AndroidAPS/README-Combo.md
Johannes Mockenhaupt 77bd3b51fa
Update docs.
2017-12-06 11:33:30 +01:00

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Markdown

**This software is part of a DIY solution and is not a product, but
requires YOU to read, learn and understand the system and how to use it.
It is not something that does all your diabetes management for you, but
allows you to improve your diabetes and quality of life significantly
if you're willing to put in the time required.
You alone are responsible for what you do with it.**
Hardware requirements:
- A Roche Accu-Chek Combo (any firmware, they all work)
- A Smartpix or Realtyme device together with the 360 Configuration
Software to configure the pump.
Roche sends these out Smartpix devices and the configuration software
free of charge to their customers upon request.
- A compatible phone: An Android phone with a phone running LineageOS 14.1 (formerly CyanogenMod)
- To build AndroidAPS with Combo support you need the lastet Android Studio 3 version
Limitations:
- Extended bolus and multiwave bolus are not supported.
- Only one basal profile is supported.
- Setting a basal profile other than 1 on the pump, or delivering extended boluses or multiwave
boluses from the pump interferes with TBRs and forces the loop into low-suspend only mode for 6 hours
as the the loop can't run safely under those conditions.
- It's currently not possible to set the time and date on the pump, however, this has no effect
on AAPS and will not cause a problem if the pump's clock is not updated at the exact time
daylight savings time starts or ends.
- There's a bug in the pump's firmware that's triggered when "too much" communication happens
with the pump. Specifically, this issue occurs when going from just issuing commands to the pump
to reading the pumps data and history. For that reason, a minimal amount of data is read from
the pump (no history).
The bug might still rarely occur and causes the pump to not accept any connection
unless a button is physically pressed on the pump.
Therefore, the pump's reservoir level is not read and the pump status information uploaded to Nightscout
shows fake numbers of 250 (above low threshold - which can be configured via the configuration
tool), 50 (below low threshold) and 0 if the reservoir is empty.
Furthermore, no history (from the My Data menu) is read unless absolutely required.
Reading all pump data can be forced through the Combo tab (long press "TDDS"), to "import"
events that happened solely on the pump, but that code has been tested less and may
trigger the bug, so it's strongly recommended to stick to the usage scenario of controlling the
pump solely through AAPS.
Checking history, reservoir level etc on the pump causes no issues but should be avoided
when the Bluetooth icon is displayed on the display, indicating that AAPS is communicating with the pump.
Setup:
- Configure pump using 360 config software.
- Set/leave the menu configuration as "Standard", this will show only the supported
menus/actions on the pump and hide those which are unsupported (extended/multiwave bolus,
multiple basal rates), which cause the loop functionality to be disabled when used because
it's not possible to run the loop in a safe manner when used.
- Set maximum TBR to 500%
- Disable end of TBR alert
- Set low cartridge alarm to your licking
- Enable keylock (can also be set on the pump directly, see usage section on reasoning)
- Get Android Studio 3
- Get ruffy from https://github.com/jotomo/ruffy (branch `combo-scripter-v2`)
- Pair the pump, if it doesn't work, switch to the `pairing` branch, pair,
then switch back the original branch. If the pump is already paired and
can be controlled via ruffy, installing the above version is sufficient.
If AAPS is already installed, switch to the MDI plugin to avoid the Combo
plugin from interfering with ruffy during the pairing process.
- Get AndroidAPS from https://github.com/jotomo/AndroidAPS (Branch `combo-scripter-v2`)
- Before enabling the Combo plugin in AAPS make sure you're profile is set up
correctly and your basal profile is up to date as AAPS will sync the basal profile
to the pump.
Usage:
- This is not a product, esp. in the beginning the user needs to monitor and understand the system,
its limitations and how it can fail. It is strongly advised NOT to use this system when the person
using is not able to fully understand the system.
- This integration uses the same functionality which the meter provides that comes with the Combo.
The meter allows to mirror the pump screen and forwards button presses to the pump. The connection
to the pump and this forwarding is what the ruffy app does. A `scripter` components reads the screen
and automates inputing boluses, TBRs etc and making sure inputs are processed correctly (that's what
the scripter-part in the branch name stands for).
AAPS then interacts with the scripter to apply loop commands and to administer boluses.
This mode has some restrictions: it's comparatively slow (but well fast enough for what it is used for),
doesn't support reading history continuously and setting a TBR or giving a bolus causes the pump to
vibrate.
- The integration of the Combo with AndroidAPS is designed with the assumption that all inputs are
made via AndroidAPS. Boluses entered on the pump will NOT be detected by AAPS and may therefore
result in too much insulin being delivered.
- It's recommended to enable key lock on the pump to prevent bolusing from the pump, esp. when the
pump was used before and quick bolusing was a habit.
Also, with keylock enabled, accidentally pressing a key will NOT interrupt a running command
- When a BOLUS/TBR CANCELLED alert starts on the pump during bolusing or setting a TBR, this is
caused by a disconnect between pump and phone. The app will try to reconnect and confirm the alert
and then retry the last action (boluses are NOT retried for safety reasons). Therefore,
such an alarm shall be ignored (cancelling it is not a big issue, but will lead to the currently
active action to have to wait till the pump's display turns off before it can reconnect to the
pump). If the pump's alarm continues, the last action might have failed, in which case the user
needs to confirm the alarm.
- When a low cartridge or low battery alarm is raised during a bolus, they are confirmed and shown
as a notification in AAPS. If they occur while no connection is open to the pump, going to the
combo tab and hitting the Refresh button will take over those alerts by confirming them and
showing a notification in AAPS.
- For all other alerts raised by the pump: connecting to the pump will show the alert message in
the Combo tab, e.g. "State: E4: Occlusion" as well as showing a notification on the main screen.
An error will raise an urgent notification.
- After pairing, ruffy should not be used directly (AAPS will start in the background as needed),
since using ruffy at AAPS at the same time is not supported.
- If AAPS crashes (or is stopped from the debugger) while AAPS and the pump were comunicating (using
ruffy), it might be necessary to force close ruffy. Restarting AAPS will start ruffy again.
- Read the documentation on the wiki as well as the docs at https://openaps.org
- Don't press any buttons on the pump while AAPS communicates with the pump (Bluetooth logo is
shown on the pump).
- If the loop requests a running TBR to be cancelled the Combo will set a TBR of 90% or 110%
for 15 minutes instead. This is because cancelling a TBR causes an alert on the pump which
causes a lot of vibrations.
Reporting bugs:
- Note the precise time the problem occurred and describe the circumstances and steps that caused
the problem
- Note the Build version (found in the About dialog in the app, when pressing the three dots in the
upper-right corner).
- Attach the app's log files, which can be found on the phone in
_/storage/emulated/0/Android/data/info.nightscout.androidaps/_
Components/Layers (developers):
- AndroidAPS
- ComboPlugin
- ruffy-spi (RuffyCommands interface to plug in lower layer)
- Scripting layer (ruffyscripter) / Command layer
- Driver layer (ruffy)