Medtronic pump users

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SB2015

SB2015

Well-Known Member
Relationship to Diabetes
Type 1
I am currently using my new 780G in manual mode, so it is behaving in a similar way to the 640, but I cannot find some of the equivalent functions that I was used to on my Combo.
  • Active insulin - my Combo showed only any corrections that were still active, and did not include the Bolus in the calculations of insulin in board. I am not sure how to interpret the active insulin at bedtime , part of which will still be working on the carbs consumed.
More to come no doubt.
 
... and
  • For a high glucose reading >14 I would normally increase my Bolus by a percentage, which in my Combo there were preset increases which I had set up and could apply:
    • ‘stress’ which I would use if I was over 10
    • ‘illness’ which I used if I was over 14
Is there anything like this on the Medtronics in manual mode?

I know that once I am on sensors I would have autocorrections dealing with these, and hopefully not get anywhere near these levels. (Tonight it was a combination of lentils, as well as a beer. A rare occurrence and I had miscalculated the carbs!! At least I know why I am now so high. I really should have gone for that walk after my meal!!)
 
Are there any Medtronic users who can help me?
 
@SB2015 Sorry I’ve never used a Medtronic pump and on my pump I just calculate the ‘extra’ correction in my head and whack it in.

But - have you tried Youtube? I’ve found a number of helpful videos there for my pump so it might be worth a look if you don’t get a reply here.
 
SB2015 said:
  • For a high glucose reading >14 I would normally increase my Bolus by a percentage, which in my Combo there were preset increases which I had set up and could apply:
    • ‘stress’ which I would use if I was over 10
    • ‘illness’ which I used if I was over 14
Is there anything like this on the Medtronics in manual mode?
Click to expand...
Nope the moronic pump was built in 1066. It's frustrating because my first pump 13 years ago had these features.
All I do is add the extra % the pump then tells me I have modified the bolus.
 
Pumper_Sue said:
Nope the moronic pump was built in 1066. It's frustrating because my first pump 13 years ago had these features.
All I do is add the extra % the pump then tells me I have modified the bolus.
Click to expand...
Thanks Sue

I have just found out how to modify the Bolus.
Sorted.
 
Inka said:
@SB2015 Sorry I’ve never used a Medtronic pump and on my pump I just calculate the ‘extra’ correction in my head and whack it in.

But - have you tried Youtube? I’ve found a number of helpful videos there for my pump so it might be worth a look if you don’t get a reply here.
Click to expand...
Thanks for that tip. It is not my automatic thing to do, but I am realising hit w useful you tube and google can be.
 
Hey SB I’m using a MM670G so if you need some pointers give me a shout, the menus take a bit of time to get used to.
i use the carelink software on my PC a lot to help me setting up parameters, you can print a copy of the setup and then you can edit the sheet before adjusting the pump
 
Hello @SB2015

Yes I did wonder how you would get on with the differences in dosplay of iob (I am currently adjusting to TSlim which is different again!). FWIW I found it a more logical and helpful display after I’d got used to it, especially where i had any uncertainty over my carb estimation.

Yes i missed the Expert’s % dose increases/reductions too. in the end i opted for the more rudimentary ‘add or knock off a unit or two’ and watched the sensor trace for further adjustments after a couple of hours
 
everydayupsanddowns said:
Hello @SB2015

Yes I did wonder how you would get on with the differences in dosplay of iob (I am currently adjusting to TSlim which is different again!). FWIW I found it a more logical and helpful display after I’d got used to it, especially where i had any uncertainty over my carb estimation.

Yes i missed the Expert’s % dose increases/reductions too. in the end i opted for the more rudimentary ‘add or knock off a unit or two’ and watched the sensor trace for further adjustments after a couple of hours
Click to expand...
It was at night and not being sure how much of the active insulin was working on carbs, or was a correction. We tried to get round this by eati earlier so at least the carb insulin had done its job when I went to bed. As the week went on it almost became irrelevant as I piled insulin in from my pen. The weird thing s that there is no way of telling the pump that I have done a pen correction so it does not take any account of those. I guess again it is not expecting you to have to do that as in automode it should keep you in target.
 
Paulbreen said:
Hey SB I’m using a MM670G so if you need some pointers give me a shout, the menus take a bit of time to get used to.
i use the carelink software on my PC a lot to help me setting up parameters, you can print a copy of the setup and then you can edit the sheet before adjusting the pump
Click to expand...
Thanks Paul.
I will come back to you as my list of questions grows.
I definitely need to be better prepared before I have another go.
 
SB2015 said:
It was at night and not being sure how much of the active insulin was working on carbs, or was a correction. We tried to get round this by eati earlier so at least the carb insulin had done its job when I went to bed. As the week went on it almost became irrelevant as I piled insulin in from my pen. The weird thing s that there is no way of telling the pump that I have done a pen correction so it does not take any account of those. I guess again it is not expecting you to have to do that as in automode it should keep you in target.
Click to expand...
Sounds like more tuning to do in your basal setup, your in manual mode at the minute as I remember, so the pump is delivering what’s in the setup, I’ll take a photo of what mine looks like so you can compare, only change it with your trainer though.
Also Meditronic help line are usually great so just call them with your questions
 
Paulbreen said:
Sounds like more tuning to do in your basal setup, your in manual mode at the minute as I remember, so the pump is delivering what’s in the setup, I’ll take a photo of what mine looks like so you can compare, only change it with your trainer though.
Also Meditronic help line are usually great so just call them with your questions
Click to expand...
They have generally been brilliant. But they are not particularly familiar with this pump so far and it is definitely lacking some facilities in that it really want to be working in auto.

You are right about basically I was not getting enough insulin. I felt so rough with the elevated levels, and was so tired it’s lack of sleep, that the option of returning to Combo seemed a good option after a week. With my old pump I will check Basal rates and ratios more carefully, and then transfer these over before restarting on the 780.
 
That sounds like a great first step, if you need help with the menu navigation just shout I’ll be more than happy to help, the Meditronic YouTube channel is very good with how to videos for the menus, each a couple of minutes long so you do t get bored or lose your way
 
SB2015 said:
I piled insulin in from my pen. The weird thing s that there is no way of telling the pump that I have done a pen correction so it does not take any account of those.
Click to expand...
All you need do is disconnect your pump and bolus 🙂
 
SB2015 said:
The weird thing s that there is no way of telling the pump that I have done a pen correction so it does not take any account of those.
Click to expand...

The only way I can think of would be to disconnect the pump and to air-deliver the same bolus again?

I never really correct with pens, so it’s not something I‘ve needed to do.

EDIT: Ha! should have read to the end of the thread before replying
 
Sorry that you’ve had such a rough start to your MM780 journey Sue.

Hopefully with your old bolus pattern and ratios copied across things will be a little easier - can you see if there was a difference to your TDD between the two pumps?

FWIW I can see some people on the tSlim group needing to make changes to their established settings - so perhaps you will end up with just an upward tweak on things?

Might be worth trying some different infusion sets too? Took me a while to find an infusion site that worked for me - the quicksets they started me on were very patchy and I many many site failures.
 
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