Dexcom Tandem t User manual

PAGE | 1
CLINIC Control-IQ Tool
Tandem t:slim insulin pump with Control-IQ Technology
BDCPantherDiabetes.org
Page 1: Quick introduction to Control-IQ
Page 2-4: Assessment, education, and settings adjustments—Enter pt information into highlighted boxes
and information will be auto-filled into electronic health record note
Page 5: Electronic health record template
Page 6: After visit summary to give to Control-IQ user after visit
REPORT PREPARATION
• Analyze past two (2) weeks of data.
• Set the report settings to target range
of 70-180 mg/dL.
• Print Dashboard, CGM Hourly, Therapy
Timeline, and Settings pages.
How it CALCULATES
• HYBRIDCLOSED-LOOP(HCL)
• UsesCGMglucosedatatoadjustthebasalinsulindeliverybyincreasing,
decreasingorsuspendingprogrammedbasalrates
• Algorithmtargetsglucoselevels112.5-160mg/dL
• Automaticcorrectionbolusesuptoonceperhour,60%ofacalculated
correctiondose
What you can ADJUST
When to REVERT to open-loop
How to EDUCATE
SENSOR/SHARE characteristics
• Can change basal rates, I:C ratios, correction factors
• CANNOT change active insulin time (5 hours) or correction bolus target
(110 mg/dL)
• “Exercise Activity” targets glucose 140-160 mg/dL (to reduce insulin
delivery)
• “Sleep Activity”, narrows glucose target to 112.5-120 mg/dL and prevents
automated correction doses overnight.
The system stays in HCL all the time except when CGM data is not
available. Users should consider turning o Control-IQ if they want to use
temporary basal rates.
Seeeducationpointsbelow.
• DexcomG6sensorandtransmitter:10daysensorlife,factorycalibrated,can
beusedfordiabetesmanagementdecisionswithoutBGcheck.
• UsercanconnectDexcomtransmittertotheDexcomG6apponaphoneand
sharedatawithothersusingDexcomFollowapp.
• Sensorglucoselevelsautopopulateintoboluscalculator
C
A
R
E
S
BASAL MODULATION
AUTO CORRECTIONS SLEEP ACTIVITY
Instructions for Use: Complete this Tool during Clinic appointment with Control-IQ user
Wear the
CGM
consistently
Set the
Sleep
Schedule
for every
night
Bolus
before
all meals,
and snacks
Give correction
bolus for
hyperglycemia,
if recommended
by bolus
calculator
THE  KEYS TO SUCCESS USING CONTROLIQ

PAGE | 2
13.6 days
Number of Days
CGM in Use
Highest CGM Reading Average CGM Reading Lowest CGM Reading
Time in Range
183 mg/dL
13 d 13 hr.
Control-IQ™ Technology
Average Reading
Time in Use 97%
0 min.
6 hrs. 53 min.
4 hrs. 8 min.
10 hrs. 48 min.
0 times
Control-IQ Set to Off 0%
CGM Inactive12%
Pump Inactive21%
Avg. Sleep & Exercise
Daily Sleep
Weekly Exercise Events
Average Daily Insulin Summary
Basal
Food Bolus
Correction Bolus
Control-IQ Auto Bolus
57%51.27 u/day
20%17.68 u/day
5%4.32 u/day
19%17.27 u/day
Highest Blood Glucose Average Blood Glucose Lowest Blood Glucose
Blood Glucose Summary
Above Target > 180 mg/dL 100%1 times
Target Range 70 - 180 mg/dL 0%0 times
Below Target < 70 mg/dL 0%0 times
Average Total Daily Dose 90.54 units / day
Average BG Tests 0.07 times / day
Average CGM Readings 279.00 times / day
Cartridge Tubing Site/Cannula
Avg. Change Frequency Every 2.40 days Every 2.40 days -
Avg. Fill Amount 210.00 units 11.03 units -
1 CGM Inactive due to loss of signal, sensor errors or sensor session is not active. When CGM Inactive and Pump Inactive or Control-IQ Set to Off occur at the same time, that time will only display in the Pump Inactive or Control-IQ
Set to Off metric.
2 Pump Inactive due to cartridge change, manual suspension or alarm suspension.
* More days' worth of data is required to calculate this value.
Above Target 44%> 180 mg/dL
Target Range 53%70 - 180 mg/dL
Below Target 2%< 70 mg/dL
Dashboard | Thursday Feb 25, 2021 - Wednesday Mar 10, 2021
13.6 days
Number of Days
CGM in Use
Highest CGM Reading Average CGM Reading Lowest CGM Reading
Time in Range
183 mg/dL
13 d 13 hr.
Control-IQ™ Technology
Average Reading
Time in Use 97%
0 min.
6 hrs. 53 min.
4 hrs. 8 min.
10 hrs. 48 min.
0 times
Control-IQ Set to Off 0%
CGM Inactive12%
Pump Inactive
2
1%
Avg. Sleep & Exercise
Daily Sleep
Weekly Exercise Events
Average Daily Insulin Summary
Basal
Food Bolus
Correction Bolus
Control-IQ Auto Bolus
57%51.27 u/day
20%17.68 u/day
5%4.32 u/day
19%17.27 u/day
Highest Blood Glucose Average Blood Glucose Lowest Blood Glucose
Blood Glucose Summary
Above Target > 180 mg/dL 100%1 times
Target Range 70 - 180 mg/dL 0%0 times
Below Target < 70 mg/dL 0%0 times
Average Total Daily Dose 90.54 units / day
Average BG Tests 0.07 times / day
Average CGM Readings 279.00 times / day
Cartridge Tubing Site/Cannula
Avg. Change Frequency Every 2.40 days Every 2.40 days -
Avg. Fill Amount 210.00 units 11.03 units -
1 CGM Inactive due to loss of signal, sensor errors or sensor session is not active. When CGM Inactive and Pump Inactive or Control-IQ Set to Off occur at the same time, that time will only display in the Pump Inactive or Control-IQ
Set to Off metric.
2 Pump Inactive due to cartridge change, manual suspension or alarm suspension.
* More days' worth of data is required to calculate this value.
Above Target 44%> 180 mg/dL
Target Range 53%70 - 180 mg/dL
Below Target 2%< 70 mg/dL
Dashboard | Thursday Feb 25, 2021 - Wednesday Mar 10, 2021
13.6 days
Number of Days
CGM in Use
Highest CGM Reading Average CGM Reading Lowest CGM Reading
Time in Range
183 mg/dL
13 d 13 hr.
Control-IQ™ Technology
Average Reading
Time in Use 97%
0 min.
6 hrs. 53 min.
4 hrs. 8 min.
10 hrs. 48 min.
0 times
Control-IQ Set to Off 0%
CGM Inactive12%
Pump Inactive21%
Avg. Sleep & Exercise
Daily Sleep
Weekly Exercise Events
Average Daily Insulin Summary
Basal
Food Bolus
Correction Bolus
Control-IQ Auto Bolus
57%51.27 u/day
20%17.68 u/day
5%4.32 u/day
19%17.27 u/day
Highest Blood Glucose Average Blood Glucose Lowest Blood Glucose
Blood Glucose Summary
Above Target > 180 mg/dL 100%1 times
Target Range 70 - 180 mg/dL 0%0 times
Below Target < 70 mg/dL 0%0 times
Average Total Daily Dose 90.54 units / day
Average BG Tests 0.07 times / day
Average CGM Readings 279.00 times / day
Cartridge Tubing Site/Cannula
Avg. Change Frequency Every 2.40 days Every 2.40 days -
Avg. Fill Amount 210.00 units 11.03 units -
1 CGM Inactive due to loss of signal, sensor errors or sensor session is not active. When CGM Inactive and Pump Inactive or Control-IQ Set to Off occur at the same time, that time will only display in the Pump Inactive or Control-IQ
Set to Off metric.
2 Pump Inactive due to cartridge change, manual suspension or alarm suspension.
* More days' worth of data is required to calculate this value.
Above Target 44%> 180 mg/dL
Target Range 53%70 - 180 mg/dL
Below Target 2%< 70 mg/dL
Dashboard | Thursday Feb 25, 2021 - Wednesday Mar 10, 2021
13.6 days
Number of Days
CGM in Use
Highest CGM Reading Average CGM Reading Lowest CGM Reading
Time in Range
183 mg/dL
13 d 13 hr.
Control-IQ™ Technology
Average Reading
Time in Use 97%
0 min.
6 hrs. 53 min.
4 hrs. 8 min.
10 hrs. 48 min.
0 times
Control-IQ Set to Off 0%
CGM Inactive12%
Pump Inactive21%
Avg. Sleep & Exercise
Daily Sleep
Weekly Exercise Events
Average Daily Insulin Summary
Basal
Food Bolus
Correction Bolus
Control-IQ Auto Bolus
57%51.27 u/day
20%17.68 u/day
5%4.32 u/day
19%17.27 u/day
Highest Blood Glucose Average Blood Glucose Lowest Blood Glucose
Blood Glucose Summary
Above Target > 180 mg/dL 100%1 times
Target Range 70 - 180 mg/dL 0%0 times
Below Target < 70 mg/dL 0%0 times
Average Total Daily Dose 90.54 units / day
Average BG Tests 0.07 times / day
Average CGM Readings 279.00 times / day
Cartridge Tubing Site/Cannula
Avg. Change Frequency Every 2.40 days Every 2.40 days -
Avg. Fill Amount 210.00 units 11.03 units -
1 CGM Inactive due to loss of signal, sensor errors or sensor session is not active. When CGM Inactive and Pump Inactive or Control-IQ Set to Off occur at the same time, that time will only display in the Pump Inactive or Control-IQ
Set to Off metric.
2 Pump Inactive due to cartridge change, manual suspension or alarm suspension.
* More days' worth of data is required to calculate this value.
Above Target 44%> 180 mg/dL
Target Range 53%70 - 180 mg/dL
Below Target 2%< 70 mg/dL
Dashboard | Thursday Feb 25, 2021 - Wednesday Mar 10, 2021
“TIME-IN-USE” : (How often Control-IQ is in use):
• Aim for >90%. If less ASSESS why.
• Emphasize the goal is to use CONTROL-IQ
AS MUCH AS POSSIBLE.
“CGM INACTIVE” (Time sensor not active):
Aim for <10%. If more ASSESS why.
Diiculty
wearing
sensor on
body?
Problems
getting
CGM data
on pump?
• Rotate sensor insertion sites (arms, hips,
buttocks, abdomen)
• Use barrier preps, tackifiers, overtapes, or
adhesive remover wipes as necessary.
• Wear pump on same side of body as CGM
transmitter (to improve line of sight of
Bluetooth).
• Carry pump with screen facing outward
(away from body)
This is blood glucose data, may ignore if
wearing CGM.
Review CGM readings and Time-in-Range:
“TARGET RANGE” (70-180 mg/dL)
(GOAL IS >70%)
“BELOW TARGET”
(GOAL IS <4%)
“ABOVE TARGET”
(GOAL IS <25%)
“AVERAGE CGM READING”
Name of Control IQ user:
A. Glycemic Control
B
C
A
B. System Use
• If food bolus is <50%
total insulin, assess
for missed meal
boluses or insuicient
CHO ratios.
C. Insulin Delivery and Bolus Behavior
STEP #1: Dashboard Report ASSESSMENT

PAGE | 3
STEP #2: CGM Hourly and Timeline Assessment
Avg. Glucose (mg/dL): 153
Standard Deviation (mg/dL): 68
Avg. Readings Per Day: 68
Night 12am - 6am
Low Below Target Above High
Total Readings:
2 % 4 % 63 % 17 % 13 %
Time in range (Avg):
8
min.
15
min.
3:33
hrs.
58
min.
46
min.
Avg. Glucose (mg/dL): 151
Standard Deviation (mg/dL): 46
Avg. Readings Per Day: 71
Morning 6am - 12pm
Low Below Target Above High
Total Readings:
0 % 1 % 76 % 19 % 5 %
Time in range (Avg):
1
min.
2
min.
4:28
hrs.
1:06
hrs.
17
min.
Avg. Glucose (mg/dL): 202
Standard Deviation (mg/dL): 84
Avg. Readings Per Day: 72
Afternoon 12pm - 6pm
Low Below Target Above High
Total Readings:
0 % 2 % 46 % 22 % 30 %
Time in range (Avg):
-7
min.
2:46
hrs.
1:18
hrs.
1:48
hrs.
Avg. Glucose (mg/dL): 229
Standard Deviation (mg/dL): 74
Avg. Readings Per Day: 69
Evening 6pm - 12am
Low Below Target Above High
Total Readings:
0 % 0 % 28 % 33 % 39 %
Time in range (Avg):
--
1:38
hrs.
1:53
hrs.
2:13
hrs.
Glucose (mg/dL)
0
50
100
150
200
250
300
350
400
450
14 days High: ≥ 251 Target Range: 70 - 180 Low: ≤ 54
Report Printed on Mar 11, 2021
CGM Hourly
| Thursday Feb 25, 2021 - Wednesday Mar 10, 2021
CGM Readings: Above Target Average Target Average Below Target Average Mid Range (25/75% - IQR) Highest-Lowest Reading
12AM 2AM 4AM 6AM 8AM 10AM 12PM 2PM 4PM 6PM 8PM 10PM
Use CGM Hourly to
understand mean CGM
throughout day. Longer
whiskers = more variability.
CGM
Hourly
Use Therapy Timeline
to see daily patterns
including bolus behavior.
Therapy
Timeline
Glucose (mg/dL)
Insulin (u)
Events
Insulin (u)
0
75
150
225
300
375
450
525
600
12AM 246810 12PM 2 4 6 8 10
10
20
3
6
Cal. 1.96
3.00↑3.23
Cal. 3.59
4.50↑2.12
13.44
0.62 5.03 3.91 4.34 1.14 1.95 2.03
40g 40g
Glucose (mg/dL)
Insulin (u)
Events
Insulin (u)
0
75
150
225
300
375
450
525
600
12AM 246810 12PM 2 4 6 8 10
10
20
6
12
2.57
11.43
1.31 5.01 3.92 1.37
13.10
1.00 2.82 1.35
1.550 1.550
40g 40g
Glucose (mg/dL)
Insulin (u)
Events
Insulin (u)
0
75
150
225
300
375
450
525
600
12AM 246810 12PM 2 4 6 8 10
10
20
6
12
2.25 1.39 2.25 8.11
1.32 2.58 1.06 4.36 3.56
10.47
1.550
50g 40g
THERAPY SUMMARY: WEEK 1
CGM
Avg. Daily Glucose 176
Avg. Readings Per Day 282
Standard Deviation 68
% Above Target 42 %
% In Target 55 %
% Below Target 3%
Insulin
Avg Daily Basal 57%|50 u
Avg Daily Bolus 44%|38 u
Insulin Duration 3hrs
Food
Avg Daily Carbs 98
NOTES:
Report Printed on Mar 11, 2021
Therapy Timeline | Thursday Feb 25, 2021 - Wednesday Mar 10, 2021
Monday Mar 01, 2021 BG Thresholds: High: ≥ 251 Target Range: 70 - 180 Low: ≤ 54
Tuesday Mar 02, 2021
Wednesday Mar 03, 2021
ASSESS
Bolus
Behavior
On average, how many food
boluses are given each day?
(food bolus circled in red)
Estimate # food boluses/
day by counting light
blue boluses with CHO
amount listed (circled in
red). Do not count auto-
corrections ( ).
Glucose (mg/dL)
Insulin (u)
Events
Insulin (u)
0
75
150
225
300
375
450
525
600
12AM 246810 12PM 2 4 6 8 10
10
20
3
6
Cal. 1.96
3.00↑3.23
Cal. 3.59
4.50↑2.12
13.44
0.62 5.03 3.91 4.34 1.14 1.95 2.03
40g 40g
Glucose (mg/dL)
Insulin (u)
Events
Insulin (u)
0
75
150
225
300
375
450
525
600
12AM 246810 12PM 2 4 6 8 10
10
20
6
12
2.57
11.43
1.31 5.01 3.92 1.37
13.10
1.00 2.82 1.35
1.550 1.550
40g 40g
Glucose (mg/dL)
Insulin (u)
Events
Insulin (u)
0
75
150
225
300
375
450
525
600
12AM 246810 12PM 2 4 6 8 10
10
20
6
12
2.25 1.39 2.25 8.11
1.32 2.58 1.06 4.36 3.56
10.47
1.550
50g 40g
THERAPY SUMMARY: WEEK 1
CGM
Avg. Daily Glucose 176
Avg. Readings Per Day 282
Standard Deviation 68
% Above Target 42 %
% In Target 55 %
% Below Target 3%
Insulin
Avg Daily Basal 57%|50 u
Avg Daily Bolus 44%|38 u
Insulin Duration 3hrs
Food
Avg Daily Carbs 98
NOTES:
Report Printed on Mar 11, 2021
Therapy Timeline | Thursday Feb 25, 2021 - Wednesday Mar 10, 2021
Monday Mar 01, 2021 BG Thresholds: High: ≥ 251 Target Range: 70 - 180 Low: ≤ 54
Tuesday Mar 02, 2021
Wednesday Mar 03, 2021
• Primary SAFETY Goal:
Reduce Hypoglycemia
(< 70 mg/dL) to < 4%
ADJUST
Insulin
Dose
• Primary OVERALL Goal:
Increase Time-in-Range (70-
180 mg/dL) to >70%
• Change CORRECTION
FACTORS for hyper/hypo
that occurs 1-2 hours after
correction doses
• Change I:C RATIOS for
hyper/hypo 1-2 hours after
meal doses
• Change BASAL RATES
1-2 hours before hyper/
hypoglycemia by 10-25% (if
no preceding boluses)
EDUCATE ON BOLUS BEHAVIOR
Do not override boluses to give more insulin than
the pump recommends (may cause hypoglycemia due
to automated insulin delivery).
Bolus before eating. If bolusing after a meal, the
user should reduce bolus as system has already been
increasing insulin for hyperglycemia.
Give correction boluses for hyperglycemia if
recommended by the bolus calculator.
OTHER EDUCATION
Treat hypoglycemia with 5-10 g CHO since insulin
may have been reduced/suspended for a period of time
before hypoglycemia occurs.
Disconnecting: If disconnected for more than 20
minutes, SUSPEND insulin so Control-IQ calculates IOB
accurately
Infusion set failure: Change infusion set if unexplained
persistent hyperglycemia. ( i.e. >300 mg/dL for >90 min)
p
p
p
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PAGE | 4
Active at the time of upload
Start Time Basal Rate Correction Factor Carb Ratio Target BG
Midnight 0.720 u/hr 1u:50 mg/dL 1u:17.0 g 110 mg/dL
4:00 AM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 125 mg/dL
2:00 PM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 110 mg/dL
5:00 PM 0.720 u/hr 1u:45 mg/dL 1u:18.0 g 110 mg/dL
9:00 PM 0.720 u/hr 1u:45 mg/dL 1u:17.0 g 110 mg/dL
Calculated Total Daily Basal 17.3 units
Duration of Insulin: 2:00 hours |Carbohydrates: On |Max Bolus: 25 units
Settings
Alerts
Alert: Auto-Off Off
Alert: Low Insulin 20 u
Reminders
Low BG On BG < 70 20 min
High BG On BG > 300 3:0 min
Site Change Reminder Off
Missed Meal Bolus: Reminder 1 -
Missed Meal Bolus: Reminder 2 -
Missed Meal Bolus: Reminder 3 -
Missed Meal Bolus: Reminder 4 -
After Bolus BG On 2:55 hours
CGM Alerts
High Alert On 240 mg/dL 2 hrs
Low Alert On 80 mg/dL 30 mins
Rise Alert Off
Fall Alert On 3 mg/dL/min
Sensor Out of Range On 20 minutes
Pump Settings
Quick Bolus Off
Screen Timeout On 60 sec
Feature Lock Off
Pump Volume: Button Vibrate
Pump Volume: Quick Bolus Vibrate
Pump Volume: Bolus Vibrate
Pump Volume: Reminders Vibrate
Pump Volume: Alerts Vibrate
Pump Volume: Alarms Vibrate
CGM Settings
Transmitter ID 8MC61E
CGM Volume Vibrate
Control-IQ Settings
Control IQ On
Weight 211 lbs
Total Daily Insulin 30 u
Sleep Schedule 1 On Everyday 11:00 PM - 9:30 AM
Sleep Schedule 2 Off -- 11:00 PM - 7:00 AM
Device Settings
Active at the time of upload
Start Time Basal Rate Correction Factor Carb Ratio Target BG
Midnight 0.720 u/hr 1u:50 mg/dL 1u:17.0 g 110 mg/dL
4:00 AM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 125 mg/dL
2:00 PM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 110 mg/dL
5:00 PM 0.720 u/hr 1u:45 mg/dL 1u:18.0 g 110 mg/dL
9:00 PM 0.720 u/hr 1u:45 mg/dL 1u:17.0 g 110 mg/dL
Calculated Total Daily Basal 17.3 units
Duration of Insulin: 2:00 hours |Carbohydrates: On |Max Bolus: 25 units
Settings
Alerts
Alert: Auto-Off Off
Alert: Low Insulin 20 u
Reminders
Low BG On BG < 70 20 min
High BG On BG > 300 3:0 min
Site Change Reminder Off
Missed Meal Bolus: Reminder 1 -
Missed Meal Bolus: Reminder 2 -
Missed Meal Bolus: Reminder 3 -
Missed Meal Bolus: Reminder 4 -
After Bolus BG On 2:55 hours
CGM Alerts
High Alert On 240 mg/dL 2 hrs
Low Alert On 80 mg/dL 30 mins
Rise Alert Off
Fall Alert On 3 mg/dL/min
Sensor Out of Range On 20 minutes
Pump Settings
Quick Bolus Off
Screen Timeout On 60 sec
Feature Lock Off
Pump Volume: Button Vibrate
Pump Volume: Quick Bolus Vibrate
Pump Volume: Bolus Vibrate
Pump Volume: Reminders Vibrate
Pump Volume: Alerts Vibrate
Pump Volume: Alarms Vibrate
CGM Settings
Transmitter ID 8MC61E
CGM Volume Vibrate
Control-IQ Settings
Control IQ On
Weight 211 lbs
Total Daily Insulin 30 u
Sleep Schedule 1 On Everyday 11:00 PM - 9:30 AM
Sleep Schedule 2 Off -- 11:00 PM - 7:00 AM
Device Settings
Active at the time of upload
Start Time Basal Rate Correction Factor Carb Ratio Target BG
Midnight 0.720 u/hr 1u:50 mg/dL 1u:17.0 g 110 mg/dL
4:00 AM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 125 mg/dL
2:00 PM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 110 mg/dL
5:00 PM 0.720 u/hr 1u:45 mg/dL 1u:18.0 g 110 mg/dL
9:00 PM 0.720 u/hr 1u:45 mg/dL 1u:17.0 g 110 mg/dL
Calculated Total Daily Basal 17.3 units
Duration of Insulin: 2:00 hours |Carbohydrates: On |Max Bolus: 25 units
Settings
Alerts
Alert: Auto-Off Off
Alert: Low Insulin 20 u
Reminders
Low BG On BG < 70 20 min
High BG On BG > 300 3:0 min
Site Change Reminder Off
Missed Meal Bolus: Reminder 1 -
Missed Meal Bolus: Reminder 2 -
Missed Meal Bolus: Reminder 3 -
Missed Meal Bolus: Reminder 4 -
After Bolus BG On 2:55 hours
CGM Alerts
High Alert On 240 mg/dL 2 hrs
Low Alert On 80 mg/dL 30 mins
Rise Alert Off
Fall Alert On 3 mg/dL/min
Sensor Out of Range On 20 minutes
Pump Settings
Quick Bolus Off
Screen Timeout On 60 sec
Feature Lock Off
Pump Volume: Button Vibrate
Pump Volume: Quick Bolus Vibrate
Pump Volume: Bolus Vibrate
Pump Volume: Reminders Vibrate
Pump Volume: Alerts Vibrate
Pump Volume: Alarms Vibrate
CGM Settings
Transmitter ID 8MC61E
CGM Volume Vibrate
Control-IQ Settings
Control IQ On
Weight 211 lbs
Total Daily Insulin 30 u
Sleep Schedule 1 On Everyday 11:00 PM - 9:30 AM
Sleep Schedule 2 Off -- 11:00 PM - 7:00 AM
Device Settings
Active at the time of upload
Start Time Basal Rate Correction Factor Carb Ratio Target BG
Midnight 0.720 u/hr 1u:50 mg/dL 1u:17.0 g 110 mg/dL
4:00 AM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 125 mg/dL
2:00 PM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 110 mg/dL
5:00 PM 0.720 u/hr 1u:45 mg/dL 1u:18.0 g 110 mg/dL
9:00 PM 0.720 u/hr 1u:45 mg/dL 1u:17.0 g 110 mg/dL
Calculated Total Daily Basal 17.3 units
Duration of Insulin: 2:00 hours |Carbohydrates: On |Max Bolus: 25 units
Settings
Alerts
Alert: Auto-Off Off
Alert: Low Insulin 20 u
Reminders
Low BG On BG < 70 20 min
High BG On BG > 300 3:0 min
Site Change Reminder Off
Missed Meal Bolus: Reminder 1 -
Missed Meal Bolus: Reminder 2 -
Missed Meal Bolus: Reminder 3 -
Missed Meal Bolus: Reminder 4 -
After Bolus BG On 2:55 hours
CGM Alerts
High Alert On 240 mg/dL 2 hrs
Low Alert On 80 mg/dL 30 mins
Rise Alert Off
Fall Alert On 3 mg/dL/min
Sensor Out of Range On 20 minutes
Pump Settings
Quick Bolus Off
Screen Timeout On 60 sec
Feature Lock Off
Pump Volume: Button Vibrate
Pump Volume: Quick Bolus Vibrate
Pump Volume: Bolus Vibrate
Pump Volume: Reminders Vibrate
Pump Volume: Alerts Vibrate
Pump Volume: Alarms Vibrate
CGM Settings
Transmitter ID 8MC61E
CGM Volume Vibrate
Control-IQ Settings
Control IQ On
Weight 211 lbs
Total Daily Insulin 30 u
Sleep Schedule 1 On Everyday 11:00 PM - 9:30 AM
Sleep Schedule 2 Off -- 11:00 PM - 7:00 AM
Device Settings
Active at the time of upload
Start Time Basal Rate Correction Factor Carb Ratio Target BG
Midnight 0.720 u/hr 1u:50 mg/dL 1u:17.0 g 110 mg/dL
4:00 AM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 125 mg/dL
2:00 PM 0.720 u/hr 1u:40 mg/dL 1u:15.0 g 110 mg/dL
5:00 PM 0.720 u/hr 1u:45 mg/dL 1u:18.0 g 110 mg/dL
9:00 PM 0.720 u/hr 1u:45 mg/dL 1u:17.0 g 110 mg/dL
Calculated Total Daily Basal 17.3 units
Duration of Insulin: 2:00 hours |Carbohydrates: On |Max Bolus: 25 units
Settings
Alerts
Alert: Auto-Off Off
Alert: Low Insulin 20 u
Reminders
Low BG On BG < 70 20 min
High BG On BG > 300 3:0 min
Site Change Reminder Off
Missed Meal Bolus: Reminder 1 -
Missed Meal Bolus: Reminder 2 -
Missed Meal Bolus: Reminder 3 -
Missed Meal Bolus: Reminder 4 -
After Bolus BG On 2:55 hours
CGM Alerts
High Alert On 240 mg/dL 2 hrs
Low Alert On 80 mg/dL 30 mins
Rise Alert Off
Fall Alert On 3 mg/dL/min
Sensor Out of Range On 20 minutes
Pump Settings
Quick Bolus Off
Screen Timeout On 60 sec
Feature Lock Off
Pump Volume: Button Vibrate
Pump Volume: Quick Bolus Vibrate
Pump Volume: Bolus Vibrate
Pump Volume: Reminders Vibrate
Pump Volume: Alerts Vibrate
Pump Volume: Alarms Vibrate
CGM Settings
Transmitter ID 8MC61E
CGM Volume Vibrate
Control-IQ Settings
Control IQ On
Weight 211 lbs
Total Daily Insulin 30 u
Sleep Schedule 1
On Everyday 11:00 PM - 9:30 AM
Sleep Schedule 2
Off -- 11:00 PM - 7:00 AM
Device Settings
Options uMy Pump uAlerts/Reminders uPump Alerts uAuto-o
Basal Rates, Correction Factors and Carb Ratios are the
only settings that can be adjusted in Control-IQ.
Options u My CGM uCGM Alerts
Options uMy pump uControl IQ
Wear the
CGM
consistently
Set the
Sleep
Schedule
for every
night
Bolus
before
all meals,
and snacks
Give correction
bolus for
hyperglycemia,
if recommended
by bolus
calculator
THE  KEYS TO SUCCESS USING CONTROLIQ
Options uActivity uSleep Schedule
u Sleep Schedule (1 or 2) uSelected
Days uCheck all 7 days
AUTO-OFF: Consider setting “Auto o”
to “O”. Auto-o is a pump setting (not
specific to control-IQ). If set to “On”- pump
will suspend all insulin delivery IF the
user has not pressed any buttons in the
programmed time duration (i.e. 12 hours
default). This may cause unnecessary/
dangerous suspensions of insulin.
ALARM FATIGUE?
• Consider setting low alert only, low
snooze 20 min.
• Turn o all optional alerts that are not
useful to user
WEIGHT/TDI: Update “Weight” and
“Total Daily dose” on their insulin pump at
each visit (used to determine max and min
delivery constraints.)
SLEEP: Make sure Sleep Schedule is
set for all seven days (to achieve tight
glycemic control overnight)
STEP #3: Device Settings and Education

PAGE | 5
ELECTRONIC HEALTH RECORD NOTE
is using the Tandem t:slim X2 with Control-IQ Hybrid Closed Loop (HCL) system to manage his/her
diabetes (insulin pump + Dexcom G6 CGM + algorithm to maximize time in range). I reviewed the past 2
weeks of data. Overall, their CGM Time-In-Range (70-180 mg/dL) was %, Time Above Range (>180 mg/
dL) %, and Time Below Range (<70% mg/dL) was %. He/she is using the HCL feature % of the time, and is
wearing the Dexcom CGM 100% of the time. We reviewed settings including CGM alerts. I reviewed
hyperglycemia safety with insulin pumps, including checking ketones with prolonged hyperglycemia, giving
an insulin injection with pen or syringe if ketones elevated, and changing infusion set. reports giving meal
boluses per day.

PAGE | 6
Wear the
CGM
consistently
Set the
Sleep
Schedule
for every
night
Bolus
before
all meals,
and snacks
Give correction
bolus for
hyperglycemia,
if recommended
by bolus
calculator
THE  KEYS TO SUCCESS USING CONTROLIQ
Great job using Control-IQ for your diabetes care.
Using systems like this can help you achieve better glucose control. Aim for more than 70% of your CGM
glucose levels to be between 70-180 mg/dl. This is the goal for MOST people with type 1 diabetes. This is
about the same as having an HbA1c level of 7%
Have questions about your insulin pump?
http://tandemdiabetes.com
For Tandem customer support, call 1-858-375-1473
For Tandem technical support, call 1-877-801-6901
Have questions about your CGM?
http://dexcom.com
For Dexcom customer support, call 1-888-738-3646
For Dexcom technical support, call 1-844-607-9398
HYPERGLYCEMIA > 300 mg/dL for 1-2 hours?
Check ketones first! If ketones, give a syringe injection of insulin and turn o “Control-IQ”
feature for 4 hours. Change infusion set (“when in doubt, change it out!”)
Do not override boluses to give more insulin than the pump recommends
(may cause hypoglycemia due to automated insulin delivery).
Bolus before eating. If bolusing after a meal, the user should reduce bolus as
system has already been increasing insulin for hyperglycemia.
Read bolus prompts carefully. If it states “Your BG is Below Target.
Reduce Bolus Calculation?”, press “NO” (or r) to get full amount of insulin for
carbohydrates. Press “Yes” (ora) to subtract insulin.
Give correction boluses for hypergylcemia.
Try treating hypoglycemia with 5-10 g CHO since insulin may have been
reduced/suspended for a period of time before hypoglycemia occurs.
If disconnected for more than 20 minutes, SUSPEND insulin so the Control-IQ
system counts IOB correctly.
Check “Auto-o” settings. Turn o or extend to 16 hours.
CHANGE INFUSION SET every 2-3 days, or as needed for persistent hyperglycemia.
Tips for
using the
Control-IQ
system
include:
AFTER VISIT SUMMARY