Misc iLet

Question 1

What does the iLet app look like?

Answer 1

Blue app with white circle

Question 2

How do you sync patient data with iLet app?

Answer 2

Settings, tap iLet device (will have serial number), can sync now AND check for firmware updates

Question 3

How fast does the iLet deliver insulin blouses?

Answer 3

1 unit every 5 seconds (I.e: 6 units would take 30 seconds to deliver)

Question 4

What are the CGM TIR recommendations?

Answer 4

> 70% of readings between 70-180 mg/dL, <4% of readings < 70, <1% of readings <54, <25% of readings >180, <5% of reading > 250

Question 5

If you could prescribe a pump that achieved good results, at least as good as the other options with minimal risk for hypo and reduce the amount of time you and the patient need to achieve those results, how might this benefit you?

Answer 5

TOUCHE!

Question 6

When may setting a higher target be appropriate?

Answer 6

When the user is transitioning from MDI using a long acting insulin or if the user has a very high mean glucose (greater than 280 mg/dL or A1c >10%)

Question 7

How many units of insulin are in 1 mL?

Answer 7

100 units

Question 8

When should pt check Ketones?

Answer 8

If N/V/D, think infusion set is not working, CGM has been > 300 for > 90 minutes, if CGM 400 mg/dL at any time

Question 9

What should you do if you are in zone 1 of your KAP (negative of Ketones <0.6 mmol/L)

Answer 9

Make sure iLet is charged, has insulin, and is displaying CGM values. Continue to monitor BG, and check ketones again if BG still high after 90 minutes

Question 10

What should you do if you are in zone 2 of your KAP? (trace/moderate or 0.6-2.5 mmol/L)

Answer 10

Change your infusion set, drink extra fluid, and recheck BG and ketones after 90 mins. If <180 mg/dL and ketones negative, no further action needed. If BG >180 and ketones are NOT in zone 1, go to zone 3.

Question 11

What should you do if you are in zone 3 of your KAP? (large or 2.5 mmol/L or higher)

Answer 11

Call HCP. If told to inject rapid acting insulin, give as instructed by provider. DISCONNECT from iLet at time of injection. Drink extra fluids. Recheck Ketones and BG in 90 mins. If BG < 180 mg and ketones in zone 1, change infusion set and reconnect.

If BG is > 180 and ketones are NOT in zone 1, call HCP, 911, or visit ER