아큐첵 인사이트 펌프(Accu-Chek Insight Pump)

이 소프트웨어는 DIY 인공 췌장 솔루션의 일부이며 판매용 제품이 아닙니다. 하지만 사용법을 읽고 배우고 이해 하셔야합니다. 이 소프트웨어는 당뇨관리를 대신 해주는 것은 아니지만, 시간을 들여 숙지하신 후 용하신다면 당뇨관리를 용이하게 도와주며 삶의 질을 향상시키는데 큰 도움을 줍니다. 성급하게 생각하지 마시고, 사용법을 숙지하시기를 권장합니다. 서용자가 소프트웨어 활용과 관련하여 대한 책임을 집니다.

주의: 만약 이 전에 Insight를 SightRemote와 같이 사용하셨을 경우, 최신 AAPS버전으로업데이트 해주시고 SightRemote를 삭제해주시기 바랍니다.

하드웨어와 소프트웨어의 필요 요건

  • A Roche Accu-Chek Insight pump (any firmware, they all work)

    Note: AAPS will write data always in first basal rate profile in the pump.

  • An Android phone (Basically every Android version would work, but AndroidAPS itself requires at least Android 5 (Lollipop).)

  • AndroidAPS앱을 핸드폰에 설치해주시기 바랍니다.

설정

  • Insight 펌프는 한 번에 한 개의 장치에만 연결해야합니다. 전에 Insight Remote Control(Meter)를 연결하여 사용하신 적이 있으시다면, 연결 목록에서 Meter를 삭제해주셔야 합니다: 메뉴 > 세팅 > 연결 > 장치 제거

    Screenshot of Remove Meter Insight

  • AndroidAPS 앱의 구성관리자 펌프 부분에서 아큐첵 Insight를 선택해주시기 바랍니다.

    Screenshot of Config Builder Insight

  • 톱니바퀴 아이콘을 눌러 Insight 설정을 열어주세요.

  • 설정 상단에서 “Insight 연결” 버튼을 눌러주세요 주변 모든 블루투스 장치 목록이 보일 것 입니다 (하단 왼쪽).

  • Insight 펌프에서 메뉴 > 설정 > 연결 > 장치추가를 선택해주세요 그러면 펌프에서 아래 화면과 같이 (하단 오른쪽) 펌프의 시리얼 번호를 보여줍니다.

    Screenshot of Insight Pairing 1

  • 확인하신 시리얼번호를 핸드폰 블루투스 장치 목록에서 선택해주시기 바랍니다. 그런 다음 “연결”을 눌러주세요.

    Screenshot of Insight Pairing 2

  • 그럼 펌프와 핸드폰에 코드가 보일 것 입니다. 두 장치에서 보여지는 코드가 동일한 경우 두 장치에서 “확인”을 눌러 연결해주시기 바랍니다.

    Screenshot of Insight Pairing 3

  • 성공! 펌프와 Android Aps를 성공적으로 연결되었습니다.

    Screenshot of Insight Pairing 4

  • 잘 작동하고 있는지 확인하기 위해서는, Android APS에서 구정관리자로 들어가신 다음에 Insight 펌프에서 톱니바퀴 아이콘을 선택하셔서 Insight 설정으로 들어갑니다. 그 후 Insight 연결을 누르시면 펌프의 정보가 보일 것 입니다.

    Screenshot of Insight Pairing Information

주의: 펌프와 휴대폰의 연결은 영구적이지 않습니다. A connection will only be established if necessary (i.e. setting temporary basal rate, giving bolus, reading pump history...). 그렇지 않으면 핸드폰과 펌프의 베터리가 너무 빨리 소모됩니다.

AAPS의 설정

You must not use ‘Always use basal absolute values’ with Insight pump. In AAPS go to Preferences > NSClient > Advanced Settings and make sure ‘Always use basal absolute values’ is disabled. It would lead to false TBR settings in Insight pump.

Only workaround at the moment is to disable sync with Nightscout (upload only) if you need to use autotune. In AAPS go to Preferences > NSClient > Advanced Settings and Enable ‘NS upload only (disabled sync)‘.

Screenshot of Insight Settings

In the Insight settings in AndroidAPS you can enable the following options:

  • “Log reservoir changes”: This will automatically record an insulin cartridge change when you run the “fill cannula” program on the pump.

  • “로그 튜브 변경”: 펌프에서 ‘튜브 채우기”를 실행했을 경우 Android APS 데이타 베이스에 메모로 기록됩니다.

  • “Log site change”: This adds a note to the AndroidAPS database when you run the “cannula filling” program on the pump. Note: A site change also resets Autosens.

  • “Log battery changes”: This records a battery change when you put a new battery in the pump.

  • “Log operating mode changes”: This inserts a note in the AndroidAPS database whenever you start, stop or pause the pump.

  • “Log alerts”: This records a note in the AndroidAPS database whenever the pump issues an alert (except reminders, bolus and TBR cancellation - those are not recorded).

  • “Enable TBR emulation”: The Insight pump can only issue temporary basal rates (TBRs) up to 250%. To get round this restriction, TBR emulation will instruct the pump to deliver an extended bolus for the extra insulin if you request a TBR of more than 250%.

    Note: Just use one extended bolus at a time as multiple extended boluses at the same time might cause errors.

  • “Recovery duration”: This defines how long AndroidAPS will wait before trying again after a failed connection attempt. You can choose from 0 to 20 seconds. If you experience connection problems, choose a longer wait time.

    Example for min. recovery duration = 5 and max. recovery duration = 20

    no connection -> wait 5 sec.retry -> no connection -> wait 6 sec.retry -> no connection -> wait 7 sec.retry -> no connection -> wait 8 sec....retry -> no connection -> wait 20 sec.retry -> no connection -> wait 20 sec....

  • “Disconnect delay”: This defines how long (in seconds) AndroidAPS will wait to disconnect from the pump after an operation is finished. Default value is 5 seconds.

For periods when pump was stopped AAPS will log a temp. basal rate with 0%.

In AndroidAPS, the Accu-Chek Insight tab shows the current status of the pump and has two buttons:

  • “새로고침”: 펌프의 상태를 새로고침 합니다.

  • “임시 Basal 알림 활성화/비활성화”: Insight 펌프는 기본적으로 임시 Basal이 끝나면 알림을 울립니다. 이 버튼은 구성 소프트웨어 없이 알림을 끄거나 킬수 있습니다.

    Screenshot of Insight Status

펌프 설정

Configure alarms in the pump as follows:

  • Menu > Settings > Device settings > Mode settings > Quiet > Signal > Sound
  • Menu > Settings > Device settings > Mode settings > Quiet > Volume > 0 (remove all bars)
  • Menu > Modes > Signal mode > Quiet

This will silence all alarms from the pump, allowing AndroidAPS to decide if an alarm is relevant to you. If AndroidAPS does not acknowledge an alarm, its volume will increase (first beep, then vibration).

Insight pumps with newer firmware will vibrate briefly every time a bolus is delivered (for example, when AndroidAPS issues an SMB or TBR emulation delivers an extended bolus). Vibration cannot be disabled. Older pumps do not vibrate in these circumstances.

베터리 교체

Battery life for Insight when looping range from 10 to 14 days, max. 20 days. The user reporting this is using Energizer lithium batteries.

The Insight pump has a small internal battery to keep essential functions like the clock running while you are changing the removable battery. If changing the battery takes too long, this internal battery may run out of power, the clock will reset, and you will be asked to enter a new time and date after inserting a new battery. If this happens, all entries in AndroidAPS prior to the battery change will no longer be included in calculations as the correct time cannot be identified properly.

Insight specific errors

Extended bolus

Just use one extended bolus at a time as multiple extended boluses at the same time might cause errors.

Time out

Sometimes it might happen that the Insight pump does not answer during connection setup. In this case AAPS will display the following message: “Timeout during handshake - reset bluetooth”.

Insight Reset Bluetooth

In this case turn off bluetooth on pump AND smartphone for about 10 seconds and then turn it back on.

Crossing time zones with Insight pump

For information on traveling across time zones see section Timezone traveling with pumps.