Your Personal Diabetes Manager Settings - OmniPod DASH SYSTEM PODDER Resource Manual

YOUR PERSONAL DIABETES MANAGER
OMNIPOD DASH
SETTINGS
Date
_______/______/_______
It is always a good idea to keep a copy of your Personal Diabetes Manager settings handy in the event you have to set up another
Dear ______________________________________________________________
Personal Diabetes Manager.
Dr. Name
Below you will find current settings along with education topics reviewed with your patient ______________________________________.
Your healthcare provider will provide you with your initial start rates as well as any future changes.
I have instructed your patient to follow the self-management/insulin adjustment guidelines provided. Your patient has been instructed to
CAUTION: Do not attempt to start or make any changes to your Personal Diabetes Manager settings without formal instruction from your healthcare provider.
call Insulet Customer Care for any technical/product assistance.
Initial Pump Settings entered in PDM *indicates settings provided by HCP on page 1
Basal
Max Basal Rate*
Basal 1*
Temporary Basal Rate
Blood Glucose (BG)
BG Goal Limits
BG Meter
Bolus
Bolus Calculator
Target BG & Correct Above*
Minimum BG for Bolus Calcs
Insulin to Carb (IC) Ratio*
Correction Factor*
Reverse Correction*
Duration of Insulin Action*
Maximum Bolus*
Extended Bolus
education reviewed:
* Indicates settings provided by HCP
 Carb Counting
 Suggested Bolus Calculations
Be sure to check with your healthcare provider before adjusting these settings.
 Advanced Features
PuMP THerAPy OrDer FOrM
™
Time Segment
12:00 am - _________
_________ - _________
_________ - _________
_________ - _________
Time Segment
12:00 am - _________
_________ - _________
_________ - _________
_________ - _________
Time Segment
12:00 am - _________
_________ - _________
_________ - _________
_________ - _________
Time Segment
12:00 am - _________
_________ - _________
_________ - _________
_________ - _________
 Site Selection/Rotation
 Site Adhesion
 Patient Insulin Adjustment
INTRODUCTION |

Your Personal Diabetes Manager Settings

Patient Name
_______ U/hr
_______ U/hr
_______ U/hr
_______ U/hr
_______ U/hr
 On
Lower Limit ______ mg/dL
Upper Limit ______ mg/dL
 Pair
 On
Target
_________ mg/dL
_________ mg/dL
_________ mg/dL
_________ mg/dL
_________ mg/dL
1 unit of insulin covers
_______ g
_______ g
_______ g
_______ g
1 unit of insulin decreases BG by
_______ mg/dL
_______ mg/dL
_______ mg/dL
_______ mg/dL
 On
_______ hours
_______ units
 On
 Blood Glucose Testing
 Hypoglycemia – Symptoms/Treatment
 Hyperglycemia – Symptoms/Treatment
 Off
 Skip
 Off
Correct Above
_________ mg/dL
_________ mg/dL
_________ mg/dL
_________ mg/dL
 Off
 Off