Pumps

Introduction to the Paradigm Veo- Whether you're curious about the basics or an experienced user looking for tips,you'll find it all in this interactive module.9

 

General Overview

How small is the insulin pump?

The MiniMed Paradigm Veo is available in 2 sizes - the 5series (554) and the 7series (754). The 5series insulin pump is the smallest of the two and is about the size of a mobile phone and measures just 5.1 x 7.6 x 2 cm. The 754 model is about 1.5 cm longer in length: Exact dimensions are 5.1 x 9.1 x 2 cm.

How light is the insulin pump?

The MiniMed Paradigm Veo 5series insulin pump is the lightest pump available from Medtronic Diabetes yet! Including battery it weighs just 95 grams. The MiniMed Paradigm Veo 7series insulin pump including battery is just 102 grams.

Usage

Do you have a recommendation for what type of batteries to use? What is the expected battery life of the Paradigm Insulin pump?

We recommend that you use an Energizer alkaline AAA battery with our MiniMed Paradigm insulin pumps. We have tested Energizer batteries extensively and find this brand to provide a very predictable time window from the moment you receive a “low battery” warning to the moment your system loses power (an “off no power” state). Having a predictable battery helps ensure that you’ll receive proper battery alerts as your battery gets low. The use of other battery brands or type may result in more variation.  Battery life is typically 7 – 10 days.  Some features that may reduce battery life are: - Using the Backlight, Vibrate Alert type, Remote Control & Meter, High Basal Rates–  “Excessive” button pressing, bolusing and priming–  Frequent Lost Sensor/Weak Signal alerts (Sensor feature)

LGS Feature

What is Low Glucose Suspend (LGS)?

Low Glucose Suspend is a new CGM feature and helps people who may have a fear of hypoglycaemia or hypoglycaemia unawareness. If the feature is turned on, the pump automatically suspends insulin infusion for 2 hours when glucose levels reach a pre-determined threshold and, without  intervention, will resume Basal insulin delivery to it’s pre-set rate. All other sensor functions remain operational during insulin suspension. 

What should I do if the LGS is triggered?

 If you DO NOT respond to the alarm, the pump will suspend insulin delivery, sounds a siren alarm and displays “I have diabetes, call for emergency assistance.”. The pump suspends insulin delivery for 2 hours. After 2 hours pump resumes Basal insulin delivery. If BG still low 4 hours after resuming Basal, insulin delivery re-suspends.  If you DO respond to the alarm, you can choose to suspend or resume Basal insulin delivery. If you resume Basal delivery then your pump will continue to deliver insulin. If you choose to suspend, the pump suspends insulin delivery as above.  When the LGS is triggered the pump will siren to ensure the alarm is heard and acted upon.  

Why does insulin delivery stop for 2 hours and resume for 4 hours?

The two hour period is based on clinical evidence and allows blood glucose to return to normoglycemia. The 4 hour period for resuming insulin delivery after halting it minimizes the risk of rebound hyperglycemia.  

Setting alarms

How do I set or change my glucose alarms limits?

The high and low glucose alarms have to be at least 10 mg/dL (or 0.6 mmol/L) apart. If you set your high glucose limit at 180mg/dL (or 10 mmol/L), then you cannot set your low glucose limit greater than 170 mg/dL (or 9.4 mmol/L). Conversely, if you set your low glucose limit at 50 mg/dL (or 2.8 mmol/L) then you cannot set your high limit lower than 60 mg/dL (or 3.4 mmol/L).

Reading your pump

What do the Rate of Change Arrows indicate?

One arrow either up or down indicates that glucose readings have increased/decreased by 1.1-2.2 mmol/L (or 20-40mg/dL) in the last 20 minutes. Two arrows either up or down indicate that glucose readings have increased/decreased by more than 2.2 mmol/L (40mg/dL) in the last 20 minutes. The rate of change arrows can be used to help a patient detect period when their glucose levels are rising/dropping quickly and act to help to prevent any severe episodes.