- Always carry the smartphone with you, leave it next to your bed at night. As your pump may lay behind or under you body while you sleep, a higher position (on a shelf or board) works best.
- Always make sure that the pump battery is as full as possible. See the battery section for tipps regarding the battery.
- Whenever possible, only operate the pump via the AAPS app. To facilitate this, activate the key lock on the pump under PUMP SETTINGS / KEY LOCK / ON. Somente ao trocar a bateria ou o cartucho, é necessário utilizar as chaves da bomba.
- In AAPS, go to Settings / Local Alarms and activate alarm when pump is unreachable and set pump not reachable limit [Min] to 31 minutes.
- Isto dar-lhe-á tempo suficiente para não ativar o alarme ao sair da sala enquanto o seu telefone é deixado na mesa de secretária, mas informará se a bomba não pode ser alcançada durante o tempo que excede a duração de uma taxa basal temporária.
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When AAPS reports a pump unreachable alarm, first release the keylock and press any key on the pump (e.g. "down" button). As soon as the pump display has turned off, press Refresh on the Combo Tab in AAPS. Na maior parte dos casos, a comunicação volta a funcionar.
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If that does not help, reboot your smartphone. After the restart, AAPS will be reactivated and a new connection will be established with the pump. If you are using the old driver, ruffy will be reactivated as well.
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The tests with different smartphones have shown that certain smartphones trigger the "pump unreachable" error more often than others. See AAPS Phones for successfully tested smartphones.
- On phones with low memory (or aggressive power-saving settings), AAPS is often shut down. Pode identificar isto quando os botões Insulina e Calculadora no ecrã inicial não são exibidos ao abrir a AAPS, porque o sistema está a iniciar. Isto pode ativar alarmes de "bomba inacessível" na inicialização. In the Last Connection field of the Combo tab, you can check when AAPS last communicated with the pump.
- Este erro pode gastar a bateria da bomba rapidamente porque o perfil basal é lido pela bomba quando a aplicação é reiniciada.
- Aumenta também a probabilidade de causar o erro que faz com que a bomba rejeite todas as conexões de entrada até que um botão na bomba seja pressionado.
- Occasionally, AAPS can not automatically cancel a TBR CANCELED alert. Then you have to either press UPDATE in the AAPS Combo tab or the alarm on the pump will need to be confirmed.
- Após um alarme de bateria fraca a bateria deve ser mudada o mais rápido possível para ter energia suficiente para uma comunicação Bluetooth confiável com o smartphone, mesmo que o telefone esteja a uma distância mais larga da bomba.
- Mesmo depois de um alarme de de bateria baixa , a bateria pode ser usada por algum tempo. No entanto, recomenda-se sempre ter uma bateria nova consigo após um alarme de "bateria baixa".
- Before changing the battery, press on the Loop symbol on the main screen and select Suspend loop for 1h.
- Wait for the pump to communicate with the pump and the bluetooth logo on the pump has faded.
- Release the key lock on the pump, put the pump into stop mode, confirm a possibly canceled temporary basal rate, and change the battery quickly.
- When using the old driver, if the clock on the pump did not survive the battery change, re-set the date and time on the pump to exactly the date/time on your phone running AAPS. (The new driver automatically updates the pump's date and time.)
- Then put the pump back in run mode select Resume when pressing on the Suspended Loop icon on the main screen.
- AAPS will re-set a necessary temporary basal rate with the arrival of the next blood sugar value.
(Accu-Chek-Combo-Tips-for-Basic-usage-battery-type-and-causes-of-short-battery-life)=
- As intensive Bluetooth communication consumes a lot of energy, only use high-quality batteries like Energizer Ultimate Lithium, the "power one"s from the "large" Accu-Chek service pack, or if you are going for a rechargeable battery, use Eneloop batteries.
Ranges for typical life time of the different battery types are as follows:
- Energizer Ultimate Lithium: 4 a 7 semanas
- Power One Alkaline (Varta) from the service pack: 2 to 4 weeks
- Eneloop rechargeable batteries (BK-3MCCE): 1 to 3 weeks
If your battery life is significantly shorter than the ranges given above, please check the following possible causes:
- Existem algumas variantes da tampa de bateria da bomba Combo, que colocam a bateria em curto circuito e assim gasta a sua energia. As tampas sem este problema podem ser reconhecidas pelos contatos dourados.
- Se o relógio da bomba não "sobreviver" a uma curta mudança de bateria, é provável que o capacitor (o que mantém o relógio a funcionar durante uma breve interrupção de energia) esteja estragado. In this case, a replacement of the pump by Roche might help, which is not a problem during the warranty period.
- O hardware e software do telemóvel (sistema operacional Android e bluetooth) também têm impacto no tempo de vida da bateria da bomba, mesmo que os fatores exatos não sejam completamente conhecidos ainda. Se tiver oportunidade, teste outro smartphone e compare o tempo de vida da bateria.
The OpenAPS algorithm does not support a parallel extended bolus or multiwave bolus. But a similar treatment can be achieved by the following alternatives:
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Use e-Carbs when entering carbs or using the Calculator by entering the carbs of the full meal and the duration you expect the carbs to arrive as glucose in you blood. The system will then calculate small carbs equally distributed over the whole duration which will cause th algorithm to provide equivalent insulin dosing while still permanently checking the overall rise/decrease of the blood glucose level. For a multiwave bolus approach, you can also combine a smaller immediate bolus with e-carbs.
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Before eating, on the Actions tab in AAPS set as a temporary Eating Soon goal with target glucose 80 for several hours. The duration should be based on the interval you would choose for an extended bolus. This will keep your target lower than usual and therefore increase the amount of insulin delivered.
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Then use the CALCULATOR to enter the full carbs of the meal, but do not directly apply the values suggested by the bolus calculator. If a multiwave-like bolus is to be delivered, correct the insulin dosage down. Depending on the meal, the algorithm now has to deliver additional SMBs or higher temporary basal rates to counteract the increase in blood sugar. Here, the safety limitation of the basal rate (Max IE / h, Maximum basal IOB) should be very carefully experimented with and, if necessary, temporarily changed.
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If you are tempted to just use the extended or multiwave bolus directly on the pump, AAPS will penalize you with disabling the closed loop for the next six hours to ensure that no excess insulin dosage is calculated.
- If AAPS detects that an identical bolus has been successfully delivered at the same minute, bolus delivery will be prevented with identical number of insulin units. If your really want to bolus the same insulin twice in short succession, just wait two more minutes and then deliver the bolus again. If the fist bolus has been interrupted or was not delivered for other reasons, you can immediately re-submit the bolus since AAPS 2.0.
- The alarm is a safety mechanism that reads the pump's bolus history before submitting a new bolus to correctly calculate insulin on board (IOB), even when a bolus is delivered directly from the pump. Há que evitar tratamentos repetidos.
- Esse mecanismo também é responsável por uma segunda causa do erro: se durante o uso da calculadora do bólus outro bólus for administrado através da bomba e, assim, a história do bólus mudar, a base do cálculo do bólus está errada e o bólus é abortado.
