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Re: [IP] (Fwd) [IPm] "Phantom" Bolus's



We put the O ring on immediately and it does make a difference for
prevention - although not perfect.  I would say that if Diestronic could
fix this feature (as a lock / unlock feature) that would be the best
solution.

Michael wrote:
> 
> ------- Forwarded Message Follows -------
> Date:          Thu, 18 Jan 2001 10:04:40 -0500
> Subject:       [IPm] "Phantom" Bolus's
> 
> One of our pumper patients called the clinic yesterday complaining
> about an ongoing pattern of lows yesterday morning through 2PM.  We
> did trouble shooting over the phone and started with reviewing his
> basal rates and bolus's.  He is on a D-Tron. When we got to the bolus
> screen, he noted a mid am bolus that he didn't remember giving. He
> went back through the bolus history and found 9 bolus's within an 8
> minute time frame.  They were in increments of 0.1 to 1.0 for a total
> of 2.4 units. As his ISF is 60, this explained his lows.  However, he
> said he gave no bolus's at that time, to his knowledge and in fact was
>  driving in his car. After further investigation, calling Disetronic
> tech support and the local rep, we determined that his seat belt
> buckle was hitting on the "up" arrow and giving him a series of mini
> bolus's.  There are 2 ways to give a bolus on the D-tron.  One is to
> just hit the "up" arrow until you've reached the desired amount (his
> bolus rate was set in 0.1 unit increments, but it can be set in 0.2,
> and 0.5 increments).  You do not have to hit any other button to
> confirm.  Once the bolus starts, the pump gives one beep and one
> vibration per increment.  He did not hear these as the pump was in his
> pants pocket, beneath a heavy winter coat. The other way to give a
> bolus requires selecting the bolus screen, setting the bolus, and then
> confirming, before delivery begins. So, moral of the story on this
> one, for us, was to attach the optional adhesive backed "0-ring" over
> the "up" arrow, to prevent future accidental "phantom" bolus's. It is
> a great pump, so, wanted to pass along this recent lesson we learned.
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