedle. Let s say yo typically go to bed abot 23:00. At abot 22:00 each evening yo do a BG check and check yor pmp (bttons wold be pressed). Yo sally get p at 07:00 and eat breakfast arond 08:00 What happens if: Ato Sspend is set for 8 hors: Alarm wold go off at 06:00 if no bttons had been pressed. Since yo don t get p ntil 07:00, this cold be a nisance. Ato Sspend is set for 12 hors: Alarm wold go off at 10:00 if no bttons had been pressed. Yo shold have been p by now and given a bols. If in a dangeros sitation, receiving this alarm and stopping inslin cold be very helpfl. Ato Sspend is set for 18 hors: Alarm wold go off at 16:00 if no bttons have been pressed. Yo shold have been p and given bols several hors ago. If in a dangeros sitation, yo may want to be alarmed and have delivery stopped sooner. Choose the nmber of hors that seems right for yo. X Setting Ato Sspend 1) Press. 2) Select Inslin Settings. 3) Select Ato Sspend. 4) Select Alarm to trn On. 5) Press to Time and press. 6) Use or to change nmber of hors. This example shows Ato Sspend set at 12 hors. 7) Select Save. USING AUTO SUSPEND... Thomas is a rnner and finds the days he rns, he is more prone to hypoglycaemia at night. He often sets a temp basal, bt when sing Ato Sspend, he sleeps even more confidently becase he knows his pmp will stop delivering inslin and alarm if he isn t waking p when he shold. 57

60 SECTION 6 : ADDITIONAL FEATURES 6.9 BOLUS SPEED The Bols Speed determines how long it takes to deliver a Normal bols. The Standard rate delivers at 1.5 nits per minte, the Qick rate delivers 15 nits per minte. This setting is really a personal preference. Yo might consider changing to the qick rate if yo reglarly take larger bolses. X Setting the Bols Speed 1) Press. 2) Select Inslin Settings. 3) Select Bols Speed. 4) Select speed that yo want to be active. 5) Press to Save and press. Notice the active bols speed is checked. SETTING BOLUS SPEED... Antonio often gives bolses of 20 or 25 nits. He has his Bols Speed set on Qick so it doesn t take as long for his bols to be delivered. 58

61 SECTION 6 : ADDITIONAL FEATURES 6.10 EVENT MARKERS Event Markers let yo record when certain events related to yor diabetes control occr. Yo can se Event Markers to record: BG: a BG vale when not sing the Bols Wizard Injection: the amont of inslin taken by injection Carbs: the amont of carbs eaten when not sing the Bols Wizard Exercise: the length of time yo exercised so yo can better see the effect it had on yor glcose readings Other: for example a hypoglycaemic event or other diabetes medications taken X Marking an Event 1) Press. 2) Select Event Markers. 3) Select the desired event. 4) Select the additional information reqested. 5) Press to the correct amont and press. 6) Select Save. USING EVENT MARKERS... Kylie exercises reglarly. She likes to be able to see how it affects her glcose levels. She enters an exercise event marker when she begins exercise. These markers then appear on her Medtronic CareLink reports helping her and her healthcare professional better nderstand if she needs to make different inslin adjstments dring this time. 59

62 SECTION 6 : ADDITIONAL FEATURES 6.11 REMINDERS Reminders can be set to alert yo of important information or to do rotine activities. There are several reminders that can be set as shown in the Reminders men seen here Personal Reminder Similar to an alarm clock, yo can set the pmp to beep or vibrate (depending on yor Adio Settings) at any time that yo choose. It cold be set to remind yo to do a BG Check, to take Medication, or any other reason yo desire. X Setting a Personal Reminder 1) Press. 2) Select Reminders. 3) Select Personal. 4) Select Add New. 5) Select the desired name. 6) Select Time. 7) Use and arrows to desired time and press. 8) Select Save Bols BG Check Reminder Trning Bols BG Check on, gives yo the option to set a reminder when yo give a bols. This can be helpfl to remember to test, for example, 2 hors after yor meal, or 1 hor after a correction bols. X Trning Bols BG Check On 1) Press. 2) Select Reminders. 3) Select Bols BG Check. 4) Select Reminder to trn On. 5) Press and select Save. 60

63 SECTION 6 : ADDITIONAL FEATURES Now yo are able to set a reminder each time yo deliver a bols. The BG Check screen will display on yor pmp after the bols is delivered, asking yo when yo want to be reminded. X Setting a Bols BG Check Reminder 1) Press to desired time and press. 2) Select OK. If yo don t want to receive a reminder after the bols, 1) Press (on the dashes). 2) Select OK. USING BOLUS BG CHECK... When Andrea first started sing her pmp, she set a Bols BG Check reminder for 2 hors after each meal bols. She and her healthcare professional then made adjstments to her Carb Ratio and now she feels confident she is getting the correct amont of inslin for the food she eats Missed Meal Bols Reminder The Missed Meal Bols reminder will alert yo if yo do not give a bols dring yor normal meal/ snack times. For example, yo typically eat lnch at noon, bt yo are often bsy at work and forget to bols. Yo cold set this reminder for 11:00 13:00. If yo give a bols between this time, no alert will sond. However, if yo don t give a bols dring this time, yo wold be notified. If yo did eat and forgot to bols, yo cold then test yor BG and give a correction bols if necessary. X Setting a Missed Meal Bols Reminder 1) Press. 2) Select Reminders. 3) Select Missed Meal Bols. 4) Select Add New. 5) Select Start Time. 6) Enter time and press. 7) Select End Time. 8) Enter time and press. 9) Select Save. 61

64 SECTION 6 : ADDITIONAL FEATURES Low Reservoir Reminder The Low Reservoir reminder notifies yo when the nmber of nits left in yor reservoir reaches the amont yo set here. The defalt setting for this reminder is 20 nits, meaning yo will get a Low reservoir alert when yo have 20 nits remaining in yor reservoir, and again when half of that amont (10 nits) is left. Yo can set the nmber of nits according to yor individal needs. USING LOW RESERVOIR REMINDER... Gorge s meal bolses are sally between 15 and 20 nits. He increased his Low Reservoir reminder amont to 40 nits. If he receives his reminder after he leaves for work, he knows he still has enogh inslin for his lnch, a snack, and his basal needs. X Setting a Low Reservoir Reminder 1) Press. 2) Select Reminders. 3) Select Low reservoir. 4) Press to Units and press. 5) Press or to desired nits and press. 6) Select Save. NOTE: Low Reservoir Warning can be set in either Units or Time. We generally recommend choosing Units. Time left is only based on basal inslin per hor. If a bols is given, the amont of time left can decrease more qickly than anticipated. 62

65 SECTION 6 : ADDITIONAL FEATURES Set Change Reminder The Set Change reminder will remind yo when yor infsion set is de to be changed. Yo can set it for either 2 or 3 days. When trned on, yo will receive a message when either 48 hors (2 days) or 72 hors (3 days) have passed since yor last change. X Setting a Set Change Reminder 1) Press. 2) Select Reminders. 3) Select Set Change. 4) Select Reminders to trn On. 5) Press to Time and press. 6) Change days if desired and press. 7) Select Save Trning Reminders Off Any reminder that is set can be changed, trned off, or deleted at any time. This is done by simply going back into the reminder and selecting the desired option. 63

66 SECTION 6 : ADDITIONAL FEATURES 6.12 UTILITIES The remaining featres that have not yet been discssed and are fond in the Utilities men. To access the Utilites men: 1) Press. 2) Select Utilities. 3) Select the desired men item. See below for a brief description of each Airplane Mode Airplane Mode temporarily stops wireless commnication between yor pmp and connected devices. This can be sed dring airline travel when yo are instrcted to trn off wireless devices. Yo will learn more abot this featre when sing continos glcose monitoring Time & Date Yo may need to change the Time and Date on yor pmp, for example, when yo are traveling to different time zones or for daylight savings time changes. It is very important that the time and date are always correct so that basal rates deliver properly and Medtronic CareLink ploads are correct Block The Block featre allows caregivers, sch as parents of a yong child, to restrict access to critical pmp settings and fnctions. When Block is on, the child is nable to do things like give a bols or change a basal rate. Featres that cannot be accessed will be in grey and are nselectable. Anytime a bols needs to be given or a temp basal started, for example, Block will need to be trned off. It can then be trned back on. NOTE: Yo can choose to se the Remote Bols featre when the Block featre is on Remote Bols Remote Bols mst be on if yo want to give bolses remotely from yor Contor Next LINK 2.4 meter. See page 36 for more information on giving a remote bols Self Test The Self Test checks to see that the display, notification light, vibration and tone are all working properly. This test is in addition to the rotine tests that the pmp rns. If an error message is displayed at the end of the test or yo observe the pmp not behaving as indicated, contact the 24- hor helpline on (tollfree within Astralia on landlines) or yor local representative. 64

67 SECTION 6 : ADDITIONAL FEATURES Carb Unit Carb Unit lets yo change from sing Grams to sing Exchanges when entering food into the Bols Wizard and sing Event Markers. Notice that the active selection is marked with a checkmark Manage Settings Manage Settings lets yo save, restore, clear active inslin, or clear all settings. When yo select Manage Settings, yo will see the screen shown here. Hold the and bttons together to access. Save Settings: do this any time new settings are entered or settings are changed. Restore Settings: se this to restore the settings yo have saved; can be sed if the pmp is asking yo to re-enter yor settings. Clear Active Inslin: yo can only se this option once. It needs to be done before first sing the pmp with inslin to clear active inslin from practice bolses that were given. Clear All Settings: never clear nless directed to do so by yor healthcare professional. Settings History: lists the times yo have saved, restored or cleared yor settings Sensor Demo Sensor Demo shows yo samples of alerts and graphs that yo wold hear and see if sing continos glcose monitoring Langage Allows yo to select the langage of yor choice. 65

68 SECTION 7: TRAINING HANDOUTS TRAINING SUPPLEMENTARY MATERIALS This section contains handots that yo can refer to dring or after training. The Qick Reference Gides can be sed when performing the most common tasks with yor pmp. These tasks are related to: Basal Rates and Patterns Bols Wizard calclator Changing the Qick-set Infsion Set Changing the mio Infsion Set Connecting Yor Pmp and Meter Feel free to tear these Qick Reference Gides ot and keep them in a place where they are easily accessible. 66

69 SECTION 7.1 : BASAL QUICK-REFERENCE GUIDE FOR THE MINIMED 640G INSULIN PUMP Change a Basal Rate 1. From Home Screen, select Basal. 2. Select Inslin Settings. 3. Select Basal Pattern Setp. 4. Select the basal pattern yo wish to edit. 5. Select Options. 6. Select Edit. 7. Press on the time segment. 8. Press on End time. 9. Press or to change U/h and press. 10. Select Done. 11. Review rates and select Save. Review Basal Patterns 1. From Home screen, select Basal. 2. Select Basal Patterns. Add a Basal Rate to a Basal Pattern 1. From Home Screen, select Basal. 2. Select Inslin Settings. 3. Select Basal Pattern Setp. 4. Select the Basal pattern yo are adding a rate to. 5. Select Options. 6. Select Edit. 7. Press on the time segment. 8. Enter the new End time (this is the same as the start time of the basal rate yo are adding) and press. 9. Press if U/hr is not changing. (Press or to change vale if necessary and press ). 10. Press on the new time segment. 11. Press to enter the new End time and press. 12. Press to enter the basal rate and press. 13. Contine adding end times and basal rates if necessary. 14. Select Done. 3. Select the basal pattern yo wish to review. 4. Review basal rates. NOTE: If yo see a scroll bar on the right, press to see all basal rates in the Basal Pattern. 5. Select OK. 15. Review basal rates. 16. Select Save. NOTE: The basal rates shown are for illstration prposes only yor basal settings will be different. 67

70 SECTION 7.1 : BASAL QUICK-REFERENCE GUIDE FOR THE MINIMED 640G INSULIN PUMP Temporary (Temp) Basal Rate This featre lets yo immediately increase or decrease yor basal inslin for the period of time (dration) that yo set. It is often sed for exercise and sick days. A Temp Basal can be set in either Percent (delivers a percent of the crrent basal rate) or by Rate (delivers the amont that yo enter). Set Temp Basal Rate 1. From Home Screen, select Basal. 2. Select Temp Basal. 3. Press to set dration and press. 4. Select Next. 5. Select Percent. Mltiple Basal Patterns Setting mltiple Basal Patterns helps yo more easily accommodate rotine schedle changes that case different basal needs (for example, weekday vs. weekend; day vs. night shift). Set an Additional Basal Pattern 1. From Home Screen, select Basal. 2. Select Inslin Settings. 3. Select Basal Pattern Setp. 4. Select Add New. 5. Select the name yo wold like to se. 6. Enter the basal rates needed for this pattern. 7. Select Save. 6. Press or to enter the percent of crrent basal rate desired. NOTE: If yo choose to se Rate, select Type, and yo can then enter the U/hr desired. 7. Select Begin. NOTE: The Home screen reads Basal (T) since yo have a Temp Basal active. Select Basal (T) to review the details of the active Temp Basal. When the Temp Basal. When the Temp Basal is complete, the basal will atomatically retrn to the reglarly programmed basal rate. Cancel Temp Basal Rate If yo ever set a Temp Basal and decide yo do not need it, it can be cancelled. 1. From Home Screen, select Basal (T). 2. Select Cancel Temp Basal. NOTE: The Basal pattern that yor pmp is crrently sing has a check mark next to it. Select Basal Pattern Once mltiple basal patterns are set, yo can then select the basal pattern yo wish to be active. 1. From Home Screen, select Basal. 2. Select Basal Patterns. 3. Select the Basal Pattern yo wish to be active. 4. Select Begin. NOTE: Basal rate has now retrned to the crrently programmed rate. 68 NOTE: The basal rates shown are for illstration prposes only yor basal settings will be different.

71 SECTION 7.2 : BOLUS WIZARD QUICK-REFERENCE GUIDE FOR THE MINIMED 640G INSULIN PUMP Trning Bols Wizard On and Setp This featre shold be set p in consltation with yor healthcare professional. 1. Press. 2. Select Inslin Settings. 3. Select Bols Wizard Setp. 4. Select Bols Wizard. 5. Press to contine reading text. 6. Select Next. 16. Select Next. 17. Review the description of BG Target and select Next. 7. Review the description of Carb Ratio and select Next. 18. Press on the time segment. 19. If yo have only one BG Target range, press. 8. Press on the time segment. 9. If yo have only one Carb Ratio, press. 20. Press or to enter the Lo target and press. 21. Press or to enter the Hi target and press. 22. Select Next. 10. Use or to enter Carb Ratio and press. 11. Select Next. 23. Review the description of Active Inslin Time and select Next. 12. Review the description of Sensitivity Factor and select Next. 13. Press on the time segment. 24. Select Dration. 25. Use or to enter Active Inslin Time and press. 14. If yo have only one Sensitivity Factor, press. 15. Use or to enter Sensitivity Factor and press. 26. Select Save. The Bols Wizard setp is now complete. NOTE: The bolses shown are for illstration prposes only yor settings and bols reslts will be different. 69

72 SECTION 7.2 : BOLUS WIZARD QUICK-REFERENCE GUIDE FOR THE MINIMED 640G INSULIN PUMP Deliver Food and Correction Bols 1. Test BG. Select Bols. Select Bols Wizard. 2. If sing linked meter, BG is on screen. If not, select BG. Use or to enter BG and press. 3. Select Carbs. 4. Use to enter grams of carb and press. 5. Select Next. Review Bols History 1. Press. 2. Select History. 3. Select Daily History. 4. Select the day yo want to view. 5. Yo will see bols deliveries listed in the history. 6. Select Deliver Bols. NOTE: Active Ins. adjst. is the active inslin from previos bolses that is adjsted (sbtracted) from the correction dose. In this example, there was no active inslin to sbtract. Deliver Correction Bols no food 1. Test BG. Select Bols. Select Bols Wizard. 2. If sing linked meter, BG is on screen. If not, select BG. Use or to enter BG and press 3. Press to Next. 4. Select Deliver Bols. NOTE: In this example, there was active inslin to adjst it was sbtracted from the correction dose. Deliver Food Bols no correction 1. Select Bols. Select Bols Wizard. 2. Press to Carbs and press. Press to enter grams of carb and press. 3. Select Next. 4. Select Deliver Bols. Edit Bols Wizard Settings 1. From Home screen, press Bols. 2. Select Inslin Settings. 3. Select Bols Wizard Setp. 4. Select the setting to be changed. 5. Select Edit. 6. Press on the time segment. Press or to change the times and/or vales. 7. Select Save. Review Bols Wizard Settings 1. From Home screen, press and select the Stats Bar. 2. Select Settings Review. 3. Press to scroll throgh the list of settings. NOTE: Active Inslin is never adjsted (sbtracted) from a food bols. 70 NOTE: The bolses shown are for illstration prposes only yor settings and bols reslts will be different.

73 SECTION 7.3 : CHANGING THE MINIMED SURE-T INFUSION SET FOR THE MINIMED 640G INSULIN PUMP Before yo begin, please note that it is not recommended that yo change yor infsion set jst prior to bedtime. Changing yor set dring the day may redce the risk of nexplained highs and no delivery alarms while sleeping. Please refer to the MiniMed Sre-T Infsion Set User Gide for more details. To change yor MiniMed Sre-T infsion set, yo will need to organise the following spplies: Inslin cartridge/vial (at room temp for 1 hor) Reservoir (with ble Transfer Gard) MiniMed Sre-T infsion set Alcohol swabs/skin antiseptics Sharps bin START HERE: Wash yor hands. Press. Select Reservoir & Tbing. Select New Reservoir. 4. Remove the infsion set yo have been sing by loosening the adhesive and plling away from body Remove the sed reservoir from the pmp. Select Rewind. Contined on next page 71

74 SECTION 7.3 : CHANGING THE MINIMED SURE-T INFUSION SET WITH THE MINIMED 640G INSULIN PUMP If sing inslin vial only. FILL RESERVOIR & CONNECT TO THE INFUSION SET TUBING Follow the next steps to fill reservoir with inslin and connect to the infsion set tbing. plnger 1. rod 2. reservoir transfer gard Remove from package. Make sre inslin vial is at room temperatre to redce the risk of air bbbles. (If sing inslin cartridge proceed to step 6.) Pll plnger down to the amont that yo plan to fill with inslin. Plnger Inslin cartridge Plnger If sing a cartridge of inslin. Hold the reservoir pright. Psh plnger into the reservoir to expel any air. Trn plnger slightly anti-clockwise to loosen it. Firmly press inslin cartridge onto ble transfer gard. Hold the reservoir and cartridge at eye level and sing a pencil, psh down on the rbber stopper of the cartridge to fill the reservoir. Tap the reservoir to move air bbbles to top of reservoir. Psh plnger p to move air into vial. 72 CONNECT RESERVOIR TO INFUSION SET Yo will place the reservoir connector onto the end of the infsion set to the filled reservoir. Top of Reservoir 1. Tbing Connector 2. Open infsion set packaging and connect the infsion set to the newly filled reservoir. Make sre both the top of the reservoir and the connector are dry before connecting them. Liqid can temporarily block the vents on the tbing connector. Connector Gently psh connector onto reservoir. Trn clockwise ntil locked. Yo will hear a click.

75 If sing inslin cartridge, skip to Step Inslin vial Transfer gard 4. Wipe vial with alcohol. Place vial on table. Firmly press the ble transfer gard onto vial. Plnger Psh and hold plnger down. 5. Inslin vial Plnger With yor thmb still on the plnger, flip over so vial is on top. Release thmb and pll plnger down to fill with inslin If needed, pll plnger back down to amont of inslin needed for 2-3 days. Transfer gard To avoid getting inslin on the top of the reservoir, trn vial over so it is pright. Hold transfer gard and trn reservoir conter-clockwise and remove from transfer gard. 4. Reservoir Plnger!! IMPORTANT: If inslin or any liqid gets inside the tbing connector, it can temporarily block the vents that allow the pmp to properly fill the infsion set. This may reslt in the delivery of too little or too mch inslin, which cold case hypoglycaemia or hyperglycaemia. If yo see air bbbles, tap reservoir to move them to top. Psh plnger jst a bit to move them into tbing. Twist plnger conter-clockwise to loosen and remove. Contined on next page 73

76 SECTION 7.3 : CHANGING THE MINIMED SURE-T INFUSION SET WITH THE MINIMED 640G INSULIN PUMP THE THE BACKLIGHT BACKLIGHT MAY MAY HAVE HAVE TURNED TURNED OFF OFF Press Press any any btton btton to to trn trn the the screen screen back on. Select Load Reservoir and nlock pmp if necessary. Select Next Trn clockwise ntil yo feel reservoir lock into place. Select Next LOAD RESERVOIR AND FILL TUBING Follow these steps to load the reservoir and fill the tbing. 4. After yo see drops, press and select Next. INSERT INSERT INFUSION INFUSION SET Next, SET follow Next, the steps follow to the insert steps the to infsion insert the set into infsion yor set body. 1. Choose an insertion site from the shaded areas shown here. Wipe with alcohol or antiseptic Insert infsion set sing a 90 degree angle. Smooth down adhesive to secre set in place. Remove backing from adhesive at the tbing connection site. Place in a convenient location near insertion site. Ensre tbing between the two sites is not tight.

77 PLACE RESERVOIR PLACE INTO RESERVOIR PUMPINTO Now PUMP place the Now filled place reservoir the into filled the reservoir into compartment the reservoir of the pmp. 1. Place reservoir into pmp. Drops at end of tbing Select Load and keep holding. When yo see this screen, select Next. Select Fill and keep holding ntil yo see drops at the end of tbing, then let go Remove backing from the adhesive srronding the needle. Remove needle gard. FILL CANNULA When sing a Sre-T Infsion Set yo are not reqired to fill the canla. Please select Done. Select Done. YOUR INFUSION SET CHANGE IS NOW COMPLETE! 75

78 76 NOTES

79 SECTION 7.4 : CHANGING THE MINIMED MIO INFUSION SET WITH THE MINIMED 640G INSULIN PUMP Before yo begin, please note that it is not recommended that yo change yor infsion set jst prior to bedtime. Changing yor set dring the day may redce the risk of nexplained highs and no delivery alarms while sleeping. Please refer to the MiniMed mio Infsion Set User Gide for more details. To change yor MiniMed mio infsion set, yo will need to organise the following spplies: Inslin cartridge/vial (at room temp for 1 hor) Reservoir (with ble Transfer Gard) MiniMed mio infsion set Alcohol swabs/ skin antiseptics Sharps bin START HERE: Wash yor hands. Press. Select Reservoir & Tbing. Select New Reservoir. 4. Remove the infsion set yo have been sing by loosening the adhesive and plling away from body Remove the sed reservoir from the pmp. Select Rewind. Contined on next page 77