Customer support

MiniMed insulin pumps and your lifestyle

An insulin pump is a companion in a patient’s everyday life, and will inevitably 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.

We believe that our position as a manufacturer is a very responsible one and aim to provide the appropriate level of awareness for our customers with regard to how they use their pump in day to day life.

The Truth About Watertight

Can I swim, shower or bathe while wearing an insulin pump?

MiniMed® Veo insulin pump

The MiniMed® Veo insulin pump is splash-proof, and therefore we continue to label the MiniMed® Veo as water resistant, not waterproof/watertight.

We recommend that MiniMed Veo insulin pump users do not intentionally submerge their insulin pump in water. To participate in water activities, you can easily disconnect from your insulin pump. While disconnected for water activities, take the necessary precautions to protect your pump from water. You can remove your insulin pump for up to one hour without taking insulin. If you remove your pump for more than one hour, you will have to use another way to take your insulin, such as injections of fast-acting insulin, or reconnecting your pump to take boluses (more information in the temporary disconnect guidelines). When reconnected check your blood glucose levels.

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

This means the MiniMed Veo is protected against a short duration of water immersion of less than 30 minutes to a depth of less than 1 metre.

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

MiniMed® 640G insulin pump

Your MiniMed® 640G insulin pump, when properly assembled with the reservoir and tubing inserted, is waterproof (watertight rating IPX8) at depth of up to 3.6 metres (12 feet) for up to 24 hours.

Because your pump is waterproof, it is unlikely that water damage will occur if your pump is splashed or submerged. However, you should carefully inspect your pump to ensure there are no cracks before exposing your pump to water, in particular if your pump has been dropped or you suspect your pump is damaged. The pump is not waterproof when it is cracked.

If you believe that water has entered your pump or you observe any other possible pump malfunction, check your blood glucose, and treat blood glucose per your healthcare professional as necessary. Contact Medtronic for further assistance. You should always contact your healthcare professional if you experience excessively high or low blood glucose levels, or if you have any questions about your care.

MiniLink transmitter

The MiniLink, when connected to the sensor and worn, is waterproof and fully immersible. However, we do not recommend immersing your MiniLink transmitter in very hot water (like a hot tub). You can wear the transmitter to a depth of 2.4 metres (8 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 2 metres or 6 feet), only the last 40 minutes will be re-populated. Reports will have a "data gap" with missing information during this time period.

Guardian2 Link transmitter

The Guardian2 Link, when connected to the sensor and worn, 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 8 feet or 2.4 metres for up to 30 minutes.
 

TRAVELING CHECKLIST / TIPS AND TRICKS

MiniMed® Veo™ insulin pump

You can continue to use your insulin pump as normal during your flight. Before travelling outside of the European Union, check the compatibility of the radio frequency (RF) used by the pump with existing regulations in your country of destination.

If you are using the pump’s continuous glucose monitoring (CGM), International standards and U.S. Federal Communications Commission (FCC) regulations require that devices using radio frequency capabilities should not be used on an aircraft. Therefore you must disconnect the MiniLink transmitter from the glucose sensor. Note that it is not sufficient to turn off the CGM feature because the MiniLink transmitter will continue to transmit on the RF unless disconnected from the glucose sensor. If you need to test your glucose levels while in flight, you will need to do this manually using your blood glucose (BG) meter.
 

MiniMed® 640G insulin pump

You can continue to use your insulin pump as normal during your flight. Before traveling outside of the European Union, check the compatibility of the radio frequency (RF) used by the pump with existing regulations your destination country.

If you are using the CGM function 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. Therefore you must disconnect the Guardian 2 Link transmitter from the glucose sensor. Note that it is not sufficient to turn off the CGM feature because the Guardian 2 Link transmitter will continue to transmit on the RF unless disconnected from the glucose sensor. If you need to test your glucose levels while in flight, you will need to do this manually using your BG meter.

Can my insulin pump be disturbed by electromagnetic interference at airports or through computers, cell phones, or recording equipment?

You 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 affect the working of your insulin pump.  

Although mobile phones, cordless phones and other wireless high frequency devices can interfere with communication from your glucose monitor/transmitter to your insulin pump, 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.

Your pump should not go through the x-ray machine that is used for carry-on or checked luggage, or the full body scanner. If you choose to go through the full body scanner, you will need to disconnect the infusion set and remove your insulin pump and CGM (sensor and transmitter) prior to the scan. To avoid removing your devices, you should request an alternative screening process that does not use x-ray. Your insulin pump, infusion set, reservoir and CGM system can withstand exposure to airport metal detectors and wands used at airport security checkpoints.

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 want to take your time over.

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

How you prepare for your travel and what you need to take depends on where you are going and for how long. What is appropriate for a short domestic flight and holiday within your country will be different for a long-haul flight over different time zones

When travelling, 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:

  • Make sure you have key contact details of your doctor and diabetes healthcare team as well as 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
  • Take 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 spoken in your destination eg. “I have diabetes, please give me some sugar or something to eat”.
  • Check with your destination country 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 unplanned delays for extended periods of time. Insulin in checked luggage may be exposed to extreme (often freezing) temperatures.

A good rule 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 local Helpline 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 you may need.

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

You can set your pump to the new destination time at any point during your flight – most people make this change when they arrive at their destination. It is very important, however, that you do change the time to that 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 receive too much insulin during the daytime and then not enough at night. This can be quite dangerous.

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

Safety tips

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

Blood glucose levels can go too high or low due to stress or changes in activity or eating, so you should test your blood glucose more often.

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.

Can MRI or X-ray machines disrupt the system?

An MRI test uses extremely powerful magnetic fields and radio frequency waves to create images of organs and structures inside the body. These strong magnetic fields can damage your 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.

Before having an MRI, X-ray, CT scan or diathermy treatment or other type of exposure to radiation, you should temporarily disconnect your pump, transmitter and glucose sensor 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

When you are sick

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.
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 more accurate records of your blood glucose values, ketones, medication, fever and all other 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 diabetic

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

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. Below are guidelines to help you and your healthcare provider create a plan for you.

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

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 Medtronic Diabetes.

Humalog is a registered trademark of Eli Lilly and Company.
NovoRapid is a registered trademark of Novo Nordisk A/S.

Up to 1 hour

  • Testing: Check blood glucose (BG) before disconnecting
  • Basal insulin: No injections required
  • 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 (234 mg/dL), check ketones

Up to 4 hours

  • Testing: Monitor BG before disconnecting, before meals and at hour 3 to 4
  • Basal insulin: 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 reconnect/bolus) to cover carbs according to insulin-to-carb ratio and based on BG. Take injection(s) (or reconnect/bolus) to correct high BG using correction formula. If BG is greater than13 mmol/L (234 mg/dL), check ketones

Overnight

  • Testing: Monitor BG before sleep, & set alarm to test every 3 to 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 is greater than 13 mmol/L (234 mg/dL), check ketones

Up to 24 hours (or longer)

  • Testing: Check BG before meals, every 3-4 hours and 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 is greater than 13 mmol/L (234 mg/dL), check ketones

More than 1 day

  • Testing: Frequent 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 is greater than13 mmol/L (234 mg/dL), check ketones

DAYLIGHT SAVING TIME

Programming your pump for daylight saving times

Daylight saving time (DST) reminder

Your device will not automatically update the time for DST so you will need to do this manually when you change your clocks. Changing the time is simple and easy.

Just click on your device model below for instructions.

The content and all information provided on this website is for your informational use only and is not intended to be a substitute for professional medical advice, diagnosis or treatment in any manner. The patient stories provided are experiences specific to a particular patient. Responses to a treatment may vary from patient to patient. Always talk with your physician about diagnosis and treatment information and ensure that you understand and carefully follow that information.

© 2016 Medtronic International Trading Sarl™. All Rights Reserved. No part of this website may be reproduced or utilized in any form or by any means without permission from Medtronic International Trading Sarl. MiniMed, Bolus Wizard, SMARTGUARD, Guardian, Enlite and CareLink are trademarks of Medtronic, Inc. and its subsidiaries. CONTOUR is a trademark of Bayer Healthcare LLC.
 

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