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hi Iamp;#39;m Christy with Tandem Diabetes Care today weamp;#39;re going to talk about changing a cartridge and loading a new one on your tandam Moi insulin pump weamp;#39;ll also discuss removing any bubbles which are created by changes in temperature and atmospheric pressure you can help reduce bubbles in your cartridge by using insulin at room temperature however because temperature and weather are always changing you may notice the presence of bubbles later on we will show you how to manage this later in the video be sure you donamp;#39;t remove the old cartridge from your pump until youamp;#39;re prompted to during the load cartridge process on the tandem Mobi mobile app removing the cartridge early could damage the piston on the pump always make sure your hands are clean and youamp;#39;ve swabbed the top of the vial with alcohol first letamp;#39;s prepare the new cartridge you do this by pulling down the fill rod and then pushing it back up to force air out of the cartridg