Lifestyle

Lifestyle

Watertight
Can I swim or bathe while wearing a MiniMed® insulin pump?

To participate in water activities, you can easily disconnect from your insulin pump. We understand this is not ideal; however it is the safest alternative at this time. While disconnected for water activities, take the necessary precautions to protect your pump from water. The insulin pump is splash proof, but not waterproof and should not be submerged in water.

Can I swim, shower or bathe with the transmitter?

The Minilink, when connected to the sensor, is waterproof and fully immersible, however we do not recommend immersing them in very hot water (like a hot tub). You can wear the transmitter to a depth of eight feet for up to 30 minutes. If you disconnect from your insulin pump and your transmitter goes out-of-range for longer than 40 minutes (separated by more than 6 feet), only the last 40 minutes will be re-populated. When reviewing historical reports, you would notice a "data gap" with missing information during this period of time.

The truth about watertight

 

The Truth About Watertight

There are a variety of different statements being made available to customers regarding water tightness of insulin pumps. While insulin pumps are designed and manufactured to be quite sturdy, they are not bullet proof, and cracking of the casing is possible.

If watertight is a deciding factor for you, be sure that you really understand the truth

An insulin pump is a companion in a patient’s every day life. And so of course it will get bumped and bashed around a bit. Although all manufacturers carry out numerous tests, no-one can prevent cracking with complete and absolute certainty once the pump is out of its box and has actually started to be used every day.

Our watertight rating is IXP7 immersion at a depth of 1 meter for 30 minutes.

We believe that our position as a manufacturer is a very responsible one and creates the appropriate level of awareness for our customers with regards to how they use their pump in day to day life. We continue to label our product as water resistant, not waterproof/watertight, and recommend that all insulin pump users do not intentionally submerge their insulin pump in water.

We understand the initial attractiveness of a waterproof pump, but also understand how much this feature is actually used in every day life versus other more important features of a pump. Ultimately, there are many things to consider in choosing an insulin pump - safety, technology, service, support, experience, and track record, as well as vision and commitment to the future. As the world leader in insulin pump therapy, we at Medtronic Diabetes continue to set the standard in these areas with our Minimed® Platform of Insulin Pumps.

Should our customers experience water ingress, we will of course replace the insulin pump according to our normal warranty policy.

 

 

Traveling checklist / tips & tricks
Can I use the Minimed® Veo™ System on an airplane?

You can continue to use your insulin pump as normal during your flight. If you are using the CGM funstion of the pump, International standards and U.S. Federal Communications Commission (FCC) regulations require that devices using radio frequency capabilities should not be used on an aircraft. So you must disconnect the MiniLink transmitter from the glucose sensor. It is not sufficient to simply turn off the continuous glucose monitoring (CGM) feature on the insulin pump because the MiniLink transmitter will continue to transmit on the RF frequency and will only stop if disconnected from the glucose sensor. While in flight, you need to manually test your glucose levels using your BG meter.

Can the MiniMed®  System be disturbed by electromagnetic interferance at airports or through computers, cell phones, or recording equipment?

The labeling of all Medtronic Minimed insulin pumps indicates that users should avoid exposing insulin infusion pumps to strong magnetic fields such as those associated with MRI machines. Extensive testing has shown that other magnetized devices such as airport metal detectors, electronic article surveillance equipment, and cellular phones will not adversely affect insulin pump operation. Mobile phones, cordless phones, or other wireless high frequency devices can interfere with communication from your glucose monitor / transmitter to the insulin pump, but this interference does not cause faulty data and does not damage your pump or the meter. Communication can be restored by removing or switching off these wireless devices.

Traveling checklist / tips & tricks

 

Traveling with a pump

Your pump can make good blood glucose control easier when you travel. You can adjust boluses for meals that come at odd hours, for ones that are bigger or smaller than usual, or for meals that you just don’t want to eat more quickly.

You can also adjust to changes in your normal activity level, like sleeping in later.

How you prepare for your travel and what you need to take is dependent on where you’re going and for how long. What is appropriate for a short domestic flight and holiday within the UK will be different for a long flight over different time zones to an exotic overseas destination. Go wherever your heart leads you; just remember to take your pump too!

Supplies needed for safety while travelling

When traveling, you need to consider taking the following supplies:

  • Extra pump batteries
  • Insulin (and appropriate storage container)
  • Pump supplies
  • Insulin pen or syringes
  • Ketone strips
  • Glucagon emergency kit
  • Blood sugar testing equipment
  • Carbohydrate for treating hypos and extra food such as nutrition bars which are easy to carry

Other things to consider:

  • Key contact details of your doctor and Diabetes Healthcare Team and also diabetes services at your destination
  • Wear or carry medical ID indicating that you have diabetes and that you are on an insulin pump
  • It’s also a good idea to take along medication for diarrhoea and nausea
  • Your pump manual and a list of all your pump settings
  • If you are travelling overseas you may want to have written useful phrases in the language of your destination eg. “I have diabetes, please give me some sugar or something to eat”.
  • Check with your country of destination about taking your supplies into the country.

Always carry medications, snacks, pump supplies and the letter from your doctor in your carry on luggage when you fly. This is especially important because your luggage may be lost, or you may have delays for extended periods of time due to bad weather or mechanical problems. Insulin left in checked luggage may be exposed to extreme (often freezing) temperatures.

A good rule of thumb is to pack double the amount of supplies that you think you would normally need, just in case you have any problems.

Pump supplies may be more expensive when buying in another country, or your particular supplies may not be available in every country, so be sure to check with us first by calling the Medtronic Diabetes Customer Service so that you don’t get any unexpected surprises.

Time zones and multiple basal rates

There is no 'cookbook' approach when it comes to adjusting basal rates for crossing time zones. When planning a trip, consult with your Diabetes Healthcare Team to discuss the trip itinerary and any adjustments that may be needed for travel.

Don’t forget to always carry a list of your basal rates and other pump settings with you.

Set the pump to the new destination at any time during the flight – most people change their pump when they arrive at their destination. It is very important however, that you do change the time to the correct time of your destination as your basal rate settings may be quite different overnight to during the day. If you don’t change the time you may be get too much insulin when you are sightseeing and then not enough during the night. This can be quite dangerous.

Don’t forget to change your time back when you get back home to your original time zone.

Safety tips

It is a good idea to get up and walk during long flights and drink plenty of water – this helps prevent blood-clotting problems that people with or without diabetes may experience.

Test your blood glucose more often. Blood glucose levels can go too high or low due to stress or changes in activity or eating.

Traveling in the USA
  • In the US, doctors’ letters are no longer sufficient proof of medical necessity when you are carrying syringes. In order to board an airplane with syringes and other insulin delivery devices, you must produce an insulin vial with a professional, pharmaceutical, pre-printed label that clearly identifies the medication. No exceptions will be made. If the prescription is located on the outside of the insulin box then you should carry that as well.
  • Check-in time in the US even for domestic flights is 2 hours to enable you to clear all the security checks
  • In the US you must notify security screeners that you have diabetes and that you are wearing a pump and are carrying supplies with you
Safety issues when flying

You can use your pump whilst flying on commercial aircraft. It is important however, not to use your pump remote control during a flight as it may interfere with the planes navigation equipment

 

 

MRI/x-ray
Can MRI or X-ray machines can disrupt the system?

If you are going to have an X-ray, CT scan, MRI or other type of exposure to radiation, please take off your insulin pump, transmitter, and glucose sensor and remove them from the area. An MRI (Magnetic resonance imaging) test uses extremely powerful magnetic fields and radio frequency waves to create images of internal organs from the body. These strong magnetic fields can damage the pump and potentially pull it from your body. The cannula infusion sets (which do not contain metal) including the: Mio, Sof-set, Quick-set and Silhouette may be left in your body without concern. Medtronic recommends that you temporarily disconnect your pump before entering the room in which the procedure is to occur. If you have questions regarding a specific test and how it may affect your pump please contact your local HelpLine.

 

Sick-day management
Sick day management

Managing diabetes during an illness or infection requires frequent blood glucose and urine ketone testing. Illness and infection put extra stress on the body and often raises blood glucose. The insulin pump allows you to make adjustments to quickly and easily respond to illness and infection.Even if you are unable to eat, you need insulin. Depending on the results of blood glucose testing, your basal insulin may be sufficient to cover your insulin needs, or you may need to increase your insulin by taking frequent correction boluses, increasing your basal rate, or both.
Sick Day Protocol:
- Test you blood glucose and urine ketones every 2 hours, 24 hours a day.
- Check urine ketones every time you go to the toilet.
- Keep accurate records of your blood glucose values, ketones, medication, fever and all symptoms.
- Take extra insulin whenever your blood glucose is 14 mmol/l (250mg/dL) or higher and when ketones are moderate or large.
- Keep in mind that extra insulin and fluids are needed when urine ketones are present, even if your blood glucose is within your target range.
- If you are vomiting, you must call your Endocrinologist, GP, or Diabetes Educator for proper treatment with fluids and insulin to avoid DKA!
Sick Day Supplies:
You should have the following in the house at all times and carry them with you when travelling:- Fluids that contain sugar (Lemonade, Cola or similar, candy, jelly, etc) to replace solid food.- Sugar-free liquids (diet drinks, bouillon, chicken broth) for replacing lost fluids- Thermometer- Medications for fever, cough, congestion, nausea and vomiting- Extra blood glucose and ketone strips.- Glucagon emergency kit in case of severe hypoglycaemia Note: When you are sick, it is difficult to take care of your diabetes, but you must. If you are too sick to monitor your diabetes carefully, ask a friend or family member to help. If there is no one to help you, ask your Diabetes Healthcare Team for assistance.

 

Temporary disconnect guidelines
Temp Disconnect guidelines

 

Guidelines for Temporary Disconnection

Whether it's for a day at the beach or because you want to take a 'pump holiday' - returning temporarily to injections can be easier when you establish a plan beforehand. The chart below offers guidelines to help you and your healthcare provider create a plan for you.

Note: The chart assumes that you continue to use your pump insulin (most often fast-acting Humalog® or NovoLog®), but that you are taking it by injection.

Temporary Disconnection Guidelines
Up to 1 hour
  • Testing Check BG before disconnecting.
  • Basal Insulin: No injections required.
  • ExerciseCheck BG before, midway and after exercise; monitor closely over the 24 hours following vigorous exercise. Decrease dose(s) (basal and bolus) accordingly.
  • Bolus Insulin Take injection (or re-connect/bolus) to cover carbs according to insulin-to-carb ratio and based on BG. Take injection(s) (or re-connect/bolus) to correct high BG using correction formula. If BG >13 mmol/L, check ketones.
Up to 4 hours
  • Testing Monitor BG before disconnecting, before meals and at hour 3-4.
  • Basal Insulin: Take injection equal to missed basal dose.
  • ExerciseCheck BG before, midway and after exercise; monitor closely over the 24 hours following vigorous exercise. Decrease dose(s) (basal and bolus) accordingly.
  • Bolus Insulin Take injection (or re-connect/bolus) to cover carbs according to insulin-to-carb ratio and based on BG. Take injection(s) (or re-connect/bolus) to correct high BG using correction formula. If BG >13 mmol/L, check ketones.
Overnight
  • Testing Monitor BG before sleep, & set alarm to test every 3-4 hours.
  • Basal Insulin: Every 4 hours, take injection equal to missed basal dose.
  • Exercise Check BG before, midway and after exercise; monitor closely over the 24 hours following vigorous exercise. Decrease dose(s) (basal and bolus) accordingly.
  • Bolus Insulin Take injection (or re-connect/bolus) to cover carbs according to insulin-to-carb ratio and based on BG. Take injection(s) (or re-connect/bolus) to correct high BG using correction formula. If BG >13 mmol/L, check ketones.
Up to 24 hours (or longer)
  • Testing Check BG before meals, every 3-4 hours & before sleep.
  • Basal Insulin: Every 4 hours, take injection equal to missed basal dose.
  • Exercise Check BG before, midway and after exercise; monitor closely over the 24 hours following vigorous exercise. Decrease dose(s) (basal and bolus) accordingly.
  • Bolus Insulin Take injection (or re-connect/bolus) to cover carbs according to insulin-to-carb ratio and based on BG. Take injection(s) (or re-connect/bolus) to correct high BG using correction formula. If BG >13 mmol/L, check ketones.
More than one day
  • TestingFrequent BG monitoring recommended for optimal control.
  • Basal Insulin: For convenience, your health care provider may prescribe longer-acting insulin in place of fast-acting insulin.
  • Exercise Check BG before, midway and after exercise; monitor closely over the 24 hours following vigorous exercise. Decrease dose(s) (basal and bolus) accordingly.
  • Bolus Insulin Take injection (or re-connect/bolus) to cover carbs according to insulin-to-carb ratio and based on BG. Take injection(s) (or re-connect/bolus) to correct high BG using correction formula. If BG >13 mmol/L, check ketones.

If you have questions concerning your care while disconnected from your insulin pump, please contact your healthcare provider. For questions about using Medtronic Diabetes insulin pump features, please contact your local medtronic rep.

 

 

Daylight savings time
Programming your pump for daylight savings time
Daylight Saving Time (DST) Reminder

Your device will not automatically update the time for Daylight Saving Time.

Quick Tip: Update your device when you change your clocks. Changing the time is simple and easy. Just click on your device model below to get instructions:

Which Medtronic insulin pump are you using?