User's Manual

233
234
11 Manage Your Diabetes Safely
This section provides detailed information related to the safe use of your companion and pump. It describes
what the companion and pump are used for and what it must NEVER be used for. Review this section
carefully. If you have any questions or concerns after reviewing this section, contact Customer Care or your
healthcare professional for assistance.
Indication
The FreeStyle Aviator Insulin Delivery and Blood Glucose Monitoring System is intended for continuous
delivery of insulin at set and variable rates and as an aid in the management of diabetes mellitus in persons
requiring insulin. The FreeStyle Aviator System is also intended for the quantitative measurement of glucose in
fresh whole capillary blood (in vitro). The system is available by prescription only.
Contraindications
The Aviator System is NOT intended for:
People who are unwilling to consistently test their blood glucose levels at least 4 times a day.
•
People who are unwilling to self-insert an infusion set every 2-3 days.•
People who don’t want to work closely with their healthcare professional.•
People whose vision is impaired to the point where they • CANNOT read the companion or pumps screen.
People whose hearing is impaired to the point where they
• CANNOT hear the companion or pump’s alarms.
Blood Glucose Testing
Your blood glucose levels should stay within the range determined by you and your healthcare professional.
It is extremely important that you check your blood glucose levels regularly and often while using your
insulin pump. In addition to this ongoing testing, your blood glucose level must also be tested:
Whenever you stop your pumps operation for any length of time, as the insulin level in your blood will be de-
•
pleted quickly and blood glucose levels will rise rapidly when the pump is stopped.
Within 1-3 hours of replacing the insulin reservoir and/or inserting/attaching a new infusion set.
•
More frequently during times of illness, injury or stress.•
When you rst start pump therapy and are adjusting your basal rates.•
When changing insulin dosages.•
Refer to Section 5 for more information about testing your blood glucose using your integrated Aviator
Companion Blood Glucose Meter.
Two Consecutive High Blood Glucose Readings despite the
Administration of a Correction Bolus
If you get two consecutive unexplainable high blood glucose readings while on pump therapy, do the
following:
If your healthcare professional plan calls for a correction bolus, follow the recommendations for 1.
administering the correction bolus.
Check for ketones, if your healthcare professional instructed you to do so.2.
Evaluate your pump and infusion set for loose connections or insulin leakage.3.
Check your pump programming to conrm you are receiving your expected basal rate dose.4.
Check bolus history to ensure you have received your last several boluses.5.
Check your daily total insulin amount to make sure that you are on track with the amount of insulin you 6.
have been using.
Inspect your tubing for air bubbles. Check to see if it is connected to your site correctly and that your site 7.
has NOT accidentally become dislodged.
Evaluate other causes of unexpected high blood sugars:8.
Are you sick?
•
Have you had a change in your physical condition (pain, menses, surgery, illness)?•
Has your insulin been exposed to higher temperatures in the day or hours leading up to these higher •
levels?
Have you recently started taking a medication that could be causing your blood sugar to be high?
•
Have you encountered additional personal or physical stress in the hours leading up to this episode?•
If there is 9. NO clear reason for the high blood sugars, then it is recommended that you disconnect your
infusion set from your body, throw away the set, tubing, and reservoir of insulin. Fill a new reservoir with
fresh insulin, prime your system, and reinsert a new set into a dierent area of your body. Continue to
measure your blood glucose levels every 1 to 3 hours after the new insertion to insure your blood glucose
levels return to your normal levels.
If in doubt with any step, contact your healthcare professional for guidance.10.
Section 11: Manage Your Diabetes SafelySection 11: Manage Your Diabetes Safely
DOC15736_Rev-A-Man.indd 233-234 2/9/09 11:29:54 AM