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Home arrow eBook Categories arrow Medical arrow MiniMed Paradigm Insulin Pump User Guide

MiniMed Paradigm Insulin Pump User Guide

October 27 2010

Introduction MiniMed Paradigm 522/Paradigm 722 Insulin Pumps User Guide
Thank you for choosing Medtronic Diabetes (legally known as Medtronic MiniMed, Inc.) as your partner in helping you gain better control of your diabetes. Whether you are beginning pump therapy for the first time or upgrading from a previous model, we believe that the combination of state-of-the-art technology and the simple, menu-driven programming of the pump will provide many benefits.

This user guide is designed to help you to understand pump therapy and the operation of your Medtronic MiniMed Paradigm® pump. We strongly recommend that you work closely with your healthcare professional for a safe and complete pump start.

Emergency kit
Keep an emergency kit with you at all times to make sure that you always have necessary supplies. Inform a family member, co-worker, and/or friend where this emergency kit is kept. Please refer to the User safety section in this chapter for more information on pump safety. Your emergency kit should include these items:

  • Fast-acting glucose tablets
  • Blood glucose monitoring supplies
  • Urine ketone monitoring supplies
  • Extra Paradigm® compatible infusion set and Paradigm reservoir
  • Insulin syringe and fast-acting insulin (with dosage instructions from your healthcare professional)
  • Wallet card
  • Dressing and adhesive
  • Glucagon Emergency Kit®
  • Extra AAA alkaline batteries (Energizer® brand is recommended)

Consumables
The pumps use disposable reservoirs and infusion sets for insulin delivery. Installation instructions for Paradigm reservoir and Paradigm compatible infusion sets are provided in the Starting on insulin chapter.

  • Reservoirs — The 522/522K pump is only used with the 176-unit Paradigm reservoir (MMT-326A). The 722/722K pump can be used with either the 300-unit Paradigm reservoir (MMT-332A) or the 176-unit reservoir, depending on your insulin needs.
  • Infusion sets — Medtronic Diabetes provides a variety of Paradigm-compatible infusion sets to fit your needs. Contact your healthcare professional for help in choosing an infusion set that fits your needs. Change your infusion set every two to three days.

Download MiniMed Paradigm 522/Paradigm 722 Insulin Pumps User Guide

PDF format, 4.3MB, 262Pages.

CONTENTS
Chapter 1: Introduction ..................................................................... 1
Assistance ...................................................................................................... 1
Emergency kit ................................................................................................. 2
Consumables .................................................................................................. 3
Accessories .................................................................................................... 3
How to wear your pump ..................................................................................... 4
How to use this guide ........................................................................................ 5
User safety ..................................................................................................... 6
Indications: Paradigm 522/722 .......................................................................... 6
Pump ...................................................................................................... 6
Sensor and transmitter ................................................................................. 6
Indications: Paradigm 522K/722K (pediatric version) ................................................ 6
Pump ...................................................................................................... 6
Sensor and transmitter ................................................................................. 6
Meter ...................................................................................................... 7
Contraindications .......................................................................................... 7
Warnings .................................................................................................... 7
Reservoir and infusion sets ............................................................................ 7
Sensor ..................................................................................................... 7
Transmitter .............................................................................................. 7
Magnetic fields .......................................................................................... 8
X-rays, MRIs and CT scans .............................................................................. 8
Precautions ................................................................................................. 8
Avoid extreme temperatures .......................................................................... 8
Infusion sets and sites .................................................................................. 9
Sensor ..................................................................................................... 9
Adverse reactions .......................................................................................... 9
Notice .......................................................................................................... 9
Insulin pump and RF accessories ........................................................................ 9
RF interference from other devices ................................................................... 10
Chapter 2: Introduction to pump therapy ............................................. 13
Theory of insulin pump therapy ........................................................................... 13
Understanding pump therapy ............................................................................. 14
Basal rate .................................................................................................. 14
Meal bolus ................................................................................................. 14
Gram counting ......................................................................................... 14
Exchange counting ..................................................................................... 14
BG targets ................................................................................................. 14
Insulin sensitivity ......................................................................................... 15
Active Insulin .............................................................................................. 15
Blood glucose and A1C testing ............................................................................ 15
BG testing ................................................................................................. 15
A1C ......................................................................................................... 15
Low blood glucose (hypoglycemia) ....................................................................... 17
Hypoglycemia protocol: the rule of 15 ................................................................ 17
High blood glucose (hyperglycemia) ..................................................................... 18
Hyperglycemia protocol ................................................................................. 18
Diabetes ketoacidosis (DKA) ............................................................................... 19
Preventing DKA ........................................................................................... 19
Sick day management ...................................................................................... 20
Sick day protocol ......................................................................................... 20
Sick day supplies .......................................................................................... 20
Nutrition ...................................................................................................... 21
Carbohydrate counting .................................................................................. 21
Carbohydrate gram counting ......................................................................... 21
Carbohydrate exchange system ..................................................................... 21
Reading a food label ..................................................................................... 22
Fat and blood glucose ................................................................................... 23
Protein and blood glucose .............................................................................. 23
Other things that affect blood glucose ............................................................... 24
Healthy eating habits .................................................................................... 24
Exercise ....................................................................................................... 25
Chapter 3: The basics ...................................................................... 27
Your pump .................................................................................................... 27
Install battery ................................................................................................ 28
Pump buttons ................................................................................................ 29
The pump screen ............................................................................................ 31
HOME screen ................................................................................................. 31
Screen icons ............................................................................................... 31
Battery .................................................................................................. 31
Time display ............................................................................................ 32
Reservoir volume ...................................................................................... 32
Alert and alarm icons ................................................................................. 32
Sensor icons ............................................................................................ 32
Scroll bar .................................................................................................. 33
Screen backlight .......................................................................................... 33
Beep/vibrate ................................................................................................. 33
Operating modes ............................................................................................ 33
Normal mode .............................................................................................. 34
Special mode .............................................................................................. 34
Attention mode ........................................................................................... 34
Menus ......................................................................................................... 35
MAIN MENU ................................................................................................ 35
BOLUS MENU ............................................................................................... 35
SUSPEND ................................................................................................... 35
BASAL MENU ............................................................................................... 35
SENSOR ..................................................................................................... 35
PRIME MENU ............................................................................................... 36
UTILITIES MENU ........................................................................................... 36
STATUS screen ............................................................................................... 36
If you remove your pump .................................................................................. 37
Chapter 4: Basic programming ........................................................... 39
Setting the time and date ................................................................................. 39
Selecting the language ..................................................................................... 41
Bolus .......................................................................................................... 42
Setting the Normal bolus ................................................................................ 42
Review your bolus deliveries .............................................................................. 46
Bolus details ............................................................................................... 48
Maximum bolus limit ........................................................................................ 49
BG Reminder ................................................................................................. 50
Basal .......................................................................................................... 50
Start and stop times ..................................................................................... 51
Your basal settings ....................................................................................... 52
Basal programming and delivery .................................................................... 52
Current basal delivery ................................................................................... 53
Daily basal rate(s) ..................................................................................... 53
Setting the Max basal rate ................................................................................. 54
Stopping your pump ........................................................................................ 55
Resume pump delivery ..................................................................................... 56
Chapter 5: Starting on insulin ............................................................ 59
Prepare your pump for use ................................................................................ 59
Filling the reservoir ......................................................................................... 60
Changing your infusion set ................................................................................. 62
Removing the reservoir ................................................................................. 62
Rewinding your pump ................................................................................... 63
Inserting the reservoir in your pump ................................................................. 63
Manual prime .............................................................................................. 65
Inserting the infusion set ................................................................................ 66
Quick-set infusion set (with Quick-serter®) .......................................................... 67
Fixed prime ................................................................................................ 68
Prime history .............................................................................................. 68
Disconnecting Quick-set ................................................................................. 69
Reconnecting Quick-set ................................................................................. 69
Record keeping for diabetes management .............................................................. 70
Determining your pump settings .......................................................................... 70
Chapter 6: Using the Bolus Wizard feature ............................................ 73
What is it? .................................................................................................... 73
Carbohydrate counting .................................................................................. 73
Your blood glucose reading ............................................................................. 73
Your personal Bolus Wizard feature settings ......................................................... 74
How the Bolus Wizard feature works ..................................................................... 76
Bolus Wizard warnings ...................................................................................... 76
HIGH BG .................................................................................................... 76
LOW BG .................................................................................................... 76
MAX BOLUS EXCEEDED ................................................................................... 77
How to program the Bolus Wizard feature .............................................................. 77
Turning on the Bolus Wizard feature ................................................................. 77
Selecting the Carb units ................................................................................ 78
Setting the Carb/Exch ratios ........................................................................... 78
Setting the BG units ..................................................................................... 79
Insulin sensitivity ........................................................................................ 79
Setting the BG Targets .................................................................................. 81
About active insulin ...................................................................................... 82
Active insulin time ....................................................................................... 83
Review your Bolus Wizard feature settings ............................................................. 83
Meter option ................................................................................................. 84
Meter rules ............................................................................................... 85
Add, delete, review meter IDs ........................................................................ 85
Normal bolus using Bolus Wizard feature ................................................................ 86
Bolus Wizard feature examples ........................................................................... 87
Chapter 7: Optimizing pump therapy ................................................... 93
Square Wave and Dual Wave bolus ....................................................................... 93
Turning on the Dual Wave/Square Wave option .................................................... 94
Square Wave or Dual Wave bolus without Bolus Wizard feature ................................. 94
Using the Bolus Wizard feature for a Square Wave or Dual Wave bolus ......................... 97
Easy bolus .................................................................................................... 99
Easy bolus setup .......................................................................................... 99
Step value setup ........................................................................................ 100
Delivering Easy Bolus .................................................................................. 100
Basal patterns .............................................................................................. 102
Turning on the patterns ............................................................................... 103
Programming a pattern ................................................................................ 103
Select a pattern ........................................................................................ 104
Temp basal rates .......................................................................................... 105
How does temp basal work? ........................................................................... 105
Temp basal types ....................................................................................... 106
Insulin rate (U/H) .................................................................................... 106
Percent of basal ...................................................................................... 107
Chapter 8: Sensor features .............................................................. 113
Entering your sensor settings ............................................................................ 113
Turning on the sensor .................................................................................. 113
Selecting the BG units .................................................................................. 114
High Glucose Alert ...................................................................................... 114
Setting the High Snooze ................................................................................ 114
Low Glucose Alert ....................................................................................... 115
Setting the Low Snooze ................................................................................ 116
Setting the Alarm Snooze ............................................................................. 116
Setting the Cal Reminder .............................................................................. 117
Entering the transmitter ID ............................................................................ 117
Setting up the Missed Data feature .................................................................. 118
Reviewing your settings ............................................................................... 118
The transmitter ............................................................................................ 119
Transmitter charger ....................................................................................... 119
Charging the transmitter .............................................................................. 120
Starting the sensor ........................................................................................ 121
Inserting the sensor ....................................................................................... 121
Connecting the transmitter to the sensor ............................................................. 125
Preparing the sensor for communication .............................................................. 126
Calibrating the sensor .................................................................................... 126
Entering meter BG ......................................................................................... 127
Chapter 9: Using your sensor ........................................................... 129
Status screens .............................................................................................. 129
Reading the sensor glucose graphs ...................................................................... 130
Opening and viewing the graphs ...................................................................... 131
The graphs ............................................................................................... 132
Examples of real-time sensor glucose graphs ....................................................... 133
3-hour graph .......................................................................................... 133
24-hour graph ......................................................................................... 134
How to check for rapid changes in sensor glucose ................................................... 134
The rapid change arrows ............................................................................... 134
Calibration history ......................................................................................... 136
Sensor alarm history ...................................................................................... 136
Disconnecting the transmitter and removing the sensor ............................................ 137
Disconnecting the sensor from the transmitter .................................................... 137
Removing the sensor ................................................................................... 137
Storage ...................................................................................................... 137
Using your system in water ............................................................................... 138
Chapter 10: Utilities ..................................................................... 139
Alarm review ............................................................................................... 139
Setting your alert type .................................................................................... 139
Auto-off ..................................................................................................... 140
LOW RESV WARNING (Low reservoir warning) ......................................................... 140
Review daily insulin totals ............................................................................... 141
Pump data management .................................................................................. 142
Meter blood glucose information ..................................................................... 142
Personal reminders ........................................................................................ 145
Alarm clock .............................................................................................. 145
Remote control option .................................................................................... 145
Turn on remote control option ....................................................................... 146
Add, delete, review remote control IDs ............................................................ 146
Block feature ............................................................................................... 147
Turning block on ....................................................................................... 147
Lock keypad feature ...................................................................................... 148
Locking the keypad ..................................................................................... 148
Unlocking the keypad .................................................................................. 148
Selftest ...................................................................................................... 148
User settings ................................................................................................ 149
Saving the settings ..................................................................................... 150
Restoring the settings ................................................................................. 150
Clearing the settings ................................................................................... 151
History ................................................................................................... 151
Chapter 11: Therapy software ......................................................... 153
CareLink™ Personal Software ............................................................................ 153
Reports ................................................................................................... 153
Logbook ................................................................................................... 154
Chapter 12: Insulin pump therapy follow-up ........................................ 155
Recommended follow-up ................................................................................. 155
Everyday .................................................................................................. 155
Every month ............................................................................................. 155
Every 3 months .......................................................................................... 155
Laboratory tests ......................................................................................... 156
Every visit ................................................................................................ 156
Annually .................................................................................................. 156
Chapter 13: Troubleshooting and alarms ............................................. 157
My pump has a NO DELIVERY alarm ..................................................................... 157
What happens if I leave the pump battery out too long? ............................................ 158
Why does my pump battery not last very long? ....................................................... 158
What is a CHECK SETTINGS alarm? ...................................................................... 159
My screen appears distorted ............................................................................. 159
I cannot get out of the priming loop .................................................................... 159
The pump is asking me to rewind ....................................................................... 160
My bolus stopped .......................................................................................... 160
My pump buttons are not acting right during a bolus ................................................ 160
My pump will not display my blood glucose reading from my meter .............................. 160
I dropped my pump ........................................................................................ 161
I submerged my pump in water ......................................................................... 161
I cannot get to the User Settings screen ............................................................... 161
Alerts ........................................................................................................ 162
What to do ............................................................................................... 162
Pump alert conditions .................................................................................. 163
LOW RESERVOIR ...................................................................................... 163
LOW BATTERY ......................................................................................... 163
Sensor alert conditions ................................................................................. 163
WEAK SIGNAL .......................................................................................... 163
LOST SENSOR ......................................................................................... 164
LOW TRANSMTR ...................................................................................... 164
BAD TRANSMTR ....................................................................................... 165
BAD SENSOR ........................................................................................... 165
SENSOR END ........................................................................................... 165
CAL ERROR ............................................................................................ 165
METER BG NOW ....................................................................................... 166
METER BG BY .......................................................................................... 166
LOW XX MG/DL (XX = SG measurement) .......................................................... 166
HIGH XXX MG/DL (XXX = SG measurement) ...................................................... 166
SENSOR ERROR ........................................................................................ 166
Alarms ....................................................................................................... 167
What to do ............................................................................................... 167
Alarm conditions ........................................................................................... 168
A (ALARM) ............................................................................................... 168
AUTO OFF ................................................................................................ 168
BATT OUT LIMIT ........................................................................................ 168
BOLUS STOPPED ........................................................................................ 168
BUTTON ERROR .......................................................................................... 168
CHECK SETTINGS ....................................................................................... 168
E (ERROR) ............................................................................................... 168
EMPTY RESERVOIR ...................................................................................... 169
FAILED BATT TEST ...................................................................................... 169
MAX DELIVERY .......................................................................................... 169
MOTOR ERROR ........................................................................................... 169
NO DELIVERY ............................................................................................. 169
NO RESERVOIR ........................................................................................... 169
OFF NO POWER .......................................................................................... 169
RESET ..................................................................................................... 170
WEAK BATTERY .......................................................................................... 170
Testing the transmitter ................................................................................... 170
Connecting the tester .................................................................................. 170
Disconnecting the tester ............................................................................... 171
Troubleshooting sensor features ....................................................................... 172
Reconnect old sensor ................................................................................... 172
Find lost sensor .......................................................................................... 172
Understanding your transmitter, tester, and charger ............................................. 173
Chapter 14: Maintenance ................................................................ 175
Battery ...................................................................................................... 175
Storage ...................................................................................................... 176
Cleaning your pump ....................................................................................... 176
Cleaning the transmitter ................................................................................. 176
Cleaning the Sen-serter ................................................................................... 177
Chapter 15: Pump specifications ....................................................... 179
Alarms and error messages ............................................................................... 179
Alarm history ............................................................................................... 179
Audio frequency ........................................................................................... 179
Backlight .................................................................................................... 179
Basal ......................................................................................................... 180
BG Target ................................................................................................... 180
Bolus delivery .............................................................................................. 180
Bolus history ................................................................................................ 180
Bolus units .................................................................................................. 180
Bolus Wizard feature ...................................................................................... 180
Carb ratios .................................................................................................. 181
Carb units ................................................................................................... 181
Daily totals .................................................................................................. 181
Default screen .............................................................................................. 181
Delivery accuracy .......................................................................................... 182
Pump motor ................................................................................................ 183
Dual Wave bolus ........................................................................................... 183
Easy bolus ................................................................................................... 183
Infusion pressure ........................................................................................... 183
Insulin sensitivity .......................................................................................... 183
Low resv (reservoir) warning ............................................................................. 184
Meter value ................................................................................................. 184
Normal bolus ............................................................................................... 184
Occlusion detection ....................................................................................... 184
Percent temp basal ........................................................................................ 185
Power supply ............................................................................................... 185
Prime function ............................................................................................. 185
Prime history ............................................................................................... 185
Program safety checks .................................................................................... 185
Pump size ................................................................................................... 185
Pump weight ................................................................................................ 185
Remote control ............................................................................................ 186
Reservoir .................................................................................................... 186
Square Wave bolus ........................................................................................ 186
Temporary (temp) basal rate ............................................................................ 186
Time and date screen ..................................................................................... 186
Environmental conditions ................................................................................ 186
Status screen ............................................................................................... 186
Bolus Wizard feature specifications .................................................................... 188
Bolus Wizard feature examples .......................................................................... 191
Insulin delivery default settings ......................................................................... 194
Bolus Wizard feature default settings .................................................................. 196
Sensor features default settings ......................................................................... 197
Guidance and manufacturer's declaration ............................................................. 198
Icon table ................................................................................................... 204
Warranty .................................................................................................... 206
Appendix A: Sensor accuracy ........................................................... 207
Performance results in adults ........................................................................... 208
Accuracy of Guardian RT readings ...................................................................... 209
Precision of Guardian RT readings ...................................................................... 213
Low and High Alerts in adults ............................................................................ 214
The Low Glucose Alert ................................................................................. 214
The High Glucose Alert ................................................................................. 215
Guardian RT sensor performance and calibration stability as a function of time ............... 216
Effects of calibration frequency ......................................................................... 219
Time-elapsed plots ..................................................................................... 220
Performance results in children and adolescents ..................................................... 223
Accuracy of Guardian RT readings ................................................................... 223
Low and High Alerts in children and adolescents ..................................................... 227
The Low Glucose Alert ................................................................................. 227
The High Glucose Alert ................................................................................. 228
Glossary ...................................................................................... 229
Index ......................................................................................... 237

Comments (3)add comment

timothy gifford said:

and = no I didn't take shower with it on lol.
December 29, 2013

timothy gifford said:

my pump has just quit working. Got out of showere and it will do nothing. new battery and nothing
December 29, 2013

Gerald Cimo said:

I use 29 vials of Humalog insulin every 90 days with my insulin pump! That is a cost of over $1760.00 . I live in CA however when I lived in Texas, insulin was free to all insulin pump users that qualified for the program. I am in need of a patient assistance program that heres me afford my insulin needs here in CA. Please forward any help that you have regarding this request to geraldcimo@yahoo.com. Thank you
February 22, 2011

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Last Updated ( October 27 2010 )
 
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