Paradigm Veo - Medtronic-diabetes-mena
Paradigm Veo User Guide
2008 Medtronic MiniMed, Inc. All rights reserved.Bolus Wizard , Dual Wave , Guardian , MiniLink , Paradigm , Quick-serter , Quick-set , Sen-serter , Silhouette , Sof-set ,and Square Wave are registered trademarks of Medtronic MiniMed, Inc.CareLink Personal, Easy Bolus , and Veo are trademarks of Medtronic MiniMed, Inc.Energizer is a registered trademark of Eveready Battery Company.Glucagon Emergency Kit is a registered trademark of Eli Lilly and Company.YSI 2300 STAT Plus is a trademark of YSI Inc.6025362-024 aREF MMT-554 MMT-754
Contacts:Africa:Medtronic Africa (Pty) Ltd.Tel: 27 (0) 11 677 4800Australia:Medtronic Australasia Pty. Ltd.Tel: 1800 668 670 (product orders)Tel: 1800 777 808 (customer help)BangladeshSonargaon Healthcare Pvt LtdMobile: ( 91)-9903995417or ( 880)-1714217131België/Belgique:N.V. Medtronic Belgium S.A.Tel: 0800-90805Brasil:Medtronic Comercial Ltda.Tel: (11) 3707-3707Eire:Accu-Science LTD.Tel: 353 45 433000Latvija:Ravemma Ltd.Tel: 371 7273780España:Medtronic Ibérica S.A.Tel: 34 91 625 05 42Fax: 34 91 625 03 9024 horas: 34 901 120 335Magyarország:Medtronic Hungária Kft.Tel: 36 1 889 0697Europe:Medtronic Europe S.A. Europe, MiddleEast and Africa HeadquartersTel: 41 (0) 21-802-7000France:Medtronic France S.A.S.Tel: 33 (0) 1 55 38 17 00Hellas:Medtronic Hellas S.A.Tel: 30 210677-9099Malaysia:Medtronic International Ltd.Tel: 60-3 7953 4800Middle East and North Africa:Regional OfficeTel: 961-1-370 670Nederland, Luxembourg:Medtronic B.V.Tel: 31 (0) 45-566-8291Toll Free: 0800-3422338Hong Kong:Celki International Ltd.Tel: 852 2332-3366New Zealand:Medica PacificaTel: 0800 106 10024-hr After-Hours: 0800 633 487China:Medtronic (Shanghai) Ltd.Tel: 86 40 0820 1981or 80 0820 1981India:India Medtronic Pvt. LtdTel: ( 91)-80-22112245 / 32972359Mobile: ( 91)-9611633007Norge:Medtronic Norge A/STel: 47 67 10 32 00Fax: 47 67 10 32 10CroatiaMedtronic AdriaticTel: 385 1 488 11 20Fax: 385 1 484 40 60Italia:Medtronic Italia S.p.A.Tel: 39 02 24137 261Fax: 39 02 24138 210Servizio assistenza tecnica: Nº verde24h: 800 712 712POCCИЯ:Medtronic B. V.Tel: ( 7-495) 5807377 x116524h: 8-800-200-76-36Canada:Medtronic of Canada Ltd.Tel: 1-800-284-4416 (toll free/sansfrais)Danmark:Medtronic Danmark A/STel: 45 32 48 18 00Deutschland:Medtronic GmbHGeschäftsbereich DiabetesTelefon: 49 2159 8149-370Telefax: 49 2159 8149-11024-Stdn-Hotline: 0800 6464633Japan:Medtronic Japan Co. Ltd.Tel: 81-3-6430-2019Latin America:Medtronic, Inc.Tel: 1(305) 500-9328Fax: 1(786) 709-4244Polska:Medtronic Poland Sp. Z.o.o.Tel: 48 22 465 6934Portugal:Medtronic Portugal LdaTel: 351 21 7245100Fax: 351 21 7245199
Puerto Rico:Medtronic Puerto RicoTel: 787-753-5270Republic of Korea:Medtronic Korea, Co., Ltd.Tel: 82.2.3404.3600Schweiz:Medtronic (Schweiz) AGTel: 41 (0)31 868 016024-Stunden-Hotline: 0800 633333Fax Allgemein: 41 (0)318680199Serbia & Montenegro:EpsilonTel: 381 11 311 8883Singapore:Medtronic International Ltd.Tel: 65 6436-5097or 65 6436-5090Slovenija:Zaloker & Zaloker d.o.o.Tel: 386 1 542 51 11Fax: 386 1 542 43 32Slovenská republika:Medtronic Slovakia O.Z.Tel: 421 268 206 944Fax: 421 268 206 999Sri LankaSwiss Biogenics Ltd.Mobile: ( 91)-9003077499or ( 94)-777256760Suomi:Medtronic Finland OyTel: 358 20 7281 232Help line: 358 20 7281 200Sverige:Medtronic ABTel: 46 8 568 585 10Fax: 46 8 568 585 11Taiwan:Medtronic-Taiwan Ltd.Tel: 886.2.2183.6093Fax: 886.2.2501.7680Toll Free: 0800.082.999Thailand:Medtronic (Thailand) Ltd.Tel: 66 2 232 7400 ext 1Turkiye:Medtronic Medikal TeknolojiTicaret Ltd. Sirketi.Tel: 90 216 4694330USA:Medtronic Diabetes GlobalHeadquartersTel: 1-800-826-209924 Hour HelpLine: 1-818-576-5555To order supplies: 1-800-843-6687United Kingdom:Medtronic Ltd.Tel: 44 1923-205167Yisrael:AgentekTel: 972 3649 3111Österreich:Medtronic Österreich GmbHTel: 43 (0) 1 240 44-024 – Stunden – Hotline: 0820 820 190Česká republika:Medtronic Czechia s.r.o.Tel: ( 420-233) 059401
Important Safety InformationRegarding Your Paradigm Insulin Pump(includes all models)Avoid Immersing Your Pump In WaterAlthough it is unlikely that water damage will occur if your pump is splashed or briefly dunked, you shouldavoid immersing your Paradigm insulin pump in water. To swim or participate in other water activities,always disconnect from your Paradigm pump and reconnect after you are out of the water.If you inadvertently submerge your pump in water, dry the pump quickly using a soft, clean towel and verifythat it is working properly by selecting Selftest from the pump's Utilities Menu. If you believe that water hasentered your pump or you observe any other possible pump malfunction, please check your blood glucose,treat high blood glucose (if necessary) with an injection and contact your local help line or representativefor further assistance. Symptoms of high blood glucose include fatigue, excessive thirst and nausea. Youshould always contact your healthcare professional if you experience excessively high or low blood glucoselevels, or if you have any questions about your care.Electrostatic DischargeAlthough your Paradigm pump is designed to be unaffected by typical levels of electrostatic discharge (ESD),very high levels of ESD can result in a reset of the pump's software with an associated pump error alarm. Inmost cases, exposure to high levels of ESD will trigger the pump's A-13 alarm although, under certaincircumstances, high level ESD exposure can cause A-44, Bolus Stopped or Max Delivery alarms. High levels ofESD are more likely in situations where the relative humidity is very low, such as inside a heated buildingduring the winter in areas where it is cold outside.If your pump experiences an A-13 or other error alarm, press the ESC and ACT buttons to clear the alarm. Ifyou are unable to clear the alarm by pressing ESC and ACT, you may need to remove and replace the pump'sbattery to clear the alarm. After clearing the alarm, you should always verify that your pump is set to thecorrect date and time and that all other settings (basal rate, max basal and bolus limits, etc.) are programmedto the desired values, since the software reset could erase your previously programmed settings. Please seethe Alarms and Alerts section of this User Guide for more details regarding what to do if your pump displaysan error alarm or other alert message.Please contact your local helpline or representative to report any error alarms or other problems that occurwith your pump.
WarrantyMedtronic Diabetes warrants the Medtronic MiniMed Insulin Pump against defects in materials andworkmanship for a period of 4 years from the date of purchase.During the warranty period, Medtronic Diabetes will, at its discretion, either repair or replace (with a newor recertified pump, at Medtronic Diabetes’ discretion) any defective pump or motor, subject to theconditions and exclusions stated herein. In the event that a pump is repaired or replaced, the warranty periodwill not be extended.This warranty is valid only if the Medtronic MiniMed Insulin Pump is used in accordance with themanufacturer’s instructions. This warranty will not apply: If damage results from changes or modifications made to the pump by the user or third persons afterthe date of manufacture. If non-Medtronic infusion sets and/or reservoirs are being used with the pump. If damage results from service or repairs performed by any person or entity other than the manufacturer. If damage results from a Force Majeure or other event beyond the control of the manufacturer. If damage results from negligence or improper use, including but not limited to: improper storage,submersion in water or physical abuse, such as dropping or otherwise.This warranty shall be personal to the original user. Any sale, rental or other transfer or use of the productcovered by this warranty to or by a user other than the original user shall cause this warranty to immediatelyterminate. This warranty does not apply to batteries, infusion sets, reservoirs, and other accessories.The remedies provided for in this warranty are the exclusive remedies available for any breach hereof.Neither Medtronic Diabetes nor its suppliers or distributors shall be liable for any incidental,consequential, or special damage of any nature or kind caused by or arising out of a defect in the product.Notwithstanding the foregoing, the terms of this warranty do not affect the statutory rights of consumersor seek to exclude any liability which is not permitted by law.All other warranties, other than mandatory statutory warranties, expressed or implied, are excluded,including the warranties of merchantability and fitness for a particular purpose.
ContentsChapter 1: Introduction . 1Assistance . 1Emergency kit . 1Consumables . 2Accessories . 2How to wear your pump . 3How to use this guide . 3User safety . 4Indications . 4Contraindications . 5Warnings . 5Pump . 5Reservoir and infusion sets . 5Sensor . 5Transmitter . 5Magnetic fields . 6X-rays, MRIs and CT scans . 6Precautions . 6Avoid extreme temperatures . 6Infusion sets and sites . 7Sensor . 7Adverse reactions . 7Notice . 7Insulin pump and RF accessories . 7RF interference from other devices . 8Chapter 2: Introduction to pump therapy . 11Theory of insulin pump therapy . 11Contentsvii
Understanding pump therapy . 12Basal rate . 12Meal bolus . 12Gram counting . 12Exchange counting . 12BG targets . 12Insulin sensitivity . 12Active Insulin . 13Blood glucose and A1C testing . 13BG testing . 13A1C . 13Low blood glucose (hypoglycemia) . 14Hypoglycemia protocol: the rule of 15 . 15High blood glucose (hyperglycemia) . 16Hyperglycemia protocol . 16Diabetes ketoacidosis (DKA) . 17Preventing DKA . 17Sick day management . 18Sick day protocol . 18Sick day supplies . 18Nutrition . 19Carbohydrate counting . 19Carbohydrate gram counting . 19Carbohydrate exchange system . 19Reading a food label . 20Fat and blood glucose . 21Protein and blood glucose . 21Other things that affect blood glucose . 22Healthy eating habits . 22Exercise . 22Chapter 3: The basics . 25Your pump . 25Install battery . 26Pump buttons . 27The pump screen . 29HOME screen . 29viiiContents
Screen icons . 29Battery . 29Time display . 30Reservoir volume . 30Alert and alarm icons . 30Sensor icons . 30Scroll bar . 31Screen backlight . 31Beep/vibrate . 31Operating modes . 31Normal mode . 32Special mode . 32Attention mode . 32Menus . 33MAIN MENU . 33BOLUS MENU . 33SUSPEND . 33SENSOR . 33CAPTURE EVENT . 34BASAL MENU . 34RESERVOIR SET . 34UTILITIES MENU . 34STATUS screen . 34If you remove your pump . 35Chapter 4: Basic programming . 37Setting the time and date . 37Selecting the language . 39Bolus . 39Setting the Normal bolus . 40Normal meal bolus using the exchange system . 41Bolus practice: . 41Normal meal bolus practice using exchanges . 42Normal meal bolus using carbohydrate counting . 42Normal meal bolus practice using carbohydrates . 43Meal bolus, correction bolus and insulin sensitivity . 43Practice: Meal bolus . 44Contentsix
Review your bolus deliveries . 44Bolus details . 45Maximum bolus limit . 47Example 1: Max bolus . 47Example 2: Max bolus . 47Scroll rate . 47Example: Scroll rate . 48BG Reminder . 48Capturing Events . 49Turning on the Capture Event feature . 49Entering BG measurements . 50Entering insulin injection information . 51Entering carbohydrate information . 52Entering exercise information . 52Entering Other markers . 53Viewing Capture Event history . 53Basal . 53Start and stop times . 54Your basal settings . 55Basal programming and delivery . 55Current basal delivery . 56Daily basal rate(s) . 56Setting the Max basal rate . 57Example 1: Max basal . 58Example 2: Max basal . 58Stopping your pump . 58Resume pump delivery . 59Example: Suspend function . 60Practice: Suspend function . 60Practice: Resume basal delivery after a suspend . 60Chapter 5: Starting on insulin . 61Prepare your pump for use . 61Filling the reservoir . 61Changing your infusion set . 64Removing the reservoir . 64Rewinding your pump . 64xContents
Inserting the reservoir in your pump . 65Filling the tubing . 66Inserting the infusion set . 67Quick-set infusion set (with Quick-serter ) . 69Filling the cannula . 69Disconnecting Quick-set . 71Reconnecting Quick-set . 71Record keeping for diabetes management . 72Determining your pump settings . 72Chapter 6: Using the Bolus Wizard feature . 75What is it? . 75Carbohydrate counting . 75Your blood glucose reading . 75Your personal Bolus Wizard feature settings . 75How the Bolus Wizard feature works . 78Bolus Wizard warnings . 79HIGH BG . 79LOW BG . 79MAX BOLUS EXCEEDED . 79How to program the Bolus Wizard feature . 79Turning on the Bolus Wizard feature . 80Selecting the Carb units . 80Setting the Carb/Exch ratios . 81Setting the BG units . 82Insulin sensitivity . 82Setting the BG Targets . 83About active insulin . 84Active insulin time . 85Review your Bolus Wizard feature settings . 85Meter option . 86Meter rules . 86Add, delete, review meter IDs . 87Normal bolus using Bolus Wizard feature . 87Bolus Wizard feature examples . 89Example 1: Blood glucose on target (normal blood glucose) and no active insulin . 89Example 2: Blood glucose above target (high blood glucose) and no active insulin . 90Contentsxi
Example 3: Blood glucose below target (low blood glucose) and no active insulin . 91Example 4: Blood glucose above target (high blood glucose) with active insulin . 92Example 5: Blood glucose below target (low blood glucose) with active insulin . 93Chapter 7: Optimizing pump therapy . 95Square Wave and Dual Wave bolus . 95Turning on the Dual Wave/Square Wave option . 96Square Wave or Dual Wave bolus without Bolus Wizard feature . 96Square Wave bolus practice . 98Dual Wave bolus practice . 99Using the Bolus Wizard feature for a Square Wave or Dual Wave bolus . 99Easy bolus . 101Easy bolus setup . 101Step value setup . 102Delivering Easy Bolus . 102Example 1: Easy bolus . 103Your turn: Easy bolus practice . 104Missed Bolus Reminder . 104Add, delete, and review bolus reminders . 104Add . 105Delete . 105Review . 105Basal patterns . 105Turning on the patterns . 106Programming a pattern . 106Select a pattern . 107Example 1: Basal patterns .
24 Hour HelpLine: 1-818-576-5555 To order supplies: 1-800-843-6687 United Kingdom: Medtronic Ltd. Tel: 44 1923-205167 Yisrael: Agentek Tel: 972 3649 3111 Österreich: . Medtronic Diabetes warrants the Medtronic MiniMed Insulin Pump against defects in materials and
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Medtronic Diabetes Global Headquarters Tel: 1-800-826-2099 24 Hour HelpLine: 1-818-576-5555 To order supplies: 1-800-843-6687 United Kingdom: Medtronic Ltd. Tel: 44 1923-205167 Yisrael: Agentek Tel: 972 3649 3111 Österreich: Medtronic Österreich GmbH Tel: 43 (0) 1 240 44-0 24-Stunden-Hotline: 0820 820 190 Česká republika: Medtronic .
Medtronic Diabetes Global Headquarters Tel: 1-800-826-2099 24 Hour HelpLine: 1-818-576-5555 To order supplies: 1-800-843-6687 United Kingdom: Medtronic Ltd. Tel: 44 1923-205167 Yisrael: Agentek Tel: 972 3649 3111 Österreich: Medtronic Österreich GmbH Tel: 43 (0) 1 240 44-0 24 – Stunden – Hotline: 0820 820 190 Česká republika .
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Medtronic Directo 24/7: 0800 333 0752 Australia: Medtronic Australasia Pty. Ltd. Tel: 1800 668 670 Azerbaijan: Isomed . USA: Medtronic Diabetes Global Headquarters 24 Hour HelpLine: 1-800-646-4633 To order supplies: 1-800-843-6687 Ukraine: Medtronic B.V. Representative office in Ukraine
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