Omnipod andOmnipod DASH Pump¶

The information and user interface forOmnipod (Eros) and DASH pods is the same, exceptOmnipod DASH pods do not require aRileyLink compatible device. They communicate directly with the phone through Bluetooth.

Pair Pod¶

You'll be pairing a pod every 2 or 3 days (max pod life is 80 hours).

You'll see this screen every time you askLoop toPair New Pod.

TheOmnipod Common pairing protocol is the same for all pods. The difference is thatOmnipod requires aRileyLink compatible device andOmnipod DASH does not. There are also slight differences in some of the text and graphics, e.g.,Omnipod DASH uses a blue needle cap andOmnipod has a clear needle cap.

Graphic below shows the Pair Pod screen forOmnipod (left) andOmnipod DASH (right).

New Slider¶

The Screen that says Setup Complete allows you to change the Scheduled Reminder for this pod if you want a different reminder time (including none) from your usual setting.

• This only changes the reminder for this one pod
• If you want to change all future reminders, tap on Notifications to modify the Reminder Default
• In that same location, you can also change notification for the current pod at any time

Pod Status¶

The Pod Status screen is shown in the graphic below. The dashed green outline indicates theDevice portion that is found only for theOmnipod. All other features of the screen are common forOmnipod andOmnipod DASH. If your screen looks different, consider updating to version 3.4 or newer.

Play Beeps¶

If you want to make sureLoop can talk to your pod, click on the sound icon (highlighted by the red box) in the graphic above. If the icon is greyed out - that meansLoop is having a communication issue reaching your pod. Follow the usualTroubleshoot: Pump is Not Responding steps to resolve this problem.

Pod Expires¶

• This line provides a count-down until expiration along with a graphical representation of pod life
  • Once you are on the final day, the time remaining until expiration starts to report in Hours and Minutes
  • The solid bar is proportional to pod hours since activation
    • It is blue for the first 48 hours
    • It is orange for the last 24 hours and also appears in theHUD Pump Status icon
    • After expiration, a full-width red bar is shown here and in theHUD Pump Status icon
• Once the pod officially expires, at 72 hours, there is an 8 hour grace period
  • Insulet does not guarantee the pod will keep working that long, but it often does
  • A note will appear on thePod Status screen with count-down text:
    • Change pod now. Insulin delivery will stop in HH hours, MM minutes or when no more insulin remains

Basal Report¶

The next row changes the label depending on the situation. In all cases, the current basal rate is reported.

Insulin Remaining¶

Pods start reporting reservoir values when 50 U are left.

Activity¶

Suspend Delivery¶

You may want to consider using aManualTemp Basal of 0 U/hr instead of suspend.

Tapping onSuspend Delivery brings up a timed reminder screen. You can choose to be reminded (via a beep on the pod itself) with 4 choices (or you can cancel the request):

• 30 minutes
• 1 hour
• 1 hour 30 minutes
• 2 hours

After you select the reminder time,Loop issues a command to the pod to halt all insulin delivery: basals, temp basals, and boluses in progress. The label on theSuspend Delivery row changes toSuspending whileLoop is communicating with the pump. When the label changes toResume Delivery, all insulin delivery is stopped until the user resumes using theHUD Status Row or thePod Status screen.

As long as the spinning icon is spinning,Loop is trying to execute the Suspend or Resume command. If it fails to complete, amodal alert will appear that says "Error Suspending" or "Failed to Resume Insulin Delivery" which you must acknowledge. You must then repeat the command to try again. ForOmnipod, make sure yourRileyLink device is powered on and close to the phone and pod.

When the phone is in portrait mode, so theHUD is visible:

• The user is alerted that pump is suspended by theHUDPump Status Icon.

• TheHUD Status Row message can be tapped to resume delivery.

No Manual Bolus While Pod is Suspended¶

If you request a manual bolus withLoop while a pod is suspended,Loop will send a notification that Bolus Failed with instructions that Pump is Suspended, Resume Delivery. In other words, you must resume delivery before you will be allowed to bolus with pods.

Suspend Timer Reminder¶

At the end of the reminder time, an alert beep is issued by the pod and amodal alert will be provided on theLoop app. You must acknowledge themodal alert on the phone to silence future pod alerts.

• If you do not acknowledge themodal alert, the pod will keep beeping
• If you need a silent pod, consider usingManualTemp Basal of 0 U/hr instead of Suspend

ManualTemp Basal¶

Tap on theSet Temporary Basal Rate to select a ManualTemp Basal.

This brings up theTemporary Basal screen shown on the left of the graphic below.

• You can select any basal rate from 0 U/hr to your maximum basal rate set inDelivery Limits
• You can choose any duration up to 12 hours in half-hour increments
• Once you select rate and duration and tapSet Temporary Basal,Loop goes intoOpen Loop mode and the pod is commanded to that rate and duration.

In other words, you can leave your phone behind and the selected basal rate continues for the selected basal duration. There will be no automated adjustments of delivery for the temp basal duration.

During ManualTemp Basal¶

Once the manual temp basal command is sent to the pod,Loop changes toOpen Loop mode and updates displays as shown in the graphic above

• Pod Status screen:
  • TheBasal Report updates with the new rate and label indicatesInsulin Delivery
  • The row label changes toCancel Manual Basal and reports the time remaining until the temp basal expires
• Main screen (refer to red rectangle highlights):
  • TheHUDLoop Status Icon changes to anOpen Loop icon and theHUDPump Status Icon indicatesManual Basal
  • TheInsulin Delivery plot indicates the planned duration of the manual temp basal
  • TheGlucose Prediction updates using that assumed change in insulin delivery

So long as you were inClosed Loop before requesting theTemp Basal,Loop returns toClosed Loop automatically when the duration ends or you cancel the temporary basal.

For situations where you need a modification of your insulin needs that is not dependent on a particular pod, review the information on theOverrides page.

Devices¶

ForOmnipod, there is a Devices section used to access theRileyLink status and commands screen.

Pod Display¶

The next section on the Pod screen reports:

• Time at which pod wasActivated
• Time at which pod will Expire
• Access to Current Pod Details
• Access to Previous Pod Details

Pod Details¶

Some additional details for the most recent pod status response message are displayed if you tap the Device Details row, as shown in the graphic below. Most people will not need to view this.

The graphic shows an example forOmnipod on the left,Omnipod DASH (TWI BOARD) in the middle andOmnipod DASH (NXPBLE) on the right. Do not worry about the different board styles (Device Name) for DASH. The developers did that for you. If you are asking for help from a mentor - they may request this information.

Previous Pod Details¶

When you tap on thePrevious Pod Details row, a graphic similar to those shown below is displayed. This provides summary information about the pod before the one currently in use.

If the previous pod had a fault and you choose to report it to Insulet, this screen reports the PDM reference code that Insulet uses in their tracking system.

Replace Pod¶

When you tap on theReplace Pod row, theDeactivate Pod screen, shown below, is displayed.

• Touch the circular icon and maintain contact while you slide your finger all the way across the phone
  • When you release the slide, the deactivation command is sent to the pod
  • This action stops insulin delivery for this pod and cannot be resumed
• If you have changed your mind, tap Back or Cancel to continue using the pod

Configuration¶

Notification Settings¶

When you tap on theNotifcation Settings row, the graphic below is displayed. The notifications are a combination of beeps on the pod with associatedmodal alerts on the phone app that must be acknowledged to prevent future beeps.

• Expiration Reminder Default: changes the reminder time for any future pod (not the current one)
• Scheduled Reminder: affects the reminder for the current pod (not future pods)
  • If no pod is connected, you will not see the Scheduled Reminder section
• Low Reservoir Reminder: changes the reminder level for the current pod and all future pods
  • If no pod is connected, the app will not allow you to modify this setting
  • Change it after the next pod is paired
• Critical Alerts: Information row about which alerts can be silenced by phone settings

Confidence Reminders¶

When you tap on theConfidence Reminder row, the graphic below is displayed. You can choose from three levels of audible responses thatLoop requests from the pod:

• Disabled: no audible pod alerts to acknowledge commands
• Enabled: each manual command provides an audible sound to acknowledge it:
  • For manual dosage change, the pod beeps at both the beginning and end of the manual command.
  • For automated dosage change, the pod does not beep.
• Extended: Automated dosage change beeps, similar to the manual commands when set toEnabled

Silence Pod¶

The Silence Pod feature is new with version 3.4.x. This allows a user to tap on silence pod to prevent any noises from the pod, other than critical faults.

What Silence Pod will not do:

• This feature cannot change the "clicking" noise that comes from insulin delivery
• This feature will not prevent the constant alarm if the pod fails for any reason such as out-of-time, out-of-insulin, occlusion detected or any other fault
• If you tap on the sound icon, the beeps will still be heard on the pod

When would you use Silence Pod:

• During a meeting at work
• During a religious event
• Attending a performance
• Performing at an event
• Planning to change your pod in the morning, but you know alerts will happen overnight
• You will be away from your phone for an activity and want to avoid any Notifications from beeping on the pod
  • Notifications, unless silenced, alert on the phone and the pod
  • The pod beeps continue until acknowledged on the phone
  • If Silence Pod is enabled, the pod beeps will be suppressed
  • When you return your phone, examine alerts for those notications

Caveats:

• You must remember to disable Silence Pod if you want to hear Notifications and Confidence Reminders as pod beeps in addition to alerts on your phone
• The settings you have under Notifications and Confidence Reminders are not changed, the pod beeps associated with them are simply silenced while Silence Pod is Enabled

The graphic below shows the Silence Pod control. This is only available for v3.4.x and later.

Insulin Type¶

You selectedinsulin type when connecting to this pump.

Tap on this row if you switch to a different type of insulin.

• The model used byLoop for all the rapid insulin brands are the same, but it's a good idea to record if you change brands - some people notice differences
• If you switch between rapid and ultra-rapid insulin, you need to letLoop know so it will use the appropriate model

Pump Time¶

Click onTime Zone to understand howLoop treats "pump" time for pods.

When the Pump time zone matches the phone time zone, the Pump Time is displayed with black font.

When the phone time zone and pump time zone do not match, there is a clock icon on the main screen in the Pump Status Icon of theHUD.

• Tap on the Pump Status Icon in theHUD (top red rectangle in graphic below)
• Information about Time Change is provided on theOmnipod screen
• The Pump Time displays the clock icon and yellow font
  • TheSync to Current Time row appears
  • Tap on theSync to Current Time row to choose whether to make Pump Time match Phone Time or not (bottom red rectangle in graphic below)

Other Time Changes¶

What about other time changes? Suppose theiOS -> General -> Time & Date is modified to manually change the time, but the time zone is not adjusted. (Sometimes this is done to defeat limits on games.Do Not do this on a Looping phone. If you have an "old" glucose reading in the "future" -Loop will not predict correctly which may have dangerous consequences.) There will not be an obvious display in theHUD orOmnipod screen (which keys off time zone) but you will get regular warnings that phone does not have automatic time set.

Loop 3 will display this warningmodal screen if it detects a problem with the Phone time. It leaves it up the user to decide what action should be taken. To make this warning stop, go toiOS -> General -> Time & Date and enable Set Automatically.

Pod Error Messages¶

This section presents some of the error message screens you may see specific to pods.

Pod Faults¶

You are likely to hear a pod fault beforeLoop notices. If your phone is locked,Loop only checks status every 5 minutes forOmnipod or 3 minutes forOmnipod DASH.

Unlock your phone, openLoop, navigate to the Pod Status screen and use the slider to Deactivate Pod to stop the noise. The pod fault - even if it does not show up in theHUD or the Pod Status screen, will be picked up by the process of sliding to Deactivate Pod. You can then view the Fault information in thePrevious Pod Details screen.

Updates with Version 3.4.x¶

The updates included with version 3.4.x make it easier to find the pod fault, should one occur.

The fault will appear on theOmnipod screen and more details will be shown when you tap on Replace Pod to arrive at the Deactivate screen. You can grab a quick screenshot on the Deactivate screen if desired.

The fault information can still be found underPrevious Pod Details if you need to find it after you Deactivate the "screaming" pod.