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marionbarker committed May 1, 2024
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24 changes: 12 additions & 12 deletions build/pump/index.html
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Expand Up @@ -3546,7 +3546,7 @@ <h2 id="extra-details-on-medtronic">Extra Details on Medtronic<a class="headerli
<p><img alt="insulin pumps" src="../img/pump.png" /></p>
<p>There are a number of Medtronic insulin pumps manufactured between 2006 – 2012 which are compatible with the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app. Compatibility has two requirements: (1) pump model and (2) firmware.</p>
<h3 id="medtronic-pump-model">Medtronic Pump Model<a class="headerlink" href="#medtronic-pump-model" title="Anchor link to this Header on this Page">&para;</a></h3>
<p>To determine your pump model, look at the backside of your pump. There should be a sticker on the underside of the pump. On the right-hand side of the sticker, it says REF MMT-XXXXXX</p>
<p>To determine your pump model, look at the back of your pump to locate the sticker similar to that shown in the graphic below. On the right-hand side of the sticker, it says REF MMT-XXXXXX</p>
<p><img alt="Pump" src="../img/pump_model.jpg" /></p>
<div class="admonition note">
<ul>
Expand All @@ -3558,7 +3558,7 @@ <h3 id="medtronic-pump-model">Medtronic Pump Model<a class="headerlink" href="#m
</div>
<p>Some pumps may have an “L” or “S” or "R" before the pump region, e.g. a model number like MMT-722LNAS. This does not affect compatibility with the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app.</p>
<h3 id="medtronic-pump-firmware">Medtronic Pump Firmware<a class="headerlink" href="#medtronic-pump-firmware" title="Anchor link to this Header on this Page">&para;</a></h3>
<p>A pump’s firmware is the internal software that runs your pump. Older Medtronic firmware allows the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app to act as a “remote control” to set temp basals and report back pump data. Newer firmware disabled that “remote control” access and therefore cannot be used with these <abbr title="Do it yourself, a common acronym for the open-source software community (and the maker community)">DIY</abbr> closed-loop systems. There is currently no ability to downgrade a pump’s firmware or replace it with older firmware. Before you buy a used pump, make sure you are getting one with compatible firmware.</p>
<p>A pump’s firmware is the internal software that runs your pump. Older Medtronic firmware allows the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app to act as a “remote control” to set temporary basal rates and report back pump data. Newer firmware disabled that “remote control” access and therefore cannot be used with these <abbr title="Do it yourself, a common acronym for the open-source software community (and the maker community)">DIY</abbr> closed-loop systems. There is currently no ability to downgrade a pump’s firmware or replace it with older firmware. Before you buy a used pump, make sure the pump firmware is compabible.</p>
<div class="admonition note">
<p>The firmware on all 515/715 and 522/722 model Medtronic pumps is compatible with <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr>. You will only need to check the firmware version for 523/723 and 554/754 model Medtronic pumps.</p>
<ul>
Expand All @@ -3569,7 +3569,7 @@ <h3 id="medtronic-pump-firmware">Medtronic Pump Firmware<a class="headerlink" hr
<li>Medtronic Canadian/Australian Veo 554 or 754 --&gt; firmware 2.7A or lower</li>
</ul>
</div>
<p>To find your pump’s firmware you will need to power it on. If the pump has not been powered on for some time (i.e., has been in storage without a battery for a while), it will run through a start-up count and the firmware version will appear on the bottom right of the pump’s screen. Don’t turn away, as the version number will only be displayed for a little while before the screen moves onto other information displays. </p>
<p>To find your pump’s firmware you will need to power it on. If the pump has not been powered on for some time (i.e., has been in storage without a battery for a while), it will run through a start-up count and the firmware version will appear on the bottom right of the pump’s screen. Don’t turn away, as the version number will only be displayed for a little while before the pump moves to other information displays. </p>
<p>If the pump has been active recently or has a reservoir installed, follow these steps:</p>
<ol>
<li>
Expand All @@ -3584,9 +3584,9 @@ <h3 id="medtronic-pump-firmware">Medtronic Pump Firmware<a class="headerlink" hr
</ol>
<p><img alt="Firmware" src="../img/pump_firmware.png" /></p>
<h3 id="medtronic-pump-differences">Medtronic Pump Differences<a class="headerlink" href="#medtronic-pump-differences" title="Anchor link to this Header on this Page">&para;</a></h3>
<p>If you are in the position of being able to shop around for different pump models, there are some slight differences between the <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr>-compatible Medtronic pumps.</p>
<p>If you are in the position of being able to choose from different pump models, there are some slight differences between the <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr>-compatible Medtronic pumps that may influence your decision.</p>
<p><strong>500 vs 700</strong>: The difference between the Medtronic 500 series and the 700 series pumps is the size of the insulin reservoirs. The 500 series pumps use a 180 unit reservoir, and the 700 series pumps use a 300 unit reservoir (or smaller 180 unit reservoir, if you want).</p>
<p><strong>x15/x22 vs x23/x54</strong>: The differences noteworthy between the x15 and x22 pumps versus the x23 and x54 series pumps are:</p>
<p><strong>x15/x22 vs x23/x54</strong>: The noteworthy differences between the x15 and x22 pumps versus the x23 and x54 series pumps are:</p>
<ul>
<li>The x23/x54 pumps will allow for smaller insulin deliveries in certain situations, if the smaller scroll rate is selected in the Bolus&gt;Setup&gt;Scroll Rate menu.</li>
</ul>
Expand Down Expand Up @@ -3626,7 +3626,7 @@ <h3 id="finding-a-medtronic-pump">Finding a Medtronic Pump<a class="headerlink"
<p>Finding a compatible Medtronic pump is probably the most difficult part for most new Loopers. Our suggestions:</p>
<ul>
<li>
<p>Talk to friends in the diabetic community.</p>
<p>Talk to friends in the diabetes community.</p>
</li>
<li>
<p>Ask your endocrinologist. </p>
Expand All @@ -3635,7 +3635,7 @@ <h3 id="finding-a-medtronic-pump">Finding a Medtronic Pump<a class="headerlink"
<p>Ask at a local JDRF chapter meeting if someone has an old backup pump they'd be willing to donate to you. </p>
</li>
<li>
<p>Join diabetic supply groups on Facebook; both for-trade and for-sale groups. </p>
<p>Join diabetes supply groups on Facebook; both for-trade and for-sale groups. </p>
</li>
<li>
<p>Check Craigslist often and be willing to expand your search area to include larger cities.</p>
Expand All @@ -3647,7 +3647,7 @@ <h3 id="finding-a-medtronic-pump">Finding a Medtronic Pump<a class="headerlink"
<p><a href="https://www.facebook.com/groups/1087611668259945/" target="_blank">Looping in a time of covid</a></p>
</li>
</ul>
<p>The most success appears to come from either one-on-one discussions with fellow diabetics/doctors or using apps (Craigslist, NextDoor, LetGo, HelpAround). If you are using Craigslist, you may wish to use an app on your iPhone to make the searching easier. There are apps to search multiple cities at once for your keywords and set up alerts.</p>
<p>The most success appears to come from either one-on-one discussions with people with diabetes, your doctors or using apps (Craigslist, NextDoor, LetGo, HelpAround). If you are using Craigslist, you may wish to use an app on your iPhone to make the searching easier. There are apps to search multiple cities at once for your keywords and set up alerts.</p>
<p><img alt="Craigslist" src="../img/craigslist.png" /></p>
<h3 id="safe-purchasing">Safe Purchasing<a class="headerlink" href="#safe-purchasing" title="Anchor link to this Header on this Page">&para;</a></h3>
<p>If you choose to purchase from a remote or unknown seller, here are some tips for safe purchasing:</p>
Expand All @@ -3656,7 +3656,7 @@ <h3 id="safe-purchasing">Safe Purchasing<a class="headerlink" href="#safe-purcha
<p>Use PayPal and purchase using the "Goods and Services" payment option. This costs nothing for the buyer, but the seller will lose 2.95% of the sale to PayPal fees. PayPal offers some protection for both buyer and seller in the event of fraud. </p>
</li>
<li>
<p>Ask for photos of the pump. Check to make sure the serial number of the pump on the backside matches the serial number of the pump showing in the display menu. Ask for a short video of the pump, or at least a photo of the pump turned on, so that you can see the pump's firmware and model number. Cracks and some wear on these pumps are expected. These pumps are not usually free of marks. Many people are successfully looping on pumps that have cracks and rub marks, but you may want to ask if you are concerned about any you see in photos.</p>
<p>Ask for photos of the pump. Check to make sure the serial number of the pump on the back matches the serial number of the pump showing in the display menu. Ask for a short video of the pump, or at least a photo of the pump turned on, so that you can see the pump's firmware and model number. Cracks and some wear on these pumps are expected. These pumps are not usually free of marks. Many people are successfully looping on pumps that have cracks and rub marks, but you may want to ask if you are concerned about any you see in photos.</p>
</li>
<li>
<p>Beware if the bottom of the reservoir/motor sleeve has the drive support cap pushed out, as shown <a href="../../troubleshooting/pump-errors/#motor-error">here</a>. Those pumps will generally not work (or only work intermittently), however some people have successfully repaired those pumps as shown in that link. Just be aware that it should be checked in advance.</p>
Expand All @@ -3674,10 +3674,10 @@ <h3 id="safe-purchasing">Safe Purchasing<a class="headerlink" href="#safe-purcha
<p>Asking for payment through "friends and family" on PayPal, especially if you don't know the person or have any solid references for them. Paying in that way offers you no buyer protection. It's just like giving the seller cash, so you had better trust the seller. </p>
</li>
<li>
<p>Offering an "almost new" pump is a big red flag. These pumps should be at least 5-years-old by now. Do you really think a 5 year old pump should be unused and sitting in shrink wrap at this point? This seems highly suspicious. There are some out there, but they are very infrequent. </p>
<p>Offering an "almost new" pump is a big red flag in the US. Do you really think a more than 10-year old pump would be unused and sitting in shrink wrap at this point? This seems highly suspicious. There are some out there, but they are very rare.</p>
</li>
<li>
<p>Not able to provide new pictures of the pump when requested. Sure they posted some pictures with the ad, but what if they just downloaded them from other people's ads? The seller should be able to furnish a couple of "new" photos at your request. A good one to ask for is the battery and reservoir tops so you can see the condition of those.</p>
<p>Inability to provide new pictures of the pump when requested. Sure they posted some pictures with the ad, but what if they just downloaded them from other people's ads? The seller should be able to furnish a couple of "new" photos at your request. A good one to ask for is the battery and reservoir tops so you can see their condition.</p>
</li>
</ul>
<h3 id="pump-supplies">Pump Supplies<a class="headerlink" href="#pump-supplies" title="Anchor link to this Header on this Page">&para;</a></h3>
Expand All @@ -3688,7 +3688,7 @@ <h2 id="omnipod-pumps"><abbr title="Insulet tubeless insulin pump; Loop supports
<p>The use of <abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH. Eros is also known as Classic, UST400, and System.">Omnipod</abbr> pumps with the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app is not supported by Insulet, although they are aware it is happening. Do not call Insulet asking for help with your <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app build, setup, or operation. You are fully responsible for your use of the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app and do so at your own risk. Please read these documents and familiarize yourself with the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app before using it.</p>
</div>
<h3 id="omnipod-eros"><abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH. Eros is also known as Classic, UST400, and System.">Omnipod</abbr> Eros<a class="headerlink" href="#omnipod-eros" title="Anchor link to this Header on this Page">&para;</a></h3>
<p>Eros pods (also known as Gen 3) were launched in 2013 and continue to be sold by Insulet. Insulet has announced they will stop providing Eros pods in the US in December 2023. As far as we know, there are no timelines announced for the discontinuation of Eros pods for other countries. Insulet doesn't specifically call these "Eros" anymore, they just use the term "omnipod system". For clarity, from <a href="https://www.omnipod.com/discontinuation" target="_blank">Insulet's webpage</a>:</p>
<p>Eros pods (also known as Gen 3) were launched in 2013 and continue to be sold by Insulet in some countries. Insulet stopped providing Eros pods in the US end of December 2023. As far as we know, there are no timelines announced for the discontinuation of Eros pods for other countries. Insulet doesn't specifically call these "Eros" anymore, they just use the term "<abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH. Eros is also known as Classic, UST400, and System.">Omnipod</abbr> system". For clarity, from <a href="https://www.omnipod.com/discontinuation" target="_blank">Insulet's webpage</a>:</p>
<div class="admonition info">
<p class="admonition-title">Alternative Names for <abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH. Eros is also known as Classic, UST400, and System.">Omnipod</abbr> Eros Pump and Pods</p>
<p><strong>Eros</strong> pump is also known as <strong>Classic</strong>, or <strong>UST400</strong>, or <em><abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH. Eros is also known as Classic, UST400, and System.">Omnipod</abbr> Insulin Management</em> <strong>System</strong>. </p>
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Expand Up @@ -3759,12 +3759,16 @@ <h4 id="final-steps">Final steps<a class="headerlink" href="#final-steps" title=
</ul>
</li>
<li>Leave the Preferred Data Source on <abbr title="record of pump events (bolus or temp basal) reported and used by Loop">Event History</abbr></li>
<li>If you have a x23 or x54 pump, choose whether to use My Sentry (saves phone battery) or not (saves <abbr title="radio-frequency device Loop uses to control Eros pods (aka. Gen 3) and older Medtronic pumps">OrangeLink</abbr> battery)<ul>
<li>If you have an x23 or x54 pump, choose whether to use My Sentry (saves phone battery) or not (saves <abbr title="radio-frequency device Loop uses to control Eros pods (aka. Gen 3) and older Medtronic pumps">OrangeLink</abbr> battery)<ul>
<li>For other Medtronic pumps, adjusting this setting does not do anything</li>
<li>Note that the Orange Link battery drain is substantial<ul>
<li>Some users reported batteries needed to be changed every 2-4 days compared to 10 days with MySentry off</li>
</ul>
</li>
</ul>
</li>
</ol>
<p>The Medtronic status and commands available are shown in the <a href="../medtronic/">Pump Setting</a> page.</p>
<p>The Medtronic status and commands available are shown in the <a href="../medtronic/">Pump Settings</a> page.</p>
<h2 id="dana-i-danars-v3">Dana-i / DanaRS-v3<a class="headerlink" href="#dana-i-danars-v3" title="Anchor link to this Header on this Page">&para;</a></h2>
<div class="admonition important">
<p class="admonition-title">Coming Soon</p>
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2 changes: 1 addition & 1 deletion operation/algorithm/prediction/index.html
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Expand Up @@ -3553,7 +3553,7 @@ <h3 id="total-insulin-effect-combining-boluses-and-temporary-basal-rates">Total
<p><img alt="Loop's iob and temp basals" src="../img/insulin_delivery_iob.jpg" /></p>
<p>The insulin effect can be expressed mathematically:</p>
<div class="arithmatex">\[ \Delta BG_{I}[t] = ISF[t] \times IA[t] \]</div>
<p>where BG is the expected change in blood glucose with the units (mg/dL/5min), <abbr title="Insulin Sensitivity Factor; how many points your blood sugar will drop for each unit of insulin; sometimes called Correction Factor">ISF</abbr> is the insulin sensitivity factor (mg/dL/U) at time t, and IA is the insulin activity (U/5min) at time <em>t</em>. Insulin activity can also be thought of as a velocity or rate of change in blood glucose due to insulin. The insulin activity accounts for the <abbr title="Endogenous Glucose Production: glucose produced by the body from its reserves (mainly glycogen in the liver)">EGP</abbr> and any active insulin from basals and boluses.</p>
<p>where BG is the expected change in blood glucose with the units (mg/dL/5min), <abbr title="Insulin Sensitivity Factor; how many points your blood sugar will drop for each unit of insulin; sometimes called Correction Factor">ISF</abbr> is the insulin sensitivity factor (mg/dL/U) at time t, and IA is the insulin activity (U/5min) at time <em>t</em>. Insulin activity can also be thought of as a velocity or rate of change in insulin in the blood as it acts on glucose. Insulin activity explicitly accounts for active insulin from temporary basals and boluses, and implicitly accounts for scheduled basal which is assumed to balance out with <abbr title="Endogenous Glucose Production: glucose produced by the body from its reserves (mainly glycogen in the liver)">EGP</abbr>.</p>
<h2 id="carbohydrate-effect">Carbohydrate Effect<a class="headerlink" href="#carbohydrate-effect" title="Anchor link to this Header on this Page">&para;</a></h2>
<p>Carbohydrates will raise blood glucose, but the speed and degree to which they impact blood glucose are dependent on the type of carbohydrates. High glycemic index (GI) carbohydrates will raise blood glucose quickly over a shorter time, whereas low GI foods will raise blood glucose more slowly over a longer period. Foods like candy, juice, and fruits tend to be high GI foods, while pizza, burritos, and quesadillas are usually lower GI foods. Digestion issues like gastroparesis may also contribute to variations in carbohydrate absorption.</p>
<p>Because carbohydrate absorption can be quite variable, <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> has a model that dynamically adjusts the expected remaining time of carbohydrate absorption. To start with, <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> allows the user to input a rough guess of how long they think the food or drink will take to absorb. The user’s guess is used as a middle of the road estimate, and <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr>’s algorithm will shorten or lengthen it based on observed blood glucose change.</p>
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