Imagine a world... Believe in better control. MiniMed Veo Paradigm System Questions and Answers About Insulin Pumping

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1 Imagine a world... Believe in better control MiniMed Veo Paradigm System Questions and Answers About Insulin Pumping 1

2 Imagine a world... Where you can exercise whenever you want and not have to carb load or worry about hypos. R Where you can eat what you want, when you want, without planning. R Where you can have one needle every 3 days as opposed to 12 needles. * R Where you can worry less about hypos overnight, and know that your pump will look after you when you need it most. Imagine the possibilities with the MiniMed Veo system. A system designed to give you BETTER CONTROL. Come and join our world and be part of the possibility... Believe in better control 2

3 What is Insulin Pump Therapy? Insulin Pump Therapy is a treatment option for people with type1 diabetes that aims to closely mimic the normal insulin delivery of the pancreas, allowing for more predictable and tighter blood glucose control. What is an insulin pump and how does it work? An insulin pump is a small portable device. Fast acting insulin is delivered via an infusion set which includes a short soft tube (called a cannula) that sits comfortably under the skin. Your diabetes specialist will show you how to change your infusion set every 2-3 days. Basal insulin is delivered regularly 24 hours a day. The basal rate is meant to keep glucose levels within a desired range outside of meals. A bolus dose delivers insulin specifically for meals, at any time. This dose is to account for carbohydrates consumed and can also bring blood glucose levels back to a specific target range. The pump can easily be disconnected and connected. It can be taken off for short periods such as bathing, swimming and during contact sport without needing to change infusion sets. The MiniMed insulin pump comes in a range of colours. It also comes in 2 sizes, depending on your daily average insulin totals. 3

4 What are the benefits of pumping? One month s comparison 4 injections a day Insulin pumping VS 120 injections 10 infusion set changes Using a pump means 90% fewer injections Get freedom from daily injections it could be the difference between taking 1440 injections per year instead of 122 site changes a year. * Lead a more flexible lifestyle eat what you want, when you want. Exercise for as long and hard as you want. Prevent hypos especially overnight, by adjusting your pump as required. Manage hormonal changes or periodic stress by adjusting your doses. Avoid major insulin adjustments for time differences with travel just re-set your pump to the new time. Stay out longer or sleep in late without the need for additional meals. What does the research say? Studies 1,2 have shown that insulin pump therapy can achieve better glucose control and reduce the number of hypos vs. multiple daily injections. Hypoglycaemic episodes: reduced up to 84% 3 In addition, insulin pump therapy can help you reduce the risk of many long-term complications 1, like: Cardiovascular damage: Reduced up to 41% Kidney damage: Reduced up to 54% Nerve damage (neuropathy): Reduced up to 60% Eye damage (retinopathy): Reduced up to 63% 4

5 If I enter my carbohydrates accurately, my blood glucose is near perfect. It s kind of like having an external pancreas. Sally Rhys-Jones, NSW 5

6 What does it cost? If you hold private health insurance covering insulin pumps, you will generally be eligible for full reimbursement of the insulin pump by your health fund. (Please consult your health fund provider for details). How can Medtronic help? If you re in the interim waiting period for private health cover benefits and would like to commence insulin pump therapy now, you may be eligible for Medtronic s Bridging the Gap loan pump program. Who is Eligible? To be eligible, individuals must: Have private health insurance policy covering insulin pumps Be diagnosed with type 1 diabetes Meet the National Diabetes Support Scheme (NDSS) criteria for insulin pump consumables ( Be under the supervision of a healthcare professional for pump therapy, e.g. Endocrinologist or Paediatrician. For further information on this program, please consult your diabetes educator or contact Medtronic Diabetes 24-hour Toll Free on

7 With the pump, Harper can eat any amount of food she wants and we adjust the insulin amount to suit. She doesn t even need to have carbohydrates at every meal. Michele Skippen, mother of Harper Climo, QLD Since I ve been on the pump with Continuous Glucose Monitoring, I ve not had a hypo at all, which is just unbelieveable. It s changed my life. Brian Thompson, WA What is the Ongoing Cost of Insulin Pump Therapy? Medtronic infusion sets and reservoirs are available from the NDSS through Diabetes Australia (at an approximate monthly cost of $25). There are criteria that you must meet to be eligible for insulin pump consumables through NDSS; as well as an NDSS registration form online which needs to be signed by your Endocrinologist or Credentialed Diabetes Educator before being sent to Diabetes Australia. If you are not eligible for insulin pump consumables through the NDSS, the monthly cost for infusion sets and reservoirs will be approximately $300. Your healthcare team should advise you of the appropriate infusion set and reservoir for your pump, so that you can order insulin pump consumables through your state Diabetes Australia office. 7

8 Why choose a Medtronic insulin pump? With more than 30 years experience creating revolutionary products, Medtronic is the leader in diabetes management technology. See why 7 out of 10 ~ people choose Medtronic: Customer Service Medtronic offers a live 24 - hour helpline to help you with your diabetes management. As you commence your journey with insulin pump therapy, Medtronic will proudly partner you in managing your diabetes. Our support services have been designed to provide you with the highest level of customer service, including: access to a wide range of Medtronic customer services invitations to information events newsletters and updates an online shop with a wide range of insulin pump accessories and much more. Technology The first available integrated system Medtronic offers a truly integrated diabetes management system to help you better control your diabetes simply and effectively. Insulin Pump, CGM and complimentary CareLink Personal therapy management software. Clinical trials Have demonstrated that each component in the Medtronic integrated system can 2, 4, 5 help lower HbA1c. Medtronic MiniMed is the only available product listed on the Prostheses List with a Low Glucose Suspend function.** We re also the pioneer and leader in providing continuous glucose monitoring systems with more than 7 million sensors sold worldwide.^ Globally Medtronic Diabetes invests over $100 million per year in research and development to help advance the goal of making an artificial pancreas a reality. Education and Training We are committed to providing you with the latest information and education. Both personally through our information events and education sessions, and online - our clinical support staff are dedicated to helping you get the most out of your pump. Online training materials available at Medtronic website under mylearning section. You gain access to our Certified Pump Trainers. 8

9 Important Contact Details Below are important contact details to ensure you receive the support and service you need, when you need it: Enquiry Contact Information Technical issues with your: Insulin pump Infusion set CGM transmitter Glucose sensor Guardian CGM system Medtronic CareLink software Spare loan pump required for travel purposes Order insulin pump consumables, accessories, glucose sensors and insertion devices (if you are NOT eligible to order from NDSS) To order infusion sets and reservoirs Technical issues with your Bayer blood glucose meter 24-hour Toll Free product helpline Telephone: (option 2) Ask for Diabetes Support Services Telephone: (option 1) Customer services Telephone: (option 1) Facsimilie: Online shop: Diabetes Australia Telephone: Web: (for NDSS IPC Assessment Form) Bayer Helpline Telephone: If you are asked to provide the product model and serial numbers, this information can be found on the back of your product or on the product packaging. Service available 8 am to 6 pm Mon Fri, Sydney time, excluding public holidays. Service available 8 am to 6 pm Mon Fri, Sydney time, excluding public holidays. All orders are dispatched ex-stock (Sydney). Registration is required. Infusion sets and reservoirs are not available to order online. Registration with National Diabetes Services Scheme (NDSS) is required. If you are not eligible for subsidised consumables, please contact Customer Services to place your order. These items are not available to order from the Online Shop. Service available 9 am 5 pm Mon Fri Sydney time. If you are asked to provide the product model and serial numbers, the information can be found on the back of your product. 9

10 Safety Information Insulin Pump Therapy and Medtronic MiniMed Insulin Infusion Pumps Patients should always discuss the benefits and potential risks with a clinician. Please review the product s technical manual prior to use for detailed instructions and disclosure. Indications for use The insulin pump is indicated for the continuous 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 unwilling or unable to perform a minimum of four blood glucose tests per day and to maintain contact with their healthcare professional. While features exist to help facilitate pump usage, Medtronic does not recommend the use of this product by individuals whose impaired vision or hearing does not allow full recognition of the pump signals and alarms. Patient testimonials relates an account of an individual s response to the treatment. The account is genuine, typical and documented. However, the individual s response does not provide any indication, guide, warranty or guarantee as to the response other persons may have to the treatment. The response other persons have to the treatment could be different. Responses to the treatment discussed can and do vary and are specific to the individual patient. References * Based on the recommended insulin pump infusion set change once every 2-3 days compared to 4 injections a day for 30 days. ** The Prostheses List outlines the products for which private health insurers are required to pay a benefit, including the agreed benefit payable. The Prostheses List Advisory Committee provides advice to the Minister for Health and Ageing about prostheses that should be included on the Prostheses List and the appropriate benefits for them based on the recommendation of independent clinical experts. ~ Based on total number of pump consumables sold nationally, NDSS sales data ^ Data kept on file. 1. The Diabetes Control and Complications Trial (DCCT) Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. NEJM. 1993;329(14): Pickup JC, Sutton AJ. Severe hypoglycaemia and glycaemic control in type 1 diabetes: metaanalysis of multiple daily insulin injections compared with continuous subcutaneous insulin infusion. Diabet Med. 2008;25: Bode BW, Steed RD, Davidson PC. Reduction in severe hypoglycemia with long-term continuous subcutaneous insulin infusion in Type 1 diabetes. Diabetes Care.1996;19: Deiss D, Bolinder J, Riveline JP et al. Improved glycemic control in poorly controlled patients with type 1 diabetes using real-time continuous glucose monitoring. Diabetes Care 2006, December; 29(12): Corriveau EA, et al. Effect of Carelink, an internet-based insulin pump monitoring system, on glycemic control in rural and urban children with type 1 diabetes mellitus. Ped Diab. 2008;9(Part ii):

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12 Believe in better control Connect with Medtronic Diabetes Web: Facebook: Address: Medtronic Australasia Pty Ltd, 97 Waterloo Road, North Ryde NSW 2113 Australia Mail: Medtronic Diabetes, PO Box 945, North Ryde, NSW 1670 Telephone: Facsimilie: hour Toll Free: MiniMed and Medtronic CareLink are registered trademarks and Veo, Paradigm, Guardian and Believe in better control are trademarks of Medtronic MiniMed, Inc. Always seek advice from your medical practitioner to determine your suitability for insulin pump therapy. Use as directed Medtronic Australasia Pty Ltd. All rights reserved MiniMed Veo Paradigm System