Medtronic MiniMed 1510 620G/630G/640G/670G Insulin Delivery Pump User Manual 2

Medtronic MiniMed, Inc. 620G/630G/640G/670G Insulin Delivery Pump Users Manual 2

Users Manual 2

Icon Icon name What it meansConnection The connection icon appears green when theSensor feature is on and your transmitter is successfullycommunicating with your pump. The connection iconappears gray when the Sensor feature is turned on,but the transmitter is not connected or communicationwith your pump has been lost. For more informationabout the Sensor feature, see Understanding ContinuousGlucose Monitoring (CGM), on page 151.Airplane Mode Appears in place of the Connection icon if AirplaneMode is turned on. When Airplane Mode is turned on,the pump cannot receive wireless communication fromother devices. The pump also cannot send wirelesscommunication to other devices. For more informationabout using Airplane Mode, see Airplane Mode, onpage 137.Reservoir Shows the approximate amount of insulin left in yourreservoir. The color and the fill level of the icon indicatethe status. When your reservoir is full, the icon is solidgreen. As your insulin is used, the icon becomesemptier, and the color of the icon changes as shown inthe following example. For more information aboutyour reservoir, see Reservoir and infusion set onpage 93.Audio The audio mode you are using: vibrate only , audioonly , or vibrate and audio . For more informationabout your audio settings, see Audio Options, onpage 138.■ first steps First steps 29MP6025958-022 / ARELEASED
Icon Icon name What it meansCalibration The approximate time left until your next sensorcalibration is due. Appears only when the Sensorfeature is turned on. The color and the fill level of theicon indicate the status. When your sensor is fullycalibrated, the icon is solid green. As the time for yournext sensor calibration approaches, the icon becomesemptier, and the color of the icon changes as shown inthe following example. For more information aboutcalibrating your sensor, see Calibrating your sensor, onpage 183.When your sensor is initializing, the Calibration iconappears with three dots . If the time to your nextsensor calibration is unavailable, the Calibration iconappears with a question mark .6Sensor Life The number of days remaining in the life of yoursensor. Appears only when the Sensor feature is turnedon. The color and the fill level of the icon indicate thestatus. When you insert a new sensor, the icon is solidgreen. As your sensor life is used, the icon becomesemptier. The icon turns yellow when less than 24 hoursremains in the life of your sensor. It turns red when lessthan 12 hours remains in the life of your sensor. If the number of days remaining in the life of yoursensor is unavailable, the Sensor Life icon appears witha question mark .30 Chapter 2MP6025958-022 / ARELEASED
Icon Icon name What it meansBlock Mode Indicates that the pump is in Block Mode, and thatcertain functions are restricted. Caregivers, such asparents of a young child, can use Block Mode to restrictaccess to critical pump settings. For more informationabout Block Mode, see Block Mode, on page 139.TemporaryNetworkConnectionAppears while you are temporarily connected to aremote upload device. Status screensThe Status screens provide information about your pump, any notifications youhave received, your current settings, and optional sensor. The Status screens aredescribed in the following table:Status screen Displays this informationNotifications A list of alarms, alerts, and reminders that have occurred over the past24 hours. You can display further details about a particular alarm, alert,or reminder by selecting it from the list. For more information onalarms and alerts, see the Alarms, alerts, and messages chapter.Quick Status A summary of status information, including your last bolus, last BGmeter reading, current basal rate, reservoir level, and pump batterycharge level. If you are using a sensor, this screen also displays thetime that your next calibration is due and the SmartGuard™ status.Pump Provides a detailed view of your pump status, including whether yourpump is in a specific mode, the reservoir status, battery status, thepump serial number, and other details about your pump.Sensor The Sensor status screen is available only if your sensor feature isturned on. The Sensor status screen indicates if any alert silenceoptions are turned on. It also shows the status of your calibrations,your sensor life, ISIG, transmitter battery, serial number and versionnumber of your transmitter, and the SmartGuard status.■ first steps First steps 31MP6025958-022 / ARELEASED
Status screen Displays this informationSettingsReviewThe Settings Review screen provides a list of all your pump settings.The settings are organized by where they appear in the menu foryour pump. For example, your bolus settings appear under the InsulinSettings section, and your brightness level setting appears under theUtilities section.Viewing the Status screens1. Go to the Home screen.2. Select the status bar that appears at the top of the Home screen.17:00Bolus Basal110mg/dLActive Insulin 1.0 UBGThe Status screen appears.3. Select the status screen that you want to view. Refer to the table at thebeginning of this section for a description of the different status screens.Using the Menu screenThe Menu screen is where you access the various features and functions of yoursystem. To display the Menu screen, press .32 Chapter 2MP6025958-022 / ARELEASED
The following options are available from the Menu screen:Select this To do thisSuspend Delivery Stop your current basal and bolus insulin delivery.Audio Options Set your audio, vibrate, and volume options for the notificationsyou receive.History Access the Summary, Daily History, and Alarm History screens. Ifyou are using a sensor, you can access the SG Review and ISIGHistory screens.Reservoir &TubingStart the process of changing your reservoir and infusion set.Insulin Settings Set up and manage your insulin delivery options, including yourBasal and Bolus settings.Sensor Settings Set up your optional continuous glucose monitoring devicesettings.Event Markers Save information about events, such as exercise, blood glucosereadings, carbs you eat, or injections you take. If you are using asensor, the blood glucose readings may be used for calibration.Reminders Set up reminders to help monitor your system and to help youmanage your diabetes. You can also create reminders for personalevents.Utilities Set up and manage the features and functions of your system. ■ first steps First steps 33MP6025958-022 / ARELEASED
Scroll barThe scroll bar is located on the right side of the display, as shown in the followingexample. It appears only when there is more information available to view on thescreen. Press or to move up or down the screen.scroll barPower modesYour pump is designed to conserve battery power when you are not actively usingthe pump screens.In thismodeYour pump behaves like thisAwake Your pump screen is on. Unless you are actively using another screen, yourHome screen appears.To wake up your pump from being in power save or sleep mode, pressany button. If your pump has been in sleep mode, the pump is locked. Tounlock your pump, see Unlocking your pump, on page 26.Powersave Your pump is fully functional, but the screen goes dark to save power. Youcan set how long it takes for your screen to enter power save mode bychanging the Backlight setting. For more information, see Display Options,on page 141. If any button is pressed while the pump is in Power savemode, the pump returns to the screen that was last displayed.34 Chapter 2MP6025958-022 / ARELEASED
In thismodeYour pump behaves like thisSleep Your pump automatically enters sleep mode about two minutes after yourpump enters power save mode if no buttons are pressed. At this time,your pump automatically locks. If any button is pressed, your pump returnsto the Home screen.Note: In some cases, if there is an action you need to take,your pump returns to the screen last displayed. Thisincludes startup settings, loading your reservoir, filling yourtubing, filling your cannula, and any screen where you havean action pending. To put your pump into sleep mode, press and hold the Menu button for about two seconds. If you remove your pumpYou may have an occasion when you need or want to remove your pump. If youhave to remove and store your pump, it is recommended that you do thefollowing:• Write down a record of your current basal rates and use the Save Settingsfeature. See Saving your settings, on page 142 for more information.• Remove the battery. See Storing your pump, on page 242 for more information.Remember, your body still needs insulin while your pump is removed.Consult your healthcare professional to determine an alternate method ofreceiving insulin. Disconnecting from your pump for less than one hour may notrequire an insulin adjustment. If you remove your pump for more than one hour,you should take your insulin another way, as prescribed by your healthcareprofessional.■ first steps First steps 35MP6025958-022 / ARELEASED
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BasalBasal insulin is the "background" insulin that you need throughout the day andnight to maintain your target blood glucose values when you are not eating. Yourbasal insulin accounts for approximately one half of your daily insulin requirements.Your pump mimics a pancreas by delivering insulin continuously over 24 hours.Your basal insulin is delivered according to a basal pattern. Basal patterns andother basal settings are described in the following sections.Basal rateYour basal rate is the specific amount of basal insulin that your pump continuouslydelivers each hour. While some people use one basal rate all day, others requiredifferent rates at different times of the day.Your basal rates are set in one or more basal patterns. Each basal pattern covers24 hours. For specific information about basal patterns, see Basal patterns, onpage 41. Basal 39■ basalMP6025958-022 / ARELEASED
Basal insulin settingsYour basal insulin delivery settings are described in the following table.Setting What it is What it does for youBasal Pattern A set of one or morebasal rates that cover a24-hour period.Determines the amount of insulin youreceive per hour throughout the dayand night. Allows you to vary your basalrate according to your needs. You canset up to eight basal patterns. Fordetails on setting up basal patterns, seeAdding a new basal pattern, on page 42.For details about starting a basalpattern, see Changing from one basalpattern to another, on page 46.Temp Basal A basal rate that you usein place of yourscheduled basal rate forshort-term situations.Allows you to temporarily change yourcurrent basal rate for a duration of timethat you specify. For details aboutstarting a temp basal rate, see Starting aTemp Basal rate, on page 48.Preset Temp A temporary basal ratethat you can defineahead of time.Allows you to set and save temporarybasal rates for known short-termsituations, such as when you are sick orhave times of increased or decreasedactivity. For details about setting up apreset temp basal rate, see Preset Tempbasal rates, on page 49. For detailsabout starting a preset temp basal rate,see Starting a Preset Temp basal rate, onpage 51.Max Basal Rate Maximum amount ofbasal insulin that yourpump can deliverper hour.Provides a safety measure by limitingthe total amount of basal insulin yourpump can deliver per hour. For detailsabout setting your Max Basal rate, seeMax Basal Rate, on page 41. 40 Chapter 3MP6025958-022 / ARELEASED
Max Basal RateMax Basal Rate limits the amount of basal insulin that can be delivered per hour,based on the maximum rate you set. You are unable to set any basal rates, tempbasal rates, or preset temp basal rates that exceed the max basal rate amount. Youcan set your max basal rate from 0 to 35 units per hour. Set your max basal rate asprescribed by your healthcare professional.Note: If you are setting your max basal rate after you have set up yourbasal patterns or preset temp basal rates, you cannot set your max basalrate lower than any of your existing basal rates. You cannot access thisfeature during a bolus delivery.  To set your Max Basal Rate:1. Go to the Max Basal/Bolus screen.Menu > Insulin Settings > Max Basal/Bolus2. Select Max Basal to set the maximum number of basal insulin units that canbe delivered each hour.Because the Max Basal Rate setting determines your basal insulin limits, awarning message appears any time you enter the screen to change the value.To continue setting the value, select Continue.3. In the Max Basal Rate screen, select Max Basal to set the maximum units perhour.4. Select Save.Basal patternsYour basal pattern determines the amount of basal insulin you receive throughoutthe day and night. Because your basal insulin needs can vary, you can set up toeight basal patterns. For example, you might use one basal pattern during theweek and a different basal pattern during the weekend.■ basal Basal 41MP6025958-022 / ARELEASED
A basal pattern is made up of one to 48 basal rates that you set up to cover a full24-hour period. If you only need one basal rate throughout the day, you set onlyone rate for the 24-hour period. If you need the basal rates to change during theday or night to better match your insulin needs, you can set more than one rate,each with a separate start and end time. The following example represents one basal pattern with three basal rates set forthree different time periods.00:00 6:00 12:00 18:00 24:0000:00 – 8:008:00 – 18:0018:00 – 24:0024 Hours1.0000.500U/hr0.650 U/hr0.900 U/hr 0.900 U/hrYour healthcare professional will determine what rates are right for you.Note: If you have already set up basal patterns and want to switch fromusing one basal pattern to another, see Changing from one basal patternto another, on page 46. Adding a new basal patternThis procedure shows you how to add a new basal pattern. To add a new basal pattern:1. Go to the Basal Pattern Setup screen.Menu > Insulin Settings > Basal Pattern Setup42 Chapter 3MP6025958-022 / ARELEASED
The Basal Pattern Setup screen appears. Your active basal pattern appearswith a check mark and the 24-hour delivery amount, as shown in thefollowing example.2. If this is your first time setting up a basal pattern, the unit amount will be 0.0.Select Basal 1 and proceed to step 5.If this is not your first time setting up a basal pattern, proceed to the nextstep to add a new pattern.3. To add a new basal pattern, select Add New.The Select Name screen appears.Note: The Workday, Day Off, and Sick Day patterns are available sothat you can match a basal pattern name to your insulin needs onthose particular days. 4. Select the basal pattern that you want to set up. An edit screen appears forthe pattern you selected. The following example shows the Edit Workdayscreen.■ basal Basal 43MP6025958-022 / ARELEASED
Caution: Insulin is delivered in units per hour. If you set a basalrate of 0.025 U/hr for a 30-minute time period, this might result inno insulin delivered for that 30-minute period.5. To create one continuous 24-hour basal rate for your basal pattern, continuewith this step. To create more than one basal rate for your new basal pattern,skip to step 6.a. Leave End time at 24:00 to set a 24-hour rate. The Start time of the firsttime segment is always 00:00.b. Set your rate in units per hour.c. Skip to Step 7.6. To create more than one basal rate for your new basal pattern, enter onebasal rate at a time, as described in the following steps:a. Set the End time and the Rate for your first basal rate. You set your ratesin 30-minute increments.If you set the End time to anything other than 24:00, a second basal ratesetting appears.44 Chapter 3MP6025958-022 / ARELEASED
The Start time for the next rate is always the same as the End time ofthe previous rate.Note: If you need to make a change, you can press to scrollup to the rate you want to change. Adjust the End time or Ratevalues as desired.Note that pressing or when a field is selected (flashing)adjusts the value of that field. When there is no field selected,pressing or allows you to scroll up or down the list ofbasal rates. b. Continue setting rates for different time periods as needed. The End timefor your last rate must be 24:00, as shown in the example below.7. When you finish setting your basal pattern, select Done. (The Done optionappears only when the last End time in your basal pattern is set to 24:00).A screen appears that allows you to review your basal pattern. If you need tomake any changes, press to return to the previous screen.8. Select Save.To activate your basal pattern, see Changing from one basal pattern to another,on page 46.■ basal Basal 45MP6025958-022 / ARELEASED
Editing, copying, or deleting a basal pattern To edit, copy, or delete a basal pattern:1. Go to the Basal Pattern Setup screen.Menu > Insulin Settings > Basal Pattern SetupThe Basal Pattern Setup screen displays all of your existing basal patterns.2. Select the basal pattern you want to edit, copy, or delete.3. Select Options.4. Do one of the following:• Select Edit to adjust the End time or rate values for one or more of thebasal rates in this basal pattern.• Select Copy to copy the basal rate information from the selected basalpattern to a new basal pattern. When the Select Name screen appears,you can select any available name from the list. Use the Edit option toadjust the new basal pattern as desired.• Select Delete to delete the selected basal pattern. You cannot delete theactive basal pattern.Changing from one basal pattern to anotherWhen you change to a new basal pattern, your pump delivers your basal insulinaccording to the basal pattern you selected.To change to a different basal pattern:1. Go to the Basal Patterns screen.Home screen > Basal > Basal PatternsThe Basal Patterns screen shows the basal patterns you have set up. Theactive basal pattern is indicated with a check mark.2. Select the basal pattern you want to start.The Basal screen displays the details for the selected basal pattern.3. To start this pattern, select Begin.46 Chapter 3MP6025958-022 / ARELEASED
Temporary basal ratesThe Temp Basal feature and Preset Temp feature allow you to set temporary basalrates to manage blood glucose levels during short-term activities or conditionsthat require a basal rate different than your current one, such as an illness or achange in physical activity. You can make an immediate change to your basalinsulin for a set period of time (30 minutes to 24 hours), up to your max basal rate.About Temp Basal ratesA temp basal rate temporarily overrides all other basal programming. Yourprogrammed basal pattern resumes after the temp basal rate delivery is completedor cancelled.The Temp Basal feature allows you to set and start a temporary basal rateimmediately. The Preset Temp feature allows you to set up a temp basal rateahead of time for known situations. You define temp basal rates and preset tempbasal rates using either a percentage of your current basal pattern, or by setting aspecific rate, as described in the following table.This temp basal type: Works like this:Percent Delivers a percentage of the basal rates programmedin your active basal pattern for the duration of thetemp basal rate. The temp basal amount is roundeddown to the next 0.025 units if your basal rate is set atless than 1 unit per hour, or to the next 0.05 units ifyour basal rate is set at more than 1 unit per hour.Temp basal rates can be set to deliver from 0 to 200%of your scheduled basal rate. The percent amount youcan use, however, is based on the largest basal ratescheduled during the temp basal duration, and islimited by your max basal rate.Rate Delivers a fixed basal insulin rate in units per hour forthe duration of your temporary basal, limited by yourmax basal rate.To use the Temp Basal feature, see Starting a Temp Basal rate, on page 48. To usethe Preset Temp Basal feature, see Preset Temp basal rates, on page 49.■ basal Basal 47MP6025958-022 / ARELEASED
Starting a Temp Basal rateWhen you start a temp basal rate, your basal delivery changes to the temporarybasal rate for the duration you set. When the duration is complete, your basalinsulin automatically returns to the active basal pattern. To start a temp basal rate:1. Go to the Temp Basal screen.Home screen > Basal > Temp Basal2. Duration is flashing. Set the Duration for this temp basal rate. The Durationcan be set from 30 minutes to 24 hours, in 15-minute increments.3. Select Next.4. The Type defaults to Percent. You can switch between Percent and Rate byselecting Type.48 Chapter 3MP6025958-022 / ARELEASED
5. Depending on the Type you selected, do one of the following:• Enter a percentage:• Enter a basal rate, making sure you do not exceed your max basal rate:6. If desired, select Review to review your temp basal setting.7. Select Begin to start the temp basal rate.Your Temp Basal rate continues for the duration you set. The Basal option onthe Home screen appears as Basal (T) during your temp basal delivery. Yourscheduled basal rate automatically starts again when your Temp Basal ratefinishes.Note: If you need to cancel your temp basal, select Basal (T) fromthe Home screen, then select Cancel Temp Basal. Preset Temp basal ratesThe Preset Temp feature allows you to set up basal rates for recurring short-termsituations where you need to temporarily change your basal rate.■ basal Basal 49MP6025958-022 / ARELEASED
There are four names you can use to match your preset temp basal rate to asituation: High Activity, Moderate Activity, Low Activity, and Sick. There are alsofour additional preset temp rates available to use for other circumstances (Temp 1through Temp 4).Setting up and managing Preset Temp basal ratesThis section describes how to set up, edit, rename, or delete a preset temp basalrate. For information on how to start using a preset temp basal rate, see Starting aPreset Temp basal rate, on page 51. To set up a preset temp basal rate:1. Go to the Preset Temp Setup screen.Menu > Insulin Settings > Preset Temp Setup2. Select Add New.3. Select a name for the preset temp basal rate you want to set (Temp 1, HighActivity, Moderate Activity, Low Activity, or Sick).4. The Type defaults to Percent. You can switch between Percent and Rate byselecting Type.5. If you are using Percent, enter the percentage you want to use. If you areusing Rate, enter the rate in units per hour. You cannot exceed your maxbasal rate.6. Set the Duration (from 30 minutes to 24 hours in 15 minute increments) thatyou want this preset temp basal to be active.7. Select Save. To change, rename, or delete a preset temp basal rate:1. Go to the Preset Temp Setup screen.Menu > Insulin Settings > Preset Temp Setup2. Select the desired preset temp basal.Note: You cannot select a preset temp basal rate that is currently inuse. 3. Select Options, and then do one of the following:50 Chapter 3MP6025958-022 / ARELEASED
• Select Edit to adjust the Type (Percent or Rate), the Percentage or Rateamount, and the Duration for this preset temp basal rate.• Select Rename to assign a different name to this preset temp basal rate.When the Select Name screen appears, you can select any available namefrom the list.• Select Delete to delete this preset temp basal rate.Starting a Preset Temp basal rateYou must set up preset temp basal rates before you can use the Preset Tempfeature. For more information, see Preset Temp basal rates, on page 49. To start a preset temp basal rate:1. Go to the Preset Temp screen. The Preset Temp option only appears if youhave set up preset temp basal rates.Home screen > Basal > Preset TempThe Preset Temp screen displays the preset temp basal rates you have set up,along with their percentage or rate amounts.Note: Depending on your active basal pattern, it is possible for apercentage preset temp basal rate to exceed your max basal limit.Because you cannot use a preset temp basal rate that exceeds yourmax basal limit, these rates appear in the list, but are not availablefor use. ■ basal Basal 51MP6025958-022 / ARELEASED
2. Select the preset temp basal rate that you want to use, and then selectBegin.Your preset temp basal rate continues for the duration you set. The Basaloption on the Home screen appears as Basal (T) during your preset tempbasal delivery. Your scheduled basal rate automatically starts again when yourpreset temp basal rate finishes.Canceling a Temp Basal or Preset Temp basal rateYou can cancel a temp basal or preset temp basal rate at any time. When you doso, your scheduled basal pattern automatically starts again. To cancel a temp basal rate:1. Go to the Basal screen.Home screen > Basal (T)The Temp Basal screen displays the name (Preset Temp only), current basalrate, the set duration, and the remaining time.2. Select Cancel Temp Basal.Viewing your basal informationThe following table describes how you can view your basal rates and patterns.52 Chapter 3MP6025958-022 / ARELEASED
To do this: Do this:View your current basalrateGo to the Basal screen:Home screen > BasalThe active basal pattern and current basal rate appear atthe top of the Basal screen.You can also view your current basal rate by selecting theStatus Bar at the top of the Home screen, and thenselecting Quick Status.View your basal patterns Go to the Basal Patterns screen:Home screen > Basal > Basal PatternsThe Basal Patterns screen shows the basal patterns youhave set up, and the 24-hour insulin total for each basalpattern. A check mark appears next to the active basalpattern.To see the individual basal rates, select the desired basalpattern. ■ basal Basal 53MP6025958-022 / ARELEASED
Stopping and resuming your insulin deliveryUse Suspend Delivery if you need to stop all active basal and bolus insulindeliveries. When you suspend your insulin delivery, your pump beeps and vibratesperiodically to remind you that insulin is not being delivered. When you are ready to continue your basal insulin delivery, use the Resumefeature. When you use the Resume feature, your pump starts your programmedbasal pattern, but does not start any previously programmed bolus deliveries.Note: If you want to stop a bolus delivery only, without stopping yourbasal delivery, see Stopping a bolus delivery, on page 88. WARNING: A bolus delivery or fill cannula that was suspendeddoes not restart when you resume. To avoid a high BG andketoacidosis, always check the pump's Daily History after youresume insulin delivery to determine the amount that wasdelivered. If needed, program a new bolus or fill cannula delivery.Caution: When using Audio or Vibrate, it is possible that an Audio orVibration notification may not occur as expected if the speaker orvibrator in your pump malfunctions. This is most important whenusing the Easy Bolus feature or when your pump is in Manual Suspendwhere a missed notification may cause an over or under delivery ofinsulin.Contact the 24 Hour HelpLine or your local representative with anyconcerns. To suspend all insulin delivery:1. Go to the Suspend Delivery screen.Menu > Suspend Delivery2. A confirmation message appears. To suspend your pump and stop all insulindelivery, select Yes.The Home screen indicates that your insulin is suspended. Your pumpfunctions are limited until you resume your insulin delivery.54 Chapter 3MP6025958-022 / ARELEASED
 To resume basal insulin delivery:1. While insulin is suspended, go to the Home screen.2. Select Resume.A confirmation message appears.3. To resume your basal insulin delivery, select Yes. If a Temp Basal was activewhen you suspended your pump, it resumes if the time is still within theduration that you set.Note: If you still need a bolus delivery that was in progress beforeyou suspended your delivery, check the Daily History screen for theactual bolus units delivered and the intended bolus amount. Thenyou can set up a new bolus amount as needed. See Daily History, onpage 121 for details about using the Daily History screen. ■ basal Basal 55MP6025958-022 / ARELEASED
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BolusA bolus is the amount of insulin taken to cover an expected rise in blood glucose,typically when you eat a meal or snack. You can also use a bolus to correct a highblood glucose reading.About bolus deliveriesThere are different types of bolus deliveries you can use, depending on yourinsulin needs at the time. There are also different ways you can deliver a bolus.Discuss these options with your healthcare professional to determine what is bestfor you.Bolus typesThe following table provides general information about the available bolus types.Type How it works When to use itNormal Provides a singleimmediate dose ofinsulin.This is the typical bolus type you use tocover your food intake, or to correct a highBG meter reading.For details about using the Normal bolusfeature, see Normal bolus, on page 73. Bolus 59■ bolusMP6025958-022 / ARELEASED
Type How it works When to use itSquareWave™Delivers a single bolusevenly over an extendedperiod of time(30 minutes to 8 hours).You might use a Square Wave bolus:• If you have delayed food digestion due togastroparesis or meals high in fat.• When snacking over an extended period oftime.• If a Normal bolus drops your blood glucosetoo rapidly.For details about using the Square Wavebolus feature, see Square Wave bolus, onpage 76.DualWave™Delivers a combinationof an immediate Normalbolus followed by aSquare Wave bolus.You might use a Dual Wave bolus:• When you eat meals that are both high incarbs and fat which may delay digestion.• When your meal bolus is combined with acorrection bolus for an elevated bloodglucose.For details about using a Dual Wave bolus,see Dual Wave bolus, on page 79.Bolus type exampleThe following example shows how the different bolus types work.HoursHours0 1 2 3HoursUnits of insulinNormal (N) bolus0 1 2 3 0 1 2 3Bolus over timeBolus nowBolus nowSquare Wave (S) bolus Dual Wave (D) bolusBolus over time60 Chapter 4MP6025958-022 / ARELEASED
Bolus delivery optionsThe following table describes the different ways you can deliver a bolus.DeliverymethodType of bolus available How it worksBolus Wizard Normal bolus, SquareWave bolus, Dual WavebolusYou enter your BG meter reading andyour carbs you plan to eat, and then theBolus Wizard calculates an estimatedbolus amount based on your individualsettings.For details about using the Bolus Wizardfeature, see Bolus Wizard, on page 65.To deliver a:• Normal bolus using Bolus Wizard, seepage 73.• Square Wave bolus using Bolus Wizard,see page 77.• Dual Wave bolus using Bolus Wizard,see page 79.Manual Normal bolus, SquareWave bolus, Dual WavebolusYou do your own calculation andmanually enter your bolus amount.To deliver a:• Normal bolus, see page 75• Square Wave bolus, see page 78• Dual Wave bolus, see page 81Preset Bolus Normal bolus, SquareWave bolus, Dual WavebolusYou select from specific bolus settingsthat you define ahead of time forrecurring situations.For details about using the Preset Bolusfeature, see Preset Bolus, on page 85.■ bolus Bolus 61MP6025958-022 / ARELEASED
DeliverymethodType of bolus available How it worksEasy Bolus™ Normal bolus After the Easy Bolus feature is set up,you can deliver a Normal bolus by usingthe button when the pump is insleep mode.For details about using the Easy Bolusfeature, see Easy Bolus, on page 82.Remote Bolusfrom yourcompatibleBayer meterNormal bolus or anyPreset Bolus set up onyour pump.For information on using the RemoteBolus feature on your compatible Bayermeter, see the user guide that camewith your compatible Bayer meter.For information on turning on theRemote Bolus feature on your pump,see Setting up Remote Bolus , onpage 112. Bolus settingsThe following table describes some bolus settings that may need to be changedbefore you use your bolus options. Consult with your healthcare professional forthe settings that are right for you.Note: There are additional settings required if you want to use the BolusWizard. These are described in the section, Bolus Wizard, on page 65. Setting What it is What it does for youMax Bolus Maximum amount ofbolus insulin (in units)your pump can deliverin a single bolus.Provides a safety measure by limitingthe total amount of bolus insulin youcan program for a single bolus delivery.For details about setting the max bolusamount, see Max Bolus, on page 63.62 Chapter 4MP6025958-022 / ARELEASED
Setting What it is What it does for youBolus Increment The amount of insulin(in units) that isincreased or decreasedwith each button presswhen adjusting yourbolus amount. The BolusWizard will also use theincrement to display thebolus total andadjustment amounts.This setting does notapply to Easy Bolus.Allows you to set your increment valueaccording to your typical bolus amounts.For details about setting the bolusincrement, see Bolus Increment, onpage 64.Bolus Speed The speed that yourpump delivers yourbolus insulin.Allows you to set your bolus insulindelivery speed to Standard or Quick.For details about setting your bolusspeed, see Bolus Speed, on page 64. Max BolusMax Bolus limits the amount of insulin that can be delivered in a single bolus. Yourpump prevents single bolus insulin deliveries that exceed the max bolus you set.You can set your max bolus from 0 to 75 units. Set your max bolus as prescribedby your healthcare professional.If you are setting your max bolus after you have set up your Preset Bolus deliveries,you cannot set your max bolus lower than any of your Preset Bolus amounts. To set your max bolus:1. Go to the Max Basal/Bolus screen.Menu > Insulin Settings > Max Basal/Bolus2. Select Max Bolus.3. Because the Max Bolus setting determines your bolus insulin limit, a warningmessage appears any time you go to the screen to change the value. Tocontinue to the Max Bolus screen, select Continue.■ bolus Bolus 63MP6025958-022 / ARELEASED
4. Select Max Bolus, and then set the maximum number of insulin units yourpump can deliver in one bolus.5. Select Save.Bolus IncrementThe Bolus Increment setting determines the number of units that are increased ordecreased with each button press when you adjust your bolus delivery amount inthe Bolus Wizard, Manual Bolus, and Preset Bolus screens. Depending on yourtypical bolus amount, you can set your increment to 0.1 units, 0.05 units, or0.025 units.Note: Easy Bolus uses a setting called Step Size to determine thenumber of insulin units for each button press. See Setting up Easy Bolus,on page 83 for more information.  To set your Bolus Increment:1. Go to the Bolus Increment screen.Menu > Insulin Settings > Bolus Increment2. Select Increment to set your desired increment value.3. Select Save.Bolus SpeedBolus Speed sets the rate at which your pump delivers bolus insulin. You can set aStandard rate (1.5 units per minute), or a Quick rate (15 units per minute). To set your Bolus Speed:1. Go to the Bolus Speed screen.Menu > Insulin Settings > Bolus Speed2. Select Standard or Quick.3. Select Save.64 Chapter 4MP6025958-022 / ARELEASED
Bolus WizardThe Bolus Wizard is a feature that uses your individual Bolus Wizard settings tocalculate an estimated bolus amount based on the BG values and carbs that youenter. Work with your healthcare professional to define your personal settings,which include your carb or exchange ratio, insulin sensitivity, BG target range, andactive insulin time.Note: If you do not know how to count carbs, consult with yourhealthcare professional before using the Bolus Wizard. After you set up the Bolus Wizard, you can use it to calculate and deliver a foodbolus, a correction bolus, or a food plus correction bolus using a Normal bolus (seepage 73), Square Wave bolus (see page 77), or Dual Wave bolus (see page 79).The following sections describe how to set up the Bolus Wizard. Bolus deliveryinstructions are provided in the individual sections for each bolus type.Understanding your Bolus Wizard settingsYour pump guides you through entering the following settings when you first turnon the Bolus Wizard feature. Get your prescribed settings from your healthcareprofessional, and always consult your healthcare professional before changing yoursettings. The setup procedure begins on page 66.Setting What it doesCarb Ratio Exchange RatioUsed for food bolus calculations.•If you count carbs: the number of carb grams that arecovered by 1 unit of insulin.•If you count exchanges: the number of insulin units thatare needed to cover 1 carb exchange.Insulin SensitivityFactorUsed to calculate correction bolus amounts.Your insulin sensitivity factor is the amount that bloodglucose is reduced by one unit of insulin.■ bolus Bolus 65MP6025958-022 / ARELEASED
Setting What it doesBG Target The Bolus Wizard calculates your estimated bolus basedon your BG target range. The high and low values you setare the values to which your blood glucose is corrected.To use a single target value rather than a range, set thesame value for High and Low.If your BG value is above the high target value, acorrection dose is calculated. If your BG value is belowthe low target value, a negative correction is calculatedand subtracted from your food bolus.Active Insulin Time Active insulin is the bolus insulin that has been deliveredby the pump and is still working to lower your bloodglucose levels. Active insulin time is the length of timethat bolus insulin is tracked as active insulin.Work with your healthcare professional to get the activeinsulin time that best represents the insulin type you useand your physiological insulin absorption rate.For more information about how the Bolus Wizard usesyour active insulin amount, see About active insulin, onpage 71. Setting up the Bolus Wizard featureBefore you can use the Bolus Wizard to calculate a bolus, you must turn on thisfeature and enter your Bolus Wizard settings. To set up the Bolus Wizard feature:1. Go to the Bolus Wizard Setup screen.Menu > Insulin Settings > Bolus Wizard SetupThe Bolus Wizard Setup screen appears with the Bolus Wizard turned off.66 Chapter 4MP6025958-022 / ARELEASED
2. Select Bolus Wizard to turn on the feature.If this is the first time you have turned on the Bolus Wizard feature, yourpump displays information about the settings you need to enter.Make sure you have the values you need, and then select Next to continue.Note: As you enter your personal settings, your pump displaysinformation about each setting. Click Next to continue when youhave read each explanation. 3. When the Edit Carb Ratio screen appears, enter your carb ratio. If you aresetting a carb ratio, set the grams per unit (g/U). If you are setting anexchange ratio, set the units per exchange (U/exch). You can set up to eightcarb ratios using different time segments. The time segments must cover a24-hour period.■ bolus Bolus 67MP6025958-022 / ARELEASED
Note: Your pump uses grams as the default carb unit. If you wouldlike to change your carb unit to exchanges, see Carb Unit, onpage 140. If your ratio value is outside the range of 5 to 50 grams per unit or 0.3 to3 units per exchange, a message appears asking you to confirm your setting.4. When the Edit Sensitivity screen appears, enter your insulin sensitivity factor.You can set up to eight different sensitivity factors using different timesegments. The time segments must cover a 24-hour period.If the value you enter is outside the range of 20 to 100 mg/dL, a messageappears asking you to confirm your setting.5. When the Edit BG Target screen appears, enter your Bolus Wizard BG targetrange. You can set up to eight different BG target ranges using different timesegments. The time segments must cover a 24-hour period.If your BG target is outside the range of 90 to 140 mg/dL, a message appearsasking you to confirm your setting.6. When the Active Insulin Time screen appears, enter your active insulin timevalue.68 Chapter 4MP6025958-022 / ARELEASED
7. Select Save.A message appears letting you know the Bolus Wizard setup is complete.You can now use the Bolus Wizard to calculate a bolus.Changing your Bolus Wizard settingsThis section shows you how to make changes to your personal settings after youinitially set up the Bolus Wizard. These settings are available only if the BolusWizard is turned on.Changing your carb or exchange ratioYou can change either your carb ratio or exchange ratio setting, depending onwhether you use grams or exchanges as your carb unit. The carb ratio andexchange ratio settings are available only if the Bolus Wizard is turned on. Note: Your pump uses grams as the default carb unit. If you would liketo change your carb unit to exchanges, see Carb Unit, on page 140.  To change your carb or exchange ratio:1. Go to the Carb Ratio screen or the Exchange Ratio screen, depending on thecarb units you use.Menu > Insulin Settings > Bolus Wizard Setup > Carb RatioorMenu > Insulin Settings > Bolus Wizard Setup > Exchange Ratio2. Select Edit.■ bolus Bolus 69MP6025958-022 / ARELEASED
3. Select the carb or exchange ratio to adjust the Start time, the End time, andthe ratio. You can set up to eight different carb or exchange ratios usingdifferent time segments. The time segments must cover a 24-hour period.If you set a value outside the typical range of 5 to 50 grams per unit or 0.3 to3 units per exchange, a message appears asking you to confirm your setting.4. When you have made your changes, select Save.Changing your insulin sensitivity factorThe Insulin Sensitivity Factor option is only available if the Bolus Wizard feature isturned on. To change your insulin sensitivity factor:1. Go to the Sensitivity screen.Menu > Insulin Settings > Bolus Wizard Setup > Insulin Sensitivity Factor2. Select Edit.3. Select the sensitivity factor to adjust the Start time, the End time, and theSensitivity amount. You can set up to eight different sensitivity amounts usingdifferent time segments. The time segments must cover a 24-hour period.If you set a value that is outside the typical range of 20 to 100 mg/dL perunit, a message appears asking you to confirm your setting.4. When you have made your changes, select Save.Changing your Bolus Wizard BG targetYour target range can be from 60 to 250 mg/dL. The Bolus Wizard BG Targetoption is only available if the Bolus Wizard feature is turned on. To change your Bolus Wizard BG target range:1. Go to the BG Target screen.Menu > Insulin Settings > Bolus Wizard Setup > BG Target2. Select Edit.3. Select the BG target to adjust the Start time, the End time, and the Lo (low)and Hi (high) BG Target values. Your high value cannot be less than your lowvalue. You can set up to eight different values using different time segments.The time segments must cover a 24-hour period.70 Chapter 4MP6025958-022 / ARELEASED
If your BG target is outside the typical range of 90 to 140 mg/dL, a messageappears asking you to confirm your setting.4. When you have made your changes, select Save.Changing your Active Insulin TimeThe active insulin time setting lets the pump know which active insulin time touse in calculating the amount of active insulin to subtract before estimating abolus. Your healthcare professional will prescribe the active insulin time that is bestfor you. To change your active insulin time:1. Go to the Active Insulin Time screen.Menu > Insulin Settings > Bolus Wizard Setup > Active Insulin Time2. Select Duration, then adjust your active insulin time (in hours), using 15-minute increments.3. Select Save.Turning off the Bolus Wizard featureYou can turn off the Bolus Wizard feature at any time. Your Bolus Wizard settingsremain in your pump. When the Bolus Wizard is turned off, the Bolus Wizardoption does not appear in the Bolus Menu, and you cannot edit your Carb Ratio,Insulin Sensitivity Factor, or BG Target settings from the Bolus Wizard Setup screen. To turn off the Bolus Wizard feature:1. Go to the Bolus Wizard Setup screen.Menu > Insulin Settings > Bolus Wizard Setup2. Select Bolus Wizard to turn the feature off.About active insulinActive insulin is the bolus insulin that has already been delivered to your body,and is still working to lower your blood glucose levels. The pump considers youractive insulin time setting in determining if any active insulin is still in your bodyfrom prior boluses. This may help prevent hypoglycemia caused by over-correctingfor high blood glucose.■ bolus Bolus 71MP6025958-022 / ARELEASED
Your current active insulin amount displays on the Home screen, and includes onlythe bolus insulin you have already received.When you are using the Bolus Wizard, the Bolus Wizard calculator uses yourcurrent active insulin value to determine if there is an active insulin adjustmentneeded. The active insulin adjustment calculation considers both the bolus insulinthat has already been delivered (the amount shown on the Home screen), as wellas any insulin that is going to be delivered by an active Square Wave bolus.WARNING: Do not use the Bolus Wizard to calculate a bolus for aperiod of time after giving a manual injection of insulin by syringeor pen. Manual injections are not accounted for in the active insulinamount. Therefore, the Bolus Wizard could prompt you to delivermore insulin than needed. Too much insulin may causehypoglycemia. Consult with your healthcare professional for howlong you need to wait after a manual injection of insulin before youcan rely on the active insulin calculation of your Bolus Wizard.Bolus Wizard warningsWhen you use the Bolus Wizard, there may be times when you see one of thefollowing:Warning: What it means: What to do:High BG Your BG meter reading is above250 mg/dL.• Check for an occlusion.• Check ketones.• Consider an insulin injection.• Monitor your BG.Low BG Your BG meter reading is below70 mg/dL.Treat your low BG. Do not giveyourself a bolus until your BGreturns to normal.72 Chapter 4MP6025958-022 / ARELEASED
Warning: What it means: What to do:Max BolusExceededThe bolus amount enteredexceeds your Max Bolus setting.Check the bolus amount. SelectNo to cancel, or Yes tocontinue. If you select Yes, thebolus amount that you enteredis reduced to your max boluslimit. Normal bolusA Normal bolus provides a single immediate dose of insulin. You use a Normalbolus to cover your food intake or to correct a high BG meter reading.You cannot access the Reservoir & Tubing, Insulin Settings, or Sensor Settingsmenu options during a Normal bolus delivery.Note: Your pump allows you to deliver a Normal bolus while a SquareWave bolus or the Square portion of a Dual Wave bolus is beingdelivered. Delivering a Normal bolus with the Bolus Wizard To deliver a Normal bolus using the Bolus Wizard:1. For a correction bolus or a food bolus with a correction, use your BG meter tocheck your blood glucose. For a food bolus only, skip this step.2. Go to the Bolus Wizard screen.Home screen > Bolus > Bolus WizardThe Bolus Wizard screen shows your current BG meter reading (if applicable)and any insulin that is still active from previous boluses. For more informationabout active insulin, see About active insulin, on page 71. For more information,see About your compatible Bayer meter, on page 111.Note: Be aware that if you already have the Bolus Wizard open priorto wirelessly sending your BG meter reading to your pump, youmust close the Bolus Wizard and open it again, in order for thatreading to appear.■ bolus Bolus 73MP6025958-022 / ARELEASED
3. If you are not using a wirelessly connected compatible Bayer meter, you canselect BG to manually enter your BG meter reading.Note: If you choose not to enter a BG value, three dashes appearon the screen in place of the BG value. 4. For a food bolus, select Carbs to enter the carb count of your meal. For acorrection bolus where no food was eaten, leave the Carbs value at 0.5. Your calculated bolus appears in the Bolus field.If you want to change the bolus amount, select Bolus and make any desiredadjustment. If you change your bolus amount, the word “Modified” appearsnext to the new bolus amount.6. Select Next to review your bolus information.Your bolus amount appears.Note: If you modified your bolus amount in the previous step,Bolus Calculated displays your original bolus amount, Modificationdisplays the amount you added or subtracted from your bolus, andBolus displays the actual bolus amount. 74 Chapter 4MP6025958-022 / ARELEASED
7. Select Deliver Bolus to start your bolus.Your pump beeps or vibrates and displays a message when your bolus starts.The Home screen shows your bolus amount as it is being delivered. Yourpump beeps or vibrates when your bolus is complete.Delivering a Normal bolus using Manual BolusThe following section describes how to deliver a Normal bolus using the ManualBolus feature.To deliver a Normal bolus using Manual Bolus:1. Go to the Manual Bolus screen.Home screen > Bolus > Manual BolusNote: If the Bolus Wizard is turned off, the Manual Bolus screenappears when you select Bolus. The Manual Bolus screen shows your current BG value (if applicable) and anyinsulin that is still active from previous boluses. For more information aboutactive insulin, see About active insulin, on page 71.2. Select Bolus to set your bolus delivery amount (in units).3. Select Deliver Bolus to start your bolus.■ bolus Bolus 75MP6025958-022 / ARELEASED
Your pump beeps or vibrates and displays a message when your bolus starts.The Home screen shows your bolus amount as it is being delivered. Yourpump beeps or vibrates when your bolus is complete.Square Wave bolusA Square Wave bolus delivers a bolus evenly over a period of time (30 minutes to8 hours).When using the Bolus Wizard, a Square Wave bolus is available only when giving afood bolus without a correction for an elevated BG. A Square Wave bolus is notavailable for a correction bolus alone, or a correction bolus with food bolus.A Square Wave bolus can be useful in these situations:• If you have delayed food digestion due to gastroparesis or meals high in fat.• When you are snacking over an extended period of time.•If a Normal bolus drops your blood glucose too rapidly.Since the Square Wave bolus extends delivery over a period of time, the insulin ismore likely to be available as you need it.Note: You cannot perform these functions during a Square Wave bolusdelivery:• Change the Max Bolus or the Active Insulin Time settings.• Turn off or deliver Dual Wave or Square Wave boluses.• Turn the Bolus Wizard feature on or off.•Fill the cannula.•Rewind your pump.• Run a self-test.• Access the Manage Settings menu.All other functions are available during the Square Wave bolus. Turning on or off Square Wave bolusThe Square Wave bolus delivery option is available only after you turn on theSquare Wave feature. 76 Chapter 4MP6025958-022 / ARELEASED
To turn on or turn off the Square Wave feature:1. Go to the Dual/Square screen.Menu > Insulin Settings > Dual/Square Wave2. Select Square Wave to turn the feature on or off.3. Select Save.Delivering a Square Wave bolus with the Bolus WizardThe Square Wave option is available in the Bolus Wizard only after you turn on theSquare Wave feature. Also, you must have entered a Carbs value. To deliver a Square Wave bolus with the Bolus Wizard:1. Go to the Bolus Wizard screen.Home screen > Bolus > Bolus WizardThe Bolus Wizard screen shows your current BG meter reading (if applicable)and any insulin that is still active from previous boluses. For more informationabout active insulin, see About active insulin, on page 71. For more information,see About your compatible Bayer meter, on page 111.Note: Be aware that if you already have the Bolus Wizard open priorto wirelessly sending your BG meter reading to your pump, youmust close the Bolus Wizard and open it again, in order for thatreading to appear. 2. If you are not using a wirelessly connected compatible Bayer meter, you canselect BG to manually enter your BG meter reading.Note: If you choose not to enter a BG meter reading, three dashesappear on the screen instead. 3. Select Carbs to enter the amount of carbs in your food.■ bolus Bolus 77MP6025958-022 / ARELEASED
4. Review your calculated bolus amount in the Bolus field. If you want tochange the bolus amount, select Bolus and make your desired change.Remember, if there is a correction bolus amount calculated, you are not ableto give a Square Wave bolus.Note: If you change your bolus amount, the word “Modified”appears next to the new bolus amount. 5. Select Next to review your bolus information.6. Select Square.The Bolus Wizard screen appears with your bolus amounts.7. To change the time period over which your bolus is delivered, selectDuration to adjust the time. The duration can be from 30 minutes to 8 hours,in 15 minute increments.8. Select Deliver Bolus to start your bolus.During a Square Wave bolus delivery, the Bolus button on your Home screenappears as Bolus (S). You can select Bolus (S) to stop the bolus, to see detailson the insulin that has been delivered, or to access the Bolus menu. TheBolus menu provides access to the Bolus Wizard, Manual Bolus, Preset Bolus,and Insulin Settings options.Delivering a Square Wave bolus using Manual BolusThe Square Wave option is available in the Manual Bolus screen only after you turnon the Square Wave feature. To deliver a Square Wave bolus manually:1. Go to the Manual Bolus screen.Home screen > Bolus > Manual Bolus2. Set your bolus delivery amount (in units), and then select Next.3. Select Square.4. Select Duration and set the amount of time over which you want yourSquare Wave bolus to be delivered. The duration can be from 30 minutes to8 hours, and is set in 15-minute increments.78 Chapter 4MP6025958-022 / ARELEASED
5. Select Deliver Bolus to start your bolus.During a Square Wave delivery, the Bolus button on your Home screenappears as Bolus (S). You can select Bolus (S) to stop the bolus, to see detailson the insulin that has been delivered, or to access the Bolus menu. TheBolus menu provides access to the Bolus Wizard, Manual Bolus, Preset Bolus,and Insulin Settings options.Dual Wave bolusThe Dual Wave bolus feature meets both immediate and extended insulin needsby delivering a combination of an immediate Normal bolus followed by a SquareWave bolus.A Dual Wave bolus can be useful in these situations:• When you need to correct elevated blood glucose before a meal, and youalso need a delayed bolus for food that is absorbed slowly.• When you eat meals with mixed nutrients, such as carbs, fats and proteins,that are absorbed at different rates.Turning on or off Dual Wave bolusThe Dual Wave bolus delivery option is available only after you turn on the DualWave feature. To turn on or turn off the Dual Wave feature:1. Go to the Dual/Square screen.Menu > Insulin Settings > Dual/Square Wave2. Select Dual Wave to turn the feature on or off.3. Select Save.Delivering a Dual Wave bolus with the Bolus WizardThe Dual Wave option is available in the Bolus Wizard only after you turn on theDual Wave feature. To deliver a Dual Wave bolus with the Bolus Wizard:1. For a correction bolus or a food bolus with a correction, use your BG meter tocheck your blood glucose. For a food bolus only, skip this step.■ bolus Bolus 79MP6025958-022 / ARELEASED
2. Go to the Bolus Wizard screen.Home screen > Bolus > Bolus WizardThe Bolus Wizard screen shows your current BG meter reading (if applicable)and any insulin that is still active from previous boluses. For more informationabout active insulin, see About active insulin, on page 71. For more information,see About your compatible Bayer meter, on page 111.Note: Be aware that if you already have the Bolus Wizard open priorto wirelessly sending your BG meter reading to your pump, youmust close the Bolus Wizard and open it again, in order for thatreading to appear. 3. If you are not using a wirelessly connected compatible Bayer meter, you canselect BG to manually enter your BG meter reading.Note: If you choose not to enter a BG value, three dashes appearon the screen in place of the BG value. 4. For a food bolus, select Carbs to enter the carb count of your meal. For acorrection bolus where no food was eaten, leave the Carbs value as 0.5. Review your calculated Bolus amount. If you want to change the amount,select Bolus and make your desired change.Note: If you change your bolus amount, the word “Modified”appears next to the new bolus amount. 6. Select Next to review your bolus information.7. Select Dual.The Bolus Wizard screen appears, with the food amount split evenly betweenthe Now and Square portions.8. If you need to change the amounts, select the area of the screen with theNow value and adjust the Now amount.80 Chapter 4MP6025958-022 / ARELEASED
When you adjust the Now amount, the Square amount adjusts automatically.9. Adjust the Duration over which you want the Square Wave portion to bedelivered. The duration can be from 30 minutes to 8 hours.10. Select Deliver Bolus to start your bolus.During a Dual Wave delivery, the Home screen shows the progress of theNow portion of your delivery. When the Now portion is complete, the Bolusbutton on your Home screen appears as Bolus (D). You can select Bolus (D)to stop the bolus, to see details on the amount of bolus insulin delivered, orto access the Bolus menu. The Bolus menu provides access to the BolusWizard, Manual Bolus, Preset Bolus, and Insulin Settings options.Delivering a Dual Wave Bolus using Manual BolusThe Dual Wave option is available in the Manual Bolus screen only after you turnon the Dual Wave feature. To deliver a Dual Wave bolus using Manual Bolus:1. Go to the Manual Bolus screen.Home screen > Bolus > Manual BolusThe Manual Bolus screen appears.2. Set your bolus delivery amount (in units), and then select Next.3. Select Dual.The Manual Bolus screen appears, with the Now and Square portions splitevenly.■ bolus Bolus 81MP6025958-022 / ARELEASED
4. If you need to change the amounts, select the area of the screen with theNow value and adjust the Now amount. When you adjust the Now amount,the Square amount adjusts automatically.5. Adjust the Duration over which you want the Square Wave portion to bedelivered. The duration can be from 30 minutes to 8 hours.6. Select Deliver Bolus to start your bolus.During a Dual Wave delivery, the Home screen shows the progress of theNow portion of your delivery. When the Now portion is complete, the Bolusbutton on your Home screen appears as Bolus (D). You can select Bolus (D)to stop the bolus, to see details on the amount of bolus insulin delivered, orto access the Bolus menu. The Bolus menu provides access to the BolusWizard, Manual Bolus, Preset Bolus, and Insulin Settings options.Easy BolusThe Easy Bolus feature allows you to quickly deliver a Normal bolus using only the button. Your pump must be in sleep mode to use the Easy Bolus feature.Before using Easy Bolus, you must turn on the feature and set the step size. Thestep size determines the number of units the bolus amount increases each timeyou press the button. Your Easy Bolus delivery is limited to 20 steps or your maxbolus limit, whichever comes first.To help you count your Easy Bolus steps, each time you press the button, yourpump makes a different tone. There are five different tones that repeat if you usemore than five steps.82 Chapter 4MP6025958-022 / ARELEASED
Understanding Easy Bolus step sizesWhen setting up Easy Bolus, you can set the step size from 0.1 to 2.0 units. Yourstep size cannot be higher than your max bolus. Set the step size to a numberthat is convenient to use and easy to multiply.The following example shows how your bolus amount is increased with each step,or each press of the button when using the Easy Bolus feature to deliver abolus. In this example, the step size is 0.5 units. For a delivery of 2.0 units, youwould need four steps, or press the button four times when using the EasyBolus feature.1 step = 0.5 units2 steps = 1.0 units3 steps = 1.5 units4 steps = 2.0 unitsTotal number unitsTotal number steps = 4Total number button presses = 40 0.5 1.0 1.5 2Setting up Easy BolusThe Easy Bolus option is available only after you turn on the feature. To set up Easy Bolus:1. Go to the Easy Bolus screen.Menu > Insulin Settings > Easy Bolus2. Select Easy Bolus to turn on the feature.3. Set the Step Size amount (in units). You can set the step size from 0.1 to 2.0units. Your step size cannot be higher than your max bolus.4. Select Save.■ bolus Bolus 83MP6025958-022 / ARELEASED
Delivering a bolus using Easy BolusInitially you should use the Easy Bolus feature while looking at the pump screen asyou count the tones or vibrations.Caution: Always check your pump if you hear any unanticipatedbeeps or vibrations.Caution: When using Audio or Vibrate, it is possible that an Audio orVibration notification may not occur as expected if the speaker orvibrator in your pump malfunctions. This is most important whenusing the Easy Bolus feature or when your pump is in Manual Suspendwhere a missed notification may cause an over or under delivery ofinsulin.Contact the 24 Hour HelpLine or your local representative with anyconcerns.To use the Easy Bolus feature, you need to put your pump into sleep mode bypressing and holding the Menu button for about two seconds. To deliver a bolus using Easy Bolus:1. While your pump screen is in sleep mode, press and hold for about onesecond. After your pump beeps or vibrates, release . You can now startprogramming your Easy Bolus.Note: If your pump does not respond when you press , it maynot be in sleep mode, even if the screen is dark. 2. Press the number of times needed to set your bolus amount.Each time you press , your pump sounds a tone or vibrates, and your bolusamount increases by the number of units set for the step size.Note: You cannot use to select the Easy Bolus values. Pressing cancels the Easy Bolus. 84 Chapter 4MP6025958-022 / ARELEASED
3. When you have reached the desired bolus amount, press and hold toconfirm the amount. You should hear a confirmation tone or feel a vibrationfor each button press. Count to ensure the amount is correct. If the amount isnot correct, press and hold until you hear a tone, and then start again fromstep 1.4. When the bolus amount is confirmed, press and hold for about onesecond to deliver your bolus. Your pump beeps or vibrates. Your bolus startsimmediately after the confirmation.Note: If you do not start your bolus within 10 seconds, your EasyBolus is cancelled, and you receive a message letting you know thatyour bolus was not delivered. Preset BolusThe Preset Bolus feature allows you to set up in advance bolus deliveries youexpect to use frequently. There are four Preset Bolus names that allow you tomatch a bolus to a meal with a known carb content: Breakfast, Lunch, Dinner andSnack. There are four additional Preset Bolus names that can be set for othercircumstances (Bolus 1 through Bolus 4).Note: To set up a Dual Wave bolus or Square Wave bolus, the DualWave or Square Wave feature must be turned on. Setting up and managing Preset Bolus deliveries To set up Preset Bolus amounts:1. Go to the Preset Bolus Setup screen.Menu > Insulin Settings > Preset Bolus SetupThe Preset Bolus Setup screen appears, showing any existing Preset Bolussettings.2. Select Add New.The Select Name screen appears with the available Preset Bolus names.3. Select the Preset Bolus you want to set.■ bolus Bolus 85MP6025958-022 / ARELEASED

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