Insulet PANTHERTOOL OMNIPOD 5 Instructions For Use Manual

PANTHE R TOOL
OMNIPOD 5
Automated Insulin Delivery System
OVERVIEW using C
|
C How it
CALCULATES
•
Automated basal insulin delivery calculated from total daily
insulin, which is updated with each Pod change (adaptive
basal rate). The algorithm assumes that basal is ~50% TDI.
•
Calculates a micro-dose of insulin every 5 min based on
glucose levels predicted 60 minutes into future, aiming for
the chosen target glucose. Algorithm will increase doses
up to 400% to correct hyperglycemia and decrease or
pause insulin delivery when predicted to drop below the
target glucose.
|
A What you can
ADJUST
•
Can adjust the algorithm's Target Glucose (6.1, 6.7, 7.2, 7.8,
8.3 mmol/L).
•
Can adjust I:C ratios, correction factors, and active insulin
time for bolus settings.
•
Cannot change basal rates (programmed basal rates are
not used in Automated Mode, only used in Manual Mode).
|
R When it
REVERTS
•
System may revert to Automated Mode: Limited (static
basal rate determined by the system; not based on CGM
value/trend) for 2 reasons:
1. If CGM stops communicating with Pod for ≥ 20 min. Will resume
full automation when CGM returns.
2. If an Automated Delivery Restriction alarm occurs (insulin
delivery suspended or at max delivery too long). Alarm must be
cleared by user and enter Manual Mode for 5 min. User must
turn Automated Mode back on after 5 minutes in Manual Mode.
|
E How to
EDUCATE
• Bolus before eating, ideally 10-15 minutes prior. Consider
use of the Custom Foods feature to simplify carb counting.
• Tap Use SENSOR in bolus calculator to add glucose value
and trend into bolus calculator.
• Treat mild hypoglycemia with 5-10g carbs to avoid rebound
hyperglycemia and WAIT 15 min before re-treating to give
glucose time to rise.
• Infusion site failure: Check ketones and replace Pod if
unexplained hyperglycemia persists (e.g. > 14 mmol/L
for > 2 hours) despite correction bolus. Give syringe
injection for ketones.
for
®
| | | |
A R E S Framework
to manual mode
INSTRUCTIONS FOR USE
1
View reports at My.Glooko.com —
Target Range 3.9-10.0 mmol/L
2 Create reports — > 2 weeks —
b. Week View; and c. Devices
3 Follow this worksheet for step-by-step guidance on
clinical assessment, user education and insulin dose
adjustments.
STEP 1 BIG PICTURE ( PATTERNS )
STEP 2 SMALL PICTURE ( REASONS )
— >
|
S /
SENSOR SHARE
Check your country's user guide for compatible sensor availability
•
Dexcom G6, G7 and FreeStyle Libre 2 Plus.
•
Must use Dexcom G6 or G7 mobile app on smartphone
to start sensor (cannot use Dexcom receiver or Omnipod
5 Controller).
•
Can use Dexcom Share for remote monitoring of sensor
data; separate Follow app required.
•
Must use Omnipod 5 Controller to start FreeStyle Libre 2
Plus Sensor. No remote data sharing with FreeStyle Libre
2 Plus.
PANTHERPOINTERS
Focus on behavior: wearing the CGM consistently,
1
giving all boluses, etc.
When adjusting insulin pump settings, focus primarily
2
on Target Glucose and I:C ratios.
To make the system more aggressive: lower the Target
3
Glucose, encourage user to give more boluses, and
intensify bolus settings (e.g. I:C ratio) to increase total
daily insulin (which drives the automation calculation).
Avoid overthinking the automated basal delivery.
4
Focus on the overall Time in Range (TIR), and optimizing
system use, bolus behaviors, and bolus doses.
This PANTHER Program® tool for Omnipod
was created with the support of Insulet.
>
Set report settings to
> Select: a. CGM Summary;
STEP 3 PLAN ( SOLUTIONS )
— >
characteristics
for clinicIans
® 5