Medtronic MiniMed 640G Getting Started

MINIMED® 640G SYSTEM

Getting Started

WITH THE MiniMed® 640G INSULIN PUMP

let’s get started!

Table of Contents

Section 1: Getting Started �� 3

Getting Started with the MiniMed® 640G Insulin Pump �� 3

1.1 Pump Mechanics and the Delivery of Insulin

1�1�1 Infusion Set �� 4 1�1�2 Reservoir �� 4 1�1�3 Pump �� 4

1.2 Pump Basics ��5

1�2�1 The Front of Your Pump �� 5 1�2�2 The Bottom of Your Pump �� 5 1�2�3 The Back of Your Pump �� 5 1�2�4 Attaching the Skins �� 6 1�2�5 Inserting the Battery �� 6

1.3 Startup Wizard �� 7

1.4 Home Screen

1�4�1 Unlocking the Pump �� 9 1�4�2 Status Bar �� 9 1�4�3 Status Screens ��10

1.5 Menu �� 11

1�5�1 Scroll Bar ��11 1�5�2 Basic Menu Map ��12 1�5�3 Navigation��13 1�5�4 Menu Options ��14

1.6 Alerts �� 15

1.7 Alarms

1.8 Menu Options - A Closer Look

1�8�1 Audio Options ��17 1�8�2 Display Options ��17

1.9 Basal Patterns ��18

1�9�1 Basal Pattern Setup – One Basal Rate ��18 1�9�2 Basal Pattern Setup – Changing a Basal Rate ��20 1�9�3 Basal Pattern Setup – Multiple Basal Rates ��21 1�9�4 Basal Pattern Setup – Removing Basal Rates ��24 1�9�5 Select Basal Pattern��24

1.10 Bolus Wizard™ Calculator ��25

1�10�1 Using the Bolus Wizard™ Calculator ��25 1�10�2 Checking Last Bolus ��30

1.11 Suspend Delivery �� 31

1.12 Charging the

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Contour® next LINK 2.4 Meter ��33

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Section 2: Medtronic CareLink® Personal Software �� 34

2.1 Introduction to Medtronic CareLink® Personal Software ��34

Section 3: Connecting the MiniMed® 640G Insulin Pump &

the Contour® next LINK 2.4 Meter �� 35

Section 4: Getting Started Using the

4.1 Giving a Remote Bolus �� 36

Contour® next LINK 2.4 Meter ��36

Section 5: Changing the Reservoir and Infusion Set ��37

5.1 Reservoir & Tubing �� 37

Table of Contents

Section 6: Additional Features ��40

6.1 History �� 40

6�1�1 Summary ��40 6�1�2 Daily History ��40 6�1�3 Alarm History �� 40

6.2 Manual Bolus �� 41

6.3 Insulin Settings

6�3�1 Max Basal ��42 6�3�2 Adding New or Copying Basal Patterns ��43 6�3�3 Temp Basal ��44

6.4 Preset Insulin Settings ��46

6�4�1 Preset Temp Setup ��46 6�4�2 Preset Bolus ��47

6.5 Max Bolus ��49

6.6 Advanced Bolus

6�6�1 Square Wave ��50 6�6�2 Dual Wave ��52 6�6�3 Bolus Increment ��54

6.7 Easy Bolus �� 55

6.8 Auto Suspend

6.9 Bolus Speed

6.10 Event Markers

6.11 Reminders

6�11�1 Personal Reminder ��60 6�11�2 Bolus BG Check Reminder ��60 6�11�3 Missed Meal Bolus Reminder ��61 6�11�4 Low Reservoir Reminder ��62 6�11�5 Set Change Reminder ��63 6�11�6 Turning Reminders Oﬀ ��63

6.12 Utilities �� 64

6�12�1 Airplane Mode ��64 6�12�2 Time & Date ��64 6�12�3 Block ��64 6�12�4 Remote Bolus ��64 6�12�5 Self Test ��64 6�12�6 Carb Unit ��65 6�12�7 Manage Settings ��65 6�12�8 Sensor Demo ��65 6�12�9 Language ��65

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Section 7: Training Handouts �� 66

7.1 Basal Quick-Reference Guide for the MiniMed® 640G Insulin Pump ��67

7.2 Bolus Wizard™ Quick-Reference Guide for the MiniMed® 640G Insulin Pump

7.3 Changing the MiniMed® Sure-T® Infusion Set with the MiniMed® 640G Insulin Pump

7.4 Changing the MiniMed® mio® Infusion Set with the MiniMed® 640G Insulin Pump

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Introduction I Welcome

Getting Started with the MiniMed® 640G Insulin Pump

Welcome! We are glad that you have chosen insulin pump therapy and are excited for you to begin using your insulin pump�

Whether you’ve chosen pump therapy because of its convenience, the ﬂexibility it provides, or to help improve your glucose control, your pump will be a valuable tool in helping to manage your diabetes�

This guide provides step-by-step instructions on the basic operation and programming of your pump�

Using your pump to complete each practice exercise will help you become comfortable with the basics and prepare you for your in-person training� The information is presented in an order that will build your skills and knowledge�

During your in-person training, your trainer will build on this information and help ensure you are conﬁdent to begin pump therapy�

Here are some quick tips to keep in mind as you work through this information:

• Be sure you are not attached to your insulin pump while you practice�

• It’s okay if you make a mistake� If you press the wrong button, use

the to go back to the previous screen and try again�

• If you do not touch a button for 15 seconds, the pump screen will

turn dark� Press any button and the pump screen will return�

• Avoid the Reservoir & Tubing menu option as you practice� You will

review these steps during your in-person training�

We hope you enjoy learning about your new insulin pump�

Did You Know?

A complete

explanation of the

technical and

operational aspects

of your pump can

be found in the

MiniMed® 640G

System User Guide.

Did You Know?

An interactive online version

of this training

is available at

www�medtronic-

diabetes�com�au

IMPORTANT Do NOT attach the insulin pump to your body or attempt to use insulin in your pump as you use this guide to practice and learn�

Attaching and using must only be done when you receive formal training with your healthcare professional or a certiﬁed product trainer�

Section 1 I Getting Started

1.1 Pump Mechanics and the Delivery of Insulin

Before we begin, let’s make sure you know how insulin is delivered when using an insulin pump� The parts that make up the pump’s delivery system are the infusion set, the reservoir, and the pump�

1.1.1 Infusion Set

The infusion set consists of tubing (1) that carries insulin from the pump to you� On one end of the tubing is the reservoir connector (2) that attaches to the reservoir which holds the insulin� On the other end is the insertion site section (3) that attaches to you�

The insertion site section has a small insertion needle that places a tiny ﬂexible tube called a cannula (4) into your body**� Once the infusion set is inserted, you remove the needle, leaving just the cannula behind� A small piece of adhesive (5) holds the infusion set in place�

1.1.2 Reservoir

The reservoir is similar to a syringe and holds 2- to 3-days supply of insulin� The reservoir ﬁts into the pump’s reservoir compartment (6)� You will be replacing both the infusion

set and the reservoir every 2 to 3 days.

Infusion Set

Tubing

Reservoir Connector

Insertion Site Section

Cannula

Adhesive

Reservoir Compartment

u u

Reservoir

1.1.3 Pump

Inside the pump, at the bottom of the reservoir compartment, is a piston� The piston acts like the plunger rod on a syringe, pushing up on the bottom of the reservoir, moving insulin into the tubing, through the cannula, and into your body�

The piston is controlled by a mini computer inside the pump that’s able to deliver insulin in very small doses, sometimes as small as 0�025 units� It must be rewound each time a newly ﬁlled reservoir is placed into the reservoir compartment�

*Medtronic Quick-set™ infusion set shown in illustration.

**Some infusion sets do not use a cannula but have a small needle that remains inserted in the body.

Pump

Section 1 I Getting Started

1.2 Pump Basics

Before inserting the battery or pressing any buttons, let’s take a closer look at your pump�

1.2.1 The Front of Your Pump

Up, Down, Left, and Right

• Press to scroll up or down through a menu or list

• Press to move to desired area on the screen

• Press to change the value in an area

Back

• Press to return to a previous screen

• Press and hold to return to the starting screen, called the Home screen

Select

• Press to select or conﬁrm a value or menu option that is highlighted

• Press when directions say ‘select’

Notication Light

Back

Left

Right

Select

• Press to get to the Menu

Notication Light

• Flashes when an Alert or an Alarm is occurring

1.2.2 The Bottom of Your Pump

US Medtronic Diabetes Helpline Telephone Number

For product assistance within Australia please use the local number to call the 24-hour helpline: 1800 777 808

Down

1.2.3 The Back of Your Pump

Pump Serial and Model Number

You may need to provide these numbers if you call for assistance�

Section 1 I Getting Started

1.2.4 Attaching the Skins

You have received skins to attach to the back of the pump and the front of the belt clip� You can ﬁnd these with the accessories� In addition to personalising the look of your pump, skins provide additional protection against surface scratches� Apply the skins using the instructions provided with them�

1.2.5 Inserting the Battery

Your insulin pump is powered by a AA battery� A lithium, alkaline, or rechargeable AA battery can be used� The battery you place into your pump should always be new or fully charged�

To insert the battery and get started, you will need:

• the battery cap found with the pump

• the belt clip found with the accessories

• the AA battery found with the accessories

Step 1� Place the battery

into the battery compartment with the negative (ﬂat) end going in ﬁrst�

Note: Do not undertighten or try to overtighten the battery cap� It should be aligned horizontally with the pump case as shown here�

Step 2� Place the battery cap onto the pump�

Use the edge of the belt clip to turn the cap to the right (clockwise) and tighten until the slot is horizontal to the pump� See image below�

u u

1.3 Startup Wizard

Section 1 I Getting Started

Always look for the item on the screen that is highlighted in yellow� This is the item that can be selected� Use

buttons to highlight the item you want to choose and

press the

button to select it�

and

The pump will power on and Startup wizard will begin�

The hour will be ﬂashing�

Press / to the correct

hour and press �

The minutes will be ﬂashing�

Press / to the

correct minutes and press �

The AM/PM will be ﬂashing�

Press / if needed

and press �

Select Next.

To scroll faster, press and hold the or

Once you reach the correct value or item, press

Select English�

Select Year� Press to the

correct year and press �

Select Month� Press / to

the correct month and press �

Select Day� Press / to

the correct day and press �

Select Next.

button�

to select�

Select 12 Hour (AM/PM) or

press to 24 Hour and

press

12 hour.

Wait a moment�

Select OK�

� This example uses

Section 1 I Getting Started

1.4 Home Screen

You are now on the Home screen� The Home screen will be your starting place to access all features in the pump�

When you haven’t pressed any buttons for a while, the pump screen will look dark� The pump is still on� It is just saving battery power� You can simply press any button to make the screen reappear�

The following information is displayed on the Home screen�

Status bar: provides a quick look at the pump’s status

Bolus: gives you access to the bolus delivery screen and other bolus insulin options

Basal: gives you access to basal insulin options

Keeping the screen on longer....

Margaret noticed when she wasn’t pressing buttons on her pump, the screen would turn dark� This happens to save battery life� She soon learned she could simply press any button to turn the screen back on�

Current time

BG reading: displays a

BG taken in the last 12 minutes

Active insulin: displays any insulin still active from a previous bolus

Helpful Hint: If the pump is going into Power Save mode too quickly, the setting can be changed� You will learn how to do this on page 17�

Section 1 I Getting Started

1.4.1 Unlocking the Pump

After the Backlight has been oﬀ for a few minutes, the pump goes into Sleep mode and the pump is locked� When you begin using your pump again, you will see a screen like the one shown here when you leave the Home screen� You will need to press the arrow key that is highlighted to unlock the pump� This conﬁrms you are reading the screen and the button presses are not accidental�

If the wrong arrow key is pressed, you will see the screen here� Select OK

to return to the Home screen and try again�

You can press and hold if you wish to put the pump into Sleep mode and keep it locked when you are not using it� Doing this can also help save battery life�

1.4.2 Status Bar

The Status Bar displays the following icons so you can quickly view important information� When using your pump, you will see 3 of these icons�

Battery icon: Shows the level of charge your battery has� As the battery charge

Reservoir icon: Shows the approximate amount of insulin left in your reservoir�

Audio icon: Shows the audio mode you are using: audio , vibrate or

audio and vibrate �

decreases, the icon will become less full and change to yellow and then red�

As insulin is used, the icon will become less full and change to yellow and then red�

Section 1 I Getting Started

1.4.3 Status Screens

There will be times when you need additional status information� For example, the Status Bar icon shows you if the insulin in your reservoir is getting low, but you may need to know exactly how many units are left� This additional status information can be found in the status screens�

1) Press to highlight the Status Bar and press �

2) If prompted, press the arrow key that appears to

unlock the pump�

3) Press to view Notiﬁcations or press to

highlight the status screen you wish to view and press �

Here you can see the status information that can be found when you select each menu item:

Notications - shows the name and times of alarms, alerts, messages, and reminders that you have

received over the past 24 hours�

Quick Status - provides a current summary of pump information including the last bolus you

delivered, the last BG entered, and your current basal rate�

Pump - provides detailed information about your pump, including the date you last changed the

reservoir, and the number of units left in it�

Settings Review - displays the settings you have programmed into your pump�

Remember: You can go back to the previous

screen by pressing

�

1.5 Menu

Pressing the button will take you to the Menu.

Section 1 I Getting Started

Scroll Bar

There are 9 items listed on the Menu� Each menu item contains the features and functions that pertain to that menu item� You will find the items meant to be most quickly accessible closest to the top of the Menu�

1.5.1 Scroll Bar

When a screen or menu has more than ﬁve lines of information, a scroll bar appears on the right side of the screen� Press

On the following page, you will ﬁnd a map of the basic menu� This shows you the options that you will ﬁnd under each of the Menu items�

Note: You will not be using all of these options right away� We will focus on the ones that you will need to get started�

to scroll down and view the additional items�

Section 1 I Getting Started

1.5.2 Basic Menu Map

Press

Suspend Delivery

Audio Options

History

Reservoir & Tubing

Insulin Settings

Sensor Settings

Event Markers

Reminders

Utilities

Home Screen

Suspend Delivery

Audio Options

Audio

Audio & Vibrate

Vibrate

Volume

History

Summary

Daily History

Alarm History

Reservoir & Tubing

New Reservoir

Fill Cannula

1.5.3 Navigation

Press from any screen to open the Menu.

Section 1 I Getting Started

Press

Press on the desired menu item to open�

The scroll bar appears on menus to indicate when additional text is available�

Press

Press to scroll back up�

Press to go to previous screen� Hold to return to the Home screen�

and to scroll through the menu items�

to scroll down to view additional items�

Sensor Settings

Sensor

Reminders

Personal

Bolus BG Check

Missed Meal Bolus

Low Reservoir

Set Change

Insulin Settings

Bolus Wizard Setup Basal Pattern Setup

Preset Temp Setup Preset Bolus Setup

Dual/Square Setup

Bolus Increment Max Basal/Bolus

Easy Bolus

Auto Suspend

Bolus Speed

Event Markers

Injections

Food

Exercise

Other

Utilities

Airplane Mode

Display Options

Time/Date

Remote Bolus

Block

Self Test

Carb Unit

Manage Settings

Sensor Demo

Device Options

Keypad Lock

Language

Section 1 I Getting Started

1.5.4 Menu Options

Here you see a brief summary of the information found within each menu item�

• Suspend Delivery: Lets you stop insulin delivery� This is commonly used when

disconnecting to swim or bathe�

• Audio Options: Lets you choose audio, vibrate or both to inform you of alerts and

notiﬁcations� You can also change the volume here�

• History: Shows information about recent insulin delivery, actions you performed on your

pump, and alerts and alarms received� You can look back to previous days when necessary�

• Reservoir & Tubing: Contains steps to changing the reservoir and infusion set�

• Insulin Settings: Contains all features and settings that aﬀect or change your pump’s

delivery of insulin� These settings help you to individualise the pump to meet your insulin needs�

• Sensor Settings: Contains all options related to sensor use� These are set when using

continuous glucose monitoring�

• Event Markers: Lets you use your pump instead of a written log to record events such as

taking an injection or exercising�

• Reminders: Lets you set the pump to remind you to do important routine activities such as

checking BG and changing your infusion set�

• Utilities: Contains various other features and settings related to pump use�

The Menu....

When Lisa ﬁrst started on her pump, she didn’t know if she could ever learn how to use all the features the pump had available� But, she just focused on the basics ﬁrst, and then she started learning the additional features that she found helped her the most�

Helpful hint: Take some time to get comfortable with basics ﬁrst� Then learning the additional features will be much easier and more fun to do�

Section 1 I Getting Started

1.6 Alerts

An alert makes you aware of a situation that may need your attention� When an alert occurs, you should check to see what your pump is telling you� Examples of alerts include Low reservoir or Low battery.

When an alert occurs:

Notication Light:

The red light on the pump will blink once followed by a pause, blink again followed by a pause� This sequence continues until the alert is cleared� The ﬂashing pattern is shown here:

Audio:

Depending on your Audio Option settings, the pump emits a repeated alert tone, a continuous two-pulse vibration, or both�

Display:

The pump will display a notiﬁcation with a yellow icon and instructions on what to do�

To address and clear the alert:

1) Read the text on the screen to understand the alert and the steps that should be taken�

2) Press �

3) Press on the desired option�

Press

If you do not respond to an alert, the audio / vibration pattern repeats every ﬁve minutes until the alert is cleared�

Section 1 I Getting Started

1.7 Alarms

When an alarm occurs, something has been detected that is preventing insulin from being delivered� You are not getting insulin� It is important that you address an alarm right away. Examples of alarms are Insulin ow blocked and Replace battery now.

When an alarm occurs:

Notication Light:

The red light on the pump will blink twice, followed by a pause, blink twice again followed by a pause� This sequence continues until the alert is cleared� The ﬂashing pattern is shown here:

Audio: Depending on your Audio Option settings, the pump emits a repeated alert tone, a continuous three-pulse vibration, or both�

Display: The pump will display a notiﬁcation with a red icon and instructions on what to do�

To address and clear the alarm:

1) Read the text on the screen to understand the alarm and the steps that should be taken�

2) Press

3) Press

�

on the desired option�

Press

If you do not respond to an alarm, the audio / vibration pattern repeats every minute for 10 minutes�

After 10 minutes, the alarm begins to siren.

IMPORTANT: It is important that you are able to address an Insulin ow blocked alarm� This alarm means that insulin is not able to get through the tubing or cannula� If this alarm occurs, check to see if your infusion set has become dislodged or if your tubing is kinked�

• If you don’t detect an issue and are unable to change your reservoir and infusion set right away, you might choose to select Resume Basal. If an Insulin ﬂow blocked alarm occurs again, follow the steps on the screen� Select Rewind and change your reservoir and infusion set�

• If you detect an issue or if your reservoir has run out of insulin, follow the steps on the screen� Select Rewind to change your reservoir and infusion set�

Section 1 I Getting Started

1.8 Menu Options - A Closer Look

You are now ready to set a couple of the basic features within the Menu�

1.8.1 Audio Options

You will use Audio Options to set pump to beep (Audio), beep and vibrate (Audio & Vibrate), or just vibrate (Vibrate)� If you set Audio or Audio and Vibrate, you can also increase or decrease the Volume�

Let’s Practice:

1) Press to open the Menu�

2) Press to Audio Options and press �

3) Press to the option that you prefer and press �

If you choose Audio or Audio & Vibrate, you are

able to adjust the volume.

4) Press to Volume and press �

5) Press or to desired volume

and press �

The icon shown here will display on the Status Bar on the Home screen�

The Option you select turns On�

6) Select Save.

1.8.2 Display Options

Display Options allows you choose the brightness of your pump screen� This is also where you go to change the amount of time your pump stays on before it goes into Power Save mode�

Let’s Practice:

1) Press to open the Menu�

2) Press to Utilities and press �

3) Press to Display Options and press �

If you want to adjust the screen brightness:

4) Select Brightness�

5) Press to the setting you prefer and press �

To adjust the backlight:

6) Select Backlight�

7) Press to the setting you prefer and press �

8) Select Save.

The Auto setting automatically adjusts the screen brightness to match your current environment�

Note: How you adjust these settings can aﬀect battery life� For instance, increasing the Backlight time will decrease the life of your battery�

Section 1 I Getting Started

1.9 Basal Patterns

Remember, your body needs insulin so glucose can be moved into your cells providing energy for your body� Insulin is needed 24 hours a day, even between meals and during the night� This is called basal insulin� The pump supplies basal insulin by delivering small amounts throughout each hour, every hour of the day and night� This allows for insulin to be increased and decreased to adjust for your body’s needs�

U/hr

00:00

Basal insulin amounts must be programmed into your pump� This is done by setting a basal pattern� A basal pattern consists of one or more basal rates being delivered over the course of 24 hours�

24 Hours

24:00

Before her pump....

Lynn always had to remember to take her injection of long-acting insulin at bedtime� Taking it at the same time every night like her doctor asked her to was diﬃcult� She is at university and some nights she would go to bed early, others she would be at the library until late studying� Now with her pump, she doesn’t have to worry about taking an injection� She is getting her basal insulin automatically 24 hours a day�

1.9.1 Basal Pattern Setup – One Basal Rate

Your healthcare professional will calculate the hourly basal rate or rates are best for you to use when you start on your pump� You may simply start with a basal pattern that has only one basal rate� The pump will deliver that exact basal amount evenly over each hour, 24 hours a day�

For example, if your starting basal rate is 1�0 unit, your pump would deliver one unit of insulin throughout each hour� This means you would receive a total of 24 units of basal insulin every 24 hours�

To set your Basal Patterns, you will need to go to the Insulin Settings menu option and then to Basal Pattern Setup� There are two ways to access Insulin Settings:

1) From the Home screen, select Basal and press to Insulin Settings

2) Press and press to Insulin Settings

Section 1 I 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 Insulin Settings and press �

3) Press to Basal Pattern Setup and press �

4) Select Basal 1.

5) Currently, the pump is delivering 0�000 U/hr� Select Options.

6) Select Edit.

7) Press

ﬂashing� Since you are setting only one basal rate for all 24 hours, the End time does not need to be changed�

8) Press

9) Press

10) Select Done.

11) Verify that Basal 1

is entered correctly�

If NO changes need to be made:

12) Select Save.

If changes need to be made:

12) Press �

13) Press press � Repeat Steps 8-11�

14) Select Save.

on the time segment� The End time will be

�

to 0�750 and press �

This basal pattern delivers 18 U over 24 hours�

Section 1 I Getting Started

This basal rate amount entered, 0�750 U/hr in this example, will automatically be delivered throughout each hour continuously from one day to the next�

1.000 00:00 – 24:00

0.500

U/hr

00:00 06:00

0.75 U/hr

12:00 18:00

24 Hours

24:00

1.9.2 Basal Pattern Setup – Changing a Basal Rate

If your glucose levels are running too high or too low, this basal amount may need to be changed�

Let’s Practice: Changing a Basal Rate

Change Basal 1 basal rate from 0�750 to �0�900 U/hr�

1) From the Home screen, select Basal.

2) Press to Insulin Settings and press �

3) Press to Basal Pattern Setup 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 0�750 to 0�900�

10) Select Done.

11) Verify that Basal 1 is entered correctly�

12) Select Save.

Section 1 I Getting Started

1.9.3 Basal Pattern Setup – Multiple Basal Rates

After you start using your insulin pump, your glucose readings will help you and your healthcare professional determine if your basal pattern needs to be changed� Not only might you need to increase or decrease your current rate, you may also need to add basal rates to give you diﬀerent amounts of basal insulin during certain parts of the day or night�

Having more than one basal rate....

When Jessica was taking insulin injections, her BG readings were always high in the morning� If she increased her nighttime insulin, then she would have low BGs later in the day� Now that she has her pump, it is set to deliver more insulin in the early morning so her BGs aren’t high when she wakes up, and less insulin later in the day when she doesn’t need as much�

Helpful hint: Most people need more than one basal rate to get the best control with their pump� Work with your healthcare professional to get your basal rates adjusted correctly when you start on pump therapy�

For example, your healthcare professional has reviewed your BG readings and has determined that this basal rate works well part of the day, but that you need a lower basal rate, 0�650 U/hr, between the hours of 08:00 and 18:00�

Your basal pattern would look like this:

1.000

0.500

U/hr

00:00 06:00

00:00 – 08:00

0.900 U/hr 0.900 U/hr

08:00 – 18:00

0.650 U/hr

12:00 18:00

24 Hours

18:00 – 00:00

24:00

Now, let’s make the changes to your basal pattern�

Section 1 I Getting Started

Let’s Practice: Setting Multiple Basal Rates

1) From the Home screen, select Basal�

2) Press

3) Press

4) Select Basal 1.

5) Select Options.

6) Select Edit.

7) Press on the time segment�

The 0�900 basal rate will now need to end at 08:00 since this is the time that your basal rate needs to decrease�

8) Press

9) Press

You can see you are automatically 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 0�065�

10) Press

11) Press

12) Press

to Insulin Settings and press �

to Basal Pattern Setup and press �

to 08:00 and press �

again as this basal rate will stay the same�

to change End time�

to 18:00 and press �

to 0�650 and press �

You can now enter the next end time� You will need to enter 24:00 to complete the full 24 hours�

13) Press

14) Press

15) Press

16) Select Done�

17) Verify that Basal 1 is entered

correctly� Press

18) Select Save�

to change End time�

to 24:00 and press

to 0�900 and press

�

to view all basal rates�

scroll bar

Section 1 I Getting Started

Let’s Practice: Changing Multiple Basal Rates

Now change the 08:00 to 18:00 basal rate to 08:00 to 17:30 and change to 0�700 U/hr�

1) From the Home screen, select Basal�

2) Press to Insulin Settings and press �

3) Press to Basal Pattern Setup 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 0�700 and press � Notice the start

time of the 3rd time segment changed to 17:30�

10) Press

11) Press to 24:00 and press �

12) Press to 0�900 and press �

13) Select Done�

14) Verify that Basal 1 is entered correctly� Press to view all basal rates�

15) Select Save.

to change End time�

Section 1 I Getting Started

1.9.4 Basal Pattern Setup – Removing Basal Rates

There may be times when you have basal rates entered that need to be removed� This is done by simply changing the end time of the last basal rate that you need to 24:00�

Let’s Practice: Removing Basal Rates

1) From the Home screen, select Basal�

2) Press to Insulin Settings and press �

3) Press to Basal Pattern Setup 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 result in it automatically becoming the active pattern�

1.9.5 Select Basal Pattern

Once multiple basal patterns are set, you can then select the basal pattern you wish to be active�

1) From Home Screen, select Basal.

2) Select Basal Patterns.

3) Select the Basal Pattern you wish to be active�

4) Select Begin.

Section 1 I Getting Started

1.10 Bolus Wizard™ Calculator

Calculating how much bolus insulin to give can be challenging� When using the Bolus Wizard™, all you will need to do is enter your current BG reading along with the amount of carbs you are about to eat�

Once you do this, the Bolus Wizard™ uses the individual settings provided by your health care professional to estimate your bolus amount� Because these settings are speciﬁc to you, you can rely on it to calculate the precise amount of bolus insulin you need for your food and BG� This can help you better control your glucose levels (refer to page 69 for details on setting up the Bolus Wizard™)�

1.10.1 Using the Bolus Wizard™ Calculator

Here you can see the Bolus Wizard™ calculation screen and a short description of the steps below:

If you have tested your glucose using your compatible Bayer® meter, the BG and correction dose will already be showing�

You will ﬁrst test and enter

your current BG�

You will learn more about using the Bolus Wizard™ at your in-person training� There, your trainer will help you program your individual settings and have you practice giving boluses using this feature�

Using the Bolus Wizard™....

Larry is so excited that his insulin pump has made his glucose management easier� Before his pump he had to try to calculate on his own how much insulin he needed� Now, his meter sends his BG to his pump, he enters his carbs, and the pump delivers the bolus�

Helpful hint: After you begin pump therapy, testing your BG two hours after meals will help you determine if your Bolus Wizard™ settings are correct� If your BG is too high or too low, your healthcare professional can help you adjust your set tings to help you achieve better glucose control�

You will then enter grams of

carbohydrates to be eaten�

The pump displays

estimated amount of insulin

to be delivered�

+ 61 hidden pages

Medtronic MiniMed 640G Getting Started

Specifications and Main Features

Frequently Asked Questions

User Manual

Getting Started with the MiniMed® 640G Insulin Pump

1.1 Pump Mechanics and the Delivery of Insulin

1.1.1 Infusion Set

1.1.2 Reservoir

1.1.3 Pump

1.2 Pump Basics

1.2.1 The Front of Your Pump

1.2.2 The Bottom of Your Pump

1.2.3 The Back of Your Pump

1.2.4 Attaching the Skins

1.2.5 Inserting the Battery

1.3 Startup Wizard

1.4 Home Screen

1.4.1 Unlocking the Pump

1.4.2 Status Bar

1.4.3 Status Screens

1.5 Menu

1.5.1 Scroll Bar

1.5.2 Basic Menu Map

1.5.3 Navigation

1.5.4 Menu Options

1.6 Alerts

1.7 Alarms

1.8 Menu Options - A Closer Look

1.8.1 Audio Options

1.8.2 Display Options

1.9 Basal Patterns

1.9.1 Basal Pattern Setup – One Basal Rate

1.9.2 Basal Pattern Setup – Changing a Basal Rate

1.9.3 Basal Pattern Setup – Multiple Basal Rates

1.9.4 Basal Pattern Setup – Removing Basal Rates

1.9.5 Select Basal Pattern

1.10 Bolus Wizard™ Calculator

1.10.1 Using the Bolus Wizard™ Calculator