Medtronic MiniMed Veo Paradigm System User Manual

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Imagine a world...
MiniMed® Veo
A Step-by-Step Guide
Believe in better control
Paradigm™ System
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Imagine a world...
Where you can exercise whenever you want and
not have to carb load or worry about hypos.
R
Where you can eat what you want, when you want,
without planning.
R
Where you can have one needle every 3 days
as opposed to 12 needles.
*
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Where you can worry less about hypos overnight, and know
that your pump will look after you when you need it most.
Imagine the possibilities with the MiniMed® Veo™ system.
A system designed to give you BETTER CONTROL.
Come and join our world and be part of the possibility...
Believe in better control
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INTRODUCING THE MINIMED® VEO™ SYSTEM
Contents
Introducing the MiniMed® Veo™ System 6
• MiniMed® Veo™ System Overview 8
• Menu & Menu Options 10
• Operation Mode and Key Alarms 12
Infusion Set and Reservoir 14
• MiniMed® Reservoirs and Infusion Sets 16
• Inserting the Infusion Set and Filling the Reservoir 18
• Fill the Infusion Set Tubing 20
• Insertion of the Medtronic Quick-set™ Infusion Set 21
• Insertion of the Medtronic Silhouette™ Infusion Set 23
Basal and Bolus 25
• Setting the Basal Rate 27
• Medtronic Bolus Wizard™ Calculator 29
• Setting the Missed Bolus Reminder 32
• Temporary Basal Rate 34
• Express Bolus 35
Continuous Glucose Monitoring (CGM) 36
• Insertion of Sensor 38
• Starting a Sensor 41
• Key CGM Alarms 42
• Trend Graphs 43
• Alerts and Glucose Limits 45
• Predictive and Rate of Change Alerts 47
• Low Glucose Suspend (LGS) 49
Optional Extras 51
• Bayer Contour® Link Meter 51
• Medtronic CareLink® Therapy Management Software 52
• Personalise Your Pump 53
For further information on a specic topic, please refer to the highlighted chapters in the MiniMed® Veo™ User Guide.
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Page 4
44
A step-by-step guide to using the Paradigm® Veo™
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Your HCPs' Contact Details
Staying in touch with your Healthcare Professionals (HCPs)
Your Endocrinologist:
Phone number:
Email:
Your Diabetes Educator:
Your Diabetes Centre:
Address:
Phone number:
Email:
Medtronic Diabetes 24-hour Toll Free: 1800 777 808
Please note: In contacting the Diabetes Toll Free, your personal and health information may be disclosed to an operator located outside Australia.
www.medtronic-diabetes.com.au
www.medtronic-diabetes.co.uk
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Page 6
INTRODUCING THE MINIMED® VEO INSULIN PUMP
Introducing the MiniMed® Veo™ Insulin Pump
The key elements in managing your diabetes with insulin pump therapy
BATTERY
COMPA RTMENT
RESERVOIR
COMPARTMENT
TRANSFER GUARD
RESERVOIR VOLUME
EXPRESS BOLUS
RESERVOIR
ESCAPE
to prior screen
& SENSOR
BATTERY STATUS
ACT
conrm information or menu selection
TUBING CONNECTOR INFUSION SETMINILINK™ TRANSMITTER
EASY BOLUS/ SCROLL UP
BACKLIGHT/ SCROLL DOWN
66
Refer to Chapter 3 in the MiniMed® Veo™ User Guide
A step-by-step guide to using the Paradigm® Veo™
Page 7
Getting Started
Thank you for choosing Medtronic Diabetes as a partner in managing your diabetes. Whether you are just starting pump therapy or upgrading from a previous model, this step-by-step guide is designed to help you understand the basic operation of the MiniMed® Veo™ System. It is intended to be used in conjunction with the guidance of a Healthcare Professional. Please consult your Healthcare Professional before making any therapy adjustments. For full product details, please refer to the MiniMed® Veo™ User Guide and Instructions for Use for each system component.
Getting Started
Understanding the basics
For this section, you will need the:
MiniMed® Veo™ insulin pump
MiniMed® Veo™ User Guide
www.medtronic-diabetes.co.uk/gettingstarted
The MiniMed® Veo™ insulin pump shown in purple.
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Page 8
GETTING STARTED
e MiniMed® Veo™ Insulin Pump
A patient-friendly insulin pump
With the MiniMed® Veo™ pump:
You only need to press a few buttons to make appropriate selections and adjustments.
Simple on-screen instructions help with the infusion set and reservoir changes.
An easily accessible backlight illuminates the pump’s screen in the dark.
Large, clear text makes all on-screen information easy to read.
Inserting the infusion set is straightforward and virtually painless.
In this section, we’ll explain technical terms, give you practical assistance, and make sure you feel as comfortable as possible using the MiniMed® Veo™ pump from day one.
* Information contained herein does not replace the recommendations of your Healthcare Professional (HCP). Please refer to the User Manual and your healthcare team for more information. When using an insulin pump, check your blood glucose a minimum of 4 times per day.
The MiniMed® Veo™ pump is discrete and can be easily attached to your waistband.
8
Refer to Chapter 3 in the MiniMed® Veo™ User Guide
Page 9
Breakdown of the Buttons
GETTING STARTED
Getting Started
Simple buttons for simple use
The buttons on the MiniMed® Veo™ insulin pump are designed to make it simple and eective to manage your MiniMed® Veo™ pump.
EXPRESS BOLUS to set a Bolus
RETURN to prior screen
ACT to conrm information or menu selection
SCROLL UP
SCROLL DOWN
NOTE: The MiniMed® Veo™ insulin
pump buttons will be referred to throughout the brochure using the icons shown to the right.
ACT
Refer to Chapter 3 in the MiniMed® Veo™ User Guide
9
Page 10
GETTING STARTED
Menus and Menu Options
MAIN MENU
BOLUS
SUSPEND
SENSOR
CAPTURE EVENT
BASAL
RESERVOIR + SET
UTILITIES
Navigation
ACT
Press the to get to the sub-menus.
Press the screen to return to the MAIN MENU.
Scroll bar (appears on the right of the screen when more screen text is available).
Press screen text.
Press
1. Displays only when the Bolus Wizard™ feature is o.
2. Displays only when the Bolus Wizard™ feature is on.
button from the MAIN MENU
button from a submenu
to scroll down to view additional
to scroll back up.
When using Low Suspend Features, the Graph Timeout Feature should not be set to "NONE".
Note: All screens are samples
only. Actual screens depend on the current active functions. Blue Arrows (
) indicate submenus.
Bolus MENU
1
Set Bolus Use Bolus Wizard Manual Bolus
2
2
Set Bolus
Bolus History Bolus Setup
Bolus Wizard Setup
Edit Settings
Wizard Carb Units Carb Ratios BG Units Sensitivity BG Target
Active Ins Time
Review Settings
Max Bolus
Max Bolus Setup
Scroll Step
Scroll Step Setup
Dual/Square Bolus
Off On
Easy Bolus
Off On/Set
BG Reminder
Off On
Missed Bolus Reminder
Off On/Set
SUSPEND
Press ACT to Stop Pump
3. Displays only when the sensor is communicating with the pump.
4. Displays if Sensor is on.
SENSOR MENU
3
Calibrate
Enter BG
Alert Silence
4
O
Hi Alerts
Lo Alerts
Hi and Lo Alerts
All Sensor Alerts
Link to Sensor
4
New Sensor
Reconnect Old Sensor
Find Lost Sensor
Turn O Sensor
Transmtr ID
Edit Settings
Sensor
Glucose Alerts
Glucose Limits
Lo Repeat
Hi Repeat
5
5
Predict Alert
Rate Alerts
Low Suspend
Cal Repeat
Cal Reminder
Auto Calibrate
BG Units
Transmtr ID
Weak Signal
Graph Timeout
Sensor Demo
Calibration Hist Sensor Alert History Review Settings Turn O Sensor
5. Displays if Glucose Alerts feature is on.
4
4
4
4
Page 11
CAPTURE EVENT
Enter BG Insulin marker Meal marker Exercise marker Other
Getting Started
History BG Units Carb Units
Basal MENU
Set/Edit Temp Basal
Set Duration
Cancel Temp Basal
Select Patterns
7
8
Basal Review
Basal Setup
Set/Edit Basal
Set Basal Rate 1
Max Basal Rate
Patterns
Off
On
Temp Basal Type
Insulin Rate
Percent of Basal
RESERVOIR + SET
Reservoir Setup Fill Tubing
9
Fill Cannula History
Getting Started
Status Screens
6
UTILITIES MENU
Lock Keypad Alarm
Alarm History Alert Type Auto-Off Low Resv Warning
Insulin Units Time
Daily Totals
Daily Average Calculate AUC History
Time/Date
12 Hour Setup 24 Hour Setup
Alarm Clock
Off On / Set
Device Options
PC Connect Meters Remotes Other Devices
Block
Off On
Selftest
10
User Settings
Save Settings Restore Settings11 Clear Settings History
Capture Option
Off On
Language
Press the button to go to the PUMP AND SENSOR STATUS screens.
PUMP STATUS SCREEN
STATUS U100
Last Alarm: 24APR 11:30 LoBat Active ins: 1.050U Last Bolus N 3.800U 9:07 24 MAR Basal 1: 0.15U/H Reservoir Started: 23APR, 12:44 Units left: 144.0U Time left: > 24 hours BG Reminder in 2:04h Meter: On Battery: Normal Auto O - 12HR Fri 25 APR 2008 S/N# 123456 Paradigm 554 VER X.XX X.X
SENSOR STATUS SCREEN
SENSOR STATUS
Next Cal: 08:30 Sensor Age: 2d 3h Sensor Isig: 25.97 Transmtr Batt: Good Transmtr Ver: 1.1 Transmtr ID: 2111111 Pump S\N#: 123456
6. Displays if Capture Option is turned on in Utilities Menu.
7. Displays only after setting Temp Basal.
8. Displays only when the Patterns feature is on.
9. Displays only after a rewind.
10. Displays only when you hold
11. Displays only after the patient settings have been saved.
and press
ACT
.
Page 12
GETTING STARTED
Operational Modes
The 3 Operational Modes
Press so you can review the reason for the empty circle.
to view the status screen
Normal Mode
The pump operates normally.
Special Mode
Indicates special circumstances: low battery, low reservoir, temporary basal, etc.
Attention Mode
Administration of insulin is s†opped.
ACT
to view alarm type to take
Press action.
12
Refer to Chapters 10 and 13 in the MiniMed® Veo™ User Guide
Page 13
Key Alarms
Getting Started
THE SCREEN INDICATES THE REASON FOR THE ALARM
ACT
and
Press
to clear the alarm.
Empty Reservoir
CHANGE THE RESERVOIR immediately.
Weak Battery
REPLACE THE AAA BATTERY immediately.
No Delivery
BLOCKAGE DETECTED: insulin delivery stopped. Check blood glucose and ketone levels.
Failed Batt Test
CHECK SETTINGS BATTERY VOLTAGE INADEQUATE Install a new battery.
Bolus Stopped
CHECK Bolus HISTORY Reprogram Bolus with the amount of insulin not delivered.
Suspend
ACT
Press
to stop pump. Suspend stops all insulin delivery, including the current Basal, any Bolus or Fill Cannula deliveries that are in progress.
Refer to Chapters 10 and 13 in the MiniMed® Veo™ User Guide
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Infusion Set and Reservoir
GETTING CONNECTED
A Unique Connection
Medtronic has developed a range of infusion sets and reservoirs designed for your MiniMed® Veo™ insulin
pump. They have one key element in common:
The MiniMed® patented connector – A unique interface between your MiniMed® infusion set and reservoir. The patented and leak-proof connector builds on our experience of traditional Luer lock systems, with additional benets for you.
Note: Successful pumping relies on proper infusion
set management. Changing your infusion set every 2 to 3 days may help ensure the eectiveness of your therapy.
Use it right and use it in good health.
Change your infusion set every 2 to 3 days.
click! - Two parts, one interface, a secure t.
INFUSION SET
14
RESERVOIRMINIMED® SILHOUETTE™
TUBING CONNECTOR
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
MINIMED® QUICKSET™
INFUSION SET
TRANSFER GUARD
Page 15
Getting Connected
Infusion Set & Reservoir
Understanding Infusion Set and Reservoir
For this section, you will need:
Reservoir
Infusion Set
Serter (optional)
Insulin
MiniMed® Veo™ insulin pump
The MiniMed® Veo™ insulin pump shown in pink.
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GETTING CONNECTED
Medtronic MiniMed® Reservoirs
Simplicity and Security
TRANSFER GUARD SNAPS ONTO INSULIN VIAL OR PEN CARTRIDGE for secure and stable reservoir
lling.
NEEDLE INCORPORATED INTO TRANSFER GUARD
to help prevent injury.
PREASSEMBLED AND READY TO USE for fast,
ecient reservoir lling.
SILICONE MEMBRANE seals the reservoir when the
Transfer Guard is removed to help prevent leakage.
ROUNDED SHAPE helps eliminate air bubbles to
promote consistent insulin delivery.
16
ERGONOMIC DESIGN makes it easy to grab the
connector for secure handling.
VENTS are built into the connector, so they are
replaced every time you change your infusion set.
CONNECTER FITS SECURELY on both the reservoir
and the MiniMed® Veo™ pump, providing a leak­proof connection - click!
AIRTIGHT SEAL for reliable insulin delivery when
connected to reservoir.
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
Page 17
GETTING CONNECTED
Medtronic MiniMed® Infusion Sets
Choice and Flexibility
MiniMed® Quick-set™ infusion set
Soft cannula set
90 degree insertion angle
MiniMed® Quick-serter™ insertion device for consistent insertion depth
At-site tubing disconnection
Cannula length: 6 or 9mm
MiniMed® Silhouette™ infusion set
Soft cannula set
20-45 degrees variable insertion angle
MiniMed® Sil-serterTM insertion device for controlled insertion depth
At-site tubing disconnection
Cannula lengths: 13 or 17mm
MiniMed® Sure-T® infusion set
Steel needle set
90 degree insertion angle
Tubing disconnection 10 cm from infusion site
Additional adhesive for increased security
Cannula lengths: 6, 8 or 10mm
Is the Quick-set™ right for you?
Due to its versatile design and straight 90 degree insertion angle, you may like the Quick-set if you are of average to heavier build.
Infusion Set & Reservoir
Is the Silhouette™ set right for you?
Due to its low prole and adjustable insertion depths, the Silhouette set is a good choice for babies, during pregnancy or if you are an active lean adult or child.
Is the Sure-T® set right for you?
Due to its very thin, steel needle and dual adhesives, the Sure-T® set is ideal for children of normal to heavier build. This set may also appeal to you if you are pregnant, simply prefer the steel needle set or are allergic to Teon® cannulas.
MiniMed® Mio® infusion set
All-in-one infusion set and insertion device
90 degree angle
Soft cannula
At-site tubing disconnection
Rigid box can be carried and stored anywhere
Cannula lengths: 6 or 9 mm
Available in three colours: blue, pink and clear
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
Is the Mio® set right for you?
Due to its 90 degree angle and soft cannula, this set is suitable for both children and adults of average to heavier build.
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Page 18
GETTING CONNECTED
Inserting the Infusion Set
Insert the Infusion Set
Wash hands thoroughly before any handling
Prepare materials: insulin, reservoir, infusion
set and pump
Prior to lling the reservoir, it is recommended that the insulin be at room temperature. Refer to instructions for use for the cannula:
MiniMed® Quick-set™ or Silhouette™ infusion sets.
Remember to rotate and cleanse insertion sites. Recommended possible sites:
abdomen
upper buttock
outer thigh
arm
1
25
34
Additional Tips
It is recommended to stand while inserting
Insert the new infusion set before removing the old one; this will ensure you do not re-insert at the same location.
Choose a site free of lumps, bumps, bruises, scars and tattoos.
Clean the inside of the insertion device (if you use one) with alcohol each month to ensure proper function.
Avoid inserting the infusion set within 5cm of the belly button.
18
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
WARNING
All 'sharps' – introducer needle, transfer guard, old tubing, etc., should be disposed of in a sharps container.
Never change infusion set immediately before going to bed.
Check your blood glucose 2 hours after the infusion set change.
It is recommended to change the infusion set prior to a meal.
Page 19
Filling the Reservoir
1
1.8
ml
1
1.8
ml
1
1.8 ml
1
1.8
ml
1
1.8
ml
1
1.8
ml
GETTING CONNECTED
1
1.8
ml
Step 1
CLEAN the insulin vial stopper
with an alcohol wipe.
Step 2
INSERT the needle of the
Transfer Guard into the vial.
Step 3
PRESSURISE the vial by pushing
the plunger down completely.
If using a penll cartridge, pull
the plunger back to ll the
reservoir.
Step 5
REMOVE any air bubbles from
the reservoir by gently tapping.
Step 6
REMOVE the Transfer Guard from the reservoir (1/4 turn) and connect the reservoir to the infusion set. Always avoid getting insulin, or any liquid, on the inside of the tubing connector. This can temporarily block the vents that allow the pump to properly prime. The recommended reservoir ll procedure can be found at www.medtronic-diabetes.com.au/ mylearning.
Step 7
To PURGE air bubbles that have
risen to the top of the reservoir,
push up on the plunger until
you see insulin in the tubing.
Infusion Set & Reservoir
Step 4
INVERT the reservoir and
allow the reservoir to ll.
Gently pull the plunger, if
necessary.
Step 8
UNSCREW the reservoir plunger.
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
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Page 20
GETTING CONNECTED
Fill the Infusion Set Tubing
Step 1
ACT
Step 2
ACT
Step 3
ACT
Step 4
ACT
Step 5
Insert the reservoir (with set connected) into the pump compartment and lock
it (1/4 turn).
ACT
Step 7
ACT
Step 8
Fill until drops are seen at the end of the infusion set tubing.
ACT
, then
.
Step 9
ACT
Step 10
Insert set (see instructions for inserting infusion sets).
ACT
Step 11
Using the arrows, ADJUST the volume needed to ll the
ACT
cannula.*
* Note: if using the Sure-T® infusion set,  lling the cannula is not required . Press
20
Step 6
ACT
to skip " Fill Cannula" (Step 10).
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
Step 12
ACT
Page 21
Insertion of the MiniMed®
GETTING CONNECTED
Quick-set
Please refer to PAGE 16 of this manual BEFORE YOU START
Infusion Set
Step 1
INSERT the Quick-set™ into the
insertion device (Quick-serter™).
Step 2
REMOVE the protective lms
from the adhesive.
Step 3
LOAD the Quick-serter by
pulling back on the plunger.
Step 4
REMOVE the needle protector
(blue cone) by unscrewing it.
Infusion Set & Reservoir
(continued on next page)
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
21
Page 22
90°
(Insertion of the MiniMed® Quick-set™ Infusion Set, continued)
Step 5
POSITION the Quick-serter at
the desired site.
Step 6
SQUEEZE the two white triggers
to begin insertion.
Step 7
PRESS the plunger with your
index nger to release the
introducer needle.
Step 8
REMOVE the Quick-serter
while supporting the tubing
with your other hand.
Step 9
Carefully WITHDRAW the
introducer needle.
Step 10
Fold the needle before placing
it in a sharps container.
Recommended Cannula Fill:
0.3U for 6mm
0.5U for 9mm
22
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
Page 23
Insertion of the
GETTING CONNECTED
®
MiniMed
Please refer to PAGE 16 of this manual BEFORE YOU START
Silhouette™ Infusion Set
Step 1
OPEN the mouth of the
Sil-serter™ insertion device.
PLACE the Silhouette™ set
in the Sil-Serter device and
releasethe mouth.
Step 3
REMOVE the needle protector.
REMOVE rst half of the
protective lm from the
adhesive.
Step 4
LOAD the Sil-serter device.Step 2
Infusion Set & Reservoir
(continued on next page)
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
23
Page 24
30°
(Insertion of the MiniMed® Silhouette™ Infusion Set, continued)
Step 5
PLACE the feet of the
Sil-serter device on the
insertion site and position at an
approximately 30 degree angle.
Step 6
INSERT the Silhouette set by
pressing the white button.
Step 7
OPEN the Sil-serter mouth
again and SLIDE it backwards.
Step 8
WITHDRAW the introducer
needle by squeezing on the
sides before pulling.
Step 9
REMOVE the other half of
protective lm from the part
before the adhesive.
ADHERE the back part of the
adhesive to the skin.
Step 10
CONNECT the tubing and the
Silhouette set.
Recommended Cannula Fill:
0.7U for 13mm and 17mm.
24
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
Page 25
Basal and Bolus
GETTING FREEDOM
Understanding Basal and Bolus.
The MiniMed® Veo™ insulin pump allows you to set multiple basal rates. The basal insulin is delivered throughout the day and night to cover your insulin needs between meals and at night. When you exercise, you can reduce the basal rate so that your blood glucose (BG) does not drop too low. When you are sick or have an infection, you can increase the basal rate. This will keep your BG from going up too high.
The MiniMed® Veo™ pump allows you to give a bolus, or dose of insulin on demand when you eat. You can also increase or decrease your meal bolus based on the foods you choose to eat. A bolus may also be used to lower an elevated BG. This is called a correctionbolus.
Your healthcare professional will help calculate these rates for you.
5U
0.60U/h
00:00
07:00
Basal rates
The insulin needed to maintain blood glucose at a proper level between meals and during the night.
Basal rate
7U
4U
1.00U/h
0.60U/h
20:00
Bolus
The insulin needed to compensate for meals and/or to correct blood glucose.
Bolus
00:00
Basal & Bolus
Basal & Bolus
Refer to Chapters 4, 6, and 7 in the MiniMed® Veo™ User Guide
23
25
Page 26
Getting Freedom
Understanding Basal and Bolus
For this section, you will need:
Starting hourly basal rate
Sensitivity factor
Insulin to carb ratio (or exchange)
Blood glucose targets
Active insulin time
26
The MiniMed® Veo™ pump shown in blue,
with 'Bubbles' SKIN.
Page 27
getting freedom
Setting the Basal Rate
To set the basal rate for dierent times and activities of the day.
Step 1
Select Basal SETUP from the Basal Menu
ACT
and press
.
Step 2
Select SET/EDIT Basal from the “Basal
ACT
SETUP” menu and press
.
Step 3
Set Basal RATE 1 using and
ACT
.
press Note: U/H is units of insulin per hour.
Step 4
To set Basal RATE 2, enter the start time and the second rate. If starting with one
ACT
basal rate, simply press
to get back
to the Basal Rate Review menu.
Step 5
Remember to check the 24 hour total.
Basal & Bolus
Refer to Chapters 4, 6, and 7 in the MiniMed® Veo™ User Guide
27
Page 28
Basal Review
getting freedom
To check your basal rates and times:
Step 1
To check your BASAL RATES & TIMES
choose Basal menu and press
“Basal REVIEW” from the
ACT
.
Step 2
Use to scroll up and down and view
your set BASAL RATES & TIMES.
28
Refer to Chapters 4, 6, and 7 in the MiniMed® Veo™ User Guide
Page 29
Medtronic Bolus Wizard™ Calculator
getting freedom
The Medtronic Bolus Wizard™ calculator performs the calculations needed to manage your insulin dosing and reduce the potential for hypoglycaemia, by calculating the:
Correction Boluses when glucose is out of
target range.
Meal Boluses, if you are able to calculate your
carbohydrates.
Before using the Bolus Wizard™ calculator, you must determine the following settings with your diabetes care team:
Insulin-carbohydrate ratio (Carb Ratio). The
amount of carbohydrate covered by 1 unit of insulin.
Note: You may have dierent ratios for dierent
meals (breakfast, lunch and dinner) or dierent timesof the day. This ratio may not apply during physical exercise.
Insulin sensitivity factor (Ins Sensitivity).
This corresponds to the decrease in your blood glucose when 1 unit of insulin is bolused.
Note: Your sensitivity to insulin may vary
throughout the day. This factor may not apply during physical exercise.
Blood glucose targets (BG Target).
The high and low blood glucose values that are used when calculating a Correction Bolus.
Active insulin duration (Active Ins Time).
How long the insulin will have a glucose lowering eect in your body once it has been bolused.
Basal & Bolus
Warning
If you do not know your personal settings, do not use this function prior to discussing it with your diabetes care team.
Refer to Chapter 6 in the MiniMed® Veo™ User Guide
29
Page 30
Programming the Bolus
getting freedom
Wizard
Calculator
The following is a step-by-step guide to the Bolus Wizard™ calculator. Follow the instructions using the screens as a guide.
Step 1
From the MAIN menu choose “Bolus”
ACT
and press
Step 2
From the Bolus menu choose “Bolus
SETUP” and press
Step 3
From the Bolus SETUP menu choose “Bolus WIZARD SETUP” and press
Step 4
From the Bolus WIZARD SETUP menu choose “EDIT SETTINGS” and press
Step 5
From the Bolus WIZARD ON/OFF menu
choose “ON” and press
Afterwards, please enter other information
for all requested data:
Carb Units , Carb ratio, BG unit, Sensitivity,
BG target and Active Insulin Time.
.
ACT
.
ACT
.
ACT
.
ACT
.
Reviewing settings
30
Always check the programming
performed before using the Wizard.
Use the “REVIEW SETTINGS” line in the
menu entitled “WIZARD SETUP.”
Refer to Chapter 6 in the MiniMed® Veo™ User Guide
Page 31
Using the Bolus Wizard™ Calculator
getting freedom
With the Bolus Wizard™ calculator, you can:
Perform a Correction Bolus: enter only blood glucose.
Perform a Meal Bolus: enter only the amount of carbohydrates.
Combine both
(meal + correction Bolus): enter both blood glucose and carb amounts.
Example: blood glucose of 7.1
mmol/L and carbohydrates = 40g
Step 1
ACT
Press
3 times to access the Bolus
Wizard™ calculator.
Step 2
Use
to enter BLOOD GLUCOSE
ACT
mmol/L and press
.
Step 3
Use to enter MEAL CARBOHYDRATES
ACT
and press
.
Step 4
Use to scroll through your ESTIMATE
ACT
DETAILS
.
If you decide to adjust the bolus, use the
arrows to adjust, then press
ACT
to
administer the bolus.
Basal & Bolus
* The Bolus Wizard™ calculator will
subtract previously bolused insulin that is still working in your body to help prevent hypoglycaemia.
Refer to Chapter 6 in the MiniMed® Veo™ User Guide
31
Page 32
Setting the Missed Bolus Reminder
getting freedom
Missed Bolus Reminder feature:
When turned on: is used as a reminder to eat or deliver a Bolus within a given period of time. If you do not deliver a bolus within the Missed Bolus Reminder time period, the MISSED BOLUS alert will
ACT
,
be displayed. Press
Add, delete and review Bolus Reminders: You have to turn on the Missed Bolus Reminder option to add, delete and review the
programmedreminders.
to clear this alert.
Bolus Setup
Bolus MENU
Missed Bolus Reminder
Off On/Set
Note: The pump is set at the
factory with the Missed Bolus Reminder feature turned O.
Go to menu
1. Go to the MISSED Bolus REMINDER
screen.
Main > Bolus > Bolus Setup > Missed
Bolus Reminder
2. Select On/Set, then press
ACT
.
Add a Reminder
You can set up to four Missed Bolus Reminders.
If you enter the same Start Time and End Time, you will get one Missed Bolus Reminder in a 24 hour period. If you add a Missed Bolus Reminder with a start time earlier than the current pump time, you will not get this Missed Bolus Reminder until the next day.
32
Refer to Chapters 4, 6, and 7 in the MiniMed® Veo™ User Guide
Step 1
Select Add Reminder on the MISSED
Bolus REMINDER screen, then press
Step 2
The Start Time ashes. Times can be
entered in 30 minute increments. Set
ACT
the Start Time, then press
.
ACT
.
Page 33
getting freedom
Step 3
After this time is set, the End Time
ashes. Set the End Time, then press
ACT
.
Delete a Reminder
Review a Reminder
You can set up to four Missed Bolus Reminders.
Step 1
Select Delete Reminder on the MISSED
BOLUS REMINDER screen and press
ACT
Step 2
In the DELETE REMINDER screen,
highlight the bolus reminder that you
ACT
want to delete and press
.
Step 1
Select Review Reminders on the MISSED
BOLUS REMINDER screen and press
ACT
Step 2
Review your Missed Bolus Reminders.
Exit the menus when you are done.
.
Basal & Bolus
.
Refer to Chapters 4, 6, and 7 in the MiniMed® Veo™ User Guide
33
Page 34
Temporary Basal Rate
getting freedom
Setting a Temporary Basal Rate
To adjust the basal rate as needed for dierent everyday activities: unexpected physical activity, sports, illness, etc. Only the time duration and then the temporary rate need to be adjusted. This will take eect immediately! You can also set your Temp Basal Rate as a percentage of your current basal rate.
Example: adjusting a temporary
rate of 0.05 U/h for 2 hours.
Step 1
Select Basal SETUP from the Basal menu
ACT
and press
.
Step 2
Set the DURATION using .
Step 3
ACT
Press
.
Step 4
Set TEMP Basal U/H using and
ACT
. Alternatively, you can also
press set Temp Basal as percentage of the Basal rate.
Step 5
On the HOME SCREEN, an empty circle appears to indicate that this TEMPORARY BASAL RATE is in progress.
Canceling a Temporary Basal Rate
34
Refer to Chapters 4, 6, and 7 in the MiniMed® Veo™ User Guide
Select CANCEL TEMP BASAL from the
ACT
Basal Menu and press
.
Page 35
Express Bolus
getting freedom
Setting the Express Bolus
Cancelling a Bolus (Temporary stop)
Step 1
Click on Bolus and press
times.
Step 2
Use arrows to adjust bolus rate,
ACT
then press
Step 3
The pump delivers a bolus immediately.
Step 1
WARNING: The BOLUS and BASAL
ow have been stopped. The pump
is not administering any insulin while
suspended.
.
ACT
three
Basal & Bolus
Step 2
RESUME will restart basal rate only
All remaining bolus is cancelled
following suspend.
Refer to Chapters 4, 6, and 7 in the MiniMed® Veo™ User Guide
35
Page 36
GETTING CONTROL
Continuous Glucose Monitoring (CGM)
Continuous Glucose Monitoring provides better insights of low and high glucose levels and gives you more control of your diabetes with:
Continuous Glucose Readings provide continuous visibility of your current glucose level 24 hours a day.
Trend Graphs covering 3, 6, 12 and 24 hours give you a clearer picture of your glucose levels over time, allowing you to identify personal patterns.
Alerts - dierent types of alerts to provide you with early warning, making it possible to minimise oncoming low and high glucose levels.
Greater Understanding with CGM
Seeing the full picture of your glucose patterns enables you to make therapy adjustments with condence. When used with the Medtronic MiniLink™ transmitter and glucose sensor, the MiniMed® Veo™ insulin pump monitors glucose 24 hours a day, with readings updated every ve minutes (up to 288 readings per day) for up to six days. You can see how the glucose is trending at all times.
Note: If you have any questions or concerns, please
consult your healthcare professional before making any therapy changes.
36
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Page 37
GETTING CONTROL
Getting Control
Understanding the benets of Continuous Glucose Monitoring
For this section, you will need:
Medtronic MiniLink™ transmitter
Medtronic Enlite™ glucose sensor
Medtronic Enlite™ insertion device
Medtronic Enlite™ overtape
MiniMed® Veo™ insulin pump
www.medtronic-diabetes.co.uk/cgm
CGM
The MiniMed® Veo™ insulin pump,
shown in black.
Medtronic MiniLink™ transmitter & sensor.
37
Page 38
GETTING CONTROL
Insertion of Sensor
Wash your hands thoroughly before starting.
You will need the following:
A Medtronic Enlite™ glucose sensor at room temperature
The Medtronic Enlite™ serter device
Medtronic Enlite™ overtape
Select a site for insertion and choose a site free of lumps, bumps, bruises, tattoos, etc. Remember to
alternate sites.
Clean the insertion site with alcohol wipes.
Insert the sensor at 90 degrees using the
Enlite serter (on taut skin).
WARNING
Ensure that the sensor is fully inserted into the skin; make sure it is not dislodged while removing the Enlite serter or the introducer needle (ref steps 7-9 on page 37).
Once inserted, wait 5-15 minutes for the sensor to be wetted with interstitial uid.
38
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Page 39
GETTING CONTROL
Inserting the Sensor
wait 5
seconds
Step 1
REMOVE the pedestal from packaging. Place pedestal on at surface, e.g. table.
Step 2
PUSH the Enlite serter down onto the pedestal until the base of the inserter sits at on the table.
Step 4
PLACE the base of the Enlite serter at against your insertion site.
Step 5
PRESS the green button in, and then release it. Keep holding the serter in place.
Step 7
PRESS and hold in the green button.
Step 8
While holding the button in, slowly lift the serter away from the skin.
CGM
Step 3
To detach the Enlite serter from the pedestal, place two ngers over the pedestal arms and slowly pull the serter straight up.
Step 6
WAIT 5 SECONDS to allow the adhesive time to stick to the skin.
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Step 9
Gently hold the base of the sensor against the skin using one hand. Hold the needle housing at the top with two ngers, and slowly pull straight up, away from the sensor.
(continued on next page)
39
Page 40
(Inserting the Sensor, continued)
Step 10
Straighten the sensor adhesive tape so that itlies at against the skin.
Step 11
While holding the sensor in place, gently lift the adhesive tab. Carefully remove the bottom piece of white paper from under the adhesive pad. Press the adhesive against the skin.
Dispose of the needle housing in a sharps bin after single use.
Do not clean or resterilise the
needle.
Do not extract the needle from the needle housing.
3
Step 12
OPTIONAL Before connecting the MiniLink™ transmitter, apply overtape.
Do not cover the adhesive tab(1) or sensor connectors(2) with overtape(3).
Step 13
Wait at least 5 minutes before connecting the MiniLink™ transmitter to the sensor.
NOTE! Overtape is now shown in steps14 – 17.
Step 15
Wait for the green light on the transmitter to ash green briey.
Step 16
While holding the sensor with one nger, peel o the paper backing from the adhesive tab with the other hand.
40
Step 14
While holding the sensor in place, slide the transmitter onto the sensor with the other hand by lining up the connection ends and gently pressing them until they "click" into place.
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Step 17
Fold the adhesive tab over the transmitter. Smooth adhesive onto transmitter.
Page 41
GETTING CONTROL
Starting a Sensor
1. Sensor Start
Once the sensor is inserted under the skin:
WAIT 5-15 minutes; this is the time required for the sensor to be wetted with interstitial uid.
REMOVE the MiniLink™ transmitter from its charger: it will ash green. Wait 1 minute.
CONNECT the MiniLink™ transmitter to the sensor; the MiniLink™ will ash green again = ok.
PRESS ACT > Main Menu > Sensor > Link to Sensor > New Sensor.
PRESS ACT > SENSOR READY 2 HRS (initialising) (Note: you will not be able to view any sensor readings until after 2 hours.)
WARNING
ALWAYS USE the same blood glucose meter.
ALWAYS CALIBRATE when your blood glucose isstable.
DO NOT CALIBRATE if your blood glucose is changing rapidly, i.e. soon after a meal, and/or if there is an alert present or trend arrows are present.
REMEMBER TO CALIBRATE the sensor before going to bed so that you do not have to get up during the night.
If you have any questions or concerns, please consult your healthcare professional before making therapy adjustments.
2. Sensor Initialisation
2 hours later the METER BG NOW alarm should
ACT
sound; CLEAR the alarm:
TAKE a blood glucose meter test and ENTER the value into the pump.
ACT > Main Menu > Sensor > Enter BG > Use to enter blood glucose, and then press
Your CGM is displayed in about 15 minutes on the graph screen.
, then
.
ACT
.
3. Sensor Calibration
A SECOND BLOOD GLUCOSE calibration will beneeded in the following 6 hours. Blood glucoseCALIBRATION will then be required every12 hours.
The glucose sensor reads the glucose content in the interstitial uid under your skin. Calibration is a process to assist in determining the correct interstitial glucose values. The MiniMed® Veo™ System will need a minimum of 2 and maximum of4 BG measurements per day for calibration.
CGM
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
41
Page 42
GETTING CONTROL
Key CGM Alarms
Alarms
The pump sounds a signal to alert you. A message is displayed on the screen, followed by a second screen showing the action to take.
ACT
then
Press
to clear the alarm.
Enter blood glucose for sensor calibration
> Main Menu > Sensor > Enter BG
> Enter BG > Use
glucose and validate with
to enter blood
ACT
.
No communication to pump from sensor
Connect pump and sensor > Sensor > Link to Sensor > Find lost sensor.
Capillary blood glucose and sensor level are incompatible
Wait 30 minutes before checking blood glucose again. Enter the new blood glucose value.
Appears after 2 cal errors
Check transmitter. Replace sensor.
42
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Page 43
GETTING CONTROL
Trend Graphs
This section allows you to review trends of your glucose levels.
3, 6, 12 and 24 hour graphs.
3 hour graph
From the home screen, press onceto access the 3 hour graph. To seevariations in your glucose levels
minutes press
over5 navigate the graph itself.
To access 6, 12 and 24 hour graphs, once in the 3 hour graph, use the button when the cursor is at the far-right of the screen.
only to
6 hour graph
To see variations in your glucose levels
over 10 minutes press
to move the cursor in the graph itself.
button only
12 hour graph
To see variations in your glucose levels
over 10 minutes press
to move the cursor in the graph itself.
button only
USEFUL TIPS
Glucose level: indicates the level of your glucose in the interstitial uid.
This does not correspond exactly to the value obtained at the same time on your meter. There is usually a lag-time between the two values.
Before any corrective action is taken, verify your blood glucose with a ngerstick reading.
24 hour graph
To see variations in your glucose levels
over 20 minutes press
to move the cursor in the graph itself.
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
button only
CGM
43
Page 44
GETTING CONTROL
Understand the Trend Graphs
All graphs show High and Low Glucose Limits lines, a continuous Sensor Glucose (SG) measurement line, a data section and the cursor (ashing vertical line).
Sensor glucose (SG) line.
High Glucose Limit Line at
10.6mmol/L (for example).
Low Glucose Limit Line at
3.2mmol/L (for example).
When you open any graph, the cursor ashes on the right edge of the graph. There are three marks on the cursor at 5, 10 and 15 mmol/L. The data section shows the most recent SG measurement or the reason why no measurement shows, and the time in the data section matches the time at the top of the screen.
When you move the cursor left to select an earlier SG measurement, the data section of the graph turns black, the word "History" appears here, and the time in the data section changes to show the time when the SG measurement was taken or the reason why no SG measurement shows for that time.
Each time you bolus, a marker willappear on your graph.
Indicates that your glucose has risen above
17.2mmol/L.
Cursor (ashing line) indicates selected time, and the SG measurement (or alert) for that time. There are three marks on the cursor at 5, 10 and 15mmol/L.
Data section shows the selected time, the type of graphs (or “History” if you have scrolled to the left on the graphs), and the SG measurement (or alert).
44
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Page 45
GETTING CONTROL
Alerts
Allows you to set your customisablealerts.
Glucose alerts will sound if your glucose level reaches or goes beyond the target you set.
To turn the alert feature on: Make sure that the EDIT SETTINGS screen is open.
Turning glucose alerts on:
Step 1
From the MAIN menu choose
ACT
“SENSOR” and press
.
Step 2
From the SENSOR menu choose
”EDIT SETTINGS” and press
ACT
Step 3
From the EDIT SETTINGS menu
choose
and press
“GLUCOSE ALERTS: OFF”
ACT
.
Step 4
From the GLUCOSE ALERTS menu
choose
“ON” and press
ACT
.
.
USEFUL TIPS
There are many alerts in your MiniMed® Veo™ insulin pump. In conjunction with your health care team, you may wish to add one alert at a time, to see which ones and with what setting, are most suited to you.
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
CGM
45
Page 46
GETTING CONTROL
Glucose Limits
Allows you to set the high and low Glucose Limits.
Step 1
From the SENSOR menu choose
ACT
“EDIT SETTINGS” and press
.
Step 2
From the EDIT SETTINGS menu choose
“GLUCOSE LIMITS” and press
ACT
.
Step 3
To select your LOW GLUCOSE LIMIT
to set a value between
use
ACT
2.2 and 22mmol/L and press
.
Step 4
Next select your HIGH GLUCOSE LIMIT
to set a higher value between
using
ACT
2.2 and 22mmol/L and press
.
Step 5
The rst pair of GLUCOSE LIMITS is now set. If you do not need a second pair of
ACT
Glucose Limits press
.
SECOND PAIR OF LIMITS?
To set up the second Glucose Limit pair, repeat steps as above.
46
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Page 47
GETTING CONTROL
Predictive Alerts
The Predictive Alerts calculate when you may reach your Low or High Glucose Limits, then send you an alert before you reach those limits. A Predictive Alert tells you that if your sensor glucose measurements keep falling or rising at the current rate, you may reach your Glucose Limit in the number of minutes you select. This is known as the Time Sensitivity.
To set up the Predictive Alerts:
To set up the time sensitivity:
Step 1
Select PREDICT ALERT in the "EDIT
ACT
SETTINGS" screen, then press
.
Step 2
Select ON, then press
ACT
.
Step 1
Select the Low Time Sensitivity, then
ACT
.
press
Step 2
Select the High Time Sensitivity, then
ACT
.
press
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
CGM
47
Page 48
GETTING CONTROL
Rate of Change Alerts
The Rate of Change Alerts alert when your sensor glucose changes at, or faster than, the pre-determined per-minute rate.
Fall Rate: sensor glucose values falling at or faster than your pre-dened rate.
Rise Rate: sensor glucose values rising at or faster than your pre-dened rate.
To set up the Rate of Change alerts:
Step 1
Select RATE ALERTS in the "EDIT
SETTINGS" screen then press
Step 2
Select the Fall Rate Limit, then
press
Step 3
Step 4
Select the Rise Rate Limit, then
press
ACT
ACT
ACT
.
.
.
48
Step 5
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
Page 49
GETTING CONTROL
Low Glucose Suspend
Purpose
The Low Glucose Suspend (LGS) is a feature designed to help reduce the risk of severe hypoglycaemia. If the feature is turned on, it automatically alarms and halts insulin infusion when glucose levels reach a pre-determined threshold.
Without patient intervention, after a 2 hour suspension, the pump resumes basal insulin delivery.
If sensor detects that glucose remains low 4 hours after resuming insulin delivery, the pump will re-suspend insulin delivery.
May be useful for people with hypoglycaemic unawareness or nocturnal hypoglycaemia.
This feature will not prevent hypoglycaemia.
Please note:
Do not change the Sensor Graph timeout setting to “NONE.”
If you are using the Low Glucose Suspend feature and have changed the Sensor Graph timeout setting to “NONE,” please follow the steps below to reset it now.
Go to the Main Menu
Select the Sensor Menu
Select Edit Settings, Press ACT
Select Graph Time Out, Press ACT
Select 2, 4 or 6 minutes (do not select “NONE”), Press ACT
Settings
On/O
You need to turn on the LGS feature. (The default setting for LGS is o.)
Range: 2.2 – 6.1 mmol/L.
Should you clear the alert and your glucose levels stay below the threshold set for the LGS, within 10 minutes the LGS function will alarm and suspend the pump again.
All other sensor functions remain operational during insulin suspension.
CGM
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
49
Page 50
GETTING CONTROL
e MiniMed® Veo™ insulin pump and CGM functionalities aim at helping people reduce glucose variability
Low Glucose Suspend in focus *
Insulin infusion stopped
7.8
Target
zone
Glucose (mmol/L)
3.4
Time of day
6:00 am
7:00 am
LOW GLUCOSE SUSPEND TRIGGERED
Person DOES NOT RESPOND to alarm
Pump suspends and alarms
“I have diabetes, call for emergency assistance"
Pump suspends insulin delivery
for 2 hours
Insulin infusion resumed
21
8:00 am
9:00 am
Blood glucose value with LGS Blood glucose value without LGS
1
Insulin infusion stopped (LGS in action)
2
Insulin infusion resumed
* illustrative purposes only.
Person RESPONDS to alarm
Person can choose to suspend or
resume basal
If suspend, pump suspends insulin
delivery for 2 hours
If BG still low 4 hours after resuming
Note: You can override Low Glucose Suspend at any time.
50
After 2 hours pump resumes basal
basal, insulin delivery re-suspends
Refer to Chapters 8 and 9 in the MiniMed® Veo™ User Guide
After 2 hours pump resumes basal
If BG still low 4 hours after resuming
basal, insulin delivery re-suspends
Page 51
OPTIONAL EXTRAS
Connecting the Meter to the MiniMed
®
Veo
Using the Bolus Wizard™ with the Bayer CONTOUR® LINK meter:
If you use the CONTOUR® LINK meter, the results of your capillary blood glucose are automatically sent to your MiniMed® pump via wireless transmission.
Step 1
From the UTILITIES menu choose
ACT
“METER OPTIONS” and press
Step 2
From the METER OPTION menu choose
“ON” and press
Step 3
From the METER ID menu choose
“ADD ID” and press
Step 4
Enter the SERIES NUMBER* of your Bayer Contour® Link meter reader
using
digit to conrm
ACT
ACT
and press ACT after each
ACT
.
.
.
.
* The serial number is on the back of
your Bayer CONTOUR® LINK Meter.
Refer to Chapter 6 in the MiniMed® Veo™ User Guide
When using the Bayer CONTOUR® LINK with the Bolus Wizard™ the Blood Glucose reading will be used by the Bolus Wizard™ for 15 minutes after a test, so you donít need to manually enter this value.
For more information, refer to your meter instruction manual.
51
Optional Extras
Page 52
OPTIONAL EXTRAS
CareLink® erapy Management Software: for you and your Healthcare Professional
Bringing it all together
CareLink® therapy management software gives you an overall picture of how your glucose levels are behaving. The software combines data from the glucose sensor, glucose transmitter, glucose meters and MiniMed® Veo™ insulin pump to create a truly integrated diabetes management system. CareLink® Personal and CareLink® Pro software enhance the way you manage your diabetes, byorganising glucose information into easy-to-read charts, graphs and tables.
How to Upload Data into CareLink® Personal Therapy Management Software:
1. Sign up: Go to carelink.medtronicdiabetes.com, click the "sign up now" button and register to use the system.
2. Sign in: Access the system using your newly created username and password.
3. Upload: Click the "upload" tab and follow the onscreen instructions along with the Medtronic
CareLink® USB to transfer data from the pump to the computer.
For you –
CareLink® Personal
• Allows you to upload information from your diabetes management devices to a free and secure online database (http://carelink.medtronicdiabetes.com).
• Helps you to understand the eects of insulin,carbohydrates, and exercise on yourglucose levels.
• Helps maximise your therapy by assisting you inidentifying glucose patterns and problems.
MiniLink™ transmitter and Continuous Glucose Sensor – Wireless,
integrated communication
52
For your Healthcare Professional –
CareLink® Pro
• Allows your Healthcare Professional (HCP) to access the information you have previously uploaded using Medtronic CareLink® Personal software.
• Produces detailed reports that help your HCP tospot trends.
• Helps your HCP to develop an advanced understanding of your diabetes and optimise your therapy.
MiniMed® Veo™ insulin pump
Refer to "carelink.medtronicdiabetes.com" and Chapter 11 in the MiniMed® Veo™ User Guide
CareLink® therapy management software – Reports for better
understanding and control
Page 53
OPTIONAL EXTRAS
Personalise Your Pump
Pumps with SKINS.
Make It Yours
Personalise your MiniMed® Veo™ insulin pump with a skin of your choice. Visit www.medtronic.skinit.com for further information.
Mini Med® Veo™ SKINS
Pink Butterfly
Mini Med® Veo™ SKINS
Van Gogh - e St arry Night
Mini Med® Veo™ SKINS
Lenny the Lion
Mini Med® Veo™ SKINS
i Heart peng uin
Mini Med® Veo™ SKINS
Surfing
Mini Med® Veo™ SKINS
Psychedel ic Circles
53
Optional Extras
Page 54
Notes
54
Page 55
Safety Information
Insulin Pump Therapy and Medtronic MiniMed® Insulin Infusion Pumps
Patients should always discuss the benefits and potential risks with a clinician. Please review the product’s technical manual prior to use for detailed instructions and disclosure. Indications for use The insulin pump is indicated for the continuous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in persons requiring insulin. Contraindications Insulin pump therapy is not recommended for people who are unwilling or unable to perform a minimum of four blood glucose tests per day and to maintain contact with their healthcare professional. While features exist to help facilitate pump usage, Medtronic Diabetes does not recommend the use of this product by individuals whose impaired vision or hearing does not allow full recognition of the pump signals and alarms.
Medtronic Diabetes Continuous Glucose Monitoring
Indications for use The CGM System is intended to continuously record interstitial glucose levels in persons with diabetes mellitus. This information is intended to supplement, not replace, blood glucose information obtained using standard home glucose­monitoring devices. A confirmatory fingerstick is required prior to treatment. This information collected by CGM may be downloaded and displayed on a computer and reviewed by you and your healthcare professional. This information may allow identification of patterns of glucose-level excursions above or below the desired range, facilitating therapy adjustments that may minimise these excursions. Contraindications Successful operation of CGM requires adequate vision and hearing. Use of CGM is not recommended for patients whose impaired vision or hearing does not allow full recognition of the monitor signals and alarms, or who do not have a caregiver who can perform this function for them.
References
* Based on total number of pump consumables sold
nationally, NDSS sales date 2011.
55
Page 56
Believe in better control
Connect with Medtronic Diabetes
Web: www.medtronic-diabetes.com.au
Email: australia.diabetes@medtronic.com
Facebook: www.facebook.com/MedtronicDiabetesAUS
Address: Medtronic Australasia Pty Ltd, 97 Waterloo Road,
North Ryde NSW 2113 Australia
Mail: Medtronic Diabetes, PO Box 945, North Ryde, NSW 1670
Telephone: 02 9857 9000
Facsimilie: 02 9857 9237
24-hour Toll Free: 1800 777 808
Paradigm, Veo, Bolus Wizard, MiniLink and Believe in better control are trademarks
and Medtronic CareLink is a registered trademark of Medtronic MiniMed, Inc.
Always seek advice from your medical practitioner to determine your suitability
©2013 Medtronic Australasia Pty Ltd. All rights reserved. 74 5-0 92013
for insulin pump therapy. Use as directed.
MiniMed® Veo™ Paradigm™ System
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