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OmniPod DASH SYSTEM PODDER, Resource Manual

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TROUBLESHOOTING |

 Hyperglycemia

HYPERGLYCEMIA

Blood Glucose (BG) Reading ≥ 250 mg/dL 

Always follow your healthcare provider’s guidelines. The below guidelines are derived 
from The Joslin Diabetes Center’s recomendations and may differ from your own 
healthcare providers guidelines.

Action Plan

There are several factors that  
can cause hyperglycemia. 
Common causes include illness, 
stress, infection, and missed 
insulin doses. As a Podder

™

,  

only rapid-acting insulin is used  
in your Pod, so you have no  
long-acting insulin in your body.  
If an occlusion or other 
interruption of insulin delivery 
occurs, your blood glucose may 
rise rapidly. It is important you 
do not ignore the signs and 
symptoms of hyperglycemia. 

Check Personal Diabetes  
Manager Settings

Check status screen

+

  

 

Last bolus: was the bolus  
too small?

 

•

   Was the bolus timing correct?

 

•

   Did you account for high-

protein or high-fat meal?

+

  

 

Basal program: Is the proper basal 
program running?

+

  

 

Temp basal: Do you have a temp 
basal running that you should have 
turned off?

Check my records

+

  

 

Alarm history: Did you ignore or 
not hear alarms that should have 
been addressed?

Check Pod

Check your cannula through the 
viewing window

+

  

 

Did the cannula slip out from 
under your skin?

+

  

 

Is there blood in the cannula?

+

  

 

Is there redness, drainage, or 
other signs of infection around the 
cannula?

If YES, change your Pod. If you 
suspect an infection, then call your 
healthcare provider.

Check your infusion site

+

  

 

Is there redness or swelling 
around the Pod and adhesive?

+

  

 

Is insulin leaking from your infusion 
site or is there odor of insulin?

If YES, change your Pod. If you 
suspect an infection, then call your 
healthcare provider.

Check your adhesive dressing

+

  

 

Is the adhesive dressing coming 
loose from your skin?

+

  

 

Is the Pod becoming detached 
from the adhesive dressing?

If YES, and if cannula is still inserted 
properly, you may tape down the 
Pod or adhesive to prevent further 
detachment.

Troubleshooting Frequent Hyperglycemia

Reminder

If you are experiencing persistent 
nausea and/or vomiting, or 
have diarrhea over two hours, 
contact your healthcare provider 
immediately.

WARNING: 

Hyperglycemia symptoms can be confusing. Always check your BG before treating your hyperglycemia. Consult with your healthcare provider.

Caution: Consult User Guide.

If cannula is no longer under your 
skin, change your Pod.

Check your insulin

+

  

 

Is the insulin used expired?

+

  

 

Has the insulin used been exposed 
to extreme temperatures?

If YES, change Pod using a new vial 
of insulin.

Summary of Contents for DASH SYSTEM PODDER

Page 1: ...OMNIPOD DASH SYSTEM PODDER RESOURCE GUIDE Insulin Delivery That s Simple Smart and Discreet ...

Page 2: ... 2 3 ...

Page 3: ... DASH SYSTEM This Resource Guide is intended to be used in conjunction with your Diabetes Management Plan input from your healthcare provider and the Omnipod DASH Insulin Management System User Guide Personal Diabetes Manager imagery is for illustrative purposes only and should not be considered suggestions for user settings Refer to the Omnipod DASH Insulin Management System User Guide for comple...

Page 4: ...vider as well as an emergency contact Healthcare provider name Healthcare provider number Emergency contact name Emergency contact number Medical Advice Disclaimer Always consult with your healthcare provider to determine the appropriate settings for you HEALTH CARE AND TREATMENT ARE COMPLEX SUBJECTS REQUIRING THE SERVICES OF QUALIFIED HEALTH CARE PROVIDERS THIS RESOURCE GUIDE IS INFORMATIONAL AND...

Page 5: ...pod DASH System Pods can communicate with the Omnipod DASH System Personal Diabetes Manager Reorder Tips It is a good idea to call your Omnipod DASH System supplier Insulet or other vendor when you open your last box of Pods This helps ensure you will have enough supplies in the event additional authorizations are needed from your insurance You may be able to reorder your Pods automatically Reach ...

Page 6: ...7 INTRODUCTION The Pod THE OMNIPOD DASH SYSTEM POD A Bluetooth Enabled Pod that Delivers both Basal and Bolus Insulin TOP Blue Needle Cap BOTTOM Viewing Window Fill Port Adhesive Backing Pink Slide Insert ...

Page 7: ...ess to deliver a Bolus via Bolus Button THE OMNIPOD DASH SYSTEM PERSONAL DIABETES MANAGER A Bluetooth Enabled Personal Diabetes Manager PDM that Controls All Pod Functions INTRODUCTION The Personal Diabetes Manager TOUCH SCREEN BACK POWER BUTTON SOUND VIBRATE MICRO B USB PORT NON FUNCTIONAL Tabs Menu Icon Bolus Button Tip You can find the following items when you tap on the Menu icon Alternate acc...

Page 8: ... delivery of a bolus change settings or receive status updates Are not required to be in any specific distance for basal delivery The Pod will continue to deliver basal insulin even when the PDM is out of range Sometimes you may see on the status bar Most often this is a temporary loss of communication due to the PDM being too far away from the Pod Any insulin command will initiate a connection be...

Page 9: ...he Lock screen will reappear After unlocking your PDM you will receive confirmation that the update was successful Don t forget to activate a new Pod after the confirmation is received For more information refer to the Omnipod DASH Insulin Management System user guide INTRODUCTION The Personal Diabetes Manager Helpful Tips From Other Podders We pride ourselves on helping our customers navigate the...

Page 10: ...re sick What is a Bolus A bolus is a dose of insulin delivered to match the carbohydrates in a meal or snack and or to lower your blood glucose when it gets too high There are two types of bolus doses Meal bolus With the Omnipod DASH System you can deliver either an immediate or an extended meal bolus An immediate meal bolus delivers insulin for a meal or snack you are about to eat An extended mea...

Page 11: ...____ g _______ g Correction Factor Time Segment 12 00 am _________ _________ _________ _________ _________ _________ _________ 1 unit of insulin decreases BG by _______ mg dL _______ mg dL _______ mg dL _______ mg dL Reverse Correction On Off Duration of Insulin Action _______ hours Maximum Bolus _______ units Extended Bolus On Off education reviewed Carb Counting Site Selection Rotation Blood Glu...

Page 12: ...ls Proteins and fats take longer to digest and are slower to affect your blood glucose Higher consumption of protein or fat at meals can delay glucose absorption and create higher blood glucose levels later The section Omnipod DASH System Advanced How do I figure out the amount of carbohydrates in my meal 8 servings per container Serving size 2 3 cup 55g Amount per serving Calories 230 Nutrition F...

Page 13: ... 2 cup 1 2 cup 1 2 cup 25 30 25 52 15 11 25 13 30 38 20 20 32 35 35 64 20 12 16 Food Category Fruit and Fruit Juices Milk and Milk Products Sweets Desserts Snacks Food Serving Size Carbohydrate Grams Apple Banana Watermelon Strawberries Grapes Canned fruits in juice Apple orange grapefruit or pineapple juice Cranberry grape or prune juice Low Fat Milk fat free 2 whole Plain low fat yogurt Plain lo...

Page 14: ...od cannula has become dislodged If you have a blood glucose reading of 250 mg dL or more and ketones are present If you experience unexpected elevated blood glucose levels As directed by your healthcare provider If during activation the Pod fails to beep HOW TO CHANGE THE POD You may need to change the Pod DEACTIVATE AN OLD POD 1 Tap Pod Info on the Home screen 2 Tap VIEW POD DETAILS 3 Tap CHANGE ...

Page 15: ...ry CAUTION Do not use any other type of needle or filling device besides the fill syringe provided with each Pod Assemble the following supplies DASH Personal Diabetes Manager PDM Sealed DASH Pod indicated by a blue needle cap Vial of U 100 rapid acting insulin at room temperature See the Omnipod DASH System User Guide for insulins tested and found to be safe with the Omnipod DASH Insulin Manageme...

Page 16: ...wab to clean the top of the insulin vial Assemble the fill syringe by twisting the needle onto the syringe 1 Fill the Pod 1 2 Pull outward to remove the syringe s protective cap 1 3 Draw air into the fill syringe equal to the amount of insulin you will use Insert needle into the vial of insulin and inject air Turn the vial and syringe upside down Slowly withdraw insulin from the vial and fill the ...

Page 17: ...rn it back on Place the PDM next to the Pod so they are touching Tap NEXT 1 5 The PDM establishes a one to one relationship with the Pod which will prevent it from communicating with any other Pod while this Pod is active Once the Pod successfully completes its priming and safety checks the PDM will beep 2 Apply the Pod 2 1 Select the infusion site being careful to avoid areas where the Pod will b...

Page 18: ... to dry it 2 3 Remove Pod s blue needle cap OMNIPOD DASH SYSTEM INSTRUCTIONS Activate a New Pod If the Personal Diabetes Manager screen times out during the process press the Power button to continue 2 4 Carefully remove white paper backing from the adhesive ensuring the adhesive is clean and intact 2 5 Apply the Pod to the selected site Run your finger around the adhesive to secure it 2 Apply the...

Page 19: ...s on your body Doing so may result in unintended or interrupted insulin delivery Verify cannula does not extend beyond adhesive backing once needle cap is removed 3 1 Tap START 3 3 The Pod automatically inserts the cannula and delivers a prime bolus to fill the cannula with insulin 3 5 Your Pod is now active The PDM will generate an automatic reminder to check your blood glucose 1 5 hours after ea...

Page 20: ...as if you do not use this technique FEEL COMFORTABLE AND CONFIDENT WITH YOUR OMNIPOD DASH POD PLACEMENT OPTIONS Because there is NO TUBING you can wear the Pod comfortably anywhere you would give yourself a shot Be sure to bring two unopened Pods to your first training session You will use them when learning how to apply your first Pod OPTIMAL ADHESIO Use an alcohol prep swab to clean the are Let ...

Page 21: ...and banners Bard Protective Barrier Film www crbard com medical Torbot Skin Tac www torbot com AllKare Wipe www convatec com Adapt Skin Protective Wipe by Hollister www amazon com 3M Cavilon No String Barrier Film www 3m com Holding the Pod in place Keep your Pod even more secure with tapes and bands Mefix 2 Tape www amazon com 3M Coban Self Adherent Wrap www 3m com Bands 4 Life Arm and Thigh Band...

Page 22: ...TOUR NEXT ONE BG Meter s 1 Tap Menu icon on the Home screen 2 Under Settings tap Blood Glucose 3 Tap Pair BG Meter NOTE Your BG meter must be in pairing mode before tapping Pair BG Meter 6 Your PDM will indicate it s connecting to the BG Meter 5 Select the appropriate meter that matches the serial number on the back of your BG meter Tap PAIR If needed tap BG Meter Pairing Instructions for addition...

Page 23: ...EXT ONE BLOOD GLUCOSE METER SYNCING Tips for Testing CONTOUR NEXT ONE meter must be on during sync Once you get BG reading leave strip in the meter and sync immediately CONTOUR NEXT ONE meter will remain on for 3 minutes Check your blood glucose as often as needed You should check when you feel symptoms like weakness headaches or sweating when you have delayed a meal after taking insulin when your...

Page 24: ...r can also provide you with your own personalized recommendations 1 Tap Bolus button on the Home screen 2 Tap Enter Carbs to input grams of carbs Sync see BLOOD GLUCOSE METER SYNCING section or enter your BG manually by tapping ENTER BG 3 Tap CONFIRM once you have reviewed the values entered 4 Tap START to begin bolus delivery Reminder The Home screen displays a progress bar and details while you ...

Page 25: ...ou with your own personalized recommendations 1 Tap Menu icon on the Home screen 2 Tap Suspend Insulin 3 Scroll to desired duration of insulin suspension min 0 5 hour up to 2 hours Tap SUSPEND INSULIN Tap Yes to confirm you want to stop all insulin delivery 4 The Home screen displays a yellow banner stating Insulin delivery is suspended The Pod beeps every 15 minutes during suspension 5 When the P...

Page 26: ...s only Actual screens may vary based on user settings Consult with your healthcare provider before using these features Your healthcare provider can also provide you with your own personalized recommendations 2 Tap History to expand list Tap Insulin BG History 3 You can view BG Insulin Carbs Tap the day drop down to view a single day or multiple day averages Swipe up to see the details section OMN...

Page 27: ... also provide you with your own personalized recommendations 4 Tap to edit program name choose program tag or tap NEXT to edit basal time segments and rates 7 Tap SAVE once complete 3 Tap SUSPEND INSULIN if you are changing the active basal program 6 Edit time and basal rates for the 24 hour period 2 Tap EDIT on the basal program you want to change 5 Tap on the segment to edit 1 Tap Basal on the H...

Page 28: ...to View and Edit IC Ratio and Correction Factor 2 Tap Settings to expand list Tap Bolus 3 Tap on the setting you want to edit Insulin to Carb Ratio Tap on segment you want to edit Edit time and or amount Tap NEXT to add more segments as needed Tap SAVE 1 Tap Menu icon on the Home screen Correction Factor Tap on segment you want to edit Edit time and or amount Tap NEXT to add more segments as neede...

Page 29: ...OMNIPOD DASH SYSTEM INSTRUCTIONS ADDITIONAL NOTES ...

Page 30: ...e levels more frequently to avoid hypoglycemia or hyperglycemia The values shown here are for illustrative purposes only Actual screens may vary based on user settings Consult with your healthcare provider before using these advanced features Your healthcare provider can also provide you with your own personalized recommendations 1 Tap Bolus button on the Home screen 2 After entering carb and BG v...

Page 31: ... your change Tap Duration entry box and select your time duration The values shown here are for illustrative purposes only Actual screens may vary based on user settings Consult with your healthcare provider before using these advanced features Your healthcare provider can also provide you with your own personalized recommendations 2 Tap Set Temp Basal 4 Tap CONFIRM to start temp basal Tip Tempora...

Page 32: ...eate and Use Additional Basal Programs When to use Different basal programs are commonly used for entire days out of your common routine e g weekends vs work days Please consult with your healthcare provider prior to creating additional basal programs 1 Tap Basal on the Home screen Tap VIEW 3 Rename your program or keep the default name Example Weekend Tap to choose a program tag 4 Edit End Time a...

Page 33: ...vider before using these advanced features Your healthcare provider can also provide you with your own personalized recommendations 5 Tap CONTINUE to review your time segments and basal rates 7 Choose to activate your new basal program now or later ADVANCED FEATURES Basal Tip In Basal Programs you can activate edit or delete the different basal programs you have saved by tapping on the Options ico...

Page 34: ...rving Size 1 Tap Bolus button on the Home screen 2 Tap FOOD LIBRARY 3 Tap on search icon 6 Tap ADD TO CALCULATOR so that you can use these values to bolus ADVANCED FEATURES Food Library The values shown here are for illustrative purposes only Actual screens may vary based on user settings Consult with your healthcare provider before using these advanced features Your healthcare provider can also p...

Page 35: ...en 2 Tap Food Library 3 Tap MY FOODS 4 Tap Add custom foods 5 Add Food Title Carb Value and Fiber if desired Tap to add other foods as needed Tap SAVE TO MY FOODS How to Create and Use Custom Foods When to use Creating Custom Foods allows you to save your favorite food items snacks or meals that you eat frequently You will be able to view these Custom Foods in MY FOODS Reminder To add a custom foo...

Page 36: ...before using these advanced features Your healthcare provider can also provide you with your own personalized recommendations Tip Presets can be created for commonly used functions of the DASH System For instance if you find yourself setting the same temp basal rates for a particular activity presets can be a real time saver On any preset you will have the option to rename your entry for even more...

Page 37: ... provider before using these advanced features Your healthcare provider can also provide you with your own personalized recommendations 6 Tap CONFIRM 7 Tap SAVE to save temp basal preset Tip If you have already created Temp Presets you can access them from Set Temp Basal Tap SELECT FROM PRESETS Tap on the Options icon 3 dots to activate edit or delete your Temp Basal Presets ...

Page 38: ...ts Tap SAVE 1 Tap Menu icon on the Home screen 2 Tap Bolus Presets 3 Tap CREATE NEW 6 Your Bolus Preset is saved Tap CREATE NEW to add new Bolus Presets as needed Tip To use the Bolus presets you have already saved Tap Bolus Tap SELECT FROM PRESETS Tap the Bolus Preset you want to use Tap CONFIRM How to Create and Use Bolus Presets When to use Bolus presets can only be used if your bolus calculato...

Page 39: ...Persistent high BG and or positive ketones after treating with extra insulin and drinking fluids Persistent low BG that is not responsive to decreasing insulin and drinking carbohydrate containing fluids A fever above 100 5 F Moderate to large urine ketones or 1 0 mmol L blood ketones TROUBLESHOOTING Sick Day Management The above general guidelines are drawn from Joslin Diabetes Center For further...

Page 40: ...30 grams of carbohydrate Recheck BG in 15 20 mins If BG remains low after repeated treatments notify your healthcare provider immediately and or go to the nearest emergency room If BG is less than 80 mg dL or symptoms persist repeat above steps If BG is greater than 80 mg dL Follow with a meal or snack If next meal snack is 30 mins away take additional 15 grams of carbohydrate If next meal snack i...

Page 41: ...tings Is the correct basal program active Is the PDM time set correctly Is the temp basal if active correct Are target blood glucose levels correct Is the insulin correction factor set correctly Is the insulin to carb ratio correct Consult your healthcare provider for guidance about adjusting settings on your PDM Review Recent Activity Physical activity Has your exercise been unusually long or str...

Page 42: ...cannula through the viewing window Did the cannula slip out from under your skin Is there blood in the cannula Is there redness drainage or other signs of infection around the cannula If YES change your Pod If you suspect an infection then call your healthcare provider Check your infusion site Is there redness or swelling around the Pod and adhesive Is insulin leaking from your infusion site or is...

Page 43: ...ule and continue to monitor BGs frequently A Small urine or 0 6 0 9 mmol L blood ketones Take bolus with syringe Perform a Pod change Address possible causes Recheck urine ketones in 2 hours or blood ketones in 1 hour and BG in 2 3 hours If BG unchanged or higher Recheck for Ketones If neg ketones take a bolus using your PDM If ketones small 0 6 0 9 mmol L or mod large 1 0 mmol L follow steps B or...

Page 44: ... have started and finished including Bolus delivery Extended bolus Temporary basal Custom reminders Enter text reminders into your PDM to be delivered when you choose Get to Know Your Omnipod DASH System Advisory Alarms CUSTOMIZING NOTIFICATIONS AND ALERTS An advisory alarm can be adjusted based on your needs There are several different kinds of advisory alarms on your Omnipod DASH System Pod expi...

Page 45: ... instructions on your PDM to resolve the issue quickly TROUBLESHOOTING Notifications Alerts and Alarms Caution Consult User Guide To learn more about alarms and how to handle them see Chapter 10 Alarms Notifications and Communication Errors in your Omnipod DASH Insulin Management System User Guide Customizing Advisory Alarms and Reminders You can customize your reminders and advisory alarms in set...

Page 46: ...looko Mobile App Please use the included Getting Started with Insulet Provided Glooko guide to setup your account and upload your data today INSULET PROVIDED GLOOKO OMNIPOD DASH MOBILE APPS Omnipod VIEW App The Omnipod VIEW app is ideal for the caregivers care team of the Podder It allows remote viewing capability of up to 12 Podders insulin delivery and DASH System information Omnipod DISPLAY App...

Page 47: ...ADDITIONAL NOTES ...

Page 48: ... is a trademark of Glooko Inc and used with permission The Bluetooth word mark and logos are registered trademarks owned by the Bluetooth SIG Inc and any use of such marks by Insulet Corporation is under license All other trademarks are the property of their respective owners The use of third party trademarks does not constitute an endorsement or imply a relationship or other affiliation 41103 USA...

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