New Year, New Pump and CGM
Anytime you get a new device, you rip open the package with anticipation. You’re likely losing patience to turn it on and begin using it, and then it dawns on you, it was shipped to you with “factory settings,” which means you need to now make it your own. This happened to me a few months ago when I got a new cell phone, and it happened to me more recently when I got my new MiniMed 530G system. And unlike my phone, I knew I needed to wait to be trained before I started using my new pump. So while I waited for my training to be scheduled, I worked through the transition to put in all of my new pump settings. After going through this, I wanted to do a blog post to better prepare any of you who might be receiving a new pump of your own one day.
My Number One Tip: Have a plan! Insulin pumps and CGMs come with a lot of personalized settings, so decide ahead of time how you want to reference them. In my case, I uploaded to CareLink Personal, which automatically downloaded all of the previous device data in an easy to read two page report. Since my previous pump and new settings would be the same, I printed out those settings to use as a guide for when it was time to set up my new one. (You may also have previously recorded your personal settings: Your User Guide, Quick Reference Card, entered them in to myMedtronic Connect, or saved on your computer for easy access.)
Tip: Although the order of the steps to program a device can vary, here’s what I did that I found helpful and might help set proper expectations for you. (Keep in mind depending on your device and personal settings, you might not use all of these which is perfectly fine.)
1. My new pump came with a battery in the box so I put that in my pump. It automatically asked me to rewind for the first time, following the buttons on the screen was easy. The “Check Settings” alarm then appeared on my screen. The check settings alarm is merely a reminder that you will need to program the insulin pump with your Personal Settings.
Time and Date
2. Once my home screen appeared, I started with the most basic and important information: the date and time.
Basal and Bolus Settings
3. Then I did the basal and bolus settings which are both key to the pump functioning the way it’s supposed to. This not only included my general settings, but also my Max Basal Rate, Patterns, and Temp Basal type. Then I moved on to my bolus settings. This includes the Bolus Wizard Setup, Max Bolus, Scroll Rate, Dual/Square Bolus, Easy Bolus, BG Reminder, and Missed Bolus Reminder.
4. Next, I did my sensor settings. This includes the Glucose Alerts, Glucose Limits, Hi and Lo Repeat, Predictive Alert, Rate Alerts, Cal Repeat and Cal Reminder. Then most important- the transmitter ID from the back of my new transmitter. I also looked at the settings for Weak Signal, Graph Timeout and Sensor Demo, which in my case were the same as the factory settings. Note: I didn’t set up Thresh Suspend until my training, because of course that wasn’t a setting in my MiniMed Revel pump!
Meter and Device Communication
5. Then I followed that with the meter and device communication settings. The meter setting is one that I had forgotten on past pump transitions, so make sure you keep a close eye on that.
Last But Not Least: Save Settings
6. The last thing I did was to save my settings in my new pump using the “Save Settings” option in the Utilities setting on my pump. (Learn about this feature here).
Tip: Anytime there is a menu option to “Review Settings”, make sure to select that and see if all of the settings line up from your previous pump model. This extra step will take just a few minutes but will be completely worth it.
Tip: Don’t get overwhelmed. The good thing is that there is likely going to be time between your training from when you receive your new system. Take the time to do it right, and pick one menu option at a time to focus on.
Tip: Don’t underestimate the power of the reading materials provided. The user guide and educational work books talk through many of the button pushing steps you will be doing. Feel free to reference our website too.
I hope this helps. If you have all of the right information in front of you, it’s easier to set up your pump to meet your personal needs. Don’t feel overwhelmed with all of the details, the button pushing will come naturally to you and the menu options will guide you from one step to the next.
Important Safety Information
Medtronic Diabetes insulin infusion pumps, continuous glucose monitoring systems and associated components are limited to sale by or on the order of a physician and should only be used under the direction of a healthcare professional familiar with the risks associated with the use of these systems. MiniMed 530G with Enlite is intended for the delivery of insulin and continuous glucose monitoring for the management of diabetes mellitus by persons 16 years of age or older who require insulin.
Pump therapy is not recommended for people who are unwilling or unable to perform a minimum of four blood glucose tests per day. Insulin pumps use rapid-acting insulin. If your insulin delivery is interrupted for any reason, you must be prepared to replace the missed insulin immediately.
The information provided by CGM systems is intended to supplement, not replace, blood glucose information obtained using a home glucose meter. A confirmatory fingerstick is required prior to making adjustments to diabetes therapy. MiniMed 530G with Enlite is not intended to be used directly for preventing or treating hypoglycemia but to suspend insulin delivery when the user is unable to respond to the Threshold Suspend alarm and take measures to prevent or treat hypoglycemia themselves.
Please visit www.medtronicdiabetes.com/importantsafetyinformation for more details.