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Example 1: Blood glucose on target (normal blood glucose) and no active insulin
Michael awakens in the morning before school and his mother has breakfast waiting for him. Before he
begins eating, he tests his blood glucose with his meter and his blood glucose result of 6.6 mmol/L (120
mg/dL) is automatically sent to his pump.
He estimates that his meal consists of 60 grams of carbohydrates. When prompted by the Bolus Wizard
feature, he enters this amount in the ENTER FOOD screen. Based on his Bolus Wizard feature settings, the
pump will suggest that he take 4.0 units of insulin.
(food estimate)
60 g
15 g/u
= 4 units
+
(correction estimate)
= 4 + 0
= 4 units
bolus estimate
Correction is 0 because the
current blood glucose reading
is within the BG Target Range.
Using the Bolus Wizard feature
88
- Insulin Pump User Guide 1
- Paradigm 2
- 522 and 722 Insulin Pumps 2
- 6025250-012 060208 3
- Important Safety Information 6
- Contents 10
- Introduction 20
- Emergency kit 21
- Consumables 22
- Accessories 22
- How to wear your pump 23
- How to use this guide 24
- User safety 25
- Contraindications 26
- Warnings 26
- Precautions 27
- Adverse reactions 28
- Introduction to pump therapy 32
- Understanding pump therapy 33
- Blood glucose and A1C testing 34
- Hyperglycemia protocol 37
- Diabetes ketoacidosis (DKA) 38
- Sick day management 39
- Nutrition 40
- Reading a food label 41
- Fat and blood glucose 42
- Protein and blood glucose 42
- Healthy eating habits 43
- Exercise 44
- The basics 46
- Install battery 47
- Pump buttons 48
- The pump screen 50
- HOME screen 50
- Time display 51
- Reservoir volume 51
- Alert and alarm icons 51
- Sensor icons 51
- Beep/vibrate 52
- Operating modes 52
- Normal mode 53
- Special mode 53
- Attention mode 53
- STATUS screen 55
- If you remove your pump 56
- Basic programming 58
- Selecting the language 60
- Setting the Normal bolus 61
- Review your bolus deliveries 65
- Bolus details 67
- Maximum bolus limit 68
- BG Reminder 69
- Start and stop times 70
- Your basal settings 71
- Current basal delivery 72
- Daily basal rate(s) 72
- Setting the Max basal rate 73
- Stopping your pump 74
- Resume pump delivery 75
- Starting on insulin 78
- Filling the reservoir 79
- Changing your infusion set 81
- Rewinding your pump 82
- Manual prime 84
- Inserting the infusion set 85
- Chapter 5 86
- Fixed prime 87
- Prime history 87
- Disconnecting Quick-set 88
- Reconnecting Quick-set 88
- Bolus Wizard feature settings 93
- Bolus Wizard warnings 95
- MAX BOLUS EXCEEDED 96
- Selecting the Carb units 97
- Setting the Carb/Exch ratios 97
- Setting the BG units 98
- Target Range 100
- About active insulin 101
- Active insulin time 102
- BG readings 103
- Meter rules 104
- Bolus Wizard feature examples 106
- ಘChapter 6 108
- Optimizing pump therapy 112
- Easy bolus 118
- Step value setup 119
- Delivering Easy Bolus 119
- Basal patterns 121
- Turning on the patterns 122
- Programming a pattern 122
- Select a pattern 123
- Temp basal rates 124
- 1.50 U/H 125
- (rate 1) 125
- 2.55 U/H 125
- (rate 2) 125
- Percent of basal 126
- Temp Basal Settings 127
- Selecting temp basal type 128
- Delivering a temp basal 128
- Canceling a temp basal 129
- Sensor features 132
- Selecting the BG units 133
- High Glucose Alert 133
- Setting the High Snooze 133
- Low Glucose Alert 134
- Setting the Low Snooze 135
- Setting the Alarm Snooze 135
- Setting the Cal Reminder 136
- Entering the transmitter ID 136
- Reviewing your settings 137
- The transmitter 138
- Transmitter charger 138
- Charging the transmitter 139
- Starting the sensor 140
- Inserting the sensor 140
- Calibrating the sensor 145
- Entering meter BG 146
- Using your sensor 148
- The graphs 151
- 1:00 PM 2:00 PM 3:00 PM 152
- The shaded area is the 12 153
- 24 hours 153
- Calibration history 155
- Sensor alarm history 155
- Removing the sensor 156
- Using your system in water 157
- Utilities 158
- Auto-off 159
- Review daily insulin totals 160
- Pump data management 161
- Personal reminders 164
- Remote control option 164
- Block feature 166
- Lock keypad feature 167
- Selftest 167
- User settings 168
- Saving the settings 169
- Restoring the settings 169
- Clearing the settings 170
- Therapy software 172
- Recommended follow-up 174
- Laboratory tests 175
- Every visit 175
- Annually 175
- Troubleshooting and alarms 176
- My screen appears distorted 178
- My bolus stopped 179
- I dropped my pump 180
- I submerged my pump in water 180
- What to do 181
- Pump alert conditions 182
- LOW RESERVOIR 182
- LOW BATTERY 182
- Sensor alert conditions 182
- WEAK SIGNAL 182
- LOST SENSOR 183
- LOW TRANSMTR 183
- BAD TRANSMTR 184
- BAD SENSOR 184
- SENSOR END 184
- CAL ERROR 184
- METER BG NOW 185
- METER BG BY 185
- SENSOR ERROR 185
- Alarm conditions 187
- Testing the transmitter 189
- Disconnecting the tester 190
- Reconnect old sensor 191
- Find lost sensor 191
- ಘChapter 13 192
- Maintenance 194
- Cleaning the transmitter 195
- Cleaning your pump 195
- Cleaning the Sen-serter 196
- Pump specifications 198
- Carb ratios 200
- Carb units 200
- Daily totals 200
- Default screen 200
- Delivery accuracy 201
- Pump motor 202
- Dual Wave bolus 202
- Infusion pressure 202
- Insulin sensitivity 202
- Low resv (reservoir) warning 203
- Meter value 203
- Normal bolus 203
- Occlusion detection 203
- ಘChapter 15 208
- • Active Insulin Curves 209
- Chapter 15 212
- Icon table 223
- Warranty 225
- Sensor accuracy 226
- Performance results in adults 227
- Appendix A 229
- Time of day 232
- Glucose Conc (mg/dL) 232
- Low and High Alerts in adults 233
- The High Glucose Alert 234
- Day 1 Day 4Day 2 Day 3 239
- Sensor BG (mg/dL) 244
- The Low Glucose Alert 246
- Glossary 248
- Numerics 256
- 6025250-011C 112106 262
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