MiniMed Paradigm® REAL-Time System


MiniMed Tutorial screenshot

Filling the Reservoir, Removing the Air Bubbles and Priming

Review these steps with the help of this easy to follow tutorial.

Try It

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

Note:

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


Glucose Sensor Calibration Tips

  • Calibrate your glucose sensor when glucose is stable, such as after waking up in the morning, before meals or before bedtime.
  • Do NOT calibrate when your glucose level may be changing rapidly, such as within the first hour after eating, or when "Rapid Change" arrows appear on your insulin pump or Personal CGM monitor.
  • Therapy adjustments should be based on fingerstick measurements, not on glucose sensor values.

Glucose Sensor Insertion and Use Tips

Glucose Sensor Site Selection

  • Avoid very lean or very fatty areas.
  • Avoid scar tissue and choose an area at least 2 inches from an infusion set site (for insulin pump users).
  • Rotate sites to avoid irritation or hardening of your skin. Do not choose sites that are prone to movement or would be under tight clothing.

Loading the Sen-serter® Insertion Device

  • Place the glucose sensor firmly in the Sen-serter device so that the black o-rings on the glucose sensor are NOT visible.

Removing the Sensor Tape

  • Place your fingers on the white tape, and push the Sen-serter carrier down. You will hear a click when it is in place.
  • Hold the white tape down and remove the clear tape.

Glucose Sensor Insertion

  • Hold the skin taut at the glucose sensor site.
  • Do not pinch the skin, as this may displace the glucose sensor.
  • Insert the glucose sensor at a 60° angle by gently tilting the Sen-serter forward.

Needle Removal

  • Hold the base of the glucose sensor firmly.
  • Pull the needle out smoothly, in one motion, and at the same angle that the glucose sensor was inserted.

Bleeding

  • If bleeding occurs, apply pressure with a clean gauze.
  • Remove the glucose sensor if bleeding persists for more than three (3) minutes.
  • If blood is present on the glucose sensor (black o-rings), clean with an alcohol wipe and allow to dry.

Connect MiniLink® Transmitter to the Glucose Sensor

  • Make sure the glucose sensor has been inserted for a minimum of 5 to 10 minutes BEFORE connecting to the MiniLink transmitter to allow the glucose sensor to fully "wet" underneath your skin.
  • Remove the MiniLink transmitter from the Charger. Wait one (1) minute before connecting the MiniLink transmitter to the glucose sensor after removing it from the charger.
  • Connect the MiniLink transmitter to the glucose sensor in a smooth, straight motion. Listen for a click to confirm a tight connection between the glucose sensor and MiniLink transmitter.

ONE Minute Rule

  • Always wait ONE MINUTE after disconnecting the MiniLink transmitter from a charger, glucose sensor or tester before you connect the MiniLink transmitter to a glucose sensor or tester.
  • The MiniLink transmitter may be connected to a charger at any time. However, once the MiniLink transmitter is connected to a charger, the MiniLink transmitter must remain in the charger for ONE MINUTE before disconnecting.

Taping

An adhesive dressing should be applied over the glucose sensor/transmitter site to ensure:

  • The glucose sensor remains completely inserted underneath the skin.
  • The sensor/transmitter connection remains secure and free of movement.

MiniLink Transmitter Green Flash

The MiniLink transmitter will begin flashing green AFTER you connect it to the glucose sensor. This could take up to 20 seconds.

The green flash indicates:

  • The glucose sensor has been adequately "wetted."
  • The MiniLink transmitter has enough power to last three (3) days.

If there is no green flash:

  • Confirm that the glucose sensor has been inserted for a minimum of 5 to 10 minutes.
  • Check your glucose sensor site to make sure the glucose sensor has not pulled out.
  • Check that the MiniLink transmitter remains securely attached to the glucose sensor.
  • Make sure the MiniLink transmitter is fully charged.

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.

To change your basal settings:
  1. From the HOME screen, go to the SET BASAL RATE 1 screen
    • HOME Screen > MAIN MENU > BASAL > 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. 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, 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.
    • HOME Screen > MAIN MENU > BOLUS > 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 either carb grams or exchanges. Your device uses this information when it calculates a bolus.

Note

Any time you make changes to the Carb Units setting, you must also adjust the Carb Ratios setting.

To adjust the Carb Unit setting:
  1. Make sure the EDIT SETTINGS screen is open.
    • HOME Screen > MAIN MENU > BOLUS > 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.

To adjust your carb/exch ratios:
  1. Make sure the EDIT SETTINGS screen is open.
    • HOME Screen > MAIN MENU > BOLUS > 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.

Note

If you change your BG Units setting, you must also change your insulin sensitivity and BG targets.

To change your BG Units setting:
  1. Make sure the EDIT SETTINGS screen is open.
    • HOME Screen > MAIN MENU > BOLUS > 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.

To set your insulin sensitivity:
  1. Make sure the EDIT SETTINGS screen is open.
    • HOME Screen > MAIN MENU > BOLUS > 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

Your BG target is the ideal range of your blood glucose (BG) values. You can use the BG Target feature on the insulin pump to set your personal glucose target range. 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.
    • HOME Screen > MAIN MENU > BOLUS > 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.

To set the Active Insulin Time:
  1. Make sure the EDIT SETTINGS screen is open.
    • HOME Screen > MAIN MENU > BOLUS > 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.
    • HOME Screen > 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.
    • HOME Screen > 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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MiniMed Paradigm® 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.

Please Note

Do not use your MiniMed Paradigm Insulin Pump to give yourself insulin until you have met with your certified instructor for training.

Step 2

Read the Insulin Pump Therapy Workbook. Answer all the questions at the end of each section.

Step 3

Review chapters chapters 1, 3 and 4 in the Paradigm 522 and 722 Insulin Pumps User Guide. 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.

Step 4

Log onto Pump School Online. Review all sections of the Paradigm 522 Insulin Pump or the Paradigm 722 Insulin Pump tutorial and practice with your insulin pump. Print the Certificate of Completion to bring with you to your training.



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MiniMed Paradigm® Insulin Pump Training Materials Checklist

MiniMed Paradigm® Insulin Pump Training Materials Checklist
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 (with contents) it came in
  • 3 Reservoirs
  • 3 Infusion sets
  • Infusion set insertion device
  • 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

  • Insulin Pump Therapy Workbook
  • Paradigm 522 and 722 Insulin Pumps User Guide

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)

Certificate of Completion for the MiniMed Paradigm 522 Insulin Pump or the MiniMed Paradigm 722 Insulin Pump online tutorial

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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MiniLink® Transmitter Self-Study

Personal Continuous Glucose Monitoring (CGM) is a great addition to your insulin pump, however much like with your insulin pump, we recommend learning a little more about CGM before your formal training. You can get a head start by taking the following steps:

Step 1

Open the box. Check out your new MiniLink transmitter.

Before Your Training

You must ensure your MiniLink Transmitter is fully charged. See your MiniLink REAL-Time Transmitter User Guide for specific instructions on how to install the charger battery and how to charge the transmitter. Do not insert a glucose sensor or use your MiniLink transmitter until you have attended training.

Step 2

Review A Practical Guide to Continuous Glucose Monitoring (located in the cellophane envelope shipped with your MiniLink Transmitter Starter Kit). Also review chapters 8 and 9 in the Paradigm 522 and 722 Insulin Pumps User Guide (located in the box with your insulin pump).

Step 3

Log onto Pump School Online. Review all sections of the Continuous Glucose Monitoring System with MiniLink tutorial. Print the Certificate of Completion to bring with you to your instructor-led training.



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MiniLink® Transmitter Training Materials Checklist

MiniLink Transmitter Training Materials Checklist
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 MiniLink training:

Required:

MiniLink Transmitter and Supplies

  • MiniLink REAL–Time Transmitter box (with contents) it came in
    • MiniLink Transmitter
    • MiniLink Charger (with AAA battery)
    • Sen–serter® insertion device
  • MiniMed Paradigm insulin pump
  • Two glucose sensors
  • Alcohol wipes
  • Transparent dressing (IV3000™)

Meter and Supplies

  • Blood glucose meter, test strips and lancets

Insulin Pump Start Instructions (provided by your doctor to either you or your trainer)

  • Must include your initial personal CGM settings (high and low alert thresholds, Bolus Wizard® Calculator settings)
  • Must be signed by your healthcare provider

Printed Materials

  • A Practical Guide to Continuous Glucose Monitoring (located in the cellophane envelope shipped with your MiniLink Starter Kit)
  • Paradigm 522 and 722 Insulin Pumps User Guide (located in the box with your insulin pump)
  • MiniLink REAL–Time Transmitter User Guide

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)

Certificate of Completion for the Continuous Glucose Monitoring System with MiniLink online tutorial

Ketone test strips

Please 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.

bad 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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bad 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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cal error

Reason: An error occurred when entering a new meter BG 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, wait until your BG is stable to enter a new meter BG for calibration. If you receive a Cal Error on your second calibration, a BAD SENSOR alert will occur. Call the 24-Hour HelpLine at 1.800.646.4633, option 1 for further assistance.

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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.

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lost sensor

Reason: This alert happens if a weak signal alert is not solved. The insulin pump has not received a signal from the transmitter for 45 minutes. Do not disconnect the transmitter from the sensor.

Action:

  1. Make sure that the glucose sensor is inserted correctly into the skin. Use the Find Lost Sensor function to find your glucose sensor: HOME Screen > Main > Sensor > Sensor Start > Find Lost Sensor
  2. If this happens during initial sensor startup check the SENSOR STATUS screen (hit esc 4 times) to make sure that the transmitter ID entered into the insulin pump matches the ID on your transmitter:HOME Screen > Main > Sensor > Sensor Setup > Review Settings. If this happens more than once during initialization the sensor needs more time to wet. Wait two hours and then start a new sensor: HOME Screen > Main > Sensor > Sensor Start > New Sensor
  3. Check the transmitter and glucose sensor connection. Touch the inserted glucose 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 glucose 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.

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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.

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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. If you do not calibrate by the time stated you will get a METER BG NOW alert and no longer get readings. The METER BG BY alert is also known as the CAL REMINDER alert.

Action: Do a BG and enter in the result shown on your BG meter. It is recommended that you calibrate 3 - 4 times throughout the day for optimal results.

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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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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

Action: You do not need to change the glucose sensor. Clear the alert. If you receive this alert more than 3x's in 24 hours, replace your sensor. If this problem continues call the 24-Hour HelpLine at 1.800.646.4633, option 1.

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

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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 Missed Data).

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

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

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low reservoir

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.

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.

Please 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)

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

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.

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batt out limit

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

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

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

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check settings

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)

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. 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

There is no insulin in the reservoir. Change the reservoir immediately.

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failed batt test

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. (Always make sure that you install a NEW battery into the insulin pump.)

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max delivery

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

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motor error

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

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no delivery

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

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no reservoir

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

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off no power

The battery is dead. 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

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 the PC is incomplete. (The download function is applicable to the optional software feature. Refer to the software user guide for more information.)

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weak battery

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. Always make sure to install a new battery in the insulin pump.