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msmarco_v2.1_doc_01_1667151952#8_2444253135
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
Most likely because regulatory authorities such as the FDA like it that way. Less risk of hypoglycemia = less chance for negative feedback and legal issues. But it does make the system less responsive than it could be. For those who normally have a significant difference between their “peak” basal and their “valley” basal, perhaps due to a pronounced dawn phenomenon, the algorithm’s max basal may not be enough to meet peak basal needs. By the way, bolus doses are NOT automated. Users must still enter their carbs into the pump’s bolus wizard calculator as well as the blood glucose value. But the user’s original sensitivity (correction factor) and target settings are NOT applied. The system calculates correction doses based on a conservative target of 150 mg/dl and a sensitivity/correction factor that it determines on its own. Despite these shortcomings, I’m seeing less overall variability (more time in-range, fewer extreme highs & lows), and my overnight glucose levels are more stable than they’ve been in years. It’s rare that I don’t wake up within a reasonable range in the morning.
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msmarco_v2.1_doc_01_1667151952#9_2444255059
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
Users must still enter their carbs into the pump’s bolus wizard calculator as well as the blood glucose value. But the user’s original sensitivity (correction factor) and target settings are NOT applied. The system calculates correction doses based on a conservative target of 150 mg/dl and a sensitivity/correction factor that it determines on its own. Despite these shortcomings, I’m seeing less overall variability (more time in-range, fewer extreme highs & lows), and my overnight glucose levels are more stable than they’ve been in years. It’s rare that I don’t wake up within a reasonable range in the morning. The overnight part makes perfect sense. Because the system adjusts the basal delivery whenever glucose levels are trending up or down, it is able to alter the glucose pattern over the course of many hours and keep things in-range… assuming nothing else interferes. It reminds me of a large cruise ship. When the ship is moving at high speed, a small rudder will not allow it to change directions quickly enough to avoid things like icebergs (this is what happened to the Titanic). Not that 670G is going to cause anyone to crash and sink, but there are similarities in terms of what it can and cannot do to self-regulate blood glucose levels.
4,484
5,743
msmarco_v2.1_doc_01_1667151952#10_2444257123
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
The overnight part makes perfect sense. Because the system adjusts the basal delivery whenever glucose levels are trending up or down, it is able to alter the glucose pattern over the course of many hours and keep things in-range… assuming nothing else interferes. It reminds me of a large cruise ship. When the ship is moving at high speed, a small rudder will not allow it to change directions quickly enough to avoid things like icebergs (this is what happened to the Titanic). Not that 670G is going to cause anyone to crash and sink, but there are similarities in terms of what it can and cannot do to self-regulate blood glucose levels. On long stretches of open water, a big cruise ship with a small rudder can get you from port to port very effectively. During the journey, if the ship starts to veer off course, it has enough space and time to get back on course. 670G does the same thing: Over the course of many hours, with nothing affecting glucose levels other than the liver’s usual glucose production, the basal insulin can be adjusted to offset subtle ebbs or flows in glucose levels. Start to rise a bit?
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msmarco_v2.1_doc_01_1667151952#11_2444259025
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
On long stretches of open water, a big cruise ship with a small rudder can get you from port to port very effectively. During the journey, if the ship starts to veer off course, it has enough space and time to get back on course. 670G does the same thing: Over the course of many hours, with nothing affecting glucose levels other than the liver’s usual glucose production, the basal insulin can be adjusted to offset subtle ebbs or flows in glucose levels. Start to rise a bit? The basal delivery increases so that over the next several hours, you’re back on track. Start to drop a bit? The reverse takes place. As a result, you wake up pretty close to the system’s set point of 120 mg/dl most mornings. Here Come the Icebergs Everyone who lives with diabetes knows about the hour-to-hour, minute-to-minute challenges we must contend with.
5,744
6,584
msmarco_v2.1_doc_01_1667151952#12_2444260652
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
The basal delivery increases so that over the next several hours, you’re back on track. Start to drop a bit? The reverse takes place. As a result, you wake up pretty close to the system’s set point of 120 mg/dl most mornings. Here Come the Icebergs Everyone who lives with diabetes knows about the hour-to-hour, minute-to-minute challenges we must contend with. These are the icebergs – the things the system must navigate around in order to prevent extreme highs and lows. Essentially, anything that can cause a rapid, abrupt rise or fall in glucose levels represents an iceberg. Remember, we’re dealing with a huge, fast-moving ship with a small rudder. The pump’s basal adjustment just isn’t powerful or responsive enough to prevent high and low glucose levels when confronted with icebergs. The icebergs include:
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msmarco_v2.1_doc_01_1667151952#13_2444262270
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
These are the icebergs – the things the system must navigate around in order to prevent extreme highs and lows. Essentially, anything that can cause a rapid, abrupt rise or fall in glucose levels represents an iceberg. Remember, we’re dealing with a huge, fast-moving ship with a small rudder. The pump’s basal adjustment just isn’t powerful or responsive enough to prevent high and low glucose levels when confronted with icebergs. The icebergs include: Food (particularly rapidly-digesting carbohydrates) Physical activity (particularly heavy exercise) Stress (particularly sudden, unexpected crises) Sudden hormone changes (resulting from injuries/trauma, rebounds from lows) “Manual” Bolus insulin (from injections or inhaled insulin) There are also several limitations to the system which hinder its ability to keep glucose levels within range continuously: Limits to the automated basal adjustment. As described earlier, the automatic basal adjustments are limited in terms of magnitude and duration. The “maximum basal” is relatively conservative and can only run for a maximum of 4 hours. The “minimum basal” (zero delivery) can only run for a maximum of 2.5 hours.
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msmarco_v2.1_doc_01_1667151952#14_2444264269
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
Food (particularly rapidly-digesting carbohydrates) Physical activity (particularly heavy exercise) Stress (particularly sudden, unexpected crises) Sudden hormone changes (resulting from injuries/trauma, rebounds from lows) “Manual” Bolus insulin (from injections or inhaled insulin) There are also several limitations to the system which hinder its ability to keep glucose levels within range continuously: Limits to the automated basal adjustment. As described earlier, the automatic basal adjustments are limited in terms of magnitude and duration. The “maximum basal” is relatively conservative and can only run for a maximum of 4 hours. The “minimum basal” (zero delivery) can only run for a maximum of 2.5 hours. Sometimes, stronger and longer adjustments are truly needed to achieve and maintain in-range glucose levels, these limits can be… well… limiting. Sensor reliability. Even when the system is properly calibrated, there will be times when the sensor reports incorrect/inaccurate information to the pump. And the algorithm is only as good as the data being fed into it. Absorption issues.
7,039
8,143
msmarco_v2.1_doc_01_1667151952#15_2444266188
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
Sometimes, stronger and longer adjustments are truly needed to achieve and maintain in-range glucose levels, these limits can be… well… limiting. Sensor reliability. Even when the system is properly calibrated, there will be times when the sensor reports incorrect/inaccurate information to the pump. And the algorithm is only as good as the data being fed into it. Absorption issues. Just because a dose of insulin is delivered below the skin does not mean that the insulin reaches the bloodstream as expected and works as expected. This applies to both basal and bolus insulin. Users must change sites frequently/regularly, rotate properly, and troubleshoot effectively. Undetected pump problems. There is a long list of things that can go wrong!
7,759
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msmarco_v2.1_doc_01_1667151952#16_2444267717
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
Just because a dose of insulin is delivered below the skin does not mean that the insulin reaches the bloodstream as expected and works as expected. This applies to both basal and bolus insulin. Users must change sites frequently/regularly, rotate properly, and troubleshoot effectively. Undetected pump problems. There is a long list of things that can go wrong! Air in the tubing, displaced infusion sets, partial occlusions, partially (or completely) spoiled insulin, leakage, and unintended disconnection just to name a few. Times out of auto mode . “ Auto-mode” is what we call it when the system is automatically adjusting basal insulin based on data fed into it by the glucose sensor. There are several situations in which the system will phase out of auto-mode. There is a transition phase called “safe mode” that initiates under these conditions.
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msmarco_v2.1_doc_01_1667151952#17_2444269363
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
Air in the tubing, displaced infusion sets, partial occlusions, partially (or completely) spoiled insulin, leakage, and unintended disconnection just to name a few. Times out of auto mode . “ Auto-mode” is what we call it when the system is automatically adjusting basal insulin based on data fed into it by the glucose sensor. There are several situations in which the system will phase out of auto-mode. There is a transition phase called “safe mode” that initiates under these conditions. Safe mode can run for up to 90 minutes, with a flat basal delivery and no automated adjustment. If the issues noted below are not resolved within 90 minutes, the pump returns to “manual mode”, which means that everything returns to the user’s default settings. Auto mode is exited if: The sensor is in its warm-up phase The sensor is not communicating with the pump The sensor requires calibration There is a significant discrepancy between the sensor and the calibration value “Minimum” basal delivery has taken place for 2.5 hours “Maximum” basal delivery has taken place for 4 hours Glucose is above 300 for more than an hour Glucose is above 250 for more than 3 hours An occlusion is detected Despite these “icebergs”, I have managed to achieve better glucose control with 670G than I could achieve on my own using a pump and non-integrated CGM. Tying the Captain’s Hands To compound some of the challenges, Medtronic took away certain tools that many consider essential to good self-management.
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msmarco_v2.1_doc_01_1667151952#18_2444271705
http://integrateddiabetes.com/670g-and-me-insights-and-incites-on-medtronics-latest-system/
Review: Medtronic MiniMed 670G | Integrated Diabetes Services
My Detailed Review of The MiniMed 670G from Medtronic Since I started using 670G, my overall blood glucose control is better. I’ve been pleasantly surprised by the performance of Medtronic’s new Guardian sensor. Here Come the Icebergs Auto mode is exited if: Tying the Captain’s Hands The Ideal Passenger To succeed in “auto mode” one must: Tips for Insulin Pump Users Issues With the Entire Fleet About the Author: Gary Scheiner
Safe mode can run for up to 90 minutes, with a flat basal delivery and no automated adjustment. If the issues noted below are not resolved within 90 minutes, the pump returns to “manual mode”, which means that everything returns to the user’s default settings. Auto mode is exited if: The sensor is in its warm-up phase The sensor is not communicating with the pump The sensor requires calibration There is a significant discrepancy between the sensor and the calibration value “Minimum” basal delivery has taken place for 2.5 hours “Maximum” basal delivery has taken place for 4 hours Glucose is above 300 for more than an hour Glucose is above 250 for more than 3 hours An occlusion is detected Despite these “icebergs”, I have managed to achieve better glucose control with 670G than I could achieve on my own using a pump and non-integrated CGM. Tying the Captain’s Hands To compound some of the challenges, Medtronic took away certain tools that many consider essential to good self-management. T
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msmarco_v2.1_doc_01_1667178617#0_2444273538
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
Basal Testing Basics - Basal Insulin Testing - Insulin Program Basal Testing Integrated Diabetes Services 2016-12-08T23:26:28+00:00 Basal Basics Whether you use an insulin pump or take multiple daily injections of insulin, having the right basal insulin program and setting the right doses is very important. Receiving too much basal insulin, or receiving it at the wrong times, can result in frequent (and perhaps severe) hypoglycemia as well as unwanted weight gain. Receiving too little basal insulin will produce high blood sugars and make it very difficult to set appropriate mealtime bolus doses. Insulin pumps allow the greatest degree of precision in setting basal insulin levels and can produce the best control and lifestyle flexibility. Each person’s basal insulin requirement is unique, affected by factors such as body size, activity level, stage of growth, hormone levels, and the amount (if any) of internal insulin production from one’s own pancreas. During a person’s growth years (prior to age 21), basal insulin requirements tend to be heightened throughout the night. This is due to the production of large amounts of hormones (growth hormone and cortisol) that stimulate the liver to release extra glucose into the bloodstream. After the growth years, production of these hormones is reduced and limited primarily to the predawn hours. The “dawn effect”, as this is called, results in an increased secretion of glucose by the liver in the early morning. Thus, basal insulin requirements in most adults tend to peak during the early morning hours.
0
1,591
msmarco_v2.1_doc_01_1667178617#1_2444275543
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
During a person’s growth years (prior to age 21), basal insulin requirements tend to be heightened throughout the night. This is due to the production of large amounts of hormones (growth hormone and cortisol) that stimulate the liver to release extra glucose into the bloodstream. After the growth years, production of these hormones is reduced and limited primarily to the predawn hours. The “dawn effect”, as this is called, results in an increased secretion of glucose by the liver in the early morning. Thus, basal insulin requirements in most adults tend to peak during the early morning hours. In most cases, the daily (24-hour) dose of basal insulin is slightly less than the daily mealtime insulin. This depends on a person’s body weight and sensitivity to insulin, which is affected greatly by physical activity. The bigger you are, the more basal insulin you will need. The more active you are, the less you will need. During a person’s growth/teen years, basal insulin needs can be particularly high.
990
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msmarco_v2.1_doc_01_1667178617#2_2444276944
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
In most cases, the daily (24-hour) dose of basal insulin is slightly less than the daily mealtime insulin. This depends on a person’s body weight and sensitivity to insulin, which is affected greatly by physical activity. The bigger you are, the more basal insulin you will need. The more active you are, the less you will need. During a person’s growth/teen years, basal insulin needs can be particularly high. In advanced age, basal insulin needs can be quite low. Setting Basal Doses When evaluating basal insulin levels, keep this important fact in mind: In the absence of food, exercise and mealtime/bolus insulin, basal insulin should hold the blood sugar steady. Any significant rise or fall in blood sugar during a fasting basal test probably means that the basal rates need to be adjusted – even if the blood sugar winds up near normal by the end of the test. It is a good idea to fine-tune your pump’s basal insulin settings before settling on specific bolus doses or insulin:
1,591
2,578
msmarco_v2.1_doc_01_1667178617#3_2444278316
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
In advanced age, basal insulin needs can be quite low. Setting Basal Doses When evaluating basal insulin levels, keep this important fact in mind: In the absence of food, exercise and mealtime/bolus insulin, basal insulin should hold the blood sugar steady. Any significant rise or fall in blood sugar during a fasting basal test probably means that the basal rates need to be adjusted – even if the blood sugar winds up near normal by the end of the test. It is a good idea to fine-tune your pump’s basal insulin settings before settling on specific bolus doses or insulin: carb ratios to use at mealtimes. When high or low blood sugars appear, it is difficult to know what to adjust unless the proper basal insulin levels have already been established. To test the your basal insulin settings, you will need to wait approximately 4 hours after your last bolus and meal/snack. This will give the carbs time to finish digesting and the bolus time to finish working. The meal (or snack) eaten before the test should be fairly low in fat (no restaurant food or take-out) in order to avoid a delayed blood sugar rise.
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msmarco_v2.1_doc_01_1667178617#4_2444279806
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
carb ratios to use at mealtimes. When high or low blood sugars appear, it is difficult to know what to adjust unless the proper basal insulin levels have already been established. To test the your basal insulin settings, you will need to wait approximately 4 hours after your last bolus and meal/snack. This will give the carbs time to finish digesting and the bolus time to finish working. The meal (or snack) eaten before the test should be fairly low in fat (no restaurant food or take-out) in order to avoid a delayed blood sugar rise. You must stay connected to the pump continuously during the test, and go about your normal daily activities. However, heavy exercise should be avoided during the fasting phase of the test. Testing should not be performed during an illness or onset of menses, following hypoglycemia, or if the blood sugar is greater than 250 at the beginning of the test. ( see “requirements for basal insulin testing” below) To start the test: Check your blood sugar about four hours after your last bolus If the blood sugar is above 250, bolus for the high blood sugar and cancel the test If below 70 (or 80 if you have hypoglycemia unawareness), eat to bring your blood sugar up and cancel the test If the blood sugar is not too high or too low, proceed with the test • Check your blood sugar every couple of hours until you next usual mealtime If your blood sugar drops by more than 30 mg/dl during the test period, the basal rate is probably too high.
2,578
4,056
msmarco_v2.1_doc_01_1667178617#5_2444281671
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
You must stay connected to the pump continuously during the test, and go about your normal daily activities. However, heavy exercise should be avoided during the fasting phase of the test. Testing should not be performed during an illness or onset of menses, following hypoglycemia, or if the blood sugar is greater than 250 at the beginning of the test. ( see “requirements for basal insulin testing” below) To start the test: Check your blood sugar about four hours after your last bolus If the blood sugar is above 250, bolus for the high blood sugar and cancel the test If below 70 (or 80 if you have hypoglycemia unawareness), eat to bring your blood sugar up and cancel the test If the blood sugar is not too high or too low, proceed with the test • Check your blood sugar every couple of hours until you next usual mealtime If your blood sugar drops by more than 30 mg/dl during the test period, the basal rate is probably too high. If it rises by more than 30 mg/dl, the rate may be too low. The basal rate should be changed in increments of .05 to .2 units/hr depending on your usual settings and the magnitude of the rise or drop that took place. The next day, re-test to see whether the adjustment produces a steadier blood glucose level. Continue to adjust and re-test until steady blood glucose levels are obtained. Although basal tests can be conducted in any order, it is usually advisable to test the overnight basal rates first, and then move on to daytime testing/fine-tuning.
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msmarco_v2.1_doc_01_1667178617#6_2444283551
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
If it rises by more than 30 mg/dl, the rate may be too low. The basal rate should be changed in increments of .05 to .2 units/hr depending on your usual settings and the magnitude of the rise or drop that took place. The next day, re-test to see whether the adjustment produces a steadier blood glucose level. Continue to adjust and re-test until steady blood glucose levels are obtained. Although basal tests can be conducted in any order, it is usually advisable to test the overnight basal rates first, and then move on to daytime testing/fine-tuning. Setting proper overnight basal rates does not mean that the daytime settings are correct: each phase of the day (morning, afternoon, evening, overnight) should be tested independently. Note that basal rates are usually changed one or two hours prior to an observed rise or fall in the blood sugar, since the rapid-acting insulin infused by the pump takes about an hour to peak. For example, if your blood sugar rises between 3 am and 7 am, you would increase the basal rate between 2 am and 6 am. Also, keep in mind that it is rare to have multiple “peaks” and “valleys” to a basal insulin program.
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msmarco_v2.1_doc_01_1667178617#7_2444285089
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
Setting proper overnight basal rates does not mean that the daytime settings are correct: each phase of the day (morning, afternoon, evening, overnight) should be tested independently. Note that basal rates are usually changed one or two hours prior to an observed rise or fall in the blood sugar, since the rapid-acting insulin infused by the pump takes about an hour to peak. For example, if your blood sugar rises between 3 am and 7 am, you would increase the basal rate between 2 am and 6 am. Also, keep in mind that it is rare to have multiple “peaks” and “valleys” to a basal insulin program. The vast majority of people require one peak and one valley. Fine-tuning basal insulin can be complex. Don’t hesitate to reach out to a member of Integrated Diabetes Services’ clinical team for a helping hand. Our phone number is: 877-735-3648 Requirements for Basal Insulin Testing 1.
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msmarco_v2.1_doc_01_1667178617#8_2444286370
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
The vast majority of people require one peak and one valley. Fine-tuning basal insulin can be complex. Don’t hesitate to reach out to a member of Integrated Diabetes Services’ clinical team for a helping hand. Our phone number is: 877-735-3648 Requirements for Basal Insulin Testing 1. No food being digested a. You may not consume any calories for at least 4 hours leading up to the basal test. b. The meal/snack preceding the basal test should be low in fat. c. Do not consume any calories during the basal test, unless your blood glucose drops low. d. You may have water, diet beverages and other non-caloric foods during the test. e. No caffeinated beverages during the basal test.
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msmarco_v2.1_doc_01_1667178617#9_2444287433
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
No food being digested a. You may not consume any calories for at least 4 hours leading up to the basal test. b. The meal/snack preceding the basal test should be low in fat. c. Do not consume any calories during the basal test, unless your blood glucose drops low. d. You may have water, diet beverages and other non-caloric foods during the test. e. No caffeinated beverages during the basal test. 2. No bolus insulin working during the basal test a. Do not bolus for at least 4 hours preceding the basal test. b. Bolus normally (do not extend the bolus) for the last meal/snack. c. Do not bolus during the test, unless your blood glucose is above 250. 3.
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6,154
msmarco_v2.1_doc_01_1667178617#10_2444288457
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
2. No bolus insulin working during the basal test a. Do not bolus for at least 4 hours preceding the basal test. b. Bolus normally (do not extend the bolus) for the last meal/snack. c. Do not bolus during the test, unless your blood glucose is above 250. 3. No changes in the body’s normal glucose output a. No hypoglycemic episodes for at least 6 hours preceding the basal test. b. No illnesses during the testing (fever, infection, virus). c. No steroid medications being used. d. Avoid testing basal rates within two days of starting a menstrual cycle. 4.
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msmarco_v2.1_doc_01_1667178617#11_2444289388
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
No changes in the body’s normal glucose output a. No hypoglycemic episodes for at least 6 hours preceding the basal test. b. No illnesses during the testing (fever, infection, virus). c. No steroid medications being used. d. Avoid testing basal rates within two days of starting a menstrual cycle. 4. Allow basal insulin to be delivered uninterrupted a. Do not put the pump into suspend. b. Do not disconnect from the pump. c. Do not have a temporary basal rate running. d. Do not change your cartridge, tubing or infusion set during the test. 5.
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msmarco_v2.1_doc_01_1667178617#12_2444290307
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
Allow basal insulin to be delivered uninterrupted a. Do not put the pump into suspend. b. Do not disconnect from the pump. c. Do not have a temporary basal rate running. d. Do not change your cartridge, tubing or infusion set during the test. 5. Maintain low-moderate activity level a. You may perform light/moderate exercise soon after your last meal/snack if it is your normal time to do so. b. Perform usual daily activities during basal test. c. Do not engage in heavy exercise once the basal test begins. 6. Monitor blood glucose levels a. Start testing at least 4 hours after last bolus.
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7,049
msmarco_v2.1_doc_01_1667178617#13_2444291270
http://integrateddiabetes.com/basal-testing/
Basal Testing Basics - Basal Insulin Testing - Insulin Program
Basal Basics Basal Basics Setting Basal Doses To start the test: Requirements for Basal Insulin Testing
Maintain low-moderate activity level a. You may perform light/moderate exercise soon after your last meal/snack if it is your normal time to do so. b. Perform usual daily activities during basal test. c. Do not engage in heavy exercise once the basal test begins. 6. Monitor blood glucose levels a. Start testing at least 4 hours after last bolus. b. Check blood glucose level every 1-2 hours during daytime tests; every 2-3 hours during overnight tests.
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msmarco_v2.1_doc_01_1667186253#0_2444292093
http://integrateddiabetes.com/continuous-glucose-monitoring-system-comparisons/
Comparisons of Continuous Glucose Monitoring Systems
Continuous Glucose Monitoring System Comparisons Continuous Glucose Monitoring System Comparisons CGM Systems: Features in Common CGM Systems: Pros & Cons
Comparisons of Continuous Glucose Monitoring Systems Continuous Glucose Monitoring System Comparisons Continuous Glucose Monitoring System Comparisons Integrated Diabetes Services 2016-12-08T23:26:28+00:00 CGM Systems: Features in Common Like insulin pumps, continuous glucose monitoring (CGM) systems all have certain basic properties in common (see below). But each also has unique features that make them better choices for certain individuals. System includes a receiver/display, transmitter, and subcutaneous sensor. Wireless system; radio signals utilized. Waterproof sensors/transmitters (receiver/display not waterproof). Require periodic calibration with fingerstick blood glucose readings. Customizable alarms for high/low glucose values. Multiple on-screen trend graphs.
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805
msmarco_v2.1_doc_01_1667186253#1_2444293362
http://integrateddiabetes.com/continuous-glucose-monitoring-system-comparisons/
Comparisons of Continuous Glucose Monitoring Systems
Continuous Glucose Monitoring System Comparisons Continuous Glucose Monitoring System Comparisons CGM Systems: Features in Common CGM Systems: Pros & Cons
radio signals utilized. Waterproof sensors/transmitters (receiver/display not waterproof). Require periodic calibration with fingerstick blood glucose readings. Customizable alarms for high/low glucose values. Multiple on-screen trend graphs. Arrows indicate rate & direction of BG change Mechanical device used to insert sensors. Sensors typically re-usable; sensor life varies from person to person. Warmup period at beginning of sensor session. Some lag time between blood glucose (fingerstick) and subcutaneous glucose (sensor) values.
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msmarco_v2.1_doc_01_1667186253#2_2444294341
http://integrateddiabetes.com/continuous-glucose-monitoring-system-comparisons/
Comparisons of Continuous Glucose Monitoring Systems
Continuous Glucose Monitoring System Comparisons Continuous Glucose Monitoring System Comparisons CGM Systems: Features in Common CGM Systems: Pros & Cons
Arrows indicate rate & direction of BG change Mechanical device used to insert sensors. Sensors typically re-usable; sensor life varies from person to person. Warmup period at beginning of sensor session. Some lag time between blood glucose (fingerstick) and subcutaneous glucose (sensor) values. Insurance coverage varies from plan to plan. Minimal skin irritation, even with prolonged sensor life. CGM Systems: Pros & Cons Dexcom G4 Platinum Medtronic 530G With Enlite PROS Full-color, high-contrast display Pronounced alerts/alarms Very good accuracy Long transmitter range Transmitter does not require charging Event markers display on graphs when downloading Sensor life averages 12-14 days May be calibrated at any time Simplicity of daily use Display integrated into pump screen Universally-accessible download software Software integrates pump, meter and CGM data Transmitter stores up to 40 minutes of data (if out of range) Features “predictive” high/low alerts and low-glucose basal insulin suspension CONS Must carry an extra device (receiver/display) Download software works on PCs only Software does not integrate with data from other devices Receiver requires charging 1-2x/week Small, low-contrast display Alarms may be hard to hear/feel Short transmitter range Fair accuracy Transmitter requires weekly charging Extra adhesive required to secure sensor to skin ©2014, Gary Scheiner MS, CDE, Integrated Diabetes Services www.integrateddiabetes.com (877) 735-3648
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msmarco_v2.1_doc_01_1667189013#0_2444296307
http://integrateddiabetes.com/insulin-pump-comparisons/
Insulin Pump Comparisons - Compare Insulin Pumps by Manufacturer
Top Insulin Pump Comparisons Top Insulin Pump Comparisons 2018 Insulin Pump Comaprisons 2016 Insulin Pump Comparisons Tandem t:slim, t:slim G4 & t:flex Roche Accu-Chek Combo Insulet OmniPod Medtronic 530G with Enlite Animas Vibe
Insulin Pump Comparisons - Compare Insulin Pumps by Manufacturer Top Insulin Pump Comparisons Insulin Pump Comparisons Integrated Diabetes Services 2018-07-12T16:48:14+00:00 2018 Insulin Pump Comaprisons Read the new 2018 insulin pump comparisons by Dr. Gary Scheiner and his staff. We give an unbiased review of the best insulin pumps on the market and provide the pros and cons of each one. 2018 Insulin Pump Comparisons 2016 Insulin Pump Comparisons Click to go to comparison page: Tandem t-Slim/t-Flex/t-slim G4Roche Accu-Chek Combo Insulet Insulet OmniPod Medtronic 530G With Enlite Animas Vibe Pump System Features in Common: 24-hour toll-free helpline Internal safety checks Child button lock-out Full Training Included Simplified programming Extended bolus options Temporary basal rate options Programmable reminders Downloadable Low battery warning Low insulin warning User-set active insulin time Tandem t: slim, t: slim G4 & t: flex Unique Advantages Potential Drawbacks Bright, full-color touch screen Modern, high-tech appearance Compact, thin dimensions Rapid numeric entry, fastest bolus entry Cartridges hold 300u (t: slim); 480u (t:
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1,170
msmarco_v2.1_doc_01_1667189013#1_2444298046
http://integrateddiabetes.com/insulin-pump-comparisons/
Insulin Pump Comparisons - Compare Insulin Pumps by Manufacturer
Top Insulin Pump Comparisons Top Insulin Pump Comparisons 2018 Insulin Pump Comaprisons 2016 Insulin Pump Comparisons Tandem t:slim, t:slim G4 & t:flex Roche Accu-Chek Combo Insulet OmniPod Medtronic 530G with Enlite Animas Vibe
slim, t: slim G4 & t: flex Unique Advantages Potential Drawbacks Bright, full-color touch screen Modern, high-tech appearance Compact, thin dimensions Rapid numeric entry, fastest bolus entry Cartridges hold 300u (t: slim); 480u (t: flex) Can calculate boluses up to 50 units (60 on t: flex) Site-change reminder w/customizable day & time Graphic on-screen history display Carb counting calculator Temp basal up to 250%, 72 hrs Can set duration of insulin action in 1-minute increments IOB & time remaining displayed on home screen Missed bolus reminders customizable by day of week Alert for high temperatures which may spoil insulin Secondary basal programs linked with secondary bolus calculation parameters Web-based download software Compatible w/leur-lock infusion sets Minimal insulin movement with changes in altitude Small buttons can be difficult to activate; screen goes blank if buttons missed 3x Unlock procedure required to perform any programming No integrated clip (must put in a case that has a clip) Tubing connector looks “medical,” can snag on clothing Basal & bolus settings in same time slots; may take several steps to edit Extra confirmation steps with all programming Weak vibrate mechanism No meter link Manufacturer relatively new in pump industry Requires charging 1-2x/week No formal in-warranty upgrade policy Roche Accu-Chek Combo Unique Advantages Potential Drawbacks Full pump programming via linked meter/remote via Bluetooth communication Boluses can be adjusted in percentages for events such as exercise, stress, illness Bright, full-color meter screen History displayed as graphic reports on meter screen Smart scrolling speeds Intelligent IOB adjustment based on expected effect of bolus insulin Choice of 3 programming modes based on user’s level of sophistication Can use alkaline, lithium or rechargeable batteries Basal increments of .01u/hr* Holds 315u insulin Sensitive occlusion detection Site change reminder at 48 or 72 hour Must use linked meter to perform bolus calculations Can only link 1 meter per pump Minimum basal rate .05u/hr* Must check BG on linked meter for bolus calculations (cannot enter BG manually) Must program 24 hourly basal segments Must enter cartridge fill amt. manually Alarms at conclusion of temp basal Need computer/software to change certain temp basal parameters All bolus calculation settings in same time slots;
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msmarco_v2.1_doc_01_1667189013#2_2444301021
http://integrateddiabetes.com/insulin-pump-comparisons/
Insulin Pump Comparisons - Compare Insulin Pumps by Manufacturer
Top Insulin Pump Comparisons Top Insulin Pump Comparisons 2018 Insulin Pump Comaprisons 2016 Insulin Pump Comparisons Tandem t:slim, t:slim G4 & t:flex Roche Accu-Chek Combo Insulet OmniPod Medtronic 530G with Enlite Animas Vibe
flex) Can calculate boluses up to 50 units (60 on t: flex) Site-change reminder w/customizable day & time Graphic on-screen history display Carb counting calculator Temp basal up to 250%, 72 hrs Can set duration of insulin action in 1-minute increments IOB & time remaining displayed on home screen Missed bolus reminders customizable by day of week Alert for high temperatures which may spoil insulin Secondary basal programs linked with secondary bolus calculation parameters Web-based download software Compatible w/leur-lock infusion sets Minimal insulin movement with changes in altitude Small buttons can be difficult to activate; screen goes blank if buttons missed 3x Unlock procedure required to perform any programming No integrated clip (must put in a case that has a clip) Tubing connector looks “medical,” can snag on clothing Basal & bolus settings in same time slots; may take several steps to edit Extra confirmation steps with all programming Weak vibrate mechanism No meter link Manufacturer relatively new in pump industry Requires charging 1-2x/week No formal in-warranty upgrade policy Roche Accu-Chek Combo Unique Advantages Potential Drawbacks Full pump programming via linked meter/remote via Bluetooth communication Boluses can be adjusted in percentages for events such as exercise, stress, illness Bright, full-color meter screen History displayed as graphic reports on meter screen Smart scrolling speeds Intelligent IOB adjustment based on expected effect of bolus insulin Choice of 3 programming modes based on user’s level of sophistication Can use alkaline, lithium or rechargeable batteries Basal increments of .01u/hr* Holds 315u insulin Sensitive occlusion detection Site change reminder at 48 or 72 hour Must use linked meter to perform bolus calculations Can only link 1 meter per pump Minimum basal rate .05u/hr* Must check BG on linked meter for bolus calculations (cannot enter BG manually) Must program 24 hourly basal segments Must enter cartridge fill amt. manually Alarms at conclusion of temp basal Need computer/software to change certain temp basal parameters All bolus calculation settings in same time slots; can be complex to set up Limit of 8 time slots for bolus settings Pump is somewhat bulky No integrated clip; must use a case Cartridges can be difficult to fill without bubbles Must stop pump to change cartridge Insulet OmniPod Unique Advantages Potential Drawbacks Reduced up-front costs Can program through clothing from a few feet away Discrete pump size (compared to other pumps) No tubing (minimizes wasted insulin, no tangling/snagging, less awkward, no air pockets, no siphoning effects) No disconnecting/reconnecting means no missed/lost insulin Simple, automated canula insertion minimizes pain, reduces “human errors”, creates more site options Forced pod change reduces chances for lipodystrophy & absorption problems Pump is fully watertight Temp basals and boluses can be customized/preset Freestyle meter built into handheld programmer Can customize programming text without PC linkup Large color screen w/full-sentence text and graphing capability Only 2 parts; convenient for travel Somewhat bulky programmer Pod creates a “bulge” on the skin Cannot enter boluses or make setting changes without programmer Cannot do programming or editing while bolus is delivering Only one canula orientation/length; may not work for all body types Max reservoir volume 200u; minimum fill amount 85u Pod stops working after 72 hours (plus grace period) Handheld will not calculate bolus if BG < 50 Dislodged/clogged canula requires complete pod replacement “Disconnection” requires complete pod replacement Pod does not have vibrate option Must suspend when changing basal settings Temp basal limited to 12 hours max Not covered by all 3rd party payors Insulin-to-carb ratios in whole-numbers increments only Loss (or malfunction) of remote/PDM renders pod non-programmable (delivers basal only) Medtronic 530G with Enlite Unique Advantages Potential Drawbacks Large, secure, long-established company Industry leader in R & D Pump comes with integrated Enlite CGM system;
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msmarco_v2.1_doc_01_1667189013#3_2444305806
http://integrateddiabetes.com/insulin-pump-comparisons/
Insulin Pump Comparisons - Compare Insulin Pumps by Manufacturer
Top Insulin Pump Comparisons Top Insulin Pump Comparisons 2018 Insulin Pump Comaprisons 2016 Insulin Pump Comparisons Tandem t:slim, t:slim G4 & t:flex Roche Accu-Chek Combo Insulet OmniPod Medtronic 530G with Enlite Animas Vibe
can be complex to set up Limit of 8 time slots for bolus settings Pump is somewhat bulky No integrated clip; must use a case Cartridges can be difficult to fill without bubbles Must stop pump to change cartridge Insulet OmniPod Unique Advantages Potential Drawbacks Reduced up-front costs Can program through clothing from a few feet away Discrete pump size (compared to other pumps) No tubing (minimizes wasted insulin, no tangling/snagging, less awkward, no air pockets, no siphoning effects) No disconnecting/reconnecting means no missed/lost insulin Simple, automated canula insertion minimizes pain, reduces “human errors”, creates more site options Forced pod change reduces chances for lipodystrophy & absorption problems Pump is fully watertight Temp basals and boluses can be customized/preset Freestyle meter built into handheld programmer Can customize programming text without PC linkup Large color screen w/full-sentence text and graphing capability Only 2 parts; convenient for travel Somewhat bulky programmer Pod creates a “bulge” on the skin Cannot enter boluses or make setting changes without programmer Cannot do programming or editing while bolus is delivering Only one canula orientation/length; may not work for all body types Max reservoir volume 200u; minimum fill amount 85u Pod stops working after 72 hours (plus grace period) Handheld will not calculate bolus if BG < 50 Dislodged/clogged canula requires complete pod replacement “Disconnection” requires complete pod replacement Pod does not have vibrate option Must suspend when changing basal settings Temp basal limited to 12 hours max Not covered by all 3rd party payors Insulin-to-carb ratios in whole-numbers increments only Loss (or malfunction) of remote/PDM renders pod non-programmable (delivers basal only) Medtronic 530G with Enlite Unique Advantages Potential Drawbacks Large, secure, long-established company Industry leader in R & D Pump comes with integrated Enlite CGM system; data displayed on pump screen Automatic basal shutoff when low glucose detected by sensor (may help prevent severe hypos) Optional “Connect” feature for sharing CGM data with smartphones (pending) Quick/simple bolus programming Slim/streamlined attachable clip Optional remote control (@ addl. cost) Accepts radio communication from multiple blood glucose meters Easily downloadable to online Carelink program Can set I: C ratios in .1g increments Generates insulin/carb/BG statistics Not water-tight Must purchase Enlite CGM system along with pump Low-contrast LCD screen Must use proprietary infusion set tubing Must purchase CGM system along with the pump Slow bolus delivery No food database Must pay for loaner/backup pumps Customer service may not be prompt or friendly Holds 180 units; 300-unit version is slightly larger Insulin-on-board only deducted from correction boluses Duration of action set in whole-hour increments CGM system accuracy, longevity, transmission range, ease of use considered inferior to competitors CGM & pump alerts may not be loud enough for some to hear Data from pump/CGM not downloadable to any program other than Carelink & Carelink Pro Animas Vibe Unique Advantages Potential Drawbacks Displays data from Dexcom G4 CGM 35-Unit maximum bolus Fully water-tight Very bright, full-color screen; easy to read Superior dosing accuracy (esp.
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msmarco_v2.1_doc_01_1667189013#4_2444309786
http://integrateddiabetes.com/insulin-pump-comparisons/
Insulin Pump Comparisons - Compare Insulin Pumps by Manufacturer
Top Insulin Pump Comparisons Top Insulin Pump Comparisons 2018 Insulin Pump Comaprisons 2016 Insulin Pump Comparisons Tandem t:slim, t:slim G4 & t:flex Roche Accu-Chek Combo Insulet OmniPod Medtronic 530G with Enlite Animas Vibe
data displayed on pump screen Automatic basal shutoff when low glucose detected by sensor (may help prevent severe hypos) Optional “Connect” feature for sharing CGM data with smartphones (pending) Quick/simple bolus programming Slim/streamlined attachable clip Optional remote control (@ addl. cost) Accepts radio communication from multiple blood glucose meters Easily downloadable to online Carelink program Can set I: C ratios in .1g increments Generates insulin/carb/BG statistics Not water-tight Must purchase Enlite CGM system along with pump Low-contrast LCD screen Must use proprietary infusion set tubing Must purchase CGM system along with the pump Slow bolus delivery No food database Must pay for loaner/backup pumps Customer service may not be prompt or friendly Holds 180 units; 300-unit version is slightly larger Insulin-on-board only deducted from correction boluses Duration of action set in whole-hour increments CGM system accuracy, longevity, transmission range, ease of use considered inferior to competitors CGM & pump alerts may not be loud enough for some to hear Data from pump/CGM not downloadable to any program other than Carelink & Carelink Pro Animas Vibe Unique Advantages Potential Drawbacks Displays data from Dexcom G4 CGM 35-Unit maximum bolus Fully water-tight Very bright, full-color screen; easy to read Superior dosing accuracy (esp. at small doses) AA Lithium battery lasts 6-8 weeks User-defined timeout setting User-defined occlusion sensitivity User-defined bolus delivery rate Customizable tune for alerts Cartridges very easy to fill without air bubbles Pump and CGM data downloadable to Diasend web-based software Strong integrated metal clip Does not link with blood glucose meter Utilized older-generation Dexcom data algorithm Battery change requires re-priming Insulin-to-carb ratios in whole-number increments only Cannot see cartridge inside pump Extra button presses required with most standard programming No data averages or statistics generated on pump screen Cannot recall blood glucose or carb history on pump screen Insulin On-Board is not subtracted uniformly from boluses 200-Unit cartridge limit Cursor (scroll) speed difficult to master Bolus delivery may be too rapid for those taking large doses Copyright Integrated Diabetes Services 2015. Data current as of January/1/2016.
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msmarco_v2.1_doc_01_1667197380#0_2444312704
http://integratedelectric.com/
Home - Website
617-471-2900 | [email protected] Authorized Dealer Commercial and residential electrical work Our service area Affordable services HAVE ACCESS TO FREE ESTIMATES FULLY LICENSED AND INSURED EXPERIENCED ELECTRICIAN
Home - Website 617-471-2900 | [email protected] Authorized Dealer 2315257_8 Commercial and residential electrical work Our talented team has the expertise to conquer any residential or commercial electrical job you throw our way. Put your complete trust in a company that holds over 36 years of experience. After all, we add lighter to your life in more ways than one. Our service area While our company is located in Quincy, we proudly serve all the eastern Massachusetts area. Do you reside in our service area? Affordable services Allow us to perform minor repairs, install upgrades or replace your generator. All of our services are safe and affordable. HAVE ACCESS TO FREE ESTIMATES FULLY LICENSED AND INSURED EXPERIENCED ELECTRICIAN SCHEDULE AN APPOINTMENT 2315258_20
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msmarco_v2.1_doc_01_1667198561#0_2444313932
http://integratedequipmentsales.com/climate-control/
Climate Control - Shipping Container Sales and Modifications
Climate Control Climate Control Window Air Conditioners
Climate Control - Shipping Container Sales and Modifications Climate Control Home Climate Control At Integrated Equipment Sales, your cargo is our number one priority. We understand that some materials that you may need transported or stored are temperature sensitive. Thanks to our commitment to only providing our customers with the best of the best, IES is proud to offer climate control shipping containers to our valued customers. Climate control containers provided through IES are typically used for the storage of humidity sensitive and temperature sensitive products, equipment, and/or materials. These containers are the same high-quality containers IES has provided for years, but with the added feature of complete climate control. You should expect durability, convenience, security, and space for your sensitive materials when you purchase or rent a container through IES. Our refrigerated container is 40 feet in length and comes equipped with an electric carrier refrigeration machine. It is dual capable and can operate using either 230V 3-Phase or 460V 3-Phase power. If you are using a 230V power source, a dedicated 50 amp circuit is required. If you are using a 460V power source, a dedicated 25 amp circuit is required.
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1,241
msmarco_v2.1_doc_01_1667198561#1_2444315495
http://integratedequipmentsales.com/climate-control/
Climate Control - Shipping Container Sales and Modifications
Climate Control Climate Control Window Air Conditioners
You should expect durability, convenience, security, and space for your sensitive materials when you purchase or rent a container through IES. Our refrigerated container is 40 feet in length and comes equipped with an electric carrier refrigeration machine. It is dual capable and can operate using either 230V 3-Phase or 460V 3-Phase power. If you are using a 230V power source, a dedicated 50 amp circuit is required. If you are using a 460V power source, a dedicated 25 amp circuit is required. The refrigeration machine is capable of maintaining temperatures below 0 degrees F (depending on your product) and up to 75 degrees F. It has lockable double doors on one end as well as durable t-rail flooring. The floor is rated for fork lift and pallet jack traffic, making it simple to move your items on and off of the climate control container. With these capabilities, you can keep your sensitive cargo safe regardless of the temperature outside. Maintain temperatures below 0 degrees Fahrenheit to keep your products frozen. Keep your temperature around 70 degrees Fahrenheit to maintain a controlled room temperature.
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msmarco_v2.1_doc_01_1667198561#2_2444316938
http://integratedequipmentsales.com/climate-control/
Climate Control - Shipping Container Sales and Modifications
Climate Control Climate Control Window Air Conditioners
The refrigeration machine is capable of maintaining temperatures below 0 degrees F (depending on your product) and up to 75 degrees F. It has lockable double doors on one end as well as durable t-rail flooring. The floor is rated for fork lift and pallet jack traffic, making it simple to move your items on and off of the climate control container. With these capabilities, you can keep your sensitive cargo safe regardless of the temperature outside. Maintain temperatures below 0 degrees Fahrenheit to keep your products frozen. Keep your temperature around 70 degrees Fahrenheit to maintain a controlled room temperature. Don’t rely on perfect weather to keep your sensitive materials safe, but rather have the assurance that your materials are protected by an IES climate control container regardless of the weather outside. If you have sensitive materials and want them kept in an environment with controlled temperature and humidity, then a climate control container from IES is a necessity. As your trusted provider of shipping containers, count on us for all of your specific needs. Call us today at (732) 283-1910 to discuss your climate control container needs with one of our expert representatives, or get a quick container quote here. HVAC Heating, ventilation and air conditioning options are available for your container as well.
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msmarco_v2.1_doc_01_1667198561#3_2444318610
http://integratedequipmentsales.com/climate-control/
Climate Control - Shipping Container Sales and Modifications
Climate Control Climate Control Window Air Conditioners
Don’t rely on perfect weather to keep your sensitive materials safe, but rather have the assurance that your materials are protected by an IES climate control container regardless of the weather outside. If you have sensitive materials and want them kept in an environment with controlled temperature and humidity, then a climate control container from IES is a necessity. As your trusted provider of shipping containers, count on us for all of your specific needs. Call us today at (732) 283-1910 to discuss your climate control container needs with one of our expert representatives, or get a quick container quote here. HVAC Heating, ventilation and air conditioning options are available for your container as well. Depending on the size of the area you wish to climate control and the temperature requirement, we have many options available for you to choose from. Window AC Wall Mount Rooftop Turbine Vents Louver Vents Window AC Window Air Conditioners are a great way to regulate the temperature inside your container. We offer units with cooling as well as cooling and heating capabilities. Let us recommend a unit to fit your storage requirements. Wall Mount Commercial through the wall HVAC systems are available in sizes ranging from 1.5 to 5 tons.
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msmarco_v2.1_doc_01_1667198561#4_2444320204
http://integratedequipmentsales.com/climate-control/
Climate Control - Shipping Container Sales and Modifications
Climate Control Climate Control Window Air Conditioners
Depending on the size of the area you wish to climate control and the temperature requirement, we have many options available for you to choose from. Window AC Wall Mount Rooftop Turbine Vents Louver Vents Window AC Window Air Conditioners are a great way to regulate the temperature inside your container. We offer units with cooling as well as cooling and heating capabilities. Let us recommend a unit to fit your storage requirements. Wall Mount Commercial through the wall HVAC systems are available in sizes ranging from 1.5 to 5 tons. They can be equipped to cool or for cooling and heating. Rooftop Turbine Vents Rooftop Turbine Vents are the least expensive option available. They are also the most popular option when it comes to ventilation. They can be mounted anywhere on the roof. Many of our customers choose to have multiple vents installed.
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msmarco_v2.1_doc_01_1667198561#5_2444321390
http://integratedequipmentsales.com/climate-control/
Climate Control - Shipping Container Sales and Modifications
Climate Control Climate Control Window Air Conditioners
They can be equipped to cool or for cooling and heating. Rooftop Turbine Vents Rooftop Turbine Vents are the least expensive option available. They are also the most popular option when it comes to ventilation. They can be mounted anywhere on the roof. Many of our customers choose to have multiple vents installed. A power source is not required for this type of vent. It is a good alternative for customers storing temperature sensitive items on a limited budget. Louver Vents Intake Louver Vents are available in sizes ranging from 12” to 36”. They are typically installed in conjunction with one of our exhaust fans. They can also be installed independently to allow for air to pass through the container naturally.
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msmarco_v2.1_doc_01_1667198561#6_2444322444
http://integratedequipmentsales.com/climate-control/
Climate Control - Shipping Container Sales and Modifications
Climate Control Climate Control Window Air Conditioners
A power source is not required for this type of vent. It is a good alternative for customers storing temperature sensitive items on a limited budget. Louver Vents Intake Louver Vents are available in sizes ranging from 12” to 36”. They are typically installed in conjunction with one of our exhaust fans. They can also be installed independently to allow for air to pass through the container naturally. They come standard with bird screens.
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msmarco_v2.1_doc_01_1667202756#0_2444323218
http://integratedglobal.com/industries/fossil-power/stress-corrosion-cracking-scc/
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes
Pulverized Coal Fired Boilers Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers Pulverized Coal Fired Boiler Waterwall Corrosion Low-NOx Burner Retrofit Corrosion Concerns On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers With over 25 years of applications around the world in Pulverized Coal (PC) Fired boilers, IGS has developed proven solutions to extend the life of boiler tubes providing a reliable, long-term solution with significant cost and time savings to its customers. The IGS 5450 HVTS cladding has been recognized as the gold standard to resist fireside corrosion in high-temperature sulfidation environments. As only one example, IGS 5450 was proven the best product in some of the most intense conditions in a 39,000 hour test in a 1,300 MW supercritical boiler by EPRI, Electric Power Research Institute. Pulverized Coal Fired Boiler Waterwall Corrosion PC-Fired Boilers generate thermal energy by burning pulverized coal that is blown by a combustion air stream to the burners in the firebox. These coal burners are typically located on the front and rear walls or in each of the corners to be known as wall fired or corner fired burners, respectively. There are various types of coal, from anthracite with its high carbon content to bituminous coal, subbituminous coal and lignite (brown coal) and each of these coal types have varying characteristics. The two primary characteristics that affect PC-Fired boilers, are the thermal efficiency (BTU/lb) of the coal and the sulfur content. As the combustion takes place, Sulfur and other compounds from the coal react with the surrounding water walls iron-based materials. This reaction causes fireside corrosion. This metal wastage typically occurs in the lower furnace all the way up to the mix zone.
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1,715
msmarco_v2.1_doc_01_1667202756#1_2444325521
http://integratedglobal.com/industries/fossil-power/stress-corrosion-cracking-scc/
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes
Pulverized Coal Fired Boilers Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers Pulverized Coal Fired Boiler Waterwall Corrosion Low-NOx Burner Retrofit Corrosion Concerns On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion
There are various types of coal, from anthracite with its high carbon content to bituminous coal, subbituminous coal and lignite (brown coal) and each of these coal types have varying characteristics. The two primary characteristics that affect PC-Fired boilers, are the thermal efficiency (BTU/lb) of the coal and the sulfur content. As the combustion takes place, Sulfur and other compounds from the coal react with the surrounding water walls iron-based materials. This reaction causes fireside corrosion. This metal wastage typically occurs in the lower furnace all the way up to the mix zone. Low-NOx Burner Retrofit Corrosion Concerns In the past decade, there has been a heavy focus on reducing environmental emissions. In order to reduce the production of NOx during the combustion, low-NOx retrofit burners are used in the boiler. These burners reduce the production of NOx by slowing down the combustion, lowering in this way the temperature of the combustion and taking the combustion away from the burners higher up into the furnace. This is achieved by reducing the amount of oxygen in the area where the burners are (lower portion of the furnace) and injecting that oxygen higher up in the furnace using over-fire air ports. Low-NOx retrofit causes areas lower in the furnace to be oxygen starved or under reducing conditions (or in most severe cases, cycling between both).
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msmarco_v2.1_doc_01_1667202756#2_2444327497
http://integratedglobal.com/industries/fossil-power/stress-corrosion-cracking-scc/
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes
Pulverized Coal Fired Boilers Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers Pulverized Coal Fired Boiler Waterwall Corrosion Low-NOx Burner Retrofit Corrosion Concerns On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion
Low-NOx Burner Retrofit Corrosion Concerns In the past decade, there has been a heavy focus on reducing environmental emissions. In order to reduce the production of NOx during the combustion, low-NOx retrofit burners are used in the boiler. These burners reduce the production of NOx by slowing down the combustion, lowering in this way the temperature of the combustion and taking the combustion away from the burners higher up into the furnace. This is achieved by reducing the amount of oxygen in the area where the burners are (lower portion of the furnace) and injecting that oxygen higher up in the furnace using over-fire air ports. Low-NOx retrofit causes areas lower in the furnace to be oxygen starved or under reducing conditions (or in most severe cases, cycling between both). Although the whole corrosion process is far more complex, it can be summarized as follows: in normal combustion with the presence of correct amount of oxygen (before low-NOx burners), the sulfur present in the fuel will combine with oxygen and remain in gaseous condition and exit the stack. In a combustion under reducing conditions (low oxygen), the sulfur will combine with hydrogen and deposit on the tube surface reacting with the iron of the tube material to form a scale of FeS, and repeat the cycle as more H 2 S deposits on the walls, causing significant tube thinning. IGS addresses this and other problems specific to coal fired furnaces, such as the build-up of ash or slag on the furnace walls leading to changes in temperature and emissivity, which ultimately affect the performance of the furnace. Most of this build up occurs in the superheat section and on the waterwalls.
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msmarco_v2.1_doc_01_1667202756#3_2444329765
http://integratedglobal.com/industries/fossil-power/stress-corrosion-cracking-scc/
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes
Pulverized Coal Fired Boilers Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers Pulverized Coal Fired Boiler Waterwall Corrosion Low-NOx Burner Retrofit Corrosion Concerns On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion
Although the whole corrosion process is far more complex, it can be summarized as follows: in normal combustion with the presence of correct amount of oxygen (before low-NOx burners), the sulfur present in the fuel will combine with oxygen and remain in gaseous condition and exit the stack. In a combustion under reducing conditions (low oxygen), the sulfur will combine with hydrogen and deposit on the tube surface reacting with the iron of the tube material to form a scale of FeS, and repeat the cycle as more H 2 S deposits on the walls, causing significant tube thinning. IGS addresses this and other problems specific to coal fired furnaces, such as the build-up of ash or slag on the furnace walls leading to changes in temperature and emissivity, which ultimately affect the performance of the furnace. Most of this build up occurs in the superheat section and on the waterwalls. IGS HVTS Stops Corrosion of PC-Fired Boiler Tubes On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion For PC-Fired Boilers, IGS applies high alloy materials to produce a homogenous (particles typically <50um) coating. The coating displays ultra low permeability to corrosive media that optimizes its performance in Coal Boilers. IGS 5450 High Velocity Thermal Sprayed (HVTS) cladding is ideal for long-term, reliable protection from the above described typical wastage mechanisms. We designed the cladding composition in the mid-2000’s specifically for high temperature sulfidation environments with the understanding that permeation and oxide content should be below critical specified levels for long term cladding performance. Our 5450 HVTS is a High Velocity, low stress state, thermal sprayed metal coating specifically suited for boiler tube protection in combustion environments with aggressive sulfidation conditions up to 1800°F (980°C).
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msmarco_v2.1_doc_01_1667202756#4_2444332212
http://integratedglobal.com/industries/fossil-power/stress-corrosion-cracking-scc/
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes
Pulverized Coal Fired Boilers Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers Pulverized Coal Fired Boiler Waterwall Corrosion Low-NOx Burner Retrofit Corrosion Concerns On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion
IGS HVTS Stops Corrosion of PC-Fired Boiler Tubes On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion For PC-Fired Boilers, IGS applies high alloy materials to produce a homogenous (particles typically <50um) coating. The coating displays ultra low permeability to corrosive media that optimizes its performance in Coal Boilers. IGS 5450 High Velocity Thermal Sprayed (HVTS) cladding is ideal for long-term, reliable protection from the above described typical wastage mechanisms. We designed the cladding composition in the mid-2000’s specifically for high temperature sulfidation environments with the understanding that permeation and oxide content should be below critical specified levels for long term cladding performance. Our 5450 HVTS is a High Velocity, low stress state, thermal sprayed metal coating specifically suited for boiler tube protection in combustion environments with aggressive sulfidation conditions up to 1800°F (980°C). It is highly protective against under deposit corrosion, when Sulfur together with Sodium, Potassium and Vanadium Oxides form low melting temperature pyro-eutectic salts. The high Chromium content, together with performance enhancing elements provide a dense stable coating, with high bond strength due to micro-fusion sites on the substrate. A thermal expansion coefficient at the midpoint between carbon and stainless steels makes it well suited to both as substrate materials. The material also has good erosion resistance due to effective hard-phase integration. IGS 5450 was also tested by world renowned EPRI, Electric Power Research Institute, in a 1,300MW high sulfur coal, Supercritical boiler.
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msmarco_v2.1_doc_01_1667202756#5_2444334473
http://integratedglobal.com/industries/fossil-power/stress-corrosion-cracking-scc/
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes
Pulverized Coal Fired Boilers Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers Pulverized Coal Fired Boiler Waterwall Corrosion Low-NOx Burner Retrofit Corrosion Concerns On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion
It is highly protective against under deposit corrosion, when Sulfur together with Sodium, Potassium and Vanadium Oxides form low melting temperature pyro-eutectic salts. The high Chromium content, together with performance enhancing elements provide a dense stable coating, with high bond strength due to micro-fusion sites on the substrate. A thermal expansion coefficient at the midpoint between carbon and stainless steels makes it well suited to both as substrate materials. The material also has good erosion resistance due to effective hard-phase integration. IGS 5450 was also tested by world renowned EPRI, Electric Power Research Institute, in a 1,300MW high sulfur coal, Supercritical boiler. Several other competitor’s materials were also tested, and IGS 5450 was the ONLY material to fully protect the substrate from corrosion during the 39,000 hour testing period. We exclusively utilize true High Velocity application process, where atomization of the material occurs before or in a super-sonic gas stream. It is the only way in which to achieve such optimal cladding properties needed for reliable and predictable long-term cladding performance. We offer our customers the following advantages over other thermal spray and cladding solutions: We apply IGS HVTS cladding in-situ to extend the life of waterwall tubes worldwide, thus avoiding costly replacement, extended outages and lost generation costs.
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msmarco_v2.1_doc_01_1667202756#6_2444336485
http://integratedglobal.com/industries/fossil-power/stress-corrosion-cracking-scc/
Cladding Mitigates Fireside Corrosion of PC-Fired Boiler Waterwall Tubes
Pulverized Coal Fired Boilers Pulverized Coal Fired Boilers HVTS Claddings To Mitigate Fireside Corrosion of PC-Fired Boilers Pulverized Coal Fired Boiler Waterwall Corrosion Low-NOx Burner Retrofit Corrosion Concerns On-Site HVTS Cladding Mitigating Boiler Fireside Corrosion
Several other competitor’s materials were also tested, and IGS 5450 was the ONLY material to fully protect the substrate from corrosion during the 39,000 hour testing period. We exclusively utilize true High Velocity application process, where atomization of the material occurs before or in a super-sonic gas stream. It is the only way in which to achieve such optimal cladding properties needed for reliable and predictable long-term cladding performance. We offer our customers the following advantages over other thermal spray and cladding solutions: We apply IGS HVTS cladding in-situ to extend the life of waterwall tubes worldwide, thus avoiding costly replacement, extended outages and lost generation costs. HVTS cladding has been proven best in class by world renowned EPRI, for high temperature sulfidation environments. Hundreds of our customers use metal spray cladding as an alternative to weld overlay to provide long-term protection saving both time and money. Fill the form below or contact one of our global locations to prevent expensive mechanical repair of your boiler.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
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Set general preferences The QuickBooks general preferences allow you to configure the way in which some functions and keys work in QuickBooks. For example, you might want to press Enter instead of Tab to move between fields on a form or, you might want QuickBooks to enter decimal points in a certain way. Your personal preferences These preferences affect how QuickBooks works for you, but not for other users. Pressing Enter moves between fields Changes how the Enter key behaves in QuickBooks. Normally, pressing Enter is the equivalent of clicking OK or Record (both of which close the current window). For windows that use the Save & New button, pressing Enter saves your work and opens a new form so that you can continue working. Some people, however, expect the Enter key to move to the next field so that they can continue to enter data. If you select this preference, the text cursor moves to the next field when you press Enter. When this preference is on, you can press Enter to move between fields, but you must record transactions by clicking OK, Record, Save & Close, or Save & New, or by pressing Ctrl+Enter. When this preference is off, you must press Tab or click in a field to move from field to field.
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For windows that use the Save & New button, pressing Enter saves your work and opens a new form so that you can continue working. Some people, however, expect the Enter key to move to the next field so that they can continue to enter data. If you select this preference, the text cursor moves to the next field when you press Enter. When this preference is on, you can press Enter to move between fields, but you must record transactions by clicking OK, Record, Save & Close, or Save & New, or by pressing Ctrl+Enter. When this preference is off, you must press Tab or click in a field to move from field to field. Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Automatically open drop-down lists when typing Automatically opens a drop-down list in all fields with lists.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Automatically open drop-down lists when typing Automatically opens a drop-down list in all fields with lists. The drop-down list opens as soon as you begin typing a character that matches a list item in that field. For example, if you are writing a check and type the letter "B" in the "Pay to the Order of" field, the drop-down list will open if there is a list item that begins with a "B", such as "Bank of Middlefield." When this preference is off, QuickBooks does not automatically open drop-down lists. To manually open a drop-down list, click the arrow button to the right of the field. Restrictions: "
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Set general preferences Set general preferences Your personal preferences Company-wide preferences
The drop-down list opens as soon as you begin typing a character that matches a list item in that field. For example, if you are writing a check and type the letter "B" in the "Pay to the Order of" field, the drop-down list will open if there is a list item that begins with a "B", such as "Bank of Middlefield." When this preference is off, QuickBooks does not automatically open drop-down lists. To manually open a drop-down list, click the arrow button to the right of the field. Restrictions: " Automatically open drop-down lists when typing" works only in fields that have lists and only if the character you type matches a character in the list. For example, drop-down lists will not open in the memo or description fields because there are no lists for those fields. Additionally, if you type "R" in a field with a list, but that list does not contain an entry beginning with the letter "R", the drop-down list will not automatically open. Where to find this preference: Open the general preferences Beep when recording a transaction Beeps to confirm that a transaction is being recorded.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Automatically open drop-down lists when typing" works only in fields that have lists and only if the character you type matches a character in the list. For example, drop-down lists will not open in the memo or description fields because there are no lists for those fields. Additionally, if you type "R" in a field with a list, but that list does not contain an entry beginning with the letter "R", the drop-down list will not automatically open. Where to find this preference: Open the general preferences Beep when recording a transaction Beeps to confirm that a transaction is being recorded. When this preference is off, transactions are recorded with no accompanying sound. Automatically place decimal point Automatically inserts a decimal point between the second and third digit from the right when you enter a number with no decimal point. For example, if you type 4995, the number becomes 49.95. When this preference is off, QuickBooks places a decimal point at the end when you enter a number with no decimal point. For example, if you type 4995, the number becomes 4995.00.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
When this preference is off, transactions are recorded with no accompanying sound. Automatically place decimal point Automatically inserts a decimal point between the second and third digit from the right when you enter a number with no decimal point. For example, if you type 4995, the number becomes 49.95. When this preference is off, QuickBooks places a decimal point at the end when you enter a number with no decimal point. For example, if you type 4995, the number becomes 4995.00. Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Warn when editing a transaction Warns you when you change a transaction and try to leave it without recording the change.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Warn when editing a transaction Warns you when you change a transaction and try to leave it without recording the change. When this preference is off, QuickBooks allows you to change a transaction and leave it without warning. QuickBooks automatically records the change if the transaction does not have links to other transactions. ( If the transaction has links, QuickBooks asks if you want to record the changes.) Where to find this preference To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
When this preference is off, QuickBooks allows you to change a transaction and leave it without warning. QuickBooks automatically records the change if the transaction does not have links to other transactions. ( If the transaction has links, QuickBooks asks if you want to record the changes.) Where to find this preference To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Bring back all one-time messages Restores all one-time messages that you have turned off. One-time messages provide helpful information on how to use QuickBooks. When one of these messages appears, you can turn it off so that it doesn't appear again. Turn off pop-up messages for products and services Turns off messaging in QuickBooks that informs you of available products and services that work with QuickBooks. When this preference is off, you will be notified through pop-up messages about products and services that work with QuickBooks.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Bring back all one-time messages Restores all one-time messages that you have turned off. One-time messages provide helpful information on how to use QuickBooks. When one of these messages appears, you can turn it off so that it doesn't appear again. Turn off pop-up messages for products and services Turns off messaging in QuickBooks that informs you of available products and services that work with QuickBooks. When this preference is off, you will be notified through pop-up messages about products and services that work with QuickBooks. Where to find this preference: Open the general preferences Show ToolTips for clipped text Moving the mouse over a field where the text is too long to fit displays ToolTips that show the entire contents of the field. Turn this preference off if you prefer not to display the ToolTips. Where to find this preference: Open the general preferences.
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msmarco_v2.1_doc_01_1667209474#9_2444350673
http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Where to find this preference: Open the general preferences Show ToolTips for clipped text Moving the mouse over a field where the text is too long to fit displays ToolTips that show the entire contents of the field. Turn this preference off if you prefer not to display the ToolTips. Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Warn when deleting a transaction or unused list item Warns you when you try to delete a transaction or a list entry not currently in use. When this preference is off, QuickBooks allows you to delete a transaction or an unused list entry without warning. Where to find this preference:
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Set general preferences Set general preferences Your personal preferences Company-wide preferences
To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Warn when deleting a transaction or unused list item Warns you when you try to delete a transaction or a list entry not currently in use. When this preference is off, QuickBooks allows you to delete a transaction or an unused list entry without warning. Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Keep QuickBooks running for quick startups After you start your computer, QuickBooks starts and runs in the background so it's ready when you need it. When this preference is turned off, QuickBooks won't run in the background.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Keep QuickBooks running for quick startups After you start your computer, QuickBooks starts and runs in the background so it's ready when you need it. When this preference is turned off, QuickBooks won't run in the background. Where to find this preference: Open the General Preferences To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Click the following link for more information and detailed instructions: http://support.quickbooks.intuit.com/support/pages/knowledgebasearticle/899141.html.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Where to find this preference: Open the General Preferences To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Click the following link for more information and detailed instructions: http://support.quickbooks.intuit.com/support/pages/knowledgebasearticle/899141.html. Automatically recall information You can have QuickBooks pre-fill new transactions based on previous transactions. To do this task Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Click Automatically remember account or transaction information.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Automatically recall information You can have QuickBooks pre-fill new transactions based on previous transactions. To do this task Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Click Automatically remember account or transaction information. Click one of the following two preferences. Automatically recall last transaction for this name: Sets up QuickBooks to remember the previous transaction for a person. When you enter a new transaction, QuickBooks automatically fills out the form with information you entered in the last transaction of that type for that person. For example, when you enter a vendor's name on a bill and press Tab, QuickBooks fills in the bill just like the most recent one you entered for that vendor.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Click one of the following two preferences. Automatically recall last transaction for this name: Sets up QuickBooks to remember the previous transaction for a person. When you enter a new transaction, QuickBooks automatically fills out the form with information you entered in the last transaction of that type for that person. For example, when you enter a vendor's name on a bill and press Tab, QuickBooks fills in the bill just like the most recent one you entered for that vendor. Restrictions This preference works only with bills, checks, credit card charges, invoices, and sales receipts. For invoices and sales receipts, it completes Ship Via, Ref Doc (PO Number), and Free On Board (FOB) values. This preference has no effect on purchase orders, payroll liability checks, or credit memos. Pre-fill accounts for vendor based on past entries: Sets up QuickBooks to pre-fill the account for a vendor transaction based on previous transactions for that vendor.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
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Restrictions This preference works only with bills, checks, credit card charges, invoices, and sales receipts. For invoices and sales receipts, it completes Ship Via, Ref Doc (PO Number), and Free On Board (FOB) values. This preference has no effect on purchase orders, payroll liability checks, or credit memos. Pre-fill accounts for vendor based on past entries: Sets up QuickBooks to pre-fill the account for a vendor transaction based on previous transactions for that vendor. QuickBooks remembers all your recent transactions for a vendor, not just the most recent one. If you consistently use the same account for a vendor, QuickBooks will automatically pre-fill that information any time you select the vendor in a bill or credit card transaction. Note: This preference only recalls accounts used for a vendor on vendor specific transactions such as entering a bill or paying a bill. QuickBooks will not recall accounts used with a vendor on other transactions such as checks.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
QuickBooks remembers all your recent transactions for a vendor, not just the most recent one. If you consistently use the same account for a vendor, QuickBooks will automatically pre-fill that information any time you select the vendor in a bill or credit card transaction. Note: This preference only recalls accounts used for a vendor on vendor specific transactions such as entering a bill or paying a bill. QuickBooks will not recall accounts used with a vendor on other transactions such as checks. How does QuickBooks know which account to pre-fill? This preference is "smart" about when to pre-fill account information when you select a vendor. For example, if you pay the rent every month from the same account, QuickBooks will soon start to pre-fill the bills you enter to your landlord with the usual account. When you use different accounts for a vendor, the account will not be pre-filled. For example, you might pay bills to a warehouse vendor out of several different accounts, depending on the purchase.
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
How does QuickBooks know which account to pre-fill? This preference is "smart" about when to pre-fill account information when you select a vendor. For example, if you pay the rent every month from the same account, QuickBooks will soon start to pre-fill the bills you enter to your landlord with the usual account. When you use different accounts for a vendor, the account will not be pre-filled. For example, you might pay bills to a warehouse vendor out of several different accounts, depending on the purchase. So the next time you pay a bill to that warehouse, QuickBooks will not pre-fill the account. What if I set default expense accounts for a vendor? If you set default expenses accounts for a vendor, the default expense accounts override the "Pre-fill accounts for vendor based on past entries" option in general preferences. Click the OK button. You can always override any pre-filled information in a transaction.
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msmarco_v2.1_doc_01_1667209474#18_2444362329
http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
So the next time you pay a bill to that warehouse, QuickBooks will not pre-fill the account. What if I set default expense accounts for a vendor? If you set default expenses accounts for a vendor, the default expense accounts override the "Pre-fill accounts for vendor based on past entries" option in general preferences. Click the OK button. You can always override any pre-filled information in a transaction. Default Date to Use for New Transactions You can use today's date or the last date entered as the default date for new transactions. Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left.
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msmarco_v2.1_doc_01_1667209474#19_2444363503
http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Default Date to Use for New Transactions You can use today's date or the last date entered as the default date for new transactions. Where to find this preference: Open the general preferences. To do this task Go to the Edit menu and click Preferences. In the Preferences window, click General in the list on the left. Keep custom item information when changing item in transactions Changes the way QuickBooks handles a customized item description in transactions if the item is changed after a customized description has been entered. For example, if you're entering a purchase order and customize the description of an item but then realize you've selected the wrong item, you can change the item without losing the description you've typed. Changes are only saved in the current transaction and do not change the default description of the item. Ask: Prompts you to choose whether you want to use the customized description or whether you want to discard the changes and use the default description instead.
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9,651
msmarco_v2.1_doc_01_1667209474#20_2444364952
http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Keep custom item information when changing item in transactions Changes the way QuickBooks handles a customized item description in transactions if the item is changed after a customized description has been entered. For example, if you're entering a purchase order and customize the description of an item but then realize you've selected the wrong item, you can change the item without losing the description you've typed. Changes are only saved in the current transaction and do not change the default description of the item. Ask: Prompts you to choose whether you want to use the customized description or whether you want to discard the changes and use the default description instead. Always: Automatically uses your customized description on the newly selected item without prompting you. Never: Automatically uses the default description of the newly selected item without prompting you. Where to find this preference:
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http://integratedhelp.quickbooks.intuit.com/InQuiraWCF/inproducthelp/sites/default/IPH/Core/QB2K12/Contentpackage/Core/Customize_Quickbooks/help_prefgeneral.html?html=true&family=pro
Set general preferences Set general preferences Your personal preferences Company-wide preferences
Always: Automatically uses your customized description on the newly selected item without prompting you. Never: Automatically uses the default description of the newly selected item without prompting you. Where to find this preference: Open general preferences Company-wide preferences These preferences affect all users. Only the QuickBooks Admini
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msmarco_v2.1_doc_01_1667221786#0_2444367103
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
Your Emotional Bank Account Your Emotional Bank Account By M.J. Clark, M.A., APR One of my clients, Wes Raynor with Matesich Distributing, recently shared with me a powerful metaphor created by Stephen Covey called the Emotional Bank Account that I wanted to pass along to all of you. We all know how our regular bank account works. We make deposits, save up money, and when we need that money later, we withdraw it. An emotional bank account is an account of trust instead of money. It’s an account based on how safe you feel with another person. Covey identifies six ways to make deposits (or reduce withdrawals): Understanding the Individual. This means listening intently to what the other person is saying and empathizing with how they may feel. It’s important to care for others and act with kindness toward them. Keeping Commitments.
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1,122
msmarco_v2.1_doc_01_1667221786#1_2444368767
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
Covey identifies six ways to make deposits (or reduce withdrawals): Understanding the Individual. This means listening intently to what the other person is saying and empathizing with how they may feel. It’s important to care for others and act with kindness toward them. Keeping Commitments. How do you feel when someone arrives right on time when you have a meeting? How about when people simply do what they say they will do? You build up an emotional reserve by keeping your commitments. Clarifying Expectations. We are not mind readers, and yet we consistently expect others to know what we expect of them.
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msmarco_v2.1_doc_01_1667221786#2_2444370054
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
How do you feel when someone arrives right on time when you have a meeting? How about when people simply do what they say they will do? You build up an emotional reserve by keeping your commitments. Clarifying Expectations. We are not mind readers, and yet we consistently expect others to know what we expect of them. Communicating our expectations can help create a higher level of trust. When we ask for what we want, and we get it, we can then trust a little more. Attending to the Little Things. Don’t you find that the little things tend to become the BIG things when they do not receive our attention? Doing the little things is how we honor and show respect for others.
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msmarco_v2.1_doc_01_1667221786#3_2444371496
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
Communicating our expectations can help create a higher level of trust. When we ask for what we want, and we get it, we can then trust a little more. Attending to the Little Things. Don’t you find that the little things tend to become the BIG things when they do not receive our attention? Doing the little things is how we honor and show respect for others. Small kindnesses, a smile, a little extra effort, a hug, doing something you didn’t “have” to: these are the things that build trust. Showing Personal Integrity. Integrity is the moral floor upon which trusting relationships are built. When we operate with sound moral character, it makes it so easy for others to trust us.
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msmarco_v2.1_doc_01_1667221786#4_2444372946
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
Small kindnesses, a smile, a little extra effort, a hug, doing something you didn’t “have” to: these are the things that build trust. Showing Personal Integrity. Integrity is the moral floor upon which trusting relationships are built. When we operate with sound moral character, it makes it so easy for others to trust us. Apologizing When We Make a Withdrawal. We will make mistakes; it’s part of life. But when you see you have violated a trust, sincerely apologizing is how we make a deposit to counteract the damage we have done. When your trust level is high, because you’ve made lots of deposits, communication is almost effortless.
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msmarco_v2.1_doc_01_1667221786#5_2444374306
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
Apologizing When We Make a Withdrawal. We will make mistakes; it’s part of life. But when you see you have violated a trust, sincerely apologizing is how we make a deposit to counteract the damage we have done. When your trust level is high, because you’ve made lots of deposits, communication is almost effortless. You can be yourself, and others understand and appreciate you. Then, when you make mistakes or offend someone unexpectedly, you draw on that reserve and the relationship still maintains a solid level of trust. Conversely, when you are discourteous, disrespect others, interrupt others, speak sarcastically or ignore others, your emotional bank account becomes overdrawn because you have jeopardized the trust level. When the trust level is low, you have to be very careful of what you say; you tend to be more political.
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msmarco_v2.1_doc_01_1667221786#6_2444375964
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
You can be yourself, and others understand and appreciate you. Then, when you make mistakes or offend someone unexpectedly, you draw on that reserve and the relationship still maintains a solid level of trust. Conversely, when you are discourteous, disrespect others, interrupt others, speak sarcastically or ignore others, your emotional bank account becomes overdrawn because you have jeopardized the trust level. When the trust level is low, you have to be very careful of what you say; you tend to be more political. Our most precious relationships (with our spouse, kids, friends and boss) require constant deposits, because those relationships continue to grow and change, and with these changes come new expectations. If you have a teenager at home, you may make several withdrawals in just one day! As your marriage evolves, your roles and responsibilities may change, and your work and home lives may change over time because of career changes or kids moving out or back in. These relationships require constant investment. When Wes shared this metaphor with me, I took some time to write in my journal about my spouse, family, friends and boss.
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msmarco_v2.1_doc_01_1667221786#7_2444378130
http://integratedleader.com/wp-content/uploads/2011/03/Your_Emotnal_Bank_Acct.pdf
Your Emotional Bank Account Your Emotional Bank Account
Our most precious relationships (with our spouse, kids, friends and boss) require constant deposits, because those relationships continue to grow and change, and with these changes come new expectations. If you have a teenager at home, you may make several withdrawals in just one day! As your marriage evolves, your roles and responsibilities may change, and your work and home lives may change over time because of career changes or kids moving out or back in. These relationships require constant investment. When Wes shared this metaphor with me, I took some time to write in my journal about my spouse, family, friends and boss. If I had to rate each one in terms of my emotional bank account, where did my investments stand? I encourage you to try this same exercise. It really helped me pinpoint where I should be investing more. In the midst of this tough economy, we have to be wise about how we spend our emotions.
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msmarco_v2.1_doc_01_1667228179#0_2444379962
http://integratedlistening.com/contact/
Contact Us
CONTACT US CONTACT US We are here to help you every step of the process. TALK NOW Request a Call Live chat with a Program Consultant Already a Unyte-iLs Associate? Contact Support Services: Share your story with us! Please download and fill out the form: Integrated Listening Systems
Contact Us CONTACT US We are here to help you every step of the process. If you’re an existing customer and require support, please email us at [email protected]. If you are interested in solutions for 5 or more practitioners, email [email protected] or book a meeting . TALK NOW General inquiries? Our Program Consultants can answer your questions. Request a Call Our team is available Monday to Friday between 9am-5pm EST. Fill out the form below and we will call you back within 30 minutes. You can also call us directly at 1-866-594-9453. Live chat with a Program Consultant CHAT NOW TALK LATER Our Specialized Program Consultants can provide in depth knowledge about our therapy programs. Already a Unyte-iLs Associate?
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msmarco_v2.1_doc_01_1667228179#1_2444381200
http://integratedlistening.com/contact/
Contact Us
CONTACT US CONTACT US We are here to help you every step of the process. TALK NOW Request a Call Live chat with a Program Consultant Already a Unyte-iLs Associate? Contact Support Services: Share your story with us! Please download and fill out the form: Integrated Listening Systems
Request a Call Our team is available Monday to Friday between 9am-5pm EST. Fill out the form below and we will call you back within 30 minutes. You can also call us directly at 1-866-594-9453. Live chat with a Program Consultant CHAT NOW TALK LATER Our Specialized Program Consultants can provide in depth knowledge about our therapy programs. Already a Unyte-iLs Associate? Contact Support Services: CONTACT US Share your story with us! Please download and fill out the form: SHARE YOUR STORY Do you require immediate assistance? View the National Help and Crisis Contact Info Integrated Listening Systems Denver Office 8392 S. Continental Divide, Suite 105, Littleton 80127 Toronto Office 229-639 Dupont Street, Toronto, ON M6G 1Z4 303-741-4544 [email protected]
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msmarco_v2.1_doc_01_1667229793#0_2444382486
http://integratedlistening.com/products/
iLs Products - Integrated Listening Systems (iLs)
EVIDENCE-BASED NEURAL SOLUTIONS EVIDENCE-BASED NEURAL SOLUTIONS Non-invasive multisensory solutions for in-clinic + remote Let us help you find the best program for your needs! Get Started EXPLORE UNYTE-ILS PRODUCTS BASED ON YOUR NEEDS FOR PROFESSIONALS FOR FAMILIES & INDIVIDUALS
iLs Products - Integrated Listening Systems (iLs) EVIDENCE-BASED NEURAL SOLUTIONS Non-invasive multisensory solutions for in-clinic + remote Unyte-iLs partners with health care professionals, families and individuals to help guide every person to train their nervous system to be more aware, regulated and resilient. Multisensory programs include music, movement, breathing, meditation and language exercises that improve brain function and nourish the nervous system to enable better regulation of the nervous system. Unyte-iLs solutions are best integrated as part of a professional therapy practice and are suitable for but not limited to: psychologists, psychotherapists, trauma counsellors, occupational therapists, speech language therapists, physical therapists,educators, ASD therapists, and counselors. They can be facilitated in person in-clinic or at home and guided and supported by a certified trained professional. Our team of in-field program experts are here to guide families and individuals and help find a local SSP Provider. Let us help you find the best program for your needs! Our Product Recommendation Tool makes it easy to begin exploring Unyte-iLs programs. Get Started EXPLORE UNYTE-ILS PRODUCTS BASED ON YOUR NEEDS Coordination & Balance Attention and Focus Learning & Memory Reading & Auditory Processing Auditory Sensitivities Behavior Regulation & Resilience Speech & Expressive Language Anxiety Sleep FOR PROFESSIONALS Get Started! Learn more about training and get certified.
0
1,508
msmarco_v2.1_doc_01_1667229793#1_2444384534
http://integratedlistening.com/products/
iLs Products - Integrated Listening Systems (iLs)
EVIDENCE-BASED NEURAL SOLUTIONS EVIDENCE-BASED NEURAL SOLUTIONS Non-invasive multisensory solutions for in-clinic + remote Let us help you find the best program for your needs! Get Started EXPLORE UNYTE-ILS PRODUCTS BASED ON YOUR NEEDS FOR PROFESSIONALS FOR FAMILIES & INDIVIDUALS
Our team of in-field program experts are here to guide families and individuals and help find a local SSP Provider. Let us help you find the best program for your needs! Our Product Recommendation Tool makes it easy to begin exploring Unyte-iLs programs. Get Started EXPLORE UNYTE-ILS PRODUCTS BASED ON YOUR NEEDS Coordination & Balance Attention and Focus Learning & Memory Reading & Auditory Processing Auditory Sensitivities Behavior Regulation & Resilience Speech & Expressive Language Anxiety Sleep FOR PROFESSIONALS Get Started! Learn more about training and get certified. LEARN MORE FOR FAMILIES & INDIVIDUALS Proven programs for lasting change. Learn more about the SSP and Focus System. LEARN MORE
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msmarco_v2.1_doc_01_1667231928#0_2444385782
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
Top 10 Questions About the Unyte-iLs Focus System – iLs iLs FOCUS SYSTEM GETTING STARTED - PROFESSIONALS Top 10 Questions About the Unyte-iLs Focus System Ann 7 months ago Follow How much does a Focus System cost? Professionals interested in purchasing the Focus System must first complete Focus System training. Once trained, the cost of equipment ranges from $1495-$1950. The cost of a Unyte-iLs program to the end user varies depending on how the Focus System is implemented within a practice. How long is a Focus System Program? What is the structure of the program? Program sessions are 30 – 60 minutes in length, with a recommended frequency of 3 – 5 times per week. Program length is flexible and depends upon the therapeutic objectives as well as the client’s circumstances. Most programs are 40 – 60 sessions over a 2 – 5 month period. Longer programs are recommended for those with developmental challenges.
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msmarco_v2.1_doc_01_1667231928#1_2444387109
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
What is the structure of the program? Program sessions are 30 – 60 minutes in length, with a recommended frequency of 3 – 5 times per week. Program length is flexible and depends upon the therapeutic objectives as well as the client’s circumstances. Most programs are 40 – 60 sessions over a 2 – 5 month period. Longer programs are recommended for those with developmental challenges. What if my client/child has auditory sensitivity and can’t wear headphones? One of the most consistent areas of success with the Focus System is reducing a child’s auditory and tactile sensitivity. We typically recommend beginning with the Dreampad at home. Desensitization is best achieved in an emotionally secure environment, and listening to the Dreampad in the security of one’s own home is an effective start to the process. Begin with the headphones on the knee, shoulder, neck.
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msmarco_v2.1_doc_01_1667231928#2_2444388394
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
What if my client/child has auditory sensitivity and can’t wear headphones? One of the most consistent areas of success with the Focus System is reducing a child’s auditory and tactile sensitivity. We typically recommend beginning with the Dreampad at home. Desensitization is best achieved in an emotionally secure environment, and listening to the Dreampad in the security of one’s own home is an effective start to the process. Begin with the headphones on the knee, shoulder, neck. This will deliver bone conduction and can often desensitize the client enough to wear headphones. It is advisable to begin with shorter sessions and increase them gradually as the child’s sensitivity decreases. ( see www.integratedlistening.com/dreampad) For whom is the Focus System recommended? Professionals implementing the Focus System report the most significant gains in the following areas: Sensory processing Language and processing Concentration and focus Fine and gross motor function Emotional regulation, mood and self-confidence Cognitive functions Do I qualify for Focus System training?
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msmarco_v2.1_doc_01_1667231928#3_2444389884
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
This will deliver bone conduction and can often desensitize the client enough to wear headphones. It is advisable to begin with shorter sessions and increase them gradually as the child’s sensitivity decreases. ( see www.integratedlistening.com/dreampad) For whom is the Focus System recommended? Professionals implementing the Focus System report the most significant gains in the following areas: Sensory processing Language and processing Concentration and focus Fine and gross motor function Emotional regulation, mood and self-confidence Cognitive functions Do I qualify for Focus System training? Registration criteria for training includes an masters degree or equivalent in health care, education or other related area. Requests for exceptions are considered on an individual basis. Certified professionals and assistants in the following disciplines can be trained: Speech-Language Pathologist, Occupational Therapist, Physical Therapist, Educator, Educational Therapist, Medical Doctor, Registered Nurse, Psychiatrist, Psychologist, Counselor, Social Worker, ADHD Coach, Neurofeedback Therapist, Naturopath, Athletic Trainer, Audiologist and other therapists and health care providers. Does the Focus System have supporting research?
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msmarco_v2.1_doc_01_1667231928#4_2444391515
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
Registration criteria for training includes an masters degree or equivalent in health care, education or other related area. Requests for exceptions are considered on an individual basis. Certified professionals and assistants in the following disciplines can be trained: Speech-Language Pathologist, Occupational Therapist, Physical Therapist, Educator, Educational Therapist, Medical Doctor, Registered Nurse, Psychiatrist, Psychologist, Counselor, Social Worker, ADHD Coach, Neurofeedback Therapist, Naturopath, Athletic Trainer, Audiologist and other therapists and health care providers. Does the Focus System have supporting research? Please see our research page for supporting research, pilot studies and case studies. Can I use the Focus System at home? The Focus System may be conducted at home if overseen by a certified iLs Associate. It is common to combine home use with a clinic program in order to achieve the recommended 3 – 5 times per week frequency. Can the Dreampad replace the main Unyte-iLs sound/movement program?
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msmarco_v2.1_doc_01_1667231928#5_2444392933
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
Please see our research page for supporting research, pilot studies and case studies. Can I use the Focus System at home? The Focus System may be conducted at home if overseen by a certified iLs Associate. It is common to combine home use with a clinic program in order to achieve the recommended 3 – 5 times per week frequency. Can the Dreampad replace the main Unyte-iLs sound/movement program? The Dreampad is considered to be a therapeutic tool/bridge to help with stress, sleep and sensory sensitivity (prior to or during any Unyte-iLs program). The Focus System has a high degree of interactive multi-sensory training which can be customized toward achieving therapeutic goals. Typically, the Dreampad serves as an adjunct to a therapeutic program. What makes the Focus System different from other therapeutic programs? Sound + Movement:
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msmarco_v2.1_doc_01_1667231928#6_2444394157
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
The Dreampad is considered to be a therapeutic tool/bridge to help with stress, sleep and sensory sensitivity (prior to or during any Unyte-iLs program). The Focus System has a high degree of interactive multi-sensory training which can be customized toward achieving therapeutic goals. Typically, the Dreampad serves as an adjunct to a therapeutic program. What makes the Focus System different from other therapeutic programs? Sound + Movement: THe Focus System uses a multi-sensory approach which combines sound with movement to stimulate the visual, vestibular and auditory systems simultaneously. This integrated method provides a unique approach to sensory processing, emotional regulation and cognitive skill development. Additionally, it is complementary and often done simultaneous with other interventions (e.g. tutoring, ABA, counseling). Program Customization & Value: The Focus System was specifically developed to help meet therapeutic objectives.
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msmarco_v2.1_doc_01_1667231928#7_2444395494
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
THe Focus System uses a multi-sensory approach which combines sound with movement to stimulate the visual, vestibular and auditory systems simultaneously. This integrated method provides a unique approach to sensory processing, emotional regulation and cognitive skill development. Additionally, it is complementary and often done simultaneous with other interventions (e.g. tutoring, ABA, counseling). Program Customization & Value: The Focus System was specifically developed to help meet therapeutic objectives. The System includes over 200 hours of music in multiple programs which can be combined and tailored for client needs. The larger music selection is important for customization, as well as listening variety. Equipment Durability: Unyte-iLs’s robust equipment is designed for daily use in busy practices. Metal housing and rechargeable amplifiers add to equipment durability.
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msmarco_v2.1_doc_01_1667231928#8_2444396763
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
The System includes over 200 hours of music in multiple programs which can be combined and tailored for client needs. The larger music selection is important for customization, as well as listening variety. Equipment Durability: Unyte-iLs’s robust equipment is designed for daily use in busy practices. Metal housing and rechargeable amplifiers add to equipment durability. Our engineers have been making air/bone conduction headphones since 2000. The Focus System amplifier is made in Colorado Springs, Colorado. The Dreampad is made in Denver. Interactive Language Program: The Interactive Language Program (ILP) is designed to improve auditory processing and language skills, which are essential for full social and academic success.
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msmarco_v2.1_doc_01_1667231928#9_2444397880
http://integratedlistening.com/support/top-10-questions-about-ils/
Top 10 Questions About the Unyte-iLs Focus System – iLs
Top 10 Questions About the Unyte-iLs Focus System Top 10 Questions About the Unyte-iLs Focus System
Our engineers have been making air/bone conduction headphones since 2000. The Focus System amplifier is made in Colorado Springs, Colorado. The Dreampad is made in Denver. Interactive Language Program: The Interactive Language Program (ILP) is designed to improve auditory processing and language skills, which are essential for full social and academic success. Can I get CEUs for Focus System training? Unyte-iLs is an American Occupational Therapy Association Approved Provider of continuing education. Successful completion of the Focus System Training Course will result in 10 contact hours or 1.0 AOTA CEU. Practitioners seeking credits with other organizations are frequently successful when applying directly to those organizations.
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msmarco_v2.1_doc_01_1667237466#0_2444398996
http://integratedmedicalbilling.com/
Home - Integrated Medical Billing, LLC
Free Offers WELCOME Free Offers
Home - Integrated Medical Billing, LLC WELCOME Integrated Medical Billing, LLC is a professional billing service dedicated to meeting all of the insurance and patient billing needs of your practice. We offer a variety of highly personalized services that can improve your cash flow and lower your operating expenses. Our services are specifically designed to meet the needs of individual and small group practices. Integrated Medical Billing, LLC carefully balances our client base in order to ensure that each client will receive our complete and undivided attention! In addition to premium claims processing & practice management services, we proudly offer the following dynamic solutions... Medical Billing and Practice Management Creative Collection Solutions Electronic Fund Transfer (EFT) Well-Care Services Digital Scanning & Archiving of Medical Records Remote Data Backup & Recovery Services (RBS) HIPAA Buy Products @ Discount! We understand your needs and sympathize with your busy schedule. You shouldn't have to keep up with the latest Medicare guidelines when you already have the serious responsibility of running your practice. Our primary goal is to look out for your best interest and protect your bottom line while easing the pressure that tedious paperwork may cause. Free Offers
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msmarco_v2.1_doc_01_1667238992#0_2444400571
http://integratedpain.com/
Home - Integrated Pain Specialists
Reduce Your Pain Personalized Care Improve Your Quality of Life Opening Hours Our Practice Schedule an Appointment (619) 398-2988 COVID-19 and Patient Safety If you are seen in our office during this time, here is what to expect Our Services Welcome To Our Clinic! Pain Management & Regenerative Therapies Arthritis Neuropathy The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. Latest News New Integrated Pain Website Difficulties in Teaching Diagnostic Reasoning in the Digital Age: the Critical Role of the Teacher-Clinician Mentor
Home - Integrated Pain Specialists Home Reduce Your Pain Conditions We Treat GET IN TOUCH Where Surgery Has Failed Personalized Care Conditions We Treat GET IN TOUCH for the effective treatment of your Discomfort Improve Your Quality of Life Conditions We Treat GET IN TOUCH with our Innovative Treatments Opening Hours Monday – Friday 8:00 – 5:00 Closed for Lunch Saturday & Sunday Closed Our Practice Integrated Pain Specialists of Southern California is dedicated and focused on acute and chronic pain management with the patient’s comfort in mind. View Treatments Schedule an Appointment (619) 398-2988 Call us today for a pain assessment. COVID-19 and Patient Safety To our valued patients We at Integrated Pain Specialists remain committed first and foremost to patient safety during the current coronavirus pandemic. With this in mind, we are taking extra precautions in our office in an attempt to minimize exposure and risk to our patients. We want you to know, your wellbeing and safety is of great importance to us. As Medical Practitioners at Integrated Pain Specialists, we want to assure you that the intrinsic value of patient-centered care has never been more important. While we find ourselves now in a situation many of us would have never imagined, we want to assure you we are taking every precaution available to ensure patient safety. We are following the Centers for Disease Control (CDC) guidelines pertaining to the effectiveness of controlling any exposure to our patients and can assure you, we are actively taking these precautions seriously by sanitizing the office space while making every effort to present a safe environment for our patients. If you are seen in our office during this time, here is what to expect Everything has been disinfected as much as possible. From doorknobs to keyboards, we have been diligent about continually wiping germs away using industrial strength products.
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msmarco_v2.1_doc_01_1667238992#1_2444403507
http://integratedpain.com/
Home - Integrated Pain Specialists
Reduce Your Pain Personalized Care Improve Your Quality of Life Opening Hours Our Practice Schedule an Appointment (619) 398-2988 COVID-19 and Patient Safety If you are seen in our office during this time, here is what to expect Our Services Welcome To Our Clinic! Pain Management & Regenerative Therapies Arthritis Neuropathy The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. Latest News New Integrated Pain Website Difficulties in Teaching Diagnostic Reasoning in the Digital Age: the Critical Role of the Teacher-Clinician Mentor
As Medical Practitioners at Integrated Pain Specialists, we want to assure you that the intrinsic value of patient-centered care has never been more important. While we find ourselves now in a situation many of us would have never imagined, we want to assure you we are taking every precaution available to ensure patient safety. We are following the Centers for Disease Control (CDC) guidelines pertaining to the effectiveness of controlling any exposure to our patients and can assure you, we are actively taking these precautions seriously by sanitizing the office space while making every effort to present a safe environment for our patients. If you are seen in our office during this time, here is what to expect Everything has been disinfected as much as possible. From doorknobs to keyboards, we have been diligent about continually wiping germs away using industrial strength products. Only patients are allowed into the exam room area, as we take every precaution necessary to keep everyone in the office as safe as possible As an office, we always have and will continue to use state-of -the art technology and protocols to ensure the most sterile environment possible, at all times. Please understand Integrated Pain Specialists is not a governing body, and we encourage our patients to us official resources to fin current information on COVID-19 and appropriate courses of action. For CDC updates go here Centers for Disease Control and Prevention Our Services Experienced Physicians Your health is your most important asset. You should entrust it only to the best professionals. Personalized Treatment Treatment choices are designed in an attempt to match your goals Quality and Safety All team members at Integrate Pain Specialists have been trained thoroughly to assist in any situation.
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msmarco_v2.1_doc_01_1667238992#2_2444406290
http://integratedpain.com/
Home - Integrated Pain Specialists
Reduce Your Pain Personalized Care Improve Your Quality of Life Opening Hours Our Practice Schedule an Appointment (619) 398-2988 COVID-19 and Patient Safety If you are seen in our office during this time, here is what to expect Our Services Welcome To Our Clinic! Pain Management & Regenerative Therapies Arthritis Neuropathy The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. Latest News New Integrated Pain Website Difficulties in Teaching Diagnostic Reasoning in the Digital Age: the Critical Role of the Teacher-Clinician Mentor
Only patients are allowed into the exam room area, as we take every precaution necessary to keep everyone in the office as safe as possible As an office, we always have and will continue to use state-of -the art technology and protocols to ensure the most sterile environment possible, at all times. Please understand Integrated Pain Specialists is not a governing body, and we encourage our patients to us official resources to fin current information on COVID-19 and appropriate courses of action. For CDC updates go here Centers for Disease Control and Prevention Our Services Experienced Physicians Your health is your most important asset. You should entrust it only to the best professionals. Personalized Treatment Treatment choices are designed in an attempt to match your goals Quality and Safety All team members at Integrate Pain Specialists have been trained thoroughly to assist in any situation. Service Your treatment plan is designed for steady progress, with every phase implemented. Welcome To Our Clinic! ACUTE & CHRONIC PAIN TREATMENTS Integrated Pain Specialists of Southern California provide an array of services for patients with acute or chronic pain. Each patient is comprehensively evaluated by a physician, and treatment plans are tailored to meet each individuals needs. Diagnostic studies and medication may be prescribed.
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msmarco_v2.1_doc_01_1667238992#3_2444408622
http://integratedpain.com/
Home - Integrated Pain Specialists
Reduce Your Pain Personalized Care Improve Your Quality of Life Opening Hours Our Practice Schedule an Appointment (619) 398-2988 COVID-19 and Patient Safety If you are seen in our office during this time, here is what to expect Our Services Welcome To Our Clinic! Pain Management & Regenerative Therapies Arthritis Neuropathy The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. Latest News New Integrated Pain Website Difficulties in Teaching Diagnostic Reasoning in the Digital Age: the Critical Role of the Teacher-Clinician Mentor
Service Your treatment plan is designed for steady progress, with every phase implemented. Welcome To Our Clinic! ACUTE & CHRONIC PAIN TREATMENTS Integrated Pain Specialists of Southern California provide an array of services for patients with acute or chronic pain. Each patient is comprehensively evaluated by a physician, and treatment plans are tailored to meet each individuals needs. Diagnostic studies and medication may be prescribed. Various Interventional procedures may be utilized including less invasive Regenerative Medicine Platelet rich plasma (PRP), Stem Cell therapies and steroid injections to more complex procedures, such as, radiofrequency, neural ablation procedures, peripheral nerve stimulators, percutaneous spinal cord stimulators and programmable medication pump implants. Pain Management & Regenerative Therapies Arm & Leg Pain Back & Neck Pain Muscle Pain Cervical Radiculopathy Disc Degeneration Failed Back Surgery Arthritis Fibromyalgia Myofascial Pain Syndrome Neuropathy Radiculopathy / Sciatica Spinal Stenosis For over 20 years I've been in constant back pain. My lower back to be exact. Its kept me from normal activities. Getting this procedure done has been the best.
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msmarco_v2.1_doc_01_1667238992#4_2444410815
http://integratedpain.com/
Home - Integrated Pain Specialists
Reduce Your Pain Personalized Care Improve Your Quality of Life Opening Hours Our Practice Schedule an Appointment (619) 398-2988 COVID-19 and Patient Safety If you are seen in our office during this time, here is what to expect Our Services Welcome To Our Clinic! Pain Management & Regenerative Therapies Arthritis Neuropathy The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. Latest News New Integrated Pain Website Difficulties in Teaching Diagnostic Reasoning in the Digital Age: the Critical Role of the Teacher-Clinician Mentor
Various Interventional procedures may be utilized including less invasive Regenerative Medicine Platelet rich plasma (PRP), Stem Cell therapies and steroid injections to more complex procedures, such as, radiofrequency, neural ablation procedures, peripheral nerve stimulators, percutaneous spinal cord stimulators and programmable medication pump implants. Pain Management & Regenerative Therapies Arm & Leg Pain Back & Neck Pain Muscle Pain Cervical Radiculopathy Disc Degeneration Failed Back Surgery Arthritis Fibromyalgia Myofascial Pain Syndrome Neuropathy Radiculopathy / Sciatica Spinal Stenosis For over 20 years I've been in constant back pain. My lower back to be exact. Its kept me from normal activities. Getting this procedure done has been the best. I’ve been able to do movements I could only think of. Walking has been one of the best walks I've had in Years! Thank you… Everyone I've had the pleasure of working with / seeing for any issues or checking in, have been WONDERFUL!!! Very professional and personable too! I feel like I'm in "Good Hands" with anyone I deal with in this practice.
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msmarco_v2.1_doc_01_1667238992#5_2444412921
http://integratedpain.com/
Home - Integrated Pain Specialists
Reduce Your Pain Personalized Care Improve Your Quality of Life Opening Hours Our Practice Schedule an Appointment (619) 398-2988 COVID-19 and Patient Safety If you are seen in our office during this time, here is what to expect Our Services Welcome To Our Clinic! Pain Management & Regenerative Therapies Arthritis Neuropathy The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. Latest News New Integrated Pain Website Difficulties in Teaching Diagnostic Reasoning in the Digital Age: the Critical Role of the Teacher-Clinician Mentor
I’ve been able to do movements I could only think of. Walking has been one of the best walks I've had in Years! Thank you… Everyone I've had the pleasure of working with / seeing for any issues or checking in, have been WONDERFUL!!! Very professional and personable too! I feel like I'm in "Good Hands" with anyone I deal with in this practice. Thank You! The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO!
4,040
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msmarco_v2.1_doc_01_1667238992#6_2444414425
http://integratedpain.com/
Home - Integrated Pain Specialists
Reduce Your Pain Personalized Care Improve Your Quality of Life Opening Hours Our Practice Schedule an Appointment (619) 398-2988 COVID-19 and Patient Safety If you are seen in our office during this time, here is what to expect Our Services Welcome To Our Clinic! Pain Management & Regenerative Therapies Arthritis Neuropathy The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. Latest News New Integrated Pain Website Difficulties in Teaching Diagnostic Reasoning in the Digital Age: the Critical Role of the Teacher-Clinician Mentor
Thank You! The Integrated Pain Specialists & Regenerative Medicine Staff are the finest to be found ANYWHERE! Highly Recommend ! You are always Awesome ! Dr. Smith is my HERO! There aren't many doctors that will take as much time as he is, to help me find answers. This place is So Good about taking care of my pain concerns. I have given their name to many people. Everyone in the staff treats you well and with great care - both in office & on the Phone. Best Practice to go for Pain.
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