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Paradigm® 515 and 715 Insulin Pumps User Guide ©2008 Medtronic Minimed, Inc

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Paradigm® 515 and 715 Insulin Pumps User Guide ©2008 Medtronic Minimed, Inc INSULIN PUMP User Guide Paradigm® 515 and 715 Insulin Pumps User Guide ©2008 Medtronic MiniMed, Inc. All rights reserved. This product is covered by U.S. Patent Nos. 6,551,276; 6,554,798; 6,872,200; 6,936,029; 6,979,326; 6,997,920 and 7,025,743. Other U.S. and/or foreign patents may be pending. Bolus Wizard®, Dual Wave®, Guardian®, Guardian RT®, Paradigm®, Paradigm Link®, Quick-serter®, Quick-set®, Sof-set®, and Square Wave® are registered trademarks of Medtronic MiniMed, Inc. CareLink™ Personal and Easy Bolus™ are trademarks of Medtronic MiniMed, Inc. Energizer® is a registered trademark of Eveready Battery Company. Glucagon Emergency Kit® is a registered trademark of Eli Lilly and Company. 6025020-018_b REF MMT-515 MMT-715 Important Safety Information Regarding Your Paradigm Insulin Infusion Pump (includes all models) Avoid Immersing Your Pump In Water The pump was tested and met requirements for IPX7 at time of manufacture. For more information about IPX7, see the Glossary on page 165. Be aware that drops and bumps that occur over time will affect the integrity of the pump case and make it more vulnerable to damage from water. Lotions, sunscreens and insect repellent can also damage the pump case. It is not known how much water is needed to damage your pump. You should avoid getting your pump wet. To shower, bathe, swim, or participate in water activities, always disconnect from your pump and reconnect after you are out of the water. If you inadvertently submerge your pump in water, dry the pump quickly using a soft, clean towel and verify that it is working properly by selecting Selftest from the pump's Utilities Menu. If you believe that water has entered your pump or you observe any other possible pump malfunction, please check your blood glucose, treat high blood glucose (if necessary) with an injection and contact our 24 Hour HelpLine at 1 800 646 4633 for further assistance. Symptoms of high blood glucose include fatigue, excessive thirst and nausea. Always contact your healthcare professional if you experience excessively high or low blood glucose levels, or if you have any questions about your care. Electrostatic Discharge Although your Paradigm pump is designed to be unaffected by typical levels of electrostatic discharge (ESD), very high levels of ESD can result in a reset of the pump's software with an associated pump error alarm. In most cases, exposure to high levels of ESD will trigger the pump's A-13 alarm although, under certain circumstances, high level ESD exposure can cause A-44, Bolus Stopped or Max Delivery alarms. High levels of ESD are more likely in situations where the relative humidity is very low, such as inside a heated building during the winter in areas where it is cold outside. If your pump experiences an A-13 or other error alarm, press the ESC and ACT buttons to clear the alarm. If you are unable to clear the alarm by pressing ESC and ACT, you may need to remove and replace the pump's battery to clear the alarm. After clearing the alarm, you should always verify that your pump is set to the correct date and time and that all other settings (basal rate, max basal and bolus limits, etc.) are programmed to the desired values, since the software reset could erase your previously programmed settings. Please see the Alarms and Alerts section of this User Guide for more details regarding what to do if your pump displays an error alarm or other alert message. Please contact our 24 Hour HelpLine at 1-800-MINIMED (1-800-646-4633) to report any error alarms or other problems that occur with your pump. Contents Chapter 1: Introduction ..................................................................... 1 Assistance ...................................................................................................... 1 Emergency kit ................................................................................................. 2 Consumables .................................................................................................. 2 Accessories .................................................................................................... 3 How to wear your pump ..................................................................................... 3 How to use this guide ........................................................................................ 4 User safety ..................................................................................................... 5 Indications .................................................................................................. 5 Pump ...................................................................................................... 5 Contraindications .......................................................................................... 5 Warnings .................................................................................................... 5 Pump ...................................................................................................... 5 Reservoir and infusion sets ............................................................................ 5 Tubing Connector ....................................................................................... 6 Magnetic fields .......................................................................................... 6 X-rays, MRIs and CT scans .............................................................................. 7 Precautions ................................................................................................. 7 Avoid extreme temperatures .......................................................................... 7 Infusion sets and sites .................................................................................. 7 Notice .......................................................................................................... 7 Insulin pump and RF accessories ........................................................................ 7 RF interference from other devices ..................................................................... 8 Chapter 2: Introduction to pump therapy .............................................. 11 Theory of insulin pump therapy ........................................................................... 11 Understanding pump therapy ............................................................................. 12 Basal rate .................................................................................................. 12 Contents v Meal bolus ................................................................................................. 12 Gram counting ......................................................................................... 12 Exchange counting ..................................................................................... 12 BG targets ................................................................................................. 12 Insulin sensitivity ......................................................................................... 13 Active Insulin .............................................................................................. 13 Blood glucose and A1C testing ............................................................................ 13 BG testing ................................................................................................. 13 A1C ......................................................................................................... 13 Low blood glucose (hypoglycemia) ....................................................................... 15 Hypoglycemia protocol: the rule of 15 ................................................................ 16 High blood glucose (hyperglycemia) ..................................................................... 16 Hyperglycemia protocol ................................................................................. 17 Diabetes ketoacidosis (DKA) ............................................................................... 17 Preventing DKA ........................................................................................... 17 Sick day management ...................................................................................... 18 Sick day protocol ......................................................................................... 18 Sick day supplies .......................................................................................... 19 Nutrition ...................................................................................................... 19 Carbohydrate counting .................................................................................. 20 Carbohydrate gram counting ......................................................................... 20 Carbohydrate exchange system ..................................................................... 20 Reading a food label ..................................................................................... 21 Fat and blood glucose ................................................................................... 22 Protein and blood glucose .............................................................................. 22 Other things that affect blood glucose ............................................................... 23 Healthy eating habits .................................................................................... 23 Exercise ......................................................................................................
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