Tandem t:slim X2 Installation guide

with Basal-IQ™Technology
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Training Manual

Customer Technical Support: [phone] 1
As an important member of our family, we would like you to know we
understand the importance of managing your diabetes. We care about
your health and respect your time. In every aspect of our Company,
from the creation of the t:slim X2 insulin pump with Basal-IQ technol-
ogy to the development of this training manual, you are always our
top priority.
This manual is designed to educate you on the features and functions
of the t:slim X2 insulin pump with Basal-IQ technology, also referred
to in this manual as the “System.” It provides step-by-step illustrative
instructions on how to properly operate, manage, and care for your
System. Look for special content boxes, which highlight useful tips
and important notes that may help you interact with the System.
This Training Manual highlights common interactions with the System
and is not meant to replace the t:slim X2 Insulin Pump with Basal-IQ
Technology User Guide. For more comprehensive information on the
System, please refer to the t:slim X2 Insulin Pump with Basal-IQ Tech-
nology User Guide and additional information on our website: www.
tandemdiabetes.com.
Need help? We are here for you 24 hours a day, seven days a week
at [phone].
We know you can’t wait to start using your t:slim X2 insulin pump
with Basal-IQ technology! If you have not scheduled your in-person
pump training, call us at [phone], and we will notify your lo-
cal trainer that you are ready to schedule. If you are trying to access
your online CGM or PLGS training, please visit the patient portal at
www.portal.tandemdiabetes.com.
DO NOT deliver insulin with your t:slim X2 insulin pump with Basal-IQ
technology until you receive training.

2Customer Technical Support: [phone]
Table of Contents
Overview
Indications for Use and Contraindications ............................................... 5
Pump Overview ........................................................................................ 5
Pump Terminology.................................................................................... 6
Basal-IQ Screen Lock .............................................................................. 8
Basal-IQ Home Screen............................................................................. 9
Status Screen......................................................................................... 10
Bolus Screen .......................................................................................... 12
Options Screen....................................................................................... 14
Number Keypad ..................................................................................... 16
Letter Keypad......................................................................................... 17
My Pump Screen.................................................................................... 18
Basal-IQ Screen ..................................................................................... 19
Getting Started
Charging Your Pump .............................................................................. 21
Turning On Pump Screen ....................................................................... 22
Unlock Pump Screen ............................................................................. 22
Edit Time ................................................................................................ 24
Edit Date................................................................................................. 26
Personal Profile
Personal Profile Overview ...................................................................... 29
Creating a New Profile............................................................................ 29
Programming a New Profile.................................................................... 31
Edit an Existing Profile............................................................................ 36
Duplicate an Existing Profile................................................................... 40
Activate, Delete, or Rename a Profile..................................................... 42
My CGM
Entering the Transmitter ID..................................................................... 47
Starting a Sensor Session ...................................................................... 49
Calibrating the Sensor............................................................................ 51
Setting Up CGM Alerts........................................................................... 54

Customer Technical Support: [phone] 3
Table of Contents
Basal-IQ Technology
Basal-IQ Overview.................................................................................. 65
Basal-IQ Settings ................................................................................... 65
Basal-IQ Alerts ....................................................................................... 66
Load
Fill and Load a Cartridge ........................................................................ 71
Bolus
Bolus Overview ...................................................................................... 83
Food Bolus Using Grams ....................................................................... 83
Food Bolus Using Units ......................................................................... 85
Correction Bolus..................................................................................... 86
Extended Bolus ...................................................................................... 88
Quick Bolus Setup.................................................................................. 92
Quick Bolus ............................................................................................ 96
Cancel or Stop a Bolus .......................................................................... 98
Pump Features
Stop and Resume Insulin Delivery........................................................ 101
Setting a Temp Rate ............................................................................. 104
Pump History........................................................................................ 106
Reminders and Alerts........................................................................... 108
Pump Volume and Screen Options ...................................................... 111
Alerts and Technical Support
Alerts .................................................................................................... 115
Alarms .................................................................................................. 115
Malfunction........................................................................................... 115
Customer Technical Support................................................................ 116

Overview

Customer Technical Support: [phone] 5
Overview
Indications for Use and Contraindications
Indications for Use
The t:slim X2 insulin pump with Basal-IQ technology is intended for the subcuta-
neous delivery of insulin, at set and variable rates, for the management of diabetes
mellitus in persons requiring insulin. The System is indicated for use in individuals 6
years of age and older.
Contraindications
The t:slim X2 insulin pump with Basal-IQ technology is not intended for anyone
unable or unwilling to:
• Test blood glucose (BG) levels as recommended by your healthcare provider
• Maintain sufficient diabetes self-care skills
• See his or her healthcare provider(s) regularly
• Demonstrate adequate carbohydrate-counting skills (preferred, but not required)
You must also have adequate vision and/or hearing in order to operate your t:slim
X2 insulin pump with Basal-IQ technology.
Federal law restricts this device to sale by or on the order of a licensed healthcare
provider with prescriptive authority.
Pump Overview
Your t:slim X2 insulin pump with Basal-IQ technology uses touchscreen technology.
To activate and interact with your System, use the pad of your finger to quickly and
lightly tap on the screen.
Do not use your finger nail or other object to interact with the screen. It will not
activate the screen or its functions. A soft-tipped stylus may be used on the touch-
screen.
QUICK TIP
Fingers should be clean and dry. Oily or damp fingers may interfere with activation of the
touch screen.
ALERT
Turn screen off and position the screen away from the skin when worn under clothing.

6Customer Technical Support: [phone]
Overview
Pump Terminology
Basal
Basal is a slow, continuous delivery of insulin, which keeps BG levels stable be-
tween meals and during sleep. It is measured in units per hour (units/hour).
Basal-IQ
Basal-IQ is the name of the technology embedded in the System that predicts
when your glucose level will reach 80 mg/dL or less within 30 minutes and sus-
pends insulin delivery to prevent hypoglycemia. It will also suspend insulin delivery if
the CGM glucose reading is already 70 mg/dL or less.
Blood Glucose (BG)
BG is the level of glucose in blood, measured in milligrams per deciliter (mg/dL).
Glucose Target
Glucose target is a specific blood glucose goal; it’s an exact number, not a range.
When a BG or CGM value is entered in the t:slim X2 insulin pump Bolus Calculator,
the calculated insulin bolus will be adjusted up or down as needed to attain this
target.
Bolus
A bolus is a quick dose of insulin that is usually delivered to cover meals or an
elevated BG. There are several types of boluses that can be delivered by the t:slim
X2 insulin pump with Basal-IQ technology, including food, correction, extended, and
quick boluses.
Cannula
Insulin is delivered through the cannula, the part of the infusion set that is inserted
under the skin.
Carb
Carbohydrates (carbs) are the sugars and starches in food that the body breaks
down into glucose and uses as an energy source. Carbs are measured in grams.
Carb Ratio
The carb ratio is the number of grams of carbohydrate that one unit of insulin will
cover. Also known as insulin-to-carbohydrate ratio.
Continuous Glucose Monitor (CGM)
CGM systems sense glucose in the interstitial fluid at regular intervals.
Correction Bolus
A correction bolus is given to correct elevated BG.
Correction Factor
A correction factor is the amount that BG is lowered by one unit of insulin. Also
known as the insulin sensitivity factor (ISF).

Customer Technical Support: [phone] 7
Overview
Extended Bolus
An Extended Bolus is delivered over a period of time. It is intended for times when
you have a high-fat meal or a meal spread out over a long period of time.
Grams
Grams are a unit of measurement used to measure carbohydrates.
Insulin Duration
Insulin duration is the amount of time that insulin is active and available in the body
after a bolus has been delivered. This also relates to the calculation for insulin on
board (IOB).
Insulin on Board (IOB)
IOB is the insulin that is still active (has the ability to continue to lower the BG) in the
body after a bolus has been delivered.
Load
Load refers to the process of removing, replacing, and filling a new cartridge and
infusion set.
Personal Profile
A Personal Profile is a personalized group of settings that defines the delivery of
basal and bolus insulin within specific time segments throughout a 24-hour period.
Quick Bolus
A Quick Bolus is a way to deliver a bolus (using the Quick Bolus button) by follow-
ing beep/vibration commands without navigating through or viewing the t:slim X2
insulin pump screen.
Temporary Basal Rate (Temp Rate)
Temp Rate is used to increase or decrease the current basal rate for a short period
of time to accommodate special situations, such as exercise or illness. The pro-
grammed basal rate is represented as 100%, with percentages greater or less than
100% representing how much more or less insulin is delivered compared with the
basal rate. A 120% temp rate, for example, represents 20% more insulin than the
regular basal rate.
Unit
A unit is the increment of measurement for insulin.
USB Cable
USB is the abbreviation for universal serial bus. The cable connects into the micro
USB port on the t:slim X2 insulin pump with Basal-IQ technology.

8Customer Technical Support: [phone]
Overview
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INSULIN ON BOARD 1.1 u |1:09 hrs
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Basal-IQ Screen Lock
1. Alert icon: Indicates a reminder, alert, or alarm is active behind the screen lock
2. USB port: Charge your t:slim X2 insulin pump battery. Close the cover when
not in use
3. Basal-IQ technology status: Indicates the status of the Basal-IQ technology
4. CGM graph shading: Red shading indicates the Basal-IQ technology is,
or was, active for the period indicated
5. CGM graph: Visual view of data from the continuous glucose monitor
6. 1–2–3: Unlocks pump screen
7. Screen On/Quick Bolus button: Turns on the t:slim X2 insulin pump screen
or programs a Quick Bolus (if activated)
8. LED Indicator: Illuminates when the t:slim X2 insulin pump is connected
to a power supply and functioning properly
9. Cartridge tubing: Tubing attached to the cartridge
10. Tubing connector: Connects the cartridge tubing to the infusion set tubing

Customer Technical Support: [phone] 9
Overview
Basal-IQ Home Screen
1. Time and date display: Displays the current time and date
2. Antenna: Indicates communication status between pump
and transmitter
3. Battery level: Displays the level of battery power remaining. When
connected for charging, the charging icon (lightning bolt) will display
4. Insulin on board (IOB): Indicates the amount and time remaining
for any active insulin on board
5. Options: Stop/Resume insulin delivery, manage Pump Settings,
Load Cartridge, program a Temp Rate, and view History
6. Bolus: Program and deliver a bolus
7. Active Bolus icon: Indicates an active bolus
8. Status: Displays current pump settings and insulin delivery status
9. Insulin level: Displays the current amount of insulin in the cartridge
10. Tandem logo: Returns to the Home Screen
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OPTIONS BOLUS
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10 Customer Technical Support: [phone]
Overview
Status Screen
BACK Current Status
Weekday
P
Basal Rate 0.625 u/hr
B
Carbohydrates ON
Last Bolus 3 u
11/14 - 2:55 PM
BACK Current Status
Insulin Duration 4 hours
Target BG 100 mg/dL
Carb Ratio 1u: 12 g
Correction
Factor 1u: 42 mg/dL
BACK Current Status
OK
Transmitter
Battery
11/14/18
8:46 AM
Last Calibration
Time Sensor
Started
11/14/18
11:13 AM
Basal-IQ ON
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Customer Technical Support: [phone] 11
Overview
1. Profile: Displays current active Personal Profile
2. Basal Rate: Displays current basal rate being delivered
(if a Temp Rate is active, this is displayed in units/hour)
3. Last Bolus: Displays the amount, date, and time of last bolus
4. Carbohydrates: Indicates whether feature is on or off
5. Up/Down Arrow: Indicates there is more information
6. Correction Factor: Displays current correction factor
used to calculate bolus
7. Carb Ratio: Displays current carb ratio used to calculate
bolus for food
8. Target BG: Displays current BG target used to calculate bolus
9. Insulin Duration: Displays current insulin duration used to
calculate insulin on board
10. Last Calibration: Indicates whether feature is on or off
11. Time Sensor Started: Displays date and time of last time
sensor started
12. Transmitter Battery: Displays transmitter battery status
13. Basal-IQ Status: Displays the Basal-IQ technology status
NOTE
No changes can be made from this screen.

12 Customer Technical Support: [phone]
Overview
Bolus Screen
units
NEXTBACK 0
BG
View Calculation
Add BG
CARBS
grams
0
units
NEXTBACK 0
BG
View Calculation
Add BG
INSULIN
units
0
2
16
354
2
16
354
Using Grams
Using Units

Customer Technical Support: [phone] 13
Overview
Using Grams
1. BACK: Returns to the Home Screen
2. CARBS: Enter grams of carb
3. Units: Displays total units calculated
4. View Calculation: Displays how the insulin dose
was calculated using the current settings
5. Add BG: Enter BG level
6. NEXT: Moves to next step
Using Units
1. BACK: Returns to the Home Screen
2. INSULIN: Enter units of insulin
3. Units: Displays total units calculated
4. View Calculation: Displays how the insulin dose
was calculated using the current settings
5. Add BG: Enter BG level
6. NEXT: Moves to next step
COLOR NOTE
Use of blue text may relate to bolus delivery activity.

14 Customer Technical Support: [phone]
Overview
Options Screen
BACK Options
My CGM
My Pump
STOP INSULIN
Temp Rate
BACK Options
CGM History
Pump History
Basal-IQ
Load
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Customer Technical Support: [phone] 15
Overview
1. BACK: Returns to the Home Screen
2. STOP INSULIN: Stops insulin delivery. If insulin delivery is
stopped, RESUME INSULIN will be displayed
3. My Pump: Personal Profiles, Alert Settings, Pump Settings,
and Pump Info
4. My CGM: STOP/START SENSOR, Calibrate CGM, CGM Alerts,
and CGM Settings
5. Temp Rate: Programs a temporary basal rate
6. Up/Down Arrow: Indicates that there is more information
7. Load: Change Cartridge, Fill Tubing, Fill Cannula, and
Site Reminder
8. Pump History: Displays historical log of pump events
9. CGM History: Sessions and Calibrations, Alerts and Errors,
and Complete
10. Basal-IQ: On/Off, Suspend Alert, Resume Alert
11. Menu Arrows: Indicates additional menu options are available
COLOR NOTE
Orange text relates to t:slim X2 insulin pump setup or delivery settings.

16 Customer Technical Support: [phone]
Overview
Number Keypad
1. Value entered
2. BACK: Returns to previous screen
3. Keypad numbers
4. +/=: Allows numbers to be added on gram keypad screen.
If in units, this displays as a decimal point
5. DONE: Completes task and saves information entered
6. Units/grams: Value of what is entered
7. :Deletes last number entered
QUICK TIP
To change an existing number, begin by tapping the numbers on the keypad
to override the current value.
grams
21 3
0
87 9
54 6
DONEBACK 20
+/=
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47
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5

Customer Technical Support: [phone] 17
Overview
Letter Keypad
1. Name of profile
2. BACK: Returns to previous screen
3. Space: Enters a space
4. 123: Changes keypad mode from letters (ABC)
to numerals (123)
5. SAVE: Saves entered information
6. Letters: Tap once for first letter displayed, two quick taps
for middle letter, and three quick taps for third letter
7. :Deletes last letter or number entered
QUICK TIP
If changing an existing name, begin by tapping the letters on the keypad
to enter new text. The maximum number of characters is 16.
name
defabc ghi
space
vwxstu yz
mnojkl pqr
SAVEBACK Weekday
123
1
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3
47
6
5

18 Customer Technical Support: [phone]
Overview
My Pump Screen
1. Personal Profiles: A group of settings that defines basal
and bolus delivery
2. Alert Settings: Pump Reminders and Pump Alerts
3. Pump Settings: Quick Bolus, Pump Volume, Screen Options,
and Time and Date
4. Pump Info: t:slim X2 insulin pump serial number, Tandem Diabetes
Care Customer Technical Support phone number, website, and
other technical information
BACK My Pump
Pump Settings
Alert Settings
Personal Profiles
Pump Info
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