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operation/loop/open-loop/index.html

@@ -2014,10 +2014,30 @@
 </li>
 
         <li class="md-nav__item">
-  <a href="#loop-2-open-loop" class="md-nav__link">
-    Loop 2 - Open Loop
+  <a href="#extended-bolus" class="md-nav__link">
+    Extended Bolus
+  </a>
+
+    <nav class="md-nav" aria-label="Extended Bolus">
+      <ul class="md-nav__list">
+
+          <li class="md-nav__item">
+  <a href="#extended-bolus-equations" class="md-nav__link">
+    Extended Bolus Equations
+  </a>
+
+</li>
+
+          <li class="md-nav__item">
+  <a href="#specific-example" class="md-nav__link">
+    Specific Example
   </a>
 
+</li>
+
+      </ul>
+    </nav>
+
 </li>
 
     </ul>
@@ -3405,10 +3425,30 @@
 </li>
 
         <li class="md-nav__item">
-  <a href="#loop-2-open-loop" class="md-nav__link">
-    Loop 2 - Open Loop
+  <a href="#extended-bolus" class="md-nav__link">
+    Extended Bolus
+  </a>
+
+    <nav class="md-nav" aria-label="Extended Bolus">
+      <ul class="md-nav__list">
+
+          <li class="md-nav__item">
+  <a href="#extended-bolus-equations" class="md-nav__link">
+    Extended Bolus Equations
   </a>
 
+</li>
+
+          <li class="md-nav__item">
+  <a href="#specific-example" class="md-nav__link">
+    Specific Example
+  </a>
+
+</li>
+
+      </ul>
+    </nav>
+
 </li>
 
     </ul>
@@ -3431,9 +3471,17 @@ <h1>Open Loop</h1>
 <h2 id="open-loop-introduction">Open <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> Introduction<a class="headerlink" href="#open-loop-introduction" title="Anchor link to this Header on this Page">&para;</a></h2>
 <p>Open <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> is the best place to start with <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr>.</p>
 <ul>
-<li>Become familiar with <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> by watching it operate with <abbr title="Loop will make automated adjustments of insulin delivery using predictions based off user entries, settings, IOB and COB">Closed Loop</abbr> disabled.</li>
+<li>Become familiar with <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> by watching it operate with <code><abbr title="Loop will make automated adjustments of insulin delivery using predictions based off user entries, settings, IOB and COB">Closed Loop</abbr></code> disabled.</li>
 <li>Take it slow and safe to become a successful Looper.</li>
 </ul>
+<details class="warning">
+<summary>Menus do not include all Manual Pump Features. (Click to learn more)</summary>
+<p>The <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app is built around the concept of <code><abbr title="Loop will make automated adjustments of insulin delivery using predictions based off user entries, settings, IOB and COB">Closed Loop</abbr></code> performance.</p>
+<p>If you use a Medtronic pump and want to use a feature not found in the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app, simply disable <code><abbr title="Loop will make automated adjustments of insulin delivery using predictions based off user entries, settings, IOB and COB">Closed Loop</abbr></code> and control delivery with your Medtronic Controller.</p>
+<p>If you use an <abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH.  Eros is also known as Classic, UST400, and System.">Omnipod</abbr> pump, keep reading:</p>
+<p>There may be a feature, like extended bolus, that you used with an <em><abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH.  Eros is also known as Classic, UST400, and System.">Omnipod</abbr></em> Personal Device Manager (PDM) that is not in the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app.</p>
+<p>Please refer to <a href="#extended-bolus">Extended Bolus</a>.</p>
+</details>
 <div class="admonition tip">
 <p class="admonition-title">Practice with Simulators</p>
 <p>You can build <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> without connecting it to any hardware.</p>
@@ -3496,21 +3544,34 @@ <h2 id="troubleshooting">Troubleshooting<a class="headerlink" href="#troubleshoo
 <p>Familiarize yourself with the <a href="../../features/bolus/#bolus-failure-notifications">"Bolus May Have Failed"</a> notifications and how to handle them.  Double-check the displays to verify that the bolus didn't enact before trying to give the bolus again.</p>
 <h2 id="caregiver-training">Caregiver training<a class="headerlink" href="#caregiver-training" title="Anchor link to this Header on this Page">&para;</a></h2>
 <p>Caregivers for Loopers should learn how to use <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr>. Consider giving caregivers an individualized quick info sheet on <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr>. School staff or your child need to know how to handle a site change at school. Try to watch <abbr title="a personal website used to view your glucose and diabetes management data, `Loop` can upload to `Nightscout`">Nightscout</abbr> while you get to know <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> so that you can become better at remote troubleshooting problems you might encounter.</p>
-<h2 id="loop-2-open-loop"><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> 2 - Open <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr><a class="headerlink" href="#loop-2-open-loop" title="Anchor link to this Header on this Page">&para;</a></h2>
-<div class="admonition warning">
-<p class="admonition-title"><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> 2 SAFETY WARNING</p>
-<p>When you are operating in Open <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> mode, <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> 2.2.x offers recommendations for insulin delivery adjustment and displays them on the <abbr title="Heads-Up Display at top of Loop main screen, phone in portrait mode">HUD</abbr>.</p>
-<ul>
-<li>If you tap on the recommendation line, <abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr> applies that recommendation without asking for confirmation</li>
-<li>This is true for temp basal and automatic bolus</li>
-<li>To protect against accidental command of increased or decreased insulin dosing, make sure your phone is locked when not in use</li>
-</ul>
-</div>
-<p>For safety reasons, these recommendations are no longer supplied with <abbr title="Latest release with major updates">Loop 3</abbr>. </p>
+<h2 id="extended-bolus">Extended Bolus<a class="headerlink" href="#extended-bolus" title="Anchor link to this Header on this Page">&para;</a></h2>
+<p>A menu item to set an extended bolus is not a feature provided by the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app at this time. You can make your own extended bolus using the <code>Manual <abbr title="modify the scheduled basal rate for a pump">Temp Basal</abbr></code> feature with <abbr title="Insulet tubeless insulin pump; Loop supports Eros (with RileyLink) and DASH.  Eros is also known as Classic, UST400, and System.">Omnipod</abbr>. Note that during the time the <code>Manual <abbr title="modify the scheduled basal rate for a pump">Temp Basal</abbr></code> command is running, the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app will make no automated changes to dosing even if the <code><abbr title="Loop will make automated adjustments of insulin delivery using predictions based off user entries, settings, IOB and COB">Closed Loop</abbr></code> slider is selected as enabled.</p>
+<h3 id="extended-bolus-equations">Extended Bolus Equations<a class="headerlink" href="#extended-bolus-equations" title="Anchor link to this Header on this Page">&para;</a></h3>
+<p>Consider a desired total bolus <span class="arithmatex">\((BolusTotal)\)</span> given over an extended time with a prompt amount <span class="arithmatex">\((PromptAmount)\)</span> now and the balance <span class="arithmatex">\((Balance)\)</span> delivered over the next <span class="arithmatex">\((H)\)</span> hours with a current scheduled basal rate <span class="arithmatex">\((BR)\)</span>.</p>
+<p>First the equations to calcuate the desired rate <span class="arithmatex">\((MTB)\)</span> to enter into the <code>Manual <abbr title="modify the scheduled basal rate for a pump">Temp Basal</abbr></code> menu and then an example.</p>
+<div class="arithmatex">\[ Balance = BolusTotal - PromptAmount \]</div>
+<div class="arithmatex">\[ MTB = Balance / H + BR \]</div>
+<ol>
+<li>Turn on a <a href="../../../loop-3/omnipod/#manual-temp-basal"><code>Manual <abbr title="modify the scheduled basal rate for a pump">Temp Basal</abbr></code></a> to value of <span class="arithmatex">\(MTB\)</span> units/hour for <span class="arithmatex">\(H\)</span> hours</li>
+<li>Tap the bolus icon on the main toolbar and enter a bolus for <span class="arithmatex">\(PromptAmount\)</span> units</li>
+</ol>
+<p>The order is important. Sending the <code>Manual <abbr title="modify the scheduled basal rate for a pump">Temp Basal</abbr></code> request to the pod is a single command and then the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app is available for the next command to be entered. The <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app (and pod) will not respond to any pod commands until the bolus finishes delivering; this takes about 40 seconds per unit requested.</p>
+<h3 id="specific-example">Specific Example<a class="headerlink" href="#specific-example" title="Anchor link to this Header on this Page">&para;</a></h3>
+<p>For this example:</p>
 <ul>
-<li>Tap on the bolus icon to see the recommendation if you think insulin is needed</li>
-<li>Use a Manual <abbr title="modify the scheduled basal rate for a pump">Temp Basal</abbr> to reduce delivery if you see a low prediction</li>
+<li><span class="arithmatex">\(BolusTotal\)</span> is 3 U</li>
+<li><span class="arithmatex">\(PromptAmount\)</span> is 1 U</li>
+<li>Time in hours, <span class="arithmatex">\(H\)</span>, is 1.5</li>
+<li>Scheduled basal rate, <span class="arithmatex">\(BR\)</span>, is 0.5 U/hr</li>
 </ul>
+<div class="arithmatex">\[ Balance = 3 U - 1 U = 2 U \]</div>
+<div class="arithmatex">\[ MTB = (2 / 1.5) U/hr + 0.5 U/hr = 1.55 U/hr \]</div>
+<p>You have your choice of rounding <span class="arithmatex">\(MTB\)</span> up or down to the nearest <span class="arithmatex">\(0.05 U/hr\)</span>. For this example, the quantity of <span class="arithmatex">\((2/1.5)=1.333\)</span> was rounded up to <span class="arithmatex">\(1.35 U/hr\)</span>.</p>
+<details class="question">
+<summary>Why isn't there a menu item? (Click to see more)</summary>
+<p>Each item provided by the <em><abbr title="With a capital L, Loop is one of several do-it-yourself artifical pancreas systems">Loop</abbr></em> app needs a volunteer to decide it is important and develop a method to provide that item. If a volunteer steps up to do this work, there is a long process of discussion and code review before such a modification is considered for the development <abbr title="version of code within a single repository or workspace repository">branch</abbr>.</p>
+<p>Most Loopers go to <code><abbr title="Loop will make automated adjustments of insulin delivery using predictions based off user entries, settings, IOB and COB">Closed Loop</abbr></code> quickly and this feature is not an option at this time.</p>
+</details>