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Ypsomed

YpsoPump (myLife Loop)

Ypsopump Mylife Loop Approved CA

 Features

  • The YpsoPump is a small, touchscreen pump with symbols (vs words) using glass reservoirs, to allow prefilling. 
  • When used with the Dexcom glucose sensor and the CamAPS FX app (Android) it is an AID insulin pump with an indication for use in pregnancy. 
  • The following can be adjusted by users of the the CAM APS FX algorithm:
    • Targets (4.4 - 11 mmol/L)
    • Carb ratios
    • "Ease off" feature (reduces insulin delivery & temporarily increases target)
    • "Boost" feature (increases basal by up to ~35% but will not push glucose lower than target)
  • The following cannot be adjusted by users of the the CAM APS FX algorithm:
    • Basal rates
    • ISF (correction)
  • CAM APS FX is both a learning and predictive algorithm that optimizes automated basal and correction insulin every 5 minutes using the items below. It then analyzes this data to predict glucose responses 2.5-4 hours ahead, and selects the most appropriate internal model. 
  • The system learns better without "ease off" or "boost"
  • Takes 1-3 weeks to optimize
  • Requires body weight at setup and TDD. 

Adjusting for Hypoglycemia

  • Check for appropriate use of “Boost (insulin)”
  • Manual corrections given inappropriately.
    • If Automode is running, it’s better to let the algorithm deal with high glucose values. Use Boost, if quicker glucose lowering is desired.
    • Manual corrections may be appropriate if Automode is not active (e.g. if the CGM sensor is warming up)
  • Mistiming of meal boluses
    • Optimal pre-bolus timing is usually 10 to 15 minutes prior to the meal.
    • Giving the bolus too late leads to the algorithm increasing basal delivery to try match the rise in glucose. The combination of increased basal + bolus for the carb can result in too much insulin for the meal.
      • To help prevent hypoglycemia, if the bolus is given shortly after the meal, decrease the bolus dose. If the bolus is remembered 1 h or more after the meal, use Boost to bring the glucose into target.
    • Carb Ratio might need to be weakened.
    • Physical Activity.
    • Alcohol intake: Consider using “Ease-off (insulin)”

Adjusting for Hyperglycemia

  • Check the Personal Glucose Target, to ensure it’s what is desired. The target can be set as low as 4.4 and as high as 11 mmol/L.
  • Infusion set failure
    • Sets should be changed every 2 to 3 days in most cases.
    • If there’s an issue with the infusion set, such that not all anticipated insulin is getting in:
      • Check for ketones if glucose is over 14 mmol/L. Follow prevention of DKA recommendations  
      • Change the infusion set.
      • Consider using Boost to gradually bring glucose into the target range and/or doing a manual correction with the pump.
    • Check for appropriate use of “Ease off (insulin)”
    • Illness:
    • Mistiming of meal boluses
      • Optimal pre-bolus timing is usually 10 to 15 minutes prior to the meal.
      • Giving the bolus too early can lead to the algorithm decreasing or shutting off basal delivery. Glucose rises higher than desired after the meal since the insulin absorption doesn’t match the rise.

Exercise Options

To help maintain glucose values within the target range, consider one or more of the following strategies:

  • Start “Ease-off (insulin)” 60 to 90 minutes prior to the activity and continue for a period of time after the activity is over (the length of time will vary depending on the individual and the type and duration of the activity).
  • If the activity occurs shortly after a meal, decrease the meal-time bolus.
  • Longer duration exercise of one hour or more: Consume small amounts of carb (up to 15 g) each 30 minutes during the activity.
  • Increase the Personal Glucose Target prior to and following the activity. Remember to re-set the target back to the desired one after the exercise is over.

Training & Reports

  • Required at setup: TDD, weight, targets, may input small, med, large meal sizes for bolus, as well as expected programming (manual basal rates, ISF, CR). 
  • Training app for iPhone or Android Ypsopump Explorer App. See "Guided Tours" in the app.
  • Icon Overview
  • CAM-APS FX app for Android Phone has learning resources for the patient.
  • Health Care Professional Clinical Resources (We are awaiting username and password from the company)
  • CamAPS-FX training portal 
    • It is both a learning and predictive algorithm that optimizes automated basal and correction insulin using:

      The algorithm analyzes this data to predict glucose responses 2.5-4 hours ahead, then selects the most appropriate internal model for optimal insulin delivery at that moment.

  • Additional Resources

REPORTS

Infusion Sets

Company Contacts