Minimed® 530G System User Guide
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MiniMed® 530G System User Guide MiniMed® 530G System User Guide Copyright & trademarks ©2012 Medtronic MiniMed, Inc. All rights reserved. This product is covered by U.S. Patents. Other U.S. and/or foreign patents may be pending. Please visit http://www.medtronicdiabetes.com/patents for a listing of patents covering this product. Bolus Wizard®, CareLink®, Dual Wave®, MiniMed®, MiniLink®, Quick-serter®, Quick-set®, and Square Wave® are registered trademarks of Medtronic MiniMed, Inc. Easy Bolus™ and Enlite™ are trademarks of Medtronic MiniMed, Inc. CONTOUR® is a registered trademark of Bayer. Energizer® is a registered trademark of Eveready Battery Company. Glucagon™ is a trademark of Eli Lilly and Company. 6025813-014_a REF MMT-551 MMT-751 Important Safety Information Regarding Your Insulin 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 273. 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. Important safety information is continued on the next page. Electrostatic Discharge Although your 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 Alarms and alerts, on page 199 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 1 800 646 4633 to report any error alarms or other problems that occur with your pump. WARNING: The Threshold Suspend feature will cause the pump to temporarily suspend insulin delivery for two hours when the sensor glucose reaches a set threshold. Under some conditions of use the pump can suspend again resulting in very limited insulin delivery. Prolonged suspension can increase the risk of serious hyperglycemia, ketosis, and ketoacidosis. Before using the Threshold Suspend feature, it is important to read the Threshold Suspend information in the Getting Started Guide and the MiniMed 530G System User Guide and discuss proper use of the Threshold Suspend feature with your healthcare provider. Warranty The expected life of the MiniMed insulin pump is a maximum of 4 years. Medtronic Diabetes warrants the MiniMed insulin pump against defects in materials and workmanship for a period of 4 years from the date of purchase. During the warranty period, Medtronic Diabetes will, at its discretion, either repair or replace (with a new or recertified pump, at Medtronic Diabetes’ discretion) any defective pump or motor, subject to the conditions and exclusions stated herein. In the event that a pump is repaired or replaced, the warranty period will not be extended. This warranty is valid only if the MiniMed insulin pump is used in accordance with the manufacturer’s instructions. This warranty will not apply: • If damage results from changes or modifications made to the pump by the user or third persons after the date of manufacture. • If damage results from use of non-Medtronic reservoirs and/or infusion sets. • If damage results from service or repairs performed by any person or entity other than the manufacturer. • If damage results from a Force Majeure or other event beyond the control of the manufacturer. • If damage results from negligence or improper use, including but not limited to: improper storage, submersion in water or physical abuse, such as dropping or otherwise. This warranty shall be personal to the original user. Any sale, rental or other transfer or use of the product covered by this warranty to or by a user other than the original user shall cause this warranty to immediately terminate. This warranty does not apply to batteries, infusion sets, reservoirs, and other accessories. The remedies provided for in this warranty are the exclusive remedies available for any breach hereof. Neither Medtronic Diabetes nor its suppliers or distributors shall be liable for any incidental, consequential, or special damage of any nature or kind caused by or arising out of a defect in the product. All other warranties, expressed or implied, are excluded, including the warranties of merchantability and fitness for a particular purpose. Important safety information from my doctor Contents ■ contents ■ Introduction 3Assistance 4Emergency kit 5Consumables 5 Accessories 6 How to wear your pump 7 Working with your healthcare professional 7How to use this guide 8User safety 8 Indications 9Potential risks 12 Contraindications 12 General warnings 15 General precautions 16 Notice 16 Insulin pump and RF accessories 17 RF interference from other devices ■ The basics 21 Your pump 22 Practicing with your pump 22 Inserting the battery 24 Pump buttons Contents vii 26 The pump screen 26 HOME screen 26 Screen icons 28 Scroll bar 28 Screen backlight 28 Beep/vibrate 29 Operating modes 29 Normal mode 29 Special mode 30 Attention mode 30 Menus 31 MAIN MENU 31 BOLUS MENU 31 SUSPEND (manual) 31 SENSOR MENU 31 CAPTURE EVENT 32 BASAL MENU 32 RESERVOIR + SET MENU 32 UTILITIES MENU 32 STATUS screen 33 If you remove your pump ■ Basic programming 37 Setting the time and date 39 Selecting the language 40 Bolus 41 Normal meal bolus using the exchange system 42 Bolus practice: 42 Normal meal bolus practice using exchanges 42 Normal meal bolus using carbohydrate counting 43 Normal meal bolus practice using carbohydrates 43 Meal bolus, correction bolus and insulin sensitivity viii Contents 44 Practice: Meal bolus 44 Review your bolus deliveries 46 Maximum bolus limit 46 Example 1: Max bolus 47 Example 2: Max bolus 47 Scroll rate 48 Example: Scroll rate ■ 48 BG Reminder contents 49 Capturing Events 53 Basal 54 Start and stop times 55 Your basal settings 56 Current basal delivery 56 Daily basal rate(s) 57 Setting the Max basal rate 58 Example 1: Max basal 58 Example 2: Max basal 58 Stopping your pump 59 Resume pump delivery 60 Example: Manual Suspend function 60 Practice: Manual Suspend function 60 Practice: Resume basal delivery after a manual Suspend ■ Starting on insulin 65 Prepare your pump for use 66 Setting up the reservoir 68 Changing your infusion set 77 Determining your pump settings ■ Using the Bolus Wizard feature 81 What is it? 81 Carbohydrate counting Contents ix 81 Your blood glucose reading 81 Your personal Bolus Wizard feature settings 84 How the Bolus Wizard feature works 84 Bolus Wizard warnings 85 How to program the Bolus Wizard feature 90 About active insulin 91 Review your Bolus Wizard feature settings 91 Normal bolus using Bolus Wizard feature 93 Bolus Wizard feature examples 93 Example 1: Blood glucose on target (normal blood glucose) and no active insulin 94 Example 2: Blood glucose above target (high blood glucose) and no active insulin 95 Example 3: Blood glucose below target (low blood glucose) and no active insulin 95 Example 4: Blood glucose above target (high blood glucose) with active insulin 96 Example 5: Blood glucose below target (low blood glucose) with active insulin ■ Optimizing pump therapy 99 Square Wave and Dual Wave bolus 102 Square Wave bolus practice 102 Dual Wave bolus practice 103 Using the Bolus Wizard feature for a Square Wave or Dual Wave bolus 105 Easy bolus 107 Example 1: Easy bolus 108 Your turn: Easy bolus practice 108 Missed Bolus Reminder 109 Basal patterns 112 Example 1: Basal patterns 112 Example 2: Basal patterns x Contents 113 Your turn: 113 Temp basal rates 113 How does temp basal work? 113 Temp basal types ■ Sensor features 122 Setting up continuous glucose