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Blood glucose

23

Bolus calculation

Method 1

The bolus calculator suggests the amount of insulin required for the correction bolus 
and the meal bolus. If there is insulin still active in the body from a previous bolus,  
the calculator subtracts the insulin on board from the correction bolus and the meal  
bolus to achieve a bolus suggestion. 

Bolus suggestion = Correction bolus + Meal bolus – Insulin on Board

Correction bolus

Meal bolus

Insulin on board 

Summary of Contents for 700009424

Page 1: ...Caregiver Guide Important information about the mylife YpsoPump insulin pump system More freedom More confidence With mylife ...

Page 2: ...s 32 How to activate a temporary basal rate 35 How to change the cartridge and the infusion set 37 How to start insulin delivery 50 How to stop insulin delivery 51 How to change the battery 53 Icon overview 57 Warnings and alarms 60 Supplies 67 Read the User Guide The instructions for use in this Caregiver Guide are only valid for the following mylife YpsoPump article REF 700009424 You find the my...

Page 3: ...www mylife diabetescare co uk ypsopump userguide Whether you are a parent grandparent school nurse daycare provider or any secondary caregiver for a child using the mylife YpsoPump insulin pump this guide will lead you through some of the key functions that you may need to perform In an emergency call the child s diabetes team as well as the emergency contact mylife YpsoPump user First name last n...

Page 4: ... drink some glucose and measure their blood glucose level afterwards Low blood glucose levels can impact concentration Before sports lessons the child must measure their blood glucose level They should always have fast and slow acting carbohydrates in their sports bag Depending on their blood glucose you can help them decide what they should do before the lesson starts If their blood glucose is lo...

Page 5: ...upply which includes the telephone details of who to contact in an emergency Birthday parties It s important that children with diabetes participate in everything that their friends do Eating cake playing football climbing having fun etc Nonetheless there are a few things which need to be kept in mind As a caregiver you should discuss the child s diabetes either with the child themselves or with t...

Page 6: ...6 mylife YpsoPump system overview Cannula soft or steel Cannula base Tape Adapter Tubing cap Tubing Infusion set ...

Page 7: ...7 Function button Battery compartment Touchscreen Cartridge compartment with viewing window Self filled mylife YpsoPump Reservoir 1 6 ml reservoir or pre filled 1 6 ml insulin cartridge ...

Page 8: ...bolus Extended bolus Combination bolus Temporary basal rate function Basal rate profiles A and B Switch basal rate profile Therapy data Alarm history Submenu The mylife YpsoPump imagery in this Caregiver Guide is for illustrative purposes only and should not be considered suggestions for user settings ...

Page 9: ...k screen Main menu Prime tubing Prime cannula Data Settings Stop Run mode Submenu Time of day Date Bolus increment Blind bolus inactive active Access lock inactive active Rotate screen Bluetooth inactive active Bluetooth pairing ...

Page 10: ... the cartridge compartment on the side The function button has two different functionalities Short press for up to 0 8 seconds Long press for at least 2 seconds until the mylife YpsoPump vibrates With the function button you can switch the screen on and off programme a blind bolus return to the status screen Function button ...

Page 11: ...e YpsoPump may only be controlled with one finger Do not use any objects to operate the screen Tap an icon with your finger to select it Using your finger swipe up or down through the values displayed in order to scroll up or down By swiping to the left or to the right you can select the different main menu and submenu icons You can also tap the upper or lower value directly in order to increase o...

Page 12: ...available and cannot be selected with your finger To confirm a value or select a function tap To cancel a procedure or function tap Additionally bolus cancellation always has to be confirmed by tapping Back function If you have selected a function or value by mistake or made a wrong setting you can go back at any time by swiping to the right once until or appears If appears you go one step back If...

Page 13: ...tery charge indicator 1 6 The status screen of the mylife YpsoPump is switched on and off by pressing the function button short button press 3 6 Swipe to the left to unlock the status screen and the main menu 4 6 Tap the currently active number successively to unlock the status screen Operation User interface Unlock screen 2 3 4 ...

Page 14: ...e YpsoPump has been unlocked successfully you are in the main menu Swipe to the left to access all available menu items Make sure that the pump screen is switched off before storing the mylife YpsoPump in a trouser pocket or in a carrying system in order to avoid unintentional operation of the pump 6 ...

Page 15: ... in the main menu When operating the mylife YpsoPump always make sure you use the various functions properly If the mylife YpsoPump is not operated on the status screen the screen switches off after 20 seconds and the screen lock is activated If the mylife YpsoPump is not operated in the main menu or in a submenu the screen switches off after two minutes and the screen lock is activated Any change...

Page 16: ...tory Settings Rotate screen Settings Deactivate access lock function The following mylife YpsoPump functions cannot be operated when the access lock function is activated All types of bolus delivery Temporary basal rate function Programming and switching basal rate profiles Returning threaded rod for cartridge change Priming infusion set and cannula Switch to run or stop mode Time and date setting...

Page 17: ...YpsoPump vibrates briefly and the access lock function is activated 4 5 The status screen appears The activated access lock function is visualised by an access lock icon at the top of the screen 5 5 If you open the main menu again tap the Settings icon and swipe to the left the Access lock active deactivate icon now appears Basal rate delivery continues when the access lock is activated ...

Page 18: ... tapping The mylife YpsoPump vibrates briefly and the access lock function is deactivated 4 5 The status screen appears The access lock icon at the top of the screen disappears All icons are now active and the functions can be operated again 5 5 If you open the main menu again tap the Settings icon and swipe to the left the Access lock inactive activate icon now appears ...

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Page 20: ...Method 2 see page 25 Important the mylife App bolus calculator offers two methods for the calculation of a bolus suggestion The child s diabetes team will have selected the one method that best fits the targeted therapy To be sure what method the child is using please compare the bolus calculator screen in your child s mylife App profile with the two images below Then go to the respective page num...

Page 21: ...correct the current blood glucose value The correction bolus is administered to correct the blood glucose BG value The calculation is based on the BG target value which is the BG value that the child needs to reach It corresponds to a setting of the bolus calculator that was defined by your child s physician or diabetes counsellor The BG value can either be corrected by delivery of insulin if the ...

Page 22: ... food intake Meal bolus How much insulin is still active in the body from any previous boluses Insulin on board is the amount of bolus insulin which is still active in the body from previous boluses The more time has passed since the last boluses the lower the amount of insulin still active in the body The bolus calculator takes the insulin on board into account by reducing correction bolus and me...

Page 23: ...on bolus and the meal bolus If there is insulin still active in the body from a previous bolus the calculator subtracts the insulin on board from the correction bolus and the meal bolus to achieve a bolus suggestion Bolus suggestion Correction bolus Meal bolus Insulin on Board Correction bolus Meal bolus Insulin on board ...

Page 24: ...ethod 1 calculation example The below calculation is based on a blood glucose value and estimated carbs for your child s food intake Of course it is also possible to calculate a bolus suggestion based only on a blood glucose measurement i e without entering any carbs or only on estimated carbs i e without entering any blood glucose value Calculation Enter the current BG value and the amount of est...

Page 25: ...es are never reduced by any IOB in the child s body A bolus suggestion consists of three parts Correction insulin Adjustment insulin on board Meal bolus Correction insulin Serves to correct the measured blood glucose BG value The calculation is based on and corrects to the individually defined BG target value Note the correction insulin calculation of method 2 corresponds to the correction bolus c...

Page 26: ...Meal bolus The number of insulin units of the insulin on board that are subtracted from the correction insulin The value of this parameter depends on the magnitude of the correction insulin relative to the insulin on board in the child s body Adjustment insulin on board ...

Page 27: ...insulin on board 27 Correction bolus Meal bolus Three components are considered within the equation to achieve an overall bolus suggestion Correction insulin Adjustment insulin on board Meal bolus Suggested bolus Bolus calculation Method 2 ...

Page 28: ... 13 34 100 28 Bolus calculation Method 2 calculation example The below calculation is based on a blood glucose value and estimated carbs for your child s food intake Of course it is also possible to calculate a bolus suggestion based only on a blood glucose measurement i e without entering any carbs or only on estimated carbs i e without entering any blood glucose value Calculation Enter the curre...

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Page 30: ...ct a high blood glucose level The bolus amount entered is delivered immediately 2 4 Tap the Standard bolus icon 1 4 Open the main menu and tap the Bolus icon 3 4 Select a bolus amount the selectable bolus amount depends on the set bolus increment Bolus delivery commences immediately as soon as you confirm by tapping The mylife YpsoPump vibrates briefly 4 4 The mylife YpsoPump counts down the remai...

Page 31: ... on the status screen In addition the remaining extension time of the extended bolus is displayed You can cancel a bolus in progress at any time by tapping Cancellation must always be confirmed by tapping 4 6 Select the extension time during which you wish to deliver the bolus amount selected The extension time can be set from 15 minutes to 12 hours in steps of 15 minutes 5 6 The set bolus amount ...

Page 32: ...us icon 3 8 Select a total bolus amount the selectable bolus amount depends on the set bolus increment and confirm by tapping 4 8 Select the bolus amount that you want to deliver directly immediate portion The total bolus amount entered is split adjustably between a standard bolus and an extended bolus ...

Page 33: ... 8 The mylife YpsoPump counts down the remaining units on the status screen The immediate portion of the bolus is delivered first It is followed by the extended portion In addition the remaining extension time of the extended bolus is displayed You can cancel a bolus in progress at any time by tapping Cancellation must always be confirmed by tapping 7 8 The bolus amount of the extended portion is ...

Page 34: ...3 34 100 34 Data saving and display in mylife App For further information on how to use the mylife App and the bolus calculator please consult the user guide The user guide is part of the mylife App and you will find it in the menu bar Last values Display of latest therapy data incl blood glucose bolus basal rate and insulin on board IOB Logbook You can find all saved entries in your logbook In ad...

Page 35: ...or increase the current basal rate The period can be set from 15 minutes to 24 hours in steps of 15 minutes How to activate a temporary basal rate The temporary basal rate function allows to reduce or increase the basal rate for a limited period of time When the temporary basal rate set has finished the programmed basal rate profile A or B continues The temporary basal rate function is not availab...

Page 36: ...tus screen appears with the actual basal rate A sign next to the basal rate profile set indicates that a temporary basal rate function is active 7 7 In addition the period of time remaining and the selected percentage of the basal rate are displayed alternately under the basal rate value When the temporary basal rate set has completed a warning appears on the screen Confirm the warning The pro gra...

Page 37: ...n menu and tap the Cartridge change and current cartridge level icon 3 8 Tap the Return threaded rod icon 4 8 Confirm by tapping The mylife YpsoPump vibrates briefly 5 8 The threaded rod returns and the percentage is reduced to 0 6 8 Tap to start and complete the self test For the mylife YpsoPump you may only use a self filled 1 6 ml reservoir mylife YpsoPump Reservoir or a pre filled 1 6 ml insul...

Page 38: ...nd dispose of them in accordance with your national environmental protection regulations 7 8 Disconnect the infusion set by turning the adapter on the mylife YpsoPump counterclockwise until it stops Inserting the cartridge and replacing the infusion set 1 2 Hold the mylife YpsoPump upright with the opening of the cartridge compartment facing upwards Insert a self filled 1 6 ml reservoir or pre fil...

Page 39: ...ime infusion set icon 2 6 Tap the Prime tubing icon Priming the infusion set 3 6 The screen for setting the priming volume appears For the priming volume select a value that is suitable for the infusion set between 1 0U and 30 0U Confirm by tapping ...

Page 40: ... air bubbles If the cartridge contains air bubbles select the appropriate priming volume according to the tubing length as listed above until there are no more air bubbles in the cartridge in the adapter and in the tubing If the cartridge does not contain any air bubbles prime the minimum priming volume of 1 0 U when changing the cartridge only With mylife YpsoPump you are not required to change t...

Page 41: ...ghtly on your open palm to remove the air bubbles from the infusion set The screen counts the delivered priming volume upwards until the set value has been reached You can cancel the priming procedure at any time by tapping 6 6 Repeat the priming procedure with the appropriate priming volume until there are no more air bubbles in the cartridge in the adapter or in the tubing and until insulin has ...

Page 42: ... or in the tubing attach the infusion set to the body Manual insertion 2 12 Clean and disinfect the infusion site with an isopropyl alcohol swab 70 Before continuing make sure there are no hairs on the site and that the infusion site is dry 3 12 Peel the protective foil off the tape carefully Make sure you do not touch the adhesive film 4 12 Remove the cannula protector from the cannula carefully ...

Page 43: ... Press the tape onto the skin with one hand and grasp the introducer cap with two fingers of your other hand The mylife YpsoPump Orbit micro has a steel cannula that can be applied to the body without any additional introducer needle 8 12 Carefully remove the introducer needle mylife YpsoPump Orbit soft or the introducer cap mylife YpsoPump Orbit micro by pressing on the two outer wings of the int...

Page 44: ...ety bin 10 12 Attach the tubing cap straight to the cannula base of the infusion set 11 12 Make sure you hear it click into place 12 12 Rotate the tubing left and right at least one full turn in each direction while pulling upward on the cap to ensure the tubing cap is fully engaged and the fluid path is opened ...

Page 45: ...orrect attachment 2 15 Hold infusion set in position 3 15 Remove tape backing 4 15 Turn to activate Turn the lower part of the inserter clockwise until it stops and remains in position Keep the inserter pointed towards the infusion site and away from eyes and any body part where insertion is not desired Activating inserter pointed away from injection site during readying and in its loaded state ma...

Page 46: ... infusion site Do not use the infusion set if the introducer needle has been damaged or bent 7 15 Push button Push the button until a click is heard 8 15 Press the tape onto the skin and run your fingers over the tape for some seconds to optimise adhesion ...

Page 47: ...o the cannula base of the infusion set 9 15 Press the tape onto the skin with one hand and grasp the infusion cap with two fingers of your other hand 10 15 Carefully remove the introducer needle mylife YpsoPump Orbit soft or the introducer cap mylife YpsoPump Orbit micro by pressing on the two outer wings of the introducer cap and pull it from the infusion site ...

Page 48: ...5 Rotate the tubing left and right at least one full turn in each direction while pulling upward on the cap to ensure the tubing cap is fully engaged and the fluid path is opened 15 15 Reset inserter Turn the lower part of the inserter back to its start position ...

Page 49: ...its 0 002 ml 6 mm soft cannula with base 0 3 units 0 003 ml 9 mm soft cannula with base 0 4 units 0 004 ml 100 U ml insulin 4 4 During the priming procedure the screen counts the delivered priming volume upwards until the set value has been reached You can cancel the priming procedure at any time by tapping 3 4 The screen for setting the priming volume appears For the priming volume select a value...

Page 50: ... mode 1 3 Open the main menu swipe to the left and tap the Stop mode switch to run mode icon 2 3 Confirm by tapping The mylife YpsoPump vibrates briefly 3 3 The status screen appears Basal rate delivery starts according to the programmed profile How to start insulin delivery ...

Page 51: ...o the left and tap the Run mode switch to stop mode icon 3 3 The status screen appears Insulin deliveries are stopped immediately This is indicated on the screen The screen of the mylife YpsoPump shows a stop warning if the insulin pump has been in stop mode for more than one hour The stop warning can be triggered prematurely directly after the insulin pump has been set into stop mode by giving th...

Page 52: ... icon Bluetooth icon appears only if activated Status screen in run mode Status screen in stop mode If the insulin pump is in stop mode all insulin delivery is cancelled Current date Current time of day Access lock icon appears only if activated Battery charge level No insulin delivery Basal rate stopped Padlock icon Bluetooth icon appears only if activated ...

Page 53: ...p can still be operated for at least two days Replace the battery as soon as possible If the battery compartment has remained open for more than 5 minutes and the mylife YpsoPump is in run mode an alarm is triggered After entering a new bat tery all insulin pump settings are saved and do not have to be entered again If the battery compartment remains open for more than 5 minutes and the mylife Yps...

Page 54: ...tery orientation screen shows the orientation of the AAA battery for insertion It appears on the status screen If the insulin pump is in run mode and the battery is not inserted for more than 5 minutes an alarm is triggered 5 5 Lock the battery compartment by inserting a coin in the groove of the battery compartment lid and turning it clockwise until it stops When the battery has been inserted the...

Page 55: ...ded rod Priming in progress Standard bolus in progress Immediate portion of the combination bolus in progress Blind bolus in progress If you remove the battery while any of the following functions are in progress the battery orientation screen appears and the function continues in the background for 5 minutes until the alarm is triggered alarms lead to a discontinuation of insulin delivery Basal r...

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Page 57: ...rm Audible signal Vibration signal Battery charge level Battery removed Remove battery Threaded rod returning Prime tubing in progress Prime cannula in progress Disconnect infusion set from body Ready for Bluetooth pairing Bluetooth pairing in progress Press function button for 2 seconds Total insulin amount per day basal and bolus ...

Page 58: ...ch to basal rate profile B Temporary basal rate function Temporary basal rate function activated cancel Cartridge change and current cartridge level Return threaded rod Prime infusion set Prime tubing Prime cannula Data Therapy data Alarm history Run mode switch to stop mode Stop mode switch to run mode Settings Time of day Date Set bolus increment Blind bolus active deactivate ...

Page 59: ...attery Battery empty Battery not suitable Charge internal rechargeable battery Occlusion Alarm icons No insulin Cartridge empty Auto stop Electronic error Cartridge level low Battery charge level low Threaded rod return not completed Priming not completed Bolus cancelled Temporary basal rate function completed or cancelled Insulin pump stopped Bluetooth connection failed Warning icons ...

Page 60: ...ion levels The levels escalate at intervals of 30 minutes The warnings appear on the status screen and have to be confirmed For this purpose the screen can be switched on with the function button The warnings do not cause any cancellation in insulin delivery When all the warnings have been confirmed the original status screen reappears Escalation levels warnings Level 1 Tactile Level 2 Tactile and...

Page 61: ...of 5 minutes If an alarm is confirmed but not dealt with it is given again by audible and tactile means after 30 minutes An electronic error is the exception That is indicated directly and permanently by audible and tactile means All the alarms which may occur on the mylife YpsoPump are described on the following pages Alarms always lead to cancellation of insulin delivery Escalation levels alarms...

Page 62: ...page 53 of this Caregiver Guide The No battery alarm only appears if the battery was removed while the insulin pump was in run mode If the battery is removed in stop mode the insulin pump adopts storage status after 5 minutes Battery empty The Battery empty alarm appears if the battery no longer has sufficient power and has to be changed Confirm by tapping and insert a new AAA alkaline battery LR0...

Page 63: ...luses temporary basal rate and basal rate Confirm by tapping The internal rechargeable battery is now charged by the alkaline battery which is indicated by arrows rotating round the hourglass The charging process can take up to 20 minutes When you have confirmed the alarm any cancelled boluses and the cancelled temporary basal rate function are indicated with appropriate warnings Then the status s...

Page 64: ...cclusion alarm therapy can be continued If an occlusion alarm occurs again while the new infusion set is being primed the cartridge must be changed in accordance with the procedure on page 37 of this Caregiver Guide If subsequent priming can be completed without an occlusion alarm therapy can be continued If an occlusion alarm occurs again while priming after having changed the cartridge the insul...

Page 65: ...s if the insulin pump is in run mode Confirm by tapping Insert a cartridge and perform a priming procedure No insulin Read the User Guide Auto stop The Auto stop alarm appears if the mylife YpsoPump is in run mode and has not been operated within 24 hours Insulin delivery in progress is stopped Confirm the alarm by tapping After confirmation of the alarm insulin delivery restarts ...

Page 66: ...button for 2 sec onds The insulin pump is now devoid of a battery and in storage status To put the insulin pump back into operation reinsert the alkaline battery perform the self test and set the time of day and the date Check the therapy settings Change the cartridge and the infusion set in accordance with the procedure on page 37 of this Caregiver Guide If the electronic error remains after the ...

Page 67: ...ucose tablets or another fast acting source of carbohydrate Alcohol prep swabs If travelling a copy of a letter from the child s diabetes team for airline security Ketone meter and testing strips Spare insulin pens both long and short acting Spare sensors if the child is using them for BG monitoring Disclaimer The Bluetooth word mark and logos are registered trademarks owned by Bluetooth SIG Inc a...

Page 68: ...etes This allows users easy discreet and reliable self treatment With mylife Diabetescare self treatment becomes simpler and easier 700018879 10217180 UK en V02 Ypsomed Ltd 1 Park Court Riccall Road Escrick North Yorkshire YO19 6ED info ypsomed co uk www mylife diabetescare co uk Customer Care UK 0344 856 7820 or ROI 1800 911 522 Calls to this number are free of charge from mobile phones and landl...

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