MiniMed Paradigm® REAL-Time Revel™ System



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Note:

Customers outside the U.S., please contact your local Medtronic Diabetes representative to receive a user guide appropriate for your area.


Changing A Basal Setting

Important

Your healthcare professional should calculate your basal rates for you.


Basal insulin is the "background" insulin that you need throughout the day to maintain your target glucose values when you are not eating. Your basal insulin accounts for about half of your daily insulin requirements. Your insulin pump mimics your pancreas by delivering insulin continuously over 24 hours.

Your basal rate settings determine the amount of basal insulin you receive each hour. Some people use one rate throughout the day, while others find they need more than one rate. You can set multiple basal rates to meet your insulin needs throughout the day. Each basal rate consists of a different insulin delivery with distinct start times and stop times. Together, the different insulin rates cover a 24-hour period and are repeated each day.

Note

You cannot make changes to your basal rate settings while a temporary basal is active.

Allowed Range: 0.025 units/hour - 35.0 units/hour
Default Setting: 2.0 units/hour

To change your basal settings:
  1. From the HOME screen, go to the SET BASAL RATE 1 screen
    • Main Menu > Basal > Basal Setup > Set/Edit Basal
  2. The SET BASAL RATE 1 screen flashes the basal rate in U/H.
  3. Enter your first basal rate amount and press ACT. The start time for your first basal rate is midnight and cannot be changed.
  4. The SET START TIME 2 screen appears. The dashes under the screen name flash. The first basal rate is now set. If you do not need a second basal rate for the day, press ESC. If you need to set up a second basal rate for the day, follow steps 5 and 6.
  5. In the SET START TIME 2 screen, enter the start time for the next rate.
  6. Press ACT. The SET BASAL RATE 2 screen appears. Enter the rate.
  7. Press ACT. The SET START TIME 3 screen appears. The second basal rate is now set. If you do not need to set up any more basal rates for the day, press ESC and skip to step 9. If you need to set up more basal rates, follow steps 5 and 6 for each basal rate.
  8. After you program your last basal rate, press ESC.
  9. The BASAL RATE screen appears. Your basal rate(s) will now deliver as programmed. Press ESC.

    10. Note

    This insulin pump model delivers basal amounts in 0.025 U/H increments for basal rates of less than 1.00 U/H, and in 0.05 U/H increments for basal rates of 1.00 U/H or more.

  10. Scroll down to BASAL REVIEW and Press ACT. Review your settings to ensure they are correct. Press ESC to exit the menus.
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Setting-up Your Bolus Wizard® Feature

The Bolus Wizard is a feature that calculates an estimated bolus in order to cover any carbohydrates (carbs) you eat or drink, or to correct a high blood glucose. Work with your healthcare provider to establish your personal settings, which includes your carb ratio, insulin sensitivity, blood glucose (BG) target, and active insulin time. Once these settings are entered, you only need your current BG and carb value (for a meal bolus) for the Bolus Wizard feature to calculate your bolus amount.

When entering your settings, the screen automatically moves to the next required setting. If you do not enter all the required settings, the MISSING INFO screen appears, listing any missing information. You must program all settings before you can use the Bolus Wizard feature. After you enter all your settings, review them for accuracy.

To turn on the Bolus Wizard feature:
  1. From the HOME screen, go to the EDIT SETTINGS screen.
    • Main Menu > Bolus > Bolus Setup > Bolus Wizard Setup > Edit Settings
  2. The EDIT SETTINGS screen appears with Wizard: OFF selected. Press ACT.
  3. The WIZARD ON/OFF screen appears. Select ON, then press ACT.
  4. The EDIT SETTINGS screen appears, showing that the wizard is now turned on. You are now ready to select your carb units.

Note

If you would like to delete a setting, set the time for that setting to dashes (--:--) and press ACT.

Adjusting Your Carb Units

The Carb Unit setting tells your insulin pump whether to count your carbohydrate units as carb grams or exchanges. Your device uses this information when it calculates a bolus.

To adjust the Carb Unit setting:
  1. Make sure the EDIT SETTINGS screen is open.
    • Main Menu > Bolus > Bolus Setup > Bolus Wizard Setup > Edit Settings
  2. Select Carb Units, then press ACT .
  3. The CARB UNITS screen appears. Select Grams or Exchanges, then press ACT.
  4. The EDIT SETTINGS screen shows the carb units you selected. You are now ready to set your carb/exchange ratios.

Adjusting Your Carb/Exch Ratios

Because your carb ratios (or exchange ratios) may vary throughout the day, you can set up to eight different ratios by using the Carb/Exch Ratio setting. If your first carb/exchange ratio spans less than 24 hours, a second carb/exch ratio screen appears.

Note

When you first begin using the Bolus Wizard feature, your healthcare provider may instruct you to enter only one or two different carb (or exchange) ratios.

Allowed Range: 1 - 200 grams/unit (0.075-15.0 units/exchanges)
Default Setting: 15 grams/unit (1.0 units/exchanges)

To adjust your carb/exch ratios:
  1. Make sure the EDIT SETTINGS screen is open.
    • Main Menu > Bolus > Bolus Setup > Bolus Wizard Setup > Edit Settings
  2. Select Carb Ratios, then press ACT.
    • If you use grams as your carb units: Carb ratio is the number of carb grams that are covered by one (1.0) unit of insulin.
    • If you use exchanges as your carb units: Carb ratio is the number of insulin units that are needed to cover one (1.0) carb exchange.
  3. The SET CARB RATIO 1 (if you are using grams) or SET EXCH RATIO 1 (if using exchanges) screen appears. The default ratio flashes on the screen.
  4. Set your first ratio, then press ACT. Carb ratio values are normally between 5-50 grams/u or 0.3-3.0 u/exch. If your ratio value is outside the range, a warning message will appear on the screen. This message warns that the entered carb ratio is valid but outside the usual range. Press ESC to correct or ACT to continue. The start time for your first ratio is midnight and cannot be changed.
  5. The SET START TIME 2 screen appears. The dashes under the screen name flash. The first Carb Ratio or Exchange Ratio is now set. If you do not need a second ratio, press ESC and skip to the next section. If you need to set up another ratio, follow steps 6 through 9.
  6. In the SET START TIME 2 screen, enter the time of the day you want this ratio to become active.
  7. Press ACT. The SET CARB RATIO 2 screen (if using grams) or SET EXCH RATIO 2 screen (if using exchanges) appears.
  8. The default ratio flashes. Select your ratio.
  9. Press ACT. The SET START TIME 3 screen appears. The second carb or exchange ratio is now set.
  10. If you do not need to set up any more ratios, press ESC. If you need to set up more ratios, repeat steps 6 through 9 above for each ratio.

You are now ready to set up the BG units.

Changing Your BG Units

You can change the BG Units setting on your insulin pump. Depending on the region in which you live, blood glucose (BG) is measured in mg/dL (milligrams per deciliter) or mmol/L (millimols per liter). In the United States, mg/dL is the standard.

To change your BG Units setting:
  1. Make sure the EDIT SETTINGS screen is open.
    • Main Menu > Bolus > Bolus Setup > Bolus Wizard Setup > Edit Settings
  2. Select BG Units, then press ACT.
  3. The BLOOD GLUCOSE UNITS screen displays. Select mmol/L or mg/dL, then press ACT.
  4. The EDIT SETTINGS screen shows the BG units you selected. You are now ready to set your insulin sensitivity.

Setting Your Insulin Sensitivity

Your insulin sensitivity is the amount that your blood glucose (BG) level is reduced by one unit of insulin. This value is used to calculate a suggested insulin dose to correct a high BG. Because this sensitivity may vary throughout the day, your insulin pump lets you set up to eight sensitivity settings.

Note

When you first begin using the Bolus Wizard feature, your healthcare provider may instruct you to enter only one or two different insulin sensitivities.

Allowed Range: 10 - 400 mg/dL/u (0.5 - 22.2 mmol/L/u)
Default Setting: 50 mg/dL/u (2.8 mmol/L/u)

To set your insulin sensitivity:
  1. Make sure the EDIT SETTINGS screen is open.
    • Main Menu > Bolus > Bolus Setup > Bolus Wizard Setup > Edit Settings
  2. Select Sensitivity, then press ACT.
  3. The INS SENSITIVITY 1 screen appears. The default sensitivity value flashes on the screen.
  4. Set the value for your first insulin sensitivity setting, then press ACT. The start time for your first insulin sensitivity is midnight and cannot be changed.
  5. The SET START TIME 2 screen appears. The dashes under the screen name flash. The first insulin sensitivity is now set. If you do not need a second insulin sensitivity, press ESC and skip to the next section. If you need to set up another insulin sensitivity, follow steps 6 through 9.
  6. In the SET START TIME 2 screen enter the time of the day you want this insulin sensitivity to become active.
  7. Press ACT. The INS SENSITIVITY 2 screen appears.
  8. The default sensitivity value flashes. Select the value for this insulin sensitivity.
  9. Press ACT. The SET START TIME 3 screen appears. The second insulin sensitivity is now set.
  10. If you do not need to set up any more insulin sensitivities, press ESC. If you need to set up more insulin sensitivities, repeat steps 6 through 9 above for each insulin sensitivity.

Note

Insulin sensitivity values are normally between 20 mg/dL to 100 mg/dL (1.1 mmol/L to 5.6 mmol/L). If your value is outside this range, a warning message appears.

Setting your BG targets

When you set your BG Target, your blood glucose will be corrected to those high and low target values. The Bolus Wizard feature uses your low target value and your high target value to calculate correction bolus amounts. Because these targets can vary throughout the day, your insulin pump allows you to set up to eight BG Targets each day

Allowed Range: 60 mg/dL to 250 mg/dL (3.3 mmol/L to 13.9 mmol/L
Default Setting: 100 mg/dL to 100 mg/dL (5.6 mmol/L to 5.6 mmol/L)

To set your BG target range:
  1. Make sure the EDIT SETTINGS screen is open.
    • Main Menu > Bolus > Bolus Setup > Bolus Wizard Setup > Edit Settings
  2. Select BG Target, then press ACT.
  3. The TARGET RANGE 1 screen appears. The low end of your BG Target range flashes on the screen.
  4. Set the BG Target, then press ACT.
  5. The high end of your BG Target range flashes on the screen. Enter the BG Target, then press ACT. The start time for your first BG Target is midnight and cannot be changed.
  6. A. If you adjust your BG Targets outside of 90-140 mg/dL (5.0-7.8 mmol/L), the insulin pump screen displays a warning that the values are acceptable but outside normal range. Press ESC to change your BG target or press ACT to set this range.

    B. If your BG target is within 90-140 mg/dL (5.0-7.8 mmol/L), the SET START TIME 2 screen appears. The dashes under the screen name flash. The first BG target range is now set. If you do not need a second BG Target range, press ESC and skip to the next section. If you need to set up another BG Target range, follow steps 7 through 11.
  7. In the SET START TIME 2 screen enter the time of the day you want this BG Target range to become active.
  8. Press ACT. The TARGET RANGE 2 screen appears.
  9. The low end of your BG Target range flashes on the screen. Set the BG Target, then press ACT.
  10. The high end of your BG Target range flashes on the screen. Enter the BG Target, then press ACT.
  11. The SET START TIME 3 screen appears. The second BG Target range is now set.
  12. If you do not need to set up any more BG Target ranges, press ESC. If you need to set up more BG Target ranges, repeat steps 7 through 11 above for each one.

You are now ready to set up the Active insulin time.

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Setting Your Active Insulin Time

Active insulin is the bolus insulin that the insulin pump has already delivered to your body and which is still working to lower your blood glucose levels. You can change your Active Insulin Time setting, which the Bolus Wizard feature uses to determine the amount of active insulin in your body. The insulin pump considers your Active Insulin Time setting when it determines any active insulin still in your body from prior boluses.

Note

Work with your healthcare provider to get the active insulin time that best represents the insulin type you use and your physiological insulin absorption rate.

Allowed Range: 2 - 8 hours
Default Setting: 6 hours

To set the Active Insulin Time:
  1. Make sure the EDIT SETTINGS screen is open.
    • Main Menu > Bolus > Bolus Setup > Bolus Wizard Setup > Edit Settings
  2. Select Active Ins Time, then press ACT.
  3. The ACTIVE INS TIME screen appears. The default time of six hours flashes on the screen.
  4. Set the number of hours for the active insulin time, then press ACT.
  5. The EDIT SETTINGS screen shows the new Active insulin time setting. You have now completed the Bolus Wizard setup.
  6. Press ESC or wait to see the message: Bolus Wizard setup is complete.
  7. Select REVIEW SETTINGS to ensure all the settings you have programmed are correct.
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Saving Your Settings

Your insulin pump allows you to save, restore, clear or view the current settings on your insulin pump. The Save Settings feature lets you keep a "set" of insulin pump settings to which you can return if the insulin pump is cleared or you need to return to these settings for any reason.

Warning

Never clear your settings while the insulin pump is connected to your body.

Caution

Do not clear your settings unless directed by your healthcare professional or a Medtronic Diabetes representative. If you clear your settings, you must enter all your personal settings again as directed by your healthcare professional.

To save your insulin pump settings:
  1. From the HOME screen, go to the UTILITIES MENU screen and highlight User Settings.
    • Main Menu > Utilities > User Settings
  2. To access the User Settings feature, hold down B button and press ACT.
  3. The USER SETTINGS screen is displayed with Save Settings highlighted. Press ACT.
  4. If this is the first time you have saved insulin pump settings, go to step 5.

    If you have previously saved your insulin pump settings, a message displays, indicating the date of your last insulin pump settings save. Read the instructions on the screen, then press ACT to save your current settings. You can press ESC if you want to cancel the save.
  5. The SETTINGS SAVED message displays to confirm that your current insulin pump settings have been saved. Press ESC to exit the menus.
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Restoring Your Settings

If you clear your insulin pump, all the settings automatically return to the factory defaults. If you saved a set of settings before clearing your insulin pump, you can use the Restore Settings feature to return to your previous settings. Otherwise, you can simply enter your personal settings again.

To restore your settings:
  1. From the HOME screen, go to the UTILITIES MENU screen and highlight User Settings.
    • Main Menu > Utilities > User Settings
  2. To access the User Settings feature, make User Settings is highlighted on the insulin pump screen, then hold down B button and press ACT.
  3. The USER SETTINGS screen is displayed. Select Restore Settings, then press ACT.
  4. A message displays, giving you the option of restoring the settings that were saved on the given date and erasing the ones currently on your insulin pump. Read the instructions on the screen then press ACT to restore the settings. You can press ESC if you want to cancel the restore.
  5. The SETTINGS RESTORED message displays to confirm that your current insulin pump settings have been replaced with the settings you had saved on the given date. Exit the menus and check your settings to verify the restore.

The checklist documents below require the Adobe Reader to view or print.

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Insulin Pump Self-Study

Prior to meeting with your certified instructor for training, we suggest a little "self-study" to help you learn some basics about insulin pump therapy. This is to ensure the safest experience, but you’ll also discover some useful things about your new diabetes management tools. Below are the easy steps you need to take to learn these basic foundational skills:

Step 1

Open the box. Remove your insulin pump.

Note

Do not use your insulin pump to give yourself insulin until you have met with your certified instructor for training.

Step 2

Insert the battery into your insulin pump. Practice button pushing as you follow along in your self-study materials. The insulin pump is shipped in a special mode that allows you to practice without inserting a reservoir.

Read The Basics of Insulin Pump Therapy workbook and complete all exercises.

Step 3

Complete your Pre-Class courses by reviewing A Step-By-Step Guide and completing all exercises.



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Items to Bring to Your Insulin Pump Start Class

 
To ensure you do not forget to bring anything, use this easy checklist for the items your certified instructor will want you to have with you at your insulin pump training:
Prior to the day of your insulin pump training, review and follow your doctor’s instructions on how to stop your long–acting insulin.

Required:

Insulin Pump and Supplies

  • Your insulin pump and the small box that it came in
  • 3 Reservoirs
  • 3 Infusion sets
  • Insertion device for your infusion sets
  • 3 IV Prep™ wipes (or 3 alcohol wipes)
  • Transparent dressing (IV3000™) – if shipped with your insulin pump

A Vial (Bottle) of Rapid-Acting (U100) Insulin (see note below)

Meter and Supplies

  • Blood glucose meter, test strips and lancets

Insulin Pump Start Instructions

  • Form completed and signed by your healthcare provider with your initial pump settings (basal rate, insulin to carbohydrate ratio, insulin sensitivity factor, active insulin time and target range)—your certified product trainer may already have this form

Printed Materials

  • The Basics of Insulin Pump Therapy workbook
  • A Step-By-Step Guide
  • Your product user guide(s)

Other

  • Glucose tablets or some form of fast–acting carbohydrate
  • A snack

Additional Items That May Be Requested
(check with your trainer):

Blood glucose logbook (with at least the previous week's readings)

Ketone test strips

Note

The reservoir for your insulin pump cannot be filled with insulin from an insulin pen. You must have a vial (bottle) of rapid acting U100 insulin as prescribed by your healthcare provider.



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Continuous Glucose Monitoring (CGM) Self-Study

With your new CGM System and the proper training, you are taking an important step towards a lifetime of improved diabetes control. Complete the following steps before meeting with your certified product trainer:

Step 1

Charge your new MiniLink® REAL-Time Transmitter.

  • Connect the MiniLink Transmitter to the charger. Hold the transmitter flat side down and push the two components together fully.
  • The green light on the MiniLink Charger will flash on and off until charging is complete. Once fully charged, the green light will stay on for 15-20 seconds before turning off completely. The MiniLink Transmitter is fully charged once flashing has stopped completely. Full charge should take less than 5 minutes to complete, as the MiniLink comes pre-charged from the factory.
  • Leave the transmitter on the charger, and place back in the box to bring to your training.

Note

For further instructions on charging the MiniLink Transmitter, please see the MiniLink REAL-Time Transmitter User Guide included in the MiniLink box.

Step 2

Review all documents in your white Medtronic folder, including:

Step 3

Review the sensor section of your insulin pump user guide (located in your insulin pump box)

Step 4

Online resources

Note

Do not insert a glucose sensor or use your MiniLink Transmitter until you have attended training.



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Items to Bring to Your Continuous Glucose Monitoring (CGM) Start Class

 
To ensure you do not forget to bring anything, use this easy checklist to remind you of the items your certified instructor will want you to bring to your training:

Required:

Insulin pump

MiniLink REAL-Time Transmitter box and all items in the box:

  • MiniLink Transmitter
  • MiniLink Charger (with AAA battery)
  • Sen–serter® insertion device
  • CareLink™ USB upload device
  • All printed materials in the box

CGM Training Folder and all items in the folder:

  • Pre-Training and Training Materials Checklists
  • Getting Started with Continuous Glucose Monitoring Guide
  • Getting Started with CGM Learning Guide
  • Getting Started with CareLink Personal Software for CGM Guide

Two glucose sensors

Alcohol wipes

Transparent dressing (IV3000™)

Meter and Supplies

  • Blood glucose meter, test strips and lancets
  • Blood glucose logbook (with at least the previous week's readings listed) or printout of blood glucose information uploaded to CareLink Personal Software

Additional Printed Materials

  • Your insulin pump user guide (located in your insulin pump box)
  • MiniLink REAL–Time Transmitter User Guide (located in your MiniLink Transmitter box)

Other

  • Glucose tablets or a snack

MiniLink, Sen-serter and Bolus Wizard are registered trademarks of Medtronic MiniMed, Inc. IV3000 is a trademark of Smith & Nephew.

Note

If you do not clear an alert, the insulin pump does not display any subsequent alerts until the first alert is cleared. However, the insulin pump does display an alarm even if you do not clear the alert. After you clear the first alert or alarm, the insulin pump then displays any subsequent alarms or alerts in the order of their importance.


Pump Alerts

Pump Alarms


Sensor Alerts

Listed below are alerts that you may encounter while using the glucose sensor feature of the insulin pump as well as alerts that indicate a condition that is outside normal insulin pump activity.

alert silence

Reason: This alert screen displays when one or more glucose alerts occur during the time that the Alert Silence feature is turned on.

Action: Press ESC, then ACT to clear the alert. Check the SENSOR ALERT HISTORY screen for the recorded glucose alert information. To view your SENSOR ALERT HISTORY:

  1. Go to the SENSOR ALERT HISTORY screen:
    • Main Menu > Sensor > Sensor Alert History
  2. The SENSOR ALERT HISTORY screen appears. The most recent alert is highlighted. Select the alert you want to get more information on, then press ACT.
  3. A new screen will appear with the alert details.
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cal error

Reason: An error occurred when entering a new blood glucose (BG) meter measurement to calibrate the system. Some possible causes are:

  • An incorrect blood glucose number was entered from the meter into the insulin pump.
  • The entered blood glucose measurement was not current.
  • Your blood glucose is rising or falling rapidly.
  • The glucose sensor needs more time to stabilize after being inserted.
  • The glucose sensor is no longer reading the glucose sensor correctly.

Action: If you receive a Cal Error, enter a new BG meter reading for calibration. Follow the guidelines in Step 4: Calibrating section in the Getting Started with Continuous Glucose Monitoring guide. If you receive a Cal Error on your second calibration, a CHANGE SENSOR alert will occur. Call the 24-Hour HelpLine at 1.800.646.4633, option 1 for further assistance.

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change sensor

Reason: You may receive this alert after you receive two Cal Errors in a row or when initializing your glucose sensor.

Action: If the alert resulted from two Cal Errors in a row, replace the glucose sensor. If you received this alert during initialization, you may be able to resolve this alert without replacing your glucose sensor by starting a new sensor: Call the 24-Hour HelpLine at 1.800.646.4633, option 1 for further assistance.

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charge transmtr

Reason: The transmitter battery is depleted.

Action: Recharge your transmitter immediately. Review the MiniLink Transmitter Tips in the Appendix of the Getting Started with Continuous Glucose Monitoring guide.

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fall rate

Reason: The sensor glucose measurements are falling at a rate that is equal to or faster than the Set Fall Rate Limit you selected for the alert. The pump plays two consecutive tones, in falling pitch, if an audible beep has been selected as the alert type.

Action: Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

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high predicted

Reason: The sensor glucose measurements may reach or go above your High Glucose Limit in the length of time you selected for the High Predictive alert. The pump plays three consecutive tones, in rising pitch, if an audible beep has been selected as the alert type.

Action: Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

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high xxx mg/dl (xxx = sg measurment)

Reason: The glucose sensor number is higher than or equal to your high glucose limit. If you do not turn the High Glucose Alert ON, then you will not get a High sensor glucose alert. If the alert type is set as an audible beep, the insulin pump plays four consecutive tones, in rising pitch.

Action: Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

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lost sensor

Reason: The pump has not received a signal from the transmitter. Do not disconnect the transmitter from the sensor.

Action:

  1. Make sure that the glucose sensor is inserted correctly.
  2. Check the REVIEW SETTINGS screen to make sure that the transmitter ID entered into the insulin pump matches the ID on your transmitter:
    • Main Menu > Sensor > Review Settings
  3. Check the transmitter and sensor connection. Touch the inserted sensor at the back of the assembly to prevent movement and push the transmitter firmly:
    1. If you hear a click, wait 20 seconds and look for a green light on the transmitter flash for 10 seconds to confirm a good connection. If you see the green light, the alert was due to the transmitter and the sensor not being connected.
    2. If you hear a click, but do not see a green light on the transmitter, check to make sure that the transmitter is charged.
    3. If you do not hear a click when you check the connection, the alert was due to a transmission problem. Bring the insulin pump closer to the glucose sensor and transmitter.
  4. Use the Find Lost Sensor function to find your glucose sensor:
    • Main Menu > Sensor > Link to Sensor > Find Lost Sensor

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low predicted

Reason: The sensor glucose measurements may reach or go below your Low Glucose Limit in the length of time you selected for the Low Predictive alert. The pump plays three consecutive tones, in falling pitch, if an audible beep has been selected as the alert type.

Action: Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

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low transmtr

Reason: Occurs when the transmitter battery is close to running out of power. This alert will repeat daily at noon while this condition exists. The transmitter will continue sending sensor signals for several hours and may last for several days until the battery becomes depleted. Be prepared to recharge your transmitter immediately when the battery becomes depleted. If depleted, recharging may take up to 8 hours.

Action: Recharge your transmitter as soon as possible. Review the MiniLink Transmitter Tips in the Appendix of the Getting Started with Continuous Glucose Monitoring guide.

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low xx mg/dl (xx = sg measurement)

Reason:The glucose sensor number is equal to or lower than your low glucose limit. If you do not set a Low Glucose Limit and do not set the glucose alert to ON, then you will not get a Low sensor glucose alert. The insulin pump plays four consecutive tones, in falling pitch, if an audible beep has been selected as the alert type.

Action: Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

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meter bg by xx:xx

Reason: A meter BG measurement must be entered by the time that is shown to calibrate your glucose sensor. The METER BG BY alert is also known as the CAL REMINDER alert.

Action: Enter a blood glucose (BG) measurement to avoid a METER BG NOW alert.

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meter bg now

Reason: A meter BG measurement is needed immediately to calibrate your glucose sensor so that you can continue receiving glucose sensor readings.

Action: Take and enter a meter blood glucose measurement. Follow the guidelines in Step 4: Calibrating section in the Getting Started with Continuous Glucose Monitoring guide.

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rise rate

Reason: The sensor glucose measurements are rising at a rate that is equal to or faster than the Set Rise Rate Limit you selected for the alert. The insulin pump plays two consecutive tones, in rising pitch, if an audible beep has been selected as the alert type.

Action: Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

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sensor end

Reason: The glucose sensor has reached the end of its 3 day (72 hour) life. The 72-hour life span of the glucose sensor begins when the insulin pump receives the first METER BG NOW alert.

Action: Replace your glucose sensor.

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sensor error

Reason: The glucose sensor signals are either too high or too low.

Action: You do not need to change the glucose sensor. Clear the alert. If the alert persists, test your transmitter with the tester.

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weak signal

Reason: Occurs when the insulin pump does not receive data from the transmitter for a pre-defined period of time (as set in Weak Signal).

Action: Move the insulin pump closer to the transmitter or move the transmitter and the insulin pump to the same side of your body.

Pump Alerts

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low battery

Reason: The LOW BATTERY alert displays when the battery in your insulin pump has less than 10% of the battery life remaining. The backlight, the remote, and meter functions are disabled during a LOW BATTERY condition. If the alert type is set to Vibrate, the insulin pump will change to the audio alert Beep-medium. Clear (ESC, ACT) this alert before you replace your battery.

Action: If you get this alert, do not go to sleep without replacing the battery.

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low reservoir

Reason: You can program the insulin pump to sound an alert when either a specified number of units remains or a specified amount of time remains before the reservoir will be empty.

Action: Press ESC, then ACT to clear the alert. Then change out your reservoir as soon as you are able.

Pump Alarms



Listed below are alarms that indicate a condition that is outside normal insulin pump activity. These alarms place the insulin pump in Attention mode.

Note

If you do not clear an alarm, the insulin pump does not display any subsequent alarms or alerts until the first alarm is cleared. After you clear the first alarm, the insulin pump then displays any subsequent alarms, followed by alerts in the order of their importance.


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a (alarm)

Reason: This alarm shows a letter A followed by two numbers. A-alarms cause all insulin delivery to stop. Your insulin pump settings are retained.

Action: If this alarm repeats often, call the 24-Hour HelpLine at 1.800.646.4633, option 1 for assistance.

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auto off

Reason: Alerts you that no buttons were pressed during the time limit you set for the AUTO OFF DURATION feature, and so insulin delivery has been stopped.

Action: Press ESC, then ACT to clear the alarm.

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batt out limit

Reason: Occurs if the battery has been out of the insulin pump for more than five minutes.

Action: Verify that the insulin pump time and date are correct. If not correct, go to the UTILITIES MENU and reset the date and time.

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bolus stopped

Reason: This alarm can occur if the battery cap is loose or the insulin pump was bumped or dropped during a bolus. It can also happen if the insulin pump receives a static shock. As a safety measure, the insulin pump stops the bolus when this happens.

Action: If this alarm occurs, it is very important to check bolus history to review how much of the bolus was actually delivered. If necessary, reprogram a bolus with the amount not yet delivered.

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button error

Reason: This occurs if a button has been continually pressed for more than three minutes.

Action: Press ESC, then ACT to clear the alarm. Adjust where your insulin pump is located if it is pressing up against something to cause the alarm.

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check settings

Reason: This alarm occurs after an E alarm or after you clear your insulin pump. It is advising you to make sure that all your settings are correct.

Action: When this alarm is active, you should check and/or reprogram your insulin pump settings, including the time/date.

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e (error)

Reason: An E-error alarm will show the letter E followed by two numbers. E-alarms cause all insulin delivery to stop, the insulin pump resets, and all your settings are cleared.

Action: After receiving this alarm, note the error number then call the 24-Hour HelpLine at 1.800.646.4633, option 1 for further assistance.

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empty reservoir

Reason: There is no insulin in the reservoir.

Action: Change the reservoir immediately.

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failed batt test

Reason: The insulin pump tests the voltage of each battery installed. This test ensures a battery with low voltage is not used. If the battery does not have enough voltage, this alarm will occur. The insulin pump will not function and the battery must be replaced.

Action: Install a new battery into the insulin pump.

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finish loading

Reason: You have not completed filling the infusion set with insulin.

Action: Press ESC, then ACT to clear the alert. This resumes basal delivery. Review these tutorials.

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max delivery

Reason: This alarm alerts you when you have taken more insulin than expected based on Maximum bolus and Maximum basal rates.

Action: Press ESC, then ACT to clear the alert. Check your blood glucose (BG). Review bolus history, and basal rates. Monitor your BG.

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MAX FILL REACHED

Reason: If you use more than 30 units of insulin to fill the infusion set tubing, this message appears.

Action: Press ESC, then ACT to clear the message. Review these tutorials.

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motor error

Reason: Insulin delivery has stopped. This alarm occurs if your insulin pump detects a motor error.

Action: Call the 24-Hour HelpLine at 1.800.646.4633, option 1 for further assistance.

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no delivery

Reason: Insulin delivery has stopped. This alarm occurs if your insulin pump detects a blockage.

Action: Complete the following steps:

  1. Check to see if your infusion set has become dislodged or kinked.
  2. Check your blood glucose and follow your safety guidelines for treating high glucose if necessary.
  3. Clear the alarm by pressing ESC and ACT. A screen appears with two choices: Resume and Rewind.
  4. Make sure that there is insulin in your reservoir.
    1. If there is insulin in your reservoir, select Resume.
    2. If the reservoir is empty, select Rewind and change your reservoir and infusion set.
  5. Monitor your blood glucose closely.
  6. If you followed these steps and you receive another NO DELIVERY alarm, call the 24-Hour HelpLine at 1.800.646.4633, option 1 for further assistance.

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no reservoir

Reason: The reservoir is not inserted correctly or no reservoir has been inserted.

Action: Check to make sure your reservoir has been inserted.

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off no power

Reason: The battery is dead.

Action: Replace battery immediately. Follow the directions on the screen. Check to make sure that the time is correct on the screen. Reset the time if necessary.

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reset

Reason: The Reset alarm triggers when insulin pump settings are cleared because of one of these reasons:

  • Insulin pump settings were cleared (Clear Settings function) and settings have not been reprogrammed.
  • A download attempt from your computer to CareLink Personal is incomplete.

Action:

  • If your insulin pump settings were cleared, you need to reprogram them.
  • If you are attempting to download to CareLink personal and received this error message, please call the 24-Hour HelpLine at 1.800.646.4633, option 1 for further assistance.

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weak battery

Reason: The insulin pump tests the voltage of each battery installed. If the battery voltage is less than full strength, this alarm may occur. The insulin pump will operate normally, but the battery life will be shorter than expected.

Action: Install a new alkaline battery in the insulin pump.