OmniPod DASH System User manual

Omnipod DASH® Insulin Management System
User Guide

Welcome to Omnipod DASH®!
This guide provides you with step-by-step instructions for
getting started with your new Omnipod DASH System.
2

3

4
INDICATIONS FOR USE
The Omnipod DASH Insulin
Management System is intended
for subcutaneous delivery of
insulin at set and variable
rates for the management of
diabetes mellitus in persons
requiring insulin.
CONTRAINDICATIONS
Insulin pump therapy is NOT
recommended for people who are:
• Unable to monitor blood glucose
levels as recommended by their
healthcare provider
• Unable to maintain contact with
their healthcare provider
• Unable to use the
Omnipod DASH System
according to instructions
PDM Model PDM-INT2-D001-MM
COMPATIBLE INSULINS
The Omnipod DASH System is
designed to use rapid-acting U-100
insulin. The following U-100 rapid-
acting insulin analogues have been
tested and found to be safe for use
in the Pod: NovoLog®(insulin
aspart), Fiasp®(insulin aspart),
Humalog®(insulin lispro), Admelog®
(insulin lispro) and Apidra®(insulin
glulisine). NovoLog, Fiasp, Humalog
and Admelog are compatible with
the Omnipod DASH System for use
up to 72 hours (3 days). Apidra is
compatible with the Omnipod DASH
System for use up to 48 hours
(2 days).
If you have questions about
using other insulins, contact your
healthcare provider. Fiasp has a
faster initial absorption than other
rapid-acting U-100 insulins; always
consult with your healthcare
provider and refer to the insulin
labelling prior to use.
To access the complete Omnipod DASH System
Technical User Guide
At any time while using Omnipod DASH, you can access or request the
Omnipod DASH Technical User Guide.
1Download or print a digital copy:
- Scan this QR code with your smartphone
- Visit omnipod.com/guides
2Request to receive a free printed copy:
- Call in to request one using the information on your contact card.

5
Contents
Introduction........................................................................................................6
New Omnipod User ........................................................................................6
System Introduction .......................................................................................9
Basal and Bolus Insulin ................................................................................11
Why Carbohydrates Matter .........................................................................12
Set Up the PDM ............................................................................................... 13
The PDM Battery ...........................................................................................13
Initial PDM Set-up .........................................................................................14
Set Up a New Pod............................................................................................ 15
Pod Placement...............................................................................................15
Activate a New Pod .......................................................................................16
Fill the Pod ....................................................................................................17
Apply the Pod ...............................................................................................18
Start Insulin Delivery.....................................................................................20
How to Change the Pod ...............................................................................21
Key Insulin Delivery Actions .......................................................................... 22
Deliver a Bolus ..............................................................................................22
Edit an Active Basal Programme ................................................................24
Suspend Insulin Delivery..............................................................................26
Set a Temporary (Temp) Basal Rate............................................................27
Advanced Insulin Delivery Features............................................................28
Notifications and Alarms .............................................................................. 29
Troubleshooting.............................................................................................. 31
Hypoglycaemia (Low Glucose) ....................................................................31
Hyperglycaemia (High Glucose) ..................................................................33
Sick Day Management..................................................................................36
Appendix ......................................................................................................... 39
Staying Safe with Omnipod DASH ................................................................ 46

6
Getting Started With
Omnipod DASH is Simple
1Receive Training
Learning how to use your Omnipod DASH System the correct way is
important for safe and eective use. Dierent training methods are
available based on your and your healthcare provider’s preferences.
Your healthcare provider can help you to coordinate and set up
appropriate training.
2Freedom Is Yours!
You’ll then be ready to enjoy the benets and exibility of your new
Omnipod DASH System.
Before you begin, be sure to follow the
appropriate instructions outlined here.
New Omnipod User
You must follow the steps below BEFORE you can get started.

7
XXXXX
XXXX
Introduction
Welcome
What’s Different About the Pod? Simple.
The Omnipod DASH System is a simple system consisting of just 2 parts—the
tubeless Pod and the handheld Personal Diabetes Manager (PDM) that you
use to wirelessly programme your insulin delivery*. Made to be convenient
and discreet, the Pod can provide up to three days of continuous insulin
delivery** and can be worn almost anywhere you would give yourself an
injection. Wear what you want, and do what you want. The Omnipod DASH
System helps simplify insulin delivery, so you can live your life and manage
diabetes around it.
Preparing to Start on the Omnipod DASH System.
This User Guide will lead you through some of the key functions you may
need to perform with the Omnipod DASH System.
In an emergency, you should call your healthcare provider as well as an
emergency contact.
Healthcare provider name
Healthcare provider number
Emergency contact name
Emergency contact number
Always consult with your healthcare provider to determine the appropriate settings for you.
HEALTHCARE AND TREATMENT ARE COMPLEX SUBJECTS REQUIRING THE SERVICES OF QUALIFIED HEALTHCARE PROVIDERS. THIS USER GUIDE IS FOR
INFORMATION PURPOSES ONLY AND NOT INTENDED AS MEDICAL OR HEALTHCARE ADVICE OR RECOMMENDATIONS TO BE USED FOR DIAGNOSIS, TREATMENT
OR FOR ANY OTHER INDIVIDUAL NEEDS.THIS USER GUIDE IS NOT A SUBSTITUTE FOR MEDICAL OR HEALTHCARE ADVICE, RECOMMENDATIONS AND/OR SERVICES
FROM A QUALIFIED HEALTHCARE PROVIDER. THIS USER GUIDE MAY NOT BE RELIED UPON IN ANY WAY IN CONNECTION WITH YOUR PERSONAL HEALTHCARE,
RELATED DECISIONS AND TREATMENT. ALL SUCH DECISIONS AND TREATMENT SHOULD BE DISCUSSED WITH A QUALIFIED HEALTHCARE PROVIDER WHO IS
FAMILIAR WITH YOUR INDIVIDUAL NEEDS.
* At start-up, the Personal Diabetes Manager and Pod should be adjacent and touching, either in or out of the tray, to ensure proper communication during priming.
At least 1.5 m (5 ft) during normal operation
** Up to 72 hours of insulin delivery

8
XXXXX
XXXX
Introduction
Contact
Emergency Kit
CAUTION: Consult the Technical User Guide.
* Only Omnipod DASH System Pods can communicate with the Omnipod DASH System Personal Diabetes Manager
You Should Have the Following Supplies on Hand at All Times:
• Omnipod DASH PDM
• Several new, sealed Omnipod DASH Pods
• Vial of rapid-acting U-100 insulin
• Blood Glucose (BG) meter
• BG test strips
• Lancing device & lancets
• Alcohol swabs
• Syringes or pens/needles for an alternative way of injecting insulin
• Instructions from your healthcare provider about how much insulin to
inject if delivery from the Pod is interrupted
• Ketone testing supplies
• Glucose tablets or another fast-acting source of carbohydrate
• Glucagon emergency kit and written instructions for giving an injection if
you are unconscious
• Phone numbers for your healthcare provider in case of an emergency

9
XXXXX
XXXX
Introduction
The Pod
The Omnipod DASH System Pod
A Bluetooth®-Enabled Pod that Delivers both
Basal and Bolus Insulin.
ADHESIVE BACKING
FILL PORT
NEEDLE CAP
BOTTOM
VIEWING WINDOW
PINK SLIDE INSERT
TOP

XXXXX
XXXX
10
Introduction
The Personal Diabetes Manager
• Alternate access to Basal and Pod Info
• Set Temp Basal
• Enter BG
• Suspend Insulin
Tip
You can find the following items when you tap on the Menu icon:
• Manage Temp and Bolus Preset
• View History
• Edit Settings
The Omnipod DASH System Personal
Diabetes Manager
A Bluetooth®-Enabled Personal Diabetes Manager (PDM) that
Controls All Pod Functions.
MENU ICON
TABS
TOUCH
SCREEN
POWER
BUTTON
NON-FUNCTIONAL
MICRO-B USB PORT
SOUND/
VIBRATE
BACK
BOLUS
BUTTON
Home Screen View
• View current Pod and
Personal Diabetes
Manager Status
• Access more
system options in
the Menu icon
• View Notications
and Alarms
• Access IOB in the
Dashboard view
• Review and edit
Basal Programmes
in the Basal view
• View details of the
Pod and access
Pod Change in the
Pod info view
• Reference LAST
BOLUS and LAST BG
• Easy access to
deliver a Bolus using
the Bolus Button

11
XXXXX
XXXX
Introduction
Basal/Bolus
What is a Basal Rate?
Your body needs a small amount of insulin, called basal insulin, delivered
constantly throughout the day. Basal rates are specified in units per hour (U/hr).
The exact amount of basal insulin your body needs changes often depending on:
• What you’re doing throughout the day
• How stressed you are
• Whether you're ill
What is a Bolus?
A bolus is a dose of insulin
delivered to match the
carbohydrates in a meal or
snack and/or to lower your
blood glucose when it gets
too high. There are two
types of bolus doses:
• Meal bolus
- With the Omnipod DASH System, you can deliver either an immediate or
an extended meal bolus
- An immediate meal bolus delivers insulin for a meal or snack you are
about to eat
- An extended meal bolus delivers insulin over a longer period of time.
When you eat foods high in fat and/or protein or are eating over a long
period of time, such as at a party, you might need an extended meal bolus.
• Correction bolus
- A correction bolus can be delivered with or without a meal bolus if you
need to lower your blood glucose level.
The Omnipod DASH System Will Help to Calculate Your Bolus Doses.
The Omnipod DASH System also features a Bolus Calculator to help you
deliver an accurate bolus dose. The calculator uses your current blood
glucose, carbs entered and your insulin on board (IOB) to determine a
suggested bolus dose.
CAUTION: Consult the Technical User Guide.
For more information about the Suggested Bolus Calculator, refer to your Omnipod DASH Insulin Management System Technical User Guide.
† ©2002 by the American Diabetes Association®. Smart pumping for people with diabetes. Reprinted with permission from the American Diabetes Association®.
Basal and Bolus Insulin
Insulin delivery with a pump vs. normal insulin release†
Insulin
Levels
Noon Midnight
Rapid-acting Insulin
Diagram of natural
insulin release
BASAL
BOLUS
DLB
BOLUSBOLUS

12
XXXXX
XXXX
Introduction
Counting Carbohydrates
What are Carbohydrates?
• Starches: Starchy vegetables like potatoes, sweetcorn and peas, dried
beans and lentils, grains like oats, barley and rice, and items made from
wheat flour.
• Sugars: Naturally occurring in milk and fruit, or added during cooking or
processing. Common names for sugar are table sugar, brown sugar, molasses,
honey, cane sugar, maple syrup, high fructose corn syrup and agave nectar.
• Fibre: Can be found in fruits, vegetables, whole grains, nuts and legumes.
Most dietary fibre is not digestible. Fibre contributes to digestive health,
keeps you regular and helps to make you feel full and satisfied after eating.
Impact on Blood Glucose
Carbohydrates (carbs) are important because they provide us with energy
and essential vitamins and minerals. Proteins and fats also contain calories,
vitamins and minerals, but do not contain carbohydrates unless the food is a
mixed item like a casserole. Carbohydrates are the primary foods that affect
blood glucose levels.
Proteins and fats take longer to digest and have a slower effect on your
blood glucose. Higher consumption of protein or fat at meals can delay
glucose absorption and create higher blood glucose levels later. The
section “Omnipod DASH System Advanced Features” will teach you more
about bolusing for certain meals with the Omnipod DASH Insulin
Management System.
Beaser RS. Joslin’s Diabetes Deskbook: A guide for primary care providers. 3rd ed. Boston, MA. Joslin Diabetes Center; 2014
Why Carbohydrates Matter

13
XXXXX
XXXX
Set Up Your Omnipod
DASH System PDM
The PDM Battery
• Use the pull-tab to remove the back cover
• Insert the battery into the PDM
• Remove the pull-tab and replace the back cover
Battery Tips:
• Your PDM battery is rechargeable. Only use an Insulet-approved battery,
charger and cable.
• Adjust screen time-out and brightness levels to conserve battery.
• Your Pod will continue to deliver basal insulin if your PDM powers off. You
can use your PDM while it is charging.
• Develop a routine to charge your PDM at the same time every day.
Note:For more details about safe use of the PDM and PDM battery, see
“Chapter 11: Taking Care of Your PDM and Pod” in your full Omnipod DASH System
Technical User Guide.

14
• Hold down the Power button
to wake up your PDM
• You will begin by personalising
your new PDM
• After personalisation, you
will enter your insulin
delivery settings
• The PDM guides you step by
step. Be sure to read each
screen and accurately enter
each setting.
• For more information, refer to
Chapter 2 “Initial PDM Set-up”
in the Omnipod DASH System
Technical User Guide
Omnipod DASH System Initial PDM Set-up
Your initial pump therapy settings are needed to set up your new PDM.
These settings are provided to you by your healthcare provider.

15
XXXXX
XXXX
Omnipod DASH System Instructions
Pod Placement/prep/tips
Feel Comfortable and Confident
With Your Omnipod DASH Pod
It’s easy to find a place for your
Pod. And your Pod is tubeless
and lightweight, so you can
wear it with freedom.
Where to Wear Your Pod.
It’s important to choose a new area
every time when placing your Pod
to avoid site overuse, which could
result in variable absorption. The
new area should be at least 2.5 cm
(1") away from the previous one,
5 cm (2") away from the navel and
not over a mole, scar or tattoo,
where insulin absorption may be
reduced. Be sure to put your Pod
somewhere you’ll be comfortable—
avoid sites where belts, waistbands
or tight clothing may rub against,
disturb or dislodge the Pod.
How to Place
Your Pod
Arm and leg
Position the Pod
vertically or at a
slight angle.
Back, abdomen and buttocks
Position the Pod horizontally or at a
slight angle.
Pinching up
This step is important if your Pod
location is very lean or doesn’t have
much fatty tissue. Place your hand
over the Pod and make a wide
pinch around your skin surrounding
the viewing window. Then press
the Start button on the Personal
Diabetes Manager. You can let go
when the cannula inserts.
WARNING:
Occlusions may result in lean areas if you do not use this technique.
arm
leg
FRONT BACK
ADULT
back
buttocks
abdomen
leg
YOUTH
arm
buttocks
leg
FRONT BACK
abdomen

16
XXXXX
XXXX
Omnipod DASH System Instructions
Activate a new Pod
Activate a New Pod
• Gather the following supplies:
- DASH Personal Diabetes Manager (PDM)
- Sealed DASH Pod
- Vial of U-100, rapid-acting insulin at room temperature. (See the
Omnipod DASH System Technical User Guide for insulins tested and found
to be safe with the Omnipod DASH Insulin Management System.)
- Alcohol prep swab
• Wash your hands
1. To set up a new Pod,
Tap SET UP NEW POD
2. Read and carry out
each instruction
carefully
WARNING:
• NEVER inject air into the ll port. Doing so may result in unintended or interrupted insulin delivery.
• NEVER use a Pod if you hear a crackling noise or feel resistance when you depress the plunger.
These conditions can result in interrupted insulin delivery.
CAUTION:
Do not use any other type of needle or lling device besides the ll syringe provided with each Pod.

17
XXXXX
XXXX
Omnipod DASH System Instructions
Activate a new Pod
Fill the Pod
If the Personal Diabetes Manager screen times out during the process,
press the Power button to continue.
3. Draw air into the ll syringe equal to the
amount of insulin you will use
- Insert the needle into the vial of insulin and
inject air
- Turn the vial and syringe upside down
- Slowly withdraw insulin from the vial and fill
the syringe with the amount of insulin you will
use; fill at least to the MIN line
- Tap or flick the syringe to remove any
air bubbles
2. Pull outwards to remove the syringe’s
protective cap
1. Remove the ll syringe and needle from its
sterile packaging. Keep the Pod in its tray during
set-up.
- Use the alcohol prep swab to clean the top of
the insulin vial
- Assemble the fill syringe by twisting the
needle onto the syringe

18
XXXXX
XXXX
Omnipod DASH System Instructions
Activate a new Pod
If the Personal Diabetes Manager screen times out during the process,
press the Power button to continue.
Apply the Pod
4. Leave the Pod in its plastic tray
- Insert the needle straight down into the fill port
on the underside of the Pod. To ensure proper
filling, do not insert the fill syringe at an angle
into the fill port.
- Completely empty the syringe into the Pod
- The Pod will beep twice, indicating that the
Omnipod DASH System is ready to proceed
- Return to the PDM. If the PDM screen times out,
press the Power button to turn it back on. Place
the PDM next to the Pod so they are touching.
- Tap NEXT
5. The PDM establishes a one-to-one relationship with
the Pod, which will prevent it from communicating
with any other Pod while this Pod is active. Once
the Pod successfully completes its priming and
safety checks, the PDM will beep.
1. Select the infusion site, being careful to avoid
areas where the Pod will be aected by folds of
skin. Refer to the Pod Placement section of this
User Guide for sites and placement tips.
Reminder
During activation and priming the PDM and Pod
should be next to each other and touching.
Tip
Use the Pod site map to help you track your
current and recent Pod site locations. This feature
can be turned on in Settings.

19
XXXXX
XXXX
Omnipod DASH System Instructions
Activate a new Pod
Apply the Pod (continued)
2. For optimal adhesion, always clean the
site thoroughly with an alcohol swab to
remove all body oils and lotions, which
may loosen the Pod’s adhesive. Let the
site air-dry completely; do not blow on
the site to dry it.
3. Remove the Pod's
needle cap
4. Carefully remove the white paper
backing from the adhesive, ensuring
that the adhesive is clean and intact
5. Apply the Pod to the
selected site
- Run your finger around
the adhesive to secure it
If the Personal Diabetes Manager screen times out during the process,
press the Power button to continue.

20
XXXXX
XXXX
Omnipod DASH System Instructions
Activate a new Pod
WARNING:
• The Personal Diabetes Manager will generate an automatic reminder to check your blood glucose 1.5 hours after each Pod change. If the cannula is
not properly inserted, hyperglycaemia may occur.
• Verify that there is no wetness or scent of insulin, which may indicate that the cannula has been dislodged.
• NEVER inject insulin (or anything else) into the ll port while the Pod is on your body. Doing so may result in unintended or interrupted insulin delivery.
• Verify that the cannula does not extend beyond the adhesive backing once the needle cap has been removed.
If the Personal Diabetes Manager screen times out during the process,
press the Power button to continue.
Press Start
1. Tap START 2. Verify that the Pod
is securely attached
to your body, then
tap CONFIRM
- For the best
technique, refer to
the Pod Placement
section of this User
Guide for sites and
placement tips
3. The Pod automatically
inserts the cannula
and delivers a prime
bolus to ll the cannula
with insulin. Once the
cannula has inserted,
verify proper insertion
by checking that the
pink slide insert is
visible in the faint
window on the top of
the Pod
4. Your Pod is now active!
- The PDM will generate an automatic reminder
to check your blood glucose 1.5 hours after
each Pod change