OmniPod ENT450, UST400 User Manual

*Up to 72 hours of insulin delivery
USER GUIDE
ENT450
USER GUIDE
ENT450
INSULIN MANAGEMENT SYSTEM
i
Contacts and Important Information
Customer Care
From the UK: 0-800-011-6132
From Ireland: +44-800-011-6132
24 hours/7 days
Web sit e: www.myomnipod.com Address: Insulet Corporation, 600 Technology Park Drive, Ste 200
Billerica, MA, 01821, USA
PDM Model: ENT450
Serial Number: __________________________________________________
Omnipod® Insulin Management System Start Date: _____________________
Healthcare Provider Nurse/Educator
Name Name Address Address
Phone Phone Email Email
Health Insurance Pharmacy
Name Name Address Address
Phone Phone Policy Number Email
ii
© 2012-2017 Insulet Corporation. Omnipod and the Omnipod logo are trademarks or registered trademarks of Insulet Corporation in the United States of America and other various jurisdictions. All rights reserved.
Patent information at www.insulet.com/patents. FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in
various jurisdictions and used with permission. All other trademarks are the property of their respective owners. e use of third
party trademarks does not constitute an endorsement or imply a relationship or other aliation.
17845-5C-AW Rev A 09/17
Contents
iii
Introduction ...............................................................ix
About This User Guide
..........................................................ix
Indications and Contraindications
..............................................x
General Warnings and Cautions
................................................xi
Safe Use
.........................................................................xii
Safety Features
................................................................ xiii
Getting Started
1 Your Omnipod® Insulin Management System .......................... 1
Welcome
........................................................................1
The Pod and PDM
...............................................................2
Screen Navigation
...............................................................4
The Home/Power button
.....................................................4
The Up/Down button
.........................................................4
Soft keys and soft key labels
..................................................4
The Info button
...............................................................5
Screen brightness
.............................................................5
Navigation shorthand
........................................................5
Data Entry
.......................................................................6
Entering numbers
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Entering text
..................................................................6
The Header Bar
..................................................................7
PDM battery level indicator
...................................................7
More info indicator
............................................................7
Insulin level indicator
.........................................................7
Time and date
.................................................................7
The PDM's Top-level Screens
....................................................8
ID screen
......................................................................8
Home screen and More actions screen
.......................................9
Status screen
.................................................................10
IOB screen
....................................................................11
2 Initial PDM Setup ......................................................13
PDM Setup
.....................................................................13
Insert the batteries
...........................................................14
Personalize your PDM
........................................................14
iv
Contents
Basal and BG settings ........................................................15
Bolus Calculator settings
.....................................................17
Adding time segments
......................................................19
Other bolus settings
.........................................................20
Pod settings
..................................................................21
Activate Your First Pod
..........................................................21
User Guide
3 Changing Your Pod ....................................................23
Begin the Pod Change Process
.................................................23
Preliminary steps
.............................................................23
Prepare the PDM and deactivate the old Pod
...............................24
Fill the Syringe with Insulin
.....................................................26
Fill and Activate a Pod
..........................................................27
Select the Pod Site
..............................................................29
Prepare the Infusion Site
.......................................................29
Apply the Pod
..................................................................30
Check the Infusion Site
.........................................................32
Avoid Infusion Site Infections
..................................................33
More Information about Pod Use
..............................................34
4 Checking Your Blood Glucose ..........................................35
About Blood Glucose Testing
..................................................35
Using the Built-in BG Meter
....................................................37
Insert a test strip into the PDM
..............................................37
Test your blood glucose or control solution
.................................39
Control solution results
......................................................41
Blood glucose results
........................................................42
Using BG Meter
................................................................44
Tagging the Blood Glucose Results
............................................45
5 Delivering a Bolus of Insulin ...........................................47
Why Bolus?
.....................................................................47
Bolusing with the Bolus Calculator
.............................................47
Enter your BG and meal information
........................................47
Deliver the bolus
.............................................................48
Manually-calculated Bolus
.....................................................50
Altering an Ongoing Bolus
.....................................................51
Cancel an immediate bolus
..................................................52
Cancel an extended bolus
...................................................52
Replace an extended bolus
..................................................53
v
ContentsContents
6 Modifying Basal Insulin Delivery ......................................55
Using Temporary Basal Rates
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Activate a temp basal
........................................................55
Activate a temp basal preset
.................................................57
Cancel a temp basal
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Use beeps to monitor temp basal progress
.................................58
Switching to a Dierent Basal Program
........................................58
Suspending and Resuming Basal Insulin Delivery
.............................59
7 Adjusting Settings .....................................................61
General PDM Settings
..........................................................61
Date and time
................................................................61
Username and screen color
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Storing brief notes
...........................................................62
Vibrate and sound options
..................................................62
Lock or unlock the PDM buttons
............................................63
Screen time-out
..............................................................63
Backlight time-out
...........................................................63
Factory defaults settings
.....................................................64
Basal and Temp Basal Settings
.................................................64
Maximum Basal Rate
........................................................64
Basal Programs
...............................................................65
Temp basal conguration
...................................................68
Temp basal presets
..........................................................68
Bolus Calculator Settings
.......................................................70
Turn the Bolus Calculator on or o
..........................................70
Target BG and Correct Above value
.........................................70
Minimum BG for Calcs
.......................................................71
IC Ratio
.......................................................................71
Correction Factor
............................................................72
Reverse Correction
...........................................................72
Duration of insulin action
....................................................72
Carb presets
..................................................................73
Bolus Delivery Settings
.........................................................75
Extended bolus conguration
...............................................75
Maximum Bolus
.............................................................75
Bolus increment
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Bolus presets
.................................................................76
Reminder and Notication Settings
...........................................77
BG reminders
................................................................77
Pod expiration
...............................................................77
Low reservoir level
...........................................................78
Pod Auto-o
.................................................................78
Bolus reminders
..............................................................78
vi
Contents
Program reminders ..........................................................80
Condence reminders
.......................................................80
Custom reminders
...........................................................80
BG Readings Settings
..........................................................82
Upper limit and lower limit of the BG Goal Range
..........................82
BG tags
.......................................................................82
Built-in BG meter sound
.....................................................83
8 Browsing Your Records ................................................85
Overview of the Records Screens
..............................................85
The Records menu
...........................................................85
Selecting list items or dates
..................................................86
Meaning of icons used on record screens
...................................87
Insulin Delivery Records
........................................................88
Combined basal and bolus summary
.......................................88
Bolus history
.................................................................88
Basal history
..................................................................89
BG History Records
.............................................................90
View BG records for one day
.................................................90
View BG records for multiple days
...........................................91
Alarm History Records
..........................................................92
Carbohydrate History Records
.................................................92
Combined Listing of All History Data
..........................................93
My Info
..........................................................................93
Reference
9 Alarms, Notications, and Other Messages ............................95
Overview
.......................................................................95
Hazard Alarms
..................................................................96
Advisory Alarms
................................................................98
Notications
....................................................................99
Informational Beeps
.......................................................... 101
Pod Communication Failures
................................................102
Failure to receive a Pod status
.............................................102
Failure when activating or sending a command to a Pod
................103
Failure when canceling a bolus
............................................ 104
Failure when deactivating a Pod
..........................................105
Errors in the Built-in BG Meter
................................................ 106
Silencing an Alarm
...........................................................108
10 Taking Care of Your PDM and Pod ....................................109
Pod and Insulin Care
.........................................................109
Pod and insulin storage
.................................................... 109
vii
ContentsContents
Pods and the environment ................................................109
PDM Care
.....................................................................110
PDM storage
...............................................................110
PDM and the environment
................................................111
Replacing the PDM's batteries
............................................. 112
PDM cleaning and disinfecting
............................................ 113
If you drop the PDM
.......................................................115
11 Living with Diabetes ..................................................117
Daily Activities
................................................................117
Infusion site checks
........................................................117
Check your blood glucose frequently
.....................................118
Prepare for Emergencies
.....................................................118
Traveling and Vacations
......................................................119
Plan for changing time zones
.............................................. 119
Take enough supplies
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Airport issues
...............................................................120
Keep supplies accessible
................................................... 121
Avoid Lows, Highs, and DKA
.................................................121
General precautions
.......................................................121
Hypoglycemia (low blood glucose)
.......................................121
Hyperglycemia (high blood glucose)
...................................... 126
Diabetic ketoacidosis (DKA)
...............................................129
Handling Special Situations
..................................................130
Sick days
....................................................................130
Exercising, playing sports, or working hard
...............................131
X-rays, MRIs, and CT scans
.................................................131
Surgery or hospitalization
.................................................131
12 Understanding PDM and Pod Function ...............................133
PDM and Pod Interactions
...................................................133
Pod actions controlled by the PDM
.......................................133
What the Pod can do between PDM instructions
......................... 136
PDM's self-checks
..........................................................137
Auto-o
....................................................................137
Basal Insulin Delivery
.........................................................138
Basal Programs
............................................................. 138
Temporary basal rates
.....................................................139
Methods to temporarily stop insulin delivery
.............................142
Immediate and Extended Boluses
.........................................143
Manually-calculated Boluses
................................................. 143
The Bolus Calculator
.......................................................... 144
Bolus Calculator boluses
................................................... 144
When the Bolus Calculator does not work
................................145
Factors used in the Bolus Calculator's calculations
........................145
viii
Contents
Bolus Calculator equations ................................................148
Bolus Calculator examples
................................................. 150
Bolus Calculator rules
......................................................154
Appendix
................................................................155
Summary of Settings and Options
........................................... 155
Pod Specications
............................................................ 156
PDM Specications
........................................................... 158
Built-in BG Meter Specications
.............................................. 158
Protection from Over-infusion or Under-infusion
...........................159
System Accuracy according to International Standard ISO 15197:2013
............................................................160
PDM Icons
....................................................................161
Omnipod® System Label Symbols
...........................................162
Medical Device Directive
.....................................................163
Omnipod® System Notice Concerning Interference
.........................163
Warranty for the PDM and Pods
.............................................168
WARRANTY FOR THE OMNIPOD® INSULIN MANAGEMENT SYSTEM PERSONAL DIABETES MANAGER AND PODS (United Kingdom and Ireland)
............................................. 168
WARRANTY COVERAGE
....................................................168
Glossary
.................................................................173
Index
.....................................................................177
ix
Introduction
About This User Guide
Caution: is User Guide is intended for use only with PDM model ENT450 To learn which version of the PDM you have, turn it over. On the back of the PDM, look for "ENT450." If you see it, this is the correct User Guide. If you do not see it, please call Customer Care.
Note: Screen images shown in this User Guide are examples only and are not suggestions for user settings. Consult with your healthcare provider to determine the appropriate settings for you.
Health care and treatment are complex subjects requiring the services of qualied health care providers. is user Guide is informational only and not intended as medical or health care advice or recommendations to be used for diagnosis, treatment or for any other individual needs. is user guide is not a substitute for medical or health care advice, recommendations and/or services from a qualied health care provider. is user guide may not be relied upon in any way in connection with your personal health care, related decisions and treatment. All such decisions and treatment should be discussed with a qualied health care provider who is familiar with your individual needs.
is User Guide is periodically updated. Visit the Learning Center section of www.myomnipod.com to see the most recent version and to nd other helpful information.
Ter m Meaning Warning Alerts you to the possibility of injury, death, or other serious adverse
reactions associated with the use or misuse of the device.
Caution Alerts you to the possibility of a problem with the device associated
with its use or misuse. Such problems include device malfunctions, device failure, damage to the device or damage to other property.
Note Provides helpful information. Tip Oers a suggestion for successful use of the device.
x
Introduction
Indications and Contraindications
Caution: is device is for prescription use only.
Indication
e Omnipod® Insulin Management System is intended for subcutaneous (below the skin) delivery of insulin at set and variable rates for the management of diabetes mellitus in persons requiring insulin and for the quantitative measurement of glucose in fresh capillary whole blood (in vitro).
Abbott FreeStyle and FreeStyle Lite test strips are used with the built-in FreeStyle meter for the quantitative measurement of blood glucose in fresh whole capillary blood from the nger, upper arm and palm.
Abbott FreeStyle Control Solutions are used to verify that the meter and test strips are working together properly and that the test is performed correctly.
Contraindications
Insulin pump therapy is NOT recommended for people who are:
Unable to perform at least four (4) blood glucose tests per day
Unable to maintain contact with their healthcare provider
Unable to use the System according to instructions Do not use the built-in blood glucose meter for:
Testing on newborns
Testing arterial blood
Diagnosing of or screening for diabetes mellitus Note: Unless stated otherwise, references to FreeStyle Blood Glucose Test Strips
or FreeStyle Test Strips include both FreeStyle and FreeStyle Lite Test Strips.
xi
IntroductionIntroduction
General Warnings and Cautions
Warnings:
Rapid-acting U-100 insulin: e Omnipod® System is designed to use
rapid-acting U-100 insulin. e following U-100 rapid-acting insulin analogs have been tested and found to be safe for use in the Pod: NovoRapid®, Humalog®, or Apidra®. NovoRapid®, Humalog, and Apidra are compatible with the Omnipod® System for use up to 72 hours (3 days). Before using a dierent insulin with the Omnipod® System, check the insulin drug label to make sure it can be used with a pump. Refer to the insulin labeling and follow your healthcare provider’s directions for how oen to replace the Pod.
Read all the instructions provided in this User Guide and practice the blood glucose testing procedures before using the System. Monitor your blood glucose with the guidance of your healthcare provider. Undetected hyperglycemia or hypoglycemia can result without proper monitoring.
Warnings:
Personal health considerations
Not recommended for individuals with hearing loss. Always verify your ability to hear Pod/PDM alarms and notications.
If you are unable to use the System according to instructions, you may be putting your health and safety at risk. Talk with your healthcare provider if you have questions or concerns about using the System properly.
Parts of the device are considered biohazardous and can potentially transmit infectious diseases, even aer you have performed cleaning and disinfection.
e glucose meter and lancing device are for single-patient use. Do not share the device with anyone including other family members. Do not use on multiple patients.
xii
Introduction
Warnings:
Environments to avoid
e Pod and PDM may be aected by strong radiation or magnetic elds. Before having an X-ray, MRI, or CT scan (or any similar test or procedure), remove your Pod and put it and the PDM outside the treatment area. Check with your healthcare provider for Pod removal guidelines.
e Omnipod® System should NOT be used at low atmospheric pressure (below 696 hPA). You could encounter such low atmospheric pressures at high elevations, such as when mountain climbing or living at elevations above 3,000 meters (10,000 feet).
e Omnipod® System should NOT be used in oxygen rich environments (greater than 25% oxygen) or at high atmospheric pressure (above 1062 hPA), both of which can be found in a hyperbaric chamber. Hyperbaric, or high pressure chambers are sometimes used to promote healing of diabetic ulcers, or to treat carbon monoxide poisoning, certain bone and tissue infections, and decompression sickness.
Caution: is device is intended for self-testing by the user. Caution: If you are having symptoms that are not consistent with your blood
glucose test results and you have followed all instructions described in this User Guide, call your healthcare provider.
Safe Use
Pump therapy requires substantial caregiver involvement, especially with children. Work with your healthcare provider to establish diabetes management guidelines and settings that best t your, or your child’s, needs. ese may include:
Insulin-to-Carbohydrate (IC) Ratio: Number of grams of carbohydrate covered by one unit of insulin. For example, if your Insulin-to-Carbohydrate Ratio is 1:15, then you need to deliver one unit of insulin to cover every een grams of carbohydrate you eat.
Correction (or Sensitivity) Factor: How much one unit of insulin lowers your blood glucose. For example, if your Correction Factor is 2.8, one unit of insulin lowers your blood glucose by 2.8 mmol/L.
Target Blood Glucose (Target BG): e blood glucose level you want to achieve. For example, you may want to keep your blood glucose close to 5.6 mmol/L.
xiii
IntroductionIntroduction
Duration of Insulin Action: e length of time that insulin remains active and available in your body aer a correction or meal bolus.
Your healthcare provider is a valuable resource. You will rely on him or her for a lot of critical information about your Omnipod® System, especially during the rst few weeks and months. When you have questions about diabetes management aer starting on the Omnipod® System, do not hesitate to talk with your healthcare provider.
For technical questions about your Omnipod® System setup or operation, or to order Omnipod® System products and supplies, you can call Customer Care 24 hours a day, 7 days a week. See the front page of this User Guide for your Customer Care contact information.
Your healthcare provider will give you all the tools and training you need to be successful with the Omnipod® System. However, in the end, your success depends on YOU. You must become actively involved in your own diabetes management to enjoy the control, freedom and exibility that is possible with the Omnipod® System.
Being actively involved means:
Frequently monitoring your blood glucose levels
Learning how to operate your Omnipod® System and practicing proper techniques
Visiting your healthcare provider
Safety Features
e Omnipod® System’s built-in safety features include:
Automatic priming, safety checks, and insertion
Every time you activate a new Pod, the Omnipod® System automatically primes and performs a safety check on the Pod, then inserts and primes the cannula. ese safety checks take only a few seconds.
e Omnipod® System also performs safety checks on the PDM each time you turn on your PDM. If it detects any problems in the PDM or the Pod—or in the communication between them—it informs you with beeps and on-screen messages.
Alarms and notications
For your safety, the Omnipod® System provides a range of alarms and notications to tell you that your attention is needed or to warn you of hazardous situations. For a description of the PDM's alarms and notications, see Chapter 9.
xiv
Introduction
Warning: You need to press Conrm on the ID screen before you can read the alarm or notication message.
Note: Activate your PDM periodically to conrm that there are no notications or alarms that require a response.
Warning: Do NOT attempt to use the Omnipod® System before you receive training from your Omnipod® System Trainer or healthcare provider. Inadequate training could put your health and safety at risk.
1
CHAPTER 1
Your Omnipod® Insulin Management System
Welcome
e Omnipod® Insulin Management System is an innovative continuous insulin delivery system that provides all the proven benets of continuous subcutaneous insulin infusion (CSII) therapy. Features of the Omnipod® Insulin Management System include:
No tubing: ere is no tubing connecting the Pod to the Personal Diabetes manager (PDM). You can wear the Pod under your clothes and carry the PDM separately. You can swim wearing the Pod and leave the PDM on dry land. e Pod is waterproof to 7.6 meters (25 feet) for up to 60 minutes (IP28).
Bolus Calculator: If your blood glucose is high or if you plan to eat, the PDM's Bolus Calculator can suggest a bolus dose based on your individual settings.
Built-in blood glucose meter: e PDM contains a built-in blood glucose meter. You can also use a separate blood glucose meter and enter the results manually into the PDM.
Record keeping: e data storage system in the PDM displays up to 90 days of information. is includes blood glucose results, basal rates and bolus doses, carbohydrates, and alarms.
e Getting Started section of this book explains the basic operation and setup of the Omnipod® System. e User Guide section gives step-by-step instructions for using the System. e Reference section explains the System in detail.
Terms and conventions
Bold text Buttons that you press, so keys, menus, and screens are in bold. Screen Area of the PDM that displays menus, instructions, and messages. Menu List of options. Options allow you to perform tasks. Icon An image on the PDM screen that indicates a menu option or item
of information (see "PDM Icons" on page 161).
Button Physical button on the PDM, such as the Home/Power button. So keys Row of three buttons directly beneath the screen. e so key's label
or function appears on the screen directly above the button.
Press Press and release a button or so key. Hold Keep pressing a button until its function is complete.
Your Omnipod® Insulin Management System 1
2
1 Your Omnipod® Insulin Management System
The Pod and PDM
e Omnipod® System is made up of two parts: e Pod, which delivers insulin to your body, and the Personal Diabetes Manager (PDM), which allows you to control the Pod.
e Pod: e Pod is a lightweight, self-adhesive device that you ll with insulin and wear directly on your body. e Pod delivers insulin into your body through a small exible tube called a cannula, based on instructions from the PDM.
e Pod is applied to your skin with an adhesive, similar to an adhesive bandage.
Pod needle cap
Viewing window
Paper cover for adhesive backing
Housing vent
Fill port
Adhesive backing
BottomTop
3
Your Omnipod® Insulin Management System 11 Your Omnipod® Insulin Management System
e PDM: e PDM is a handheld device that:
Wirelessly programs the Pod with your personalized insulin-delivery instructions
Wirelessly monitors the Pod's operation
Includes a built-in blood glucose meter
Up/Down buttonTest strip port
Home/Power button
Info button
Soft key
Soft key label
Home Screen
USB port
Header bar
Your Omnipod® Insulin Management System 1
4
1 Your Omnipod® Insulin Management System
Screen Navigation
e PDM communicates with you by displaying images on its screen. You communicate with the PDM by pressing buttons and so keys.
The Home/Power button
Press and hold the Home/Power button to turn the PDM on or o. When the PDM is on, briey press this button to return to the Home
screen from any other screen.
The Up/Down button
e Up/Down button is used in the following ways:
• Press and release to increase or decrease a number. Holding the button down changes the number more rapidly.
• Press and release to scroll through a list of available menu options. Holding the button down scrolls faster.
• Some screens have text that continues below what is visible on the screen. Use the Up/Down button to scroll down to view any o-screen text.
Press the Up arrow (the upper part of the Up/Down button) to increase a number or to move up on a screen. Press the Down arrow (the lower part of the Up/Down button) to decrease a number or move down on a screen.
Soft keys and soft key labels
So key labels appear on the screen directly above the so key buttons. e so key labels dier on dierent PDM screens. Press a so key to select an action or to navigate between screens. For example, on the Home screen shown on the previous page, the two so key labels are "Status" and "Select."
Press the right-hand so key, directly below the "Select" so key label, to select the highlighted "Bolus" menu item. e Bolus screen appears.
Press the le-hand so key, beneath the word "Status," to bring up the Status screen.
Tip: Pressing a so key that has no so key label above it prevents the PDM from going to sleep but has no other action.
5
Your Omnipod® Insulin Management System 11 Your Omnipod® Insulin Management System
The Info button
Some screens have a "more info" icon in the header bar (see page 7) or displayed to the right of an item in a list. When the "more info" icon is present, press the Info button to display a screen with additional details.
Screen with icon
Pressing the Info button displays
Home screen Username, other personalized entries (if any),
Insulet Corporation contact information, device serial number
Status screen Insulin on board (IOB) details
Suggested bolus screen Bolus calculation details
History screen Details about a tagged event
Screen brightness
e Info button can also be used to make your PDM screen brighter or less bright. Press and hold the Info button for two seconds to toggle the “bright mode" on or o. To control the dimming of the screen, see "Backlight time-out" on page 63.
Navigation shorthand
e User Guide uses the ">" symbol to indicate navigating from one screen to another. For example, the following notation:
Home > Settings > Presets > Carb presets
tells you to:
1. Turn on the PDM and conrm your ID, if necessary.
2. Press the Home/Power button.
3. Use the Up/Down button to highlight the Settings option, then press the so key under Select to bring up the Settings menu.
4. Use the Up/Down button to highlight the Presets option, then press the so key under Select to bring up the Presets menu.
5. Use the Up/Down button to highlight the Carb presets option, then press the so key under Select to bring up the Carb presets menu.
Your Omnipod® Insulin Management System 1
6
1 Your Omnipod® Insulin Management System
Data Entry
is section explains how to enter numbers or text into the PDM. Refer back to this section as needed while you are learning to use your PDM.
Entering numbers
Use the Up/Down button to increase or decrease a number. Initial settings for numerical values are oen “---.” Press the Up/Down button
once, either up or down, to display the default value. Continue to press the Up button or the Down button to increase or decrease the number.
Entering text
During setup, you will enter a username for your PDM's ID screen and, optionally, a name for your rst Basal Program. Later on, you can add names for other settings or edit existing names.
To enter text:
1. Use the Up/Down button to scroll through the alphabet and other characters. A blank character or space precedes the "a" and follows the "Z" of the alphabet. Numbers and a few other characters, such as - and @, are found following the alphabet and the space character.
2. Press the middle so key (labeled with the right arrow) to move the underscore to the next character.
3. Enter each character one at a time. An up-and-down-arrow symbol on the screen indicates the character you are currently changing.
For example, to enter a username of "MKC 2-5-10", use the Up/Down button and the middle so key to enter M. K. C, [space], 2, -, 5, -, 1, 0.
e PDM considers capital and lowercase letters to be the same. In other words, the PDM considers "myFavoriteFood" and "myfavoritefood" to be the same name, and it will not allow you to use both of them as the name of two dierent presets.
Note: Many settings provide a default naming system consisting of a generic description of the item being named followed by a number. Each subsequent item ends with the next higher number. For example, the default naming system for custom reminders is reminder 1, reminder 2, reminder 3, and reminder 4.
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Your Omnipod® Insulin Management System 11 Your Omnipod® Insulin Management System
The Header Bar
A screen's header bar gives useful information that is not found anywhere else. e information on the header bar varies according to each screen's purpose.
PDM battery level indicator
e batteries in your PDM should last about three weeks. e header bar on the Status screen displays the amount of battery life le as follows:
Full 3/4 full Half full 1/4 full Empty
See "Replacing the PDM's batteries" on page 112 for more information.
More info indicator
e "more info" indicator is found on the header bar of some screens (see "e Info button" on page 5).
Insulin level indicator
e insulin level indicator is found on the Status screen's header bar only. e header bar displays the amount of insulin remaining as follows:
Display in header bar Units of insulin remaining
50+U
Any amount above a 50 unit threshold
50U (to 5U)
Number displayed (counts down 1 unit at a time between 50 units to 5 units)
LOW Less than 5 units
Time and date
e time and date appear in the header bar of all screens.
Your Omnipod® Insulin Management System 1
8
1 Your Omnipod® Insulin Management System
The PDM's Top-level Screens
is section introduces you to the PDM's top-level screens:
e ID screen identies the PDM as being yours.
e Home screen and the More actions screen are the main menus. ey provide the entry point to the PDM's functions.
e Status screen shows the Pod and PDM's status, lists current or recent basal, bolus and blood glucose information, and displays messages.
e IOB screen gives details about how much insulin is active in your body.
ID screen
e ID screen performs a very important function: It allows you to identify the PDM as yours.
To conrm that the PDM is yours:
1. Press the Home/Power button to turn on your PDM. e ID screen appears. Verify that the username is yours.
2. Press Conrm. e Status screen appears.
In the remainder of this User Guide, instructions to "turn on the PDM" indicate both pressing the Home/Power button and conrming the ID screen.
Warning: Always identify the PDM as yours before using it.
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Your Omnipod® Insulin Management System 11 Your Omnipod® Insulin Management System
Home screen and More actions screen
e menu items on the Home screen and its More actions submenu give you access to the Omnipod® System's features.
e Home screen can be accessed from most screens by pressing the Home/ Power button. Select More actions on the Home screen to see other useful menu choices.
Menu item Allows you to ... See ...
Bolus Deliver boluses page 47 More actions Bring up the More actions screen page 9 Temp basal Dene a temporary basal rate (this menu
item does not appear if the temp basal feature is turned o, see "Temp basal conguration" on page 68)
page 55
My records View history of insulin delivery, blood
glucose readings, carbs eaten, and alarms
page 85
Settings Create and edit Basal Programs and presets,
and customize your settings, including sound or vibration
page 61
Suspend Suspend, cancel, or resume insulin delivery page 59 Change pod Deactivate and activate a Pod page 23 Add BG reading Enter a BG reading taken with a separate BG
meter
page 44
Assign/Edit BG tags Label a BG reading for future reference page 45
The Home screen
The More actions screen
Your Omnipod® Insulin Management System 1
10
1 Your Omnipod® Insulin Management System
Status screen
e Status screen is an important screen. Navigating to the Status screen causes the PDM to ask the Pod about its (the Pod's) current state. For details, see "Status checks: How the PDM checks Pod function" on page 134.
You can navigate to the Status screen in two ways:
Turn on your PDM by pressing-and-holding the Home/Power button. e Status screen appears aer you conrm your ID.
If the PDM is on, briey press the Home/Power button and then press
Status.
Tip: Visit your Status screen oen to make sure the Pod is working properly. If the Status screen says it is unable to communicate with the Pod, see "Failure to receive a
Pod status" on page 102.
e Status screen shows:
e header bar (see "e Header Bar" on page 7).
Your most recent BG reading and the time and date it was recorded.
Your most recent bolus and the time and date delivery began.
Your insulin on board, or IOB (insulin from boluses still active in your body), if the Bolus Calculator is on (see "Turn the Bolus Calculator on or o" on page 70).
Message about the Pod's current activity. is area usually shows the active Basal Program and the current basal rate. However, a dierent message appears if insulin delivery is suspended, a temp basal or extended bolus is running, you have no active Pod, or if the PDM cannot communicate with the Pod.
e time and date that your Pod will expire. If the Pod has already expired, "Pod exp: change Pod" appears instead.
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Your Omnipod® Insulin Management System 11 Your Omnipod® Insulin Management System
IOB screen
For details about your insulin on board (IOB), navigate to the Status screen and press the Info button.
e IOB screen shows you how much of your total IOB is from a meal IOB and how much is from a correction IOB.
For more information about the IOB calculation and how the Bolus Calculator uses IOB, see page 145.
12
is page intentionally le blank.
13
CHAPTER 2
Initial PDM Setup
Preparing for Your Training
If you are a rst-time Omnipod® System user, you need to meet with your Omnipod® System Trainer to set up your Personal Device Manager (PDM) and
rst Pod. To get a head start on learning about the Omnipod® System, review this User
Guide prior to meeting with your Omnipod® System trainer, including the "Introduction" on page ix, "Your Omnipod® Insulin Management System" on page 1, and "Taking Care of Your PDM and Pod" on page 109.
Warning: Do NOT use the Omnipod® System until you have been trained by your Omnipod® System Trainer. He or she will help you initialize the PDM based on your individual needs. Inadequate training or improper setup could put your health and safety at risk.
Note: Keep an emergency kit with you at all times to quickly respond to a diabetes emergency.
Items to bring to the meeting with your Omnipod® System trainer
Your PDM
Tw o Pod s
FreeStyle Test Strips and Control Solution, and a lancing device (available from many pharmacies)
is User Guide
Instructions from your healthcare provider about PDM settings tailored to your needs. ese settings include Basal Program, IC Ratio, Correction Factor, Target BG values, and duration of insulin action.
PDM Setup
Although PDM setup is easy, if you are a rst-time user, your Omnipod® System trainer must guide you through the process. You can adjust these settings later as needed.
14
2 Initial PDM Setup
Avoid taking a long break during the setup process. If the PDM is idle for 60 minutes during the setup process, you must begin the setup process from the beginning.
Tip: Use the pages at the end of this User Guide to write down all of your settings. is list will be helpful if you ever need to reset or replace your PDM.
Insert the batteries
1. Open the battery compartment on the back of the PDM by pushing the compartment latch and liing upward. No special tools are necessary.
2. Insert two new AAA alkaline batteries into the compartment. e diagram inside the compartment shows you which direction to insert the batteries.
Caution: Only use AAA alkaline batteries to power the PDM. Never use old, used, or non-alkaline batteries; the PDM may not work properly. Do not use rechargeable batteries.
3. Replace the battery door.
4. Turn the PDM face up. e PDM powers on automatically.
Personalize your PDM
Username and screen color
1. Aer inserting the batteries, a Welcome message appears on the screen. Press Next.
2. Use the Up/Down button and the middle so key to enter your user name (see "Entering text" on page 6).
Note: You must enter at least one letter or number.
3. When nished entering your username, press Next.
4. Use the Up/Down button to choose a background color for your ID screen.
15
Initial PDM Setup 22 Initial PDM Setup
5. Press Next. Note: Each time you turn on your PDM, you will see your username and your
selected screen color. Always identify the PDM as yours before using it.
Time and date
1. Press 12 / 24 hr to choose your preferred time display. For example, six hours before midnight is:
• "6:00 PM" in 12 hr display
• "18:00" in 24 hr display
2. Use the Up/Down button to set the current time. Press Next.
3. Use the Up/Down button to set the current year, month, and day, pressing Next between each setting.
4. Use the Up/Down button to choose your preferred date format. Press Next.
Basal and BG settings
Maximum Basal Rate
e Omnipod® System cannot deliver insulin at a basal rate that exceeds your Maximum Basal Rate. You can adjust your Maximum Basal Rate later, if your needs change.
1. Use the Up/Down button to choose a Maximum Basal Rate.
2. Press Next.
Dene a Basal Program
Your Basal Program denes your daily schedule for continuous insulin delivery. e initial Basal Program is named “basal 1” and covers the full 24-hour period from midnight to midnight. For an explanation of basal rates, basal segments and Basal Programs, see page 138.
1. Use the Up/Down button to choose the basal rate for the time segment that begins at midnight, then press Next.
Note: Initially , this time segment spans the 24-hour period from midnight to midnight. You can segment the day into smaller periods of time in the following steps. e rst segment of your Basal Program will always start at midnight, and the nal segment will always end at midnight.
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