Getting Started. Learning Guide. with Continuous Glucose Monitoring for the MiniMed 530G with Enlite. CGM Foundations

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1 Getting Started with Cntinuus Glucse Mnitring fr the MiniMed 530G with Enlite Learning Guide CGM Fundatins

2 Cntinuus Glucse Mnitring Learning Guide MiniMed 530G with Enlite - Cntinuus Glucse Mnitring Settings Frm We recmmend that yu recrd yur CGM settings n this frm t refer t when necessary. Glucse Limits: 1: 12:00AM - mg/dl 2: - mg/dl 3: - mg/dl 4: - mg/dl High Repeat: minutes hur Lw Repeat: minutes hur Predictive Alerts: Threshld Suspend: OFF ON mg/dl Calibratin Repeat: minutes Calibratin Reminder: minutes hur Transmitter ID: Weak Signal: minutes Lw: OFF ON minutes High: OFF ON minutes Rate f Change Alerts: Fall Rate: OFF ON mg/dl/min Rise Rate: OFF ON mg/dl/min 2

3 SENSOR GLUCOSE BLOOD GLUCOSE See Getting Started with CGM, page 3 n SG BG Glucse readings that are measured with yur fingerstick test are called glucse. Glucse readings that are measured by yur CGM are called glucse. Yu shuld expect that yur sensr glucse will be different frm yur bld glucse as: SENSOR GLUCOSE BLOOD GLUCOSE a. Sensr glucse generally fllws behind bld glucse b. Sensr glucse is measured in the interstitial fluid and bld glucse is measured in the bld c. Glucse mves cntinuusly between bld and interstitial fluid d. All f the abve Yu will see a greater difference between yur sensr and bld glucse readings: a. When glucse is changing quickly such as after exercise b. After eating r taking a blus f insulin c. Bth a and b Cmparing Sensr Glucse and Bld Glucse... Jennifer knws it is kay t see a difference between sensr glucse and bld glucse readings. When cnfirming a sensr glucse with a bld glucse what might Jennifer see as sensr and bld glucse readings? a. Sensr 80 and bld glucse 70 b. Sensr 215 and bld glucse 235 c. Sensr 65 and bld glucse 80 d. All f the abve Yu shuld always rely n which glucse reading befre treating a high r lw glucse? a. Sensr glucse b. Bld glucse c. Bth a and b 3

4 TRENDS See Getting Started with CGM, page 4 n Trends When using CGM it is imprtant t fcus n the trends rather than individual sensr glucse numbers. Trends tell yu: a. If yur glucse has been rising, falling, r has been stable fr minutes r hurs b. The speed at which yur glucse has been changing c. Bth a and b TRENDS Nticing trend arrws... Margaret smetimes frgets t blus befre eating. Which trend arrw(s) might she see next t her sensr glucse reading as a result f frgetting t blus? a. b. c. Either a r b The example CGM screen tells yu which f the fllwing: PM 1:33P 108 a. The sensr glucse will cntinue t change quickly b. The sensr glucse has been changing quickly c. The sensr glucse is becming stable Respnding t trends... Matt glances at his CGM display while at wrk. What shuld he d first if his CGM display shws the fllwing? a. Give a crrectin blus b. Cnfirm with a bld glucse reading using his BG meter c. Eat a snack PM 1:30P 235 4

5 PERSONALIZE ALERTS See Getting Started with CGM, pages 5-16 n Persnalize Alerts and Quick Reference page n CGM Alarm and Alerts Persnalizing alerts means: a. Prgramming nly thse settings that are necessary and helpful fr yu b. Adjusting yur alert settings as yu becme mre familiar with using CGM c. Bth a and b If yu are receiving t many alerts yu may need t: PERSONALIZE ALERTS a. Change yur Lw and High Repeat settings t give yur glucse time t recver b. Change the settings that are alerting ften s that they are less restrictive c. Bth a and b d. D nthing Persnalize Alerts 250 High Glucse Limit High Predictive High Repeat Rise Rate Fall Rate Lw Predictive Lw Repeat Sensr Glucse 70 CGM Alert Setting Lw Glucse Limit Threshld Suspend 5

THRESHOLD SUSPEND See Getting Started with CGM, pages 13 14 and Quick Reference page n Threshld Suspend Sleeping during a Threshld Suspend.

What happened while Anna was sleeping? a. Insulin delivery stpped fr 4 hurs, then restarted fr 4 hurs b.

6 THRESHOLD SUSPEND See Getting Started with CGM, pages and Quick Reference page n Threshld Suspend Sleeping during a Threshld Suspend... One night, while Anna is sleeping her pump begins t siren with a Threshld Suspend alarm. Anna wakes up several hurs later with her pump alarming and her basal insulin delivering. What happened while Anna was sleeping? a. Insulin delivery stpped fr 4 hurs, then restarted fr 4 hurs b. Insulin delivery stpped fr 2 hurs, then restarted fr 4 hurs Clearing the Threshld Suspend alarm and making a selectin... The next afternn, while Anna is watching TV with her family, she receives anther Threshld Suspend alarm. Why shuld Anna clear the alarm AND select either Suspend r Restart Basal? a. Because her pump will siren again in a few minutes when she may nt want it t b. Because her pump will stp wrking 6

THRESHOLD SUSPEND See Getting Started with CGM, pages 13 14 and Quick Reference page n Threshld Suspend Respnding t the Threshld Suspend alarm.

7 THRESHOLD SUSPEND See Getting Started with CGM, pages and Quick Reference page n Threshld Suspend Respnding t the Threshld Suspend alarm... While Jhn is at wrk, his pump begins t siren with a Threshld Suspend alarm. What shuld Jhn d next? a. Clear the alarm and d nthing else b. Clear the alarm, check bld glucse with his meter, treat the lw as needed, and restart basal c. D nthing because his bld glucse will recver n its wn Fr Threshld Suspend t wrk... The next night, Jhn ges t bed early. His last calibratin was at lunch time. What is needed in rder fr Threshld Suspend t alarm? a. His sensr glucse needs t be at r belw his Suspend Threshld b. He needs t calibrate his sensr c. His sensr and transmitter need t be cmmunicating with his pump d. All f the abve 7

8 DOUBLE BUTTON PRESS See Getting Started with CGM, pages and Quick Reference page n Using the Enlite Sensr Write the steps that each picture is shwing fr inserting the Enlite sensr. 2x DOUBLE BUTTON PRESS 8

DOUBLE BUTTON PRESS See Getting Started with CGM, pages 17-19 and Quick Reference page n Using the Enlite Sensr There are several places t g fr helpful instructins n hw t insert yur Enlite sensr.

9 DOUBLE BUTTON PRESS See Getting Started with CGM, pages and Quick Reference page n Using the Enlite Sensr There are several places t g fr helpful instructins n hw t insert yur Enlite sensr. Which ne will yu use? Getting Started with CGM, pages Quick Reference page in the back f Getting Started with CGM mylearning vide: my.medtrnicdiabetes.cm/mylearning Medtrnic Diabetes website: TAPING See Getting Started with CGM, pages n Taping a. It is very imprtant that yu use the Enlite sensr vertape t keep yur sensr under yur skin. Which picture(s) belw shw the sensr vertape applied crrectly? Circle the crrect picture(s). b. TAPING c. d. IMPORTANT: All Enlite tapes and adhesives stick best when yu apply pressure fr several secnds after putting them n yur skin. Ding s helps the Enlite sensr stay fully inserted. Cunt fr 5 secnds r mre while yu apply pressure n the tape t ensure enugh time fr it t stick t yur skin. 9

TAPING See Getting Started with CGM, pages 20-21 n Taping Which f the fllwing steps are in the crrect rder? Circle the crrect answer. 1. Insert the sensr 2. Cnnect the transmitter 3. Tape the sensr 1.

10 TAPING See Getting Started with CGM, pages n Taping Which f the fllwing steps are in the crrect rder? Circle the crrect answer. 1. Insert the sensr 2. Cnnect the transmitter 3. Tape the sensr 1. Insert the sensr 2. Tape the sensr 3. Cnnect the transmitter 1. Cnnect the transmitter 2. Insert the sensr 3. Tape the sensr In 6 days yu will receive a Sensr End alert telling yu that yur Enlite sensr has reached the end f its life. Remve the sensr and insert a new ne. Yu can als review hw t prperly tape the Enlite sensr by using these resurces: Getting Started with CGM, page Quick Reference page in the back f Getting Started with CGM mylearning vide: my.medtrnicdiabetes.cm/mylearning Medtrnic Diabetes website: 10

11 CALIBRATION See Getting Started with CGM, pages fr guidelines n Calibrating What might happen if a calibratin is required and it is nt entered int yur pump? a. Sensr glucse readings will nt cntinue t display b. Yu may nt receive imprtant glucse alerts/alarms such as Lw Limit r Threshld Suspend c. Bth a and b If yu ntice a large difference between yur sensr and bld glucse readings what actins shuld yu take? CHECKPOINT CALIBRATION a. Wash yur hands b. D anther BG fingerstick and calibrate again if needed c. Check that the sensr has nt pulled ut f yur skin d. All f the abve In rder fr yur CGM t wrk, calibratins are needed: a. At least nce every 12 hurs (after the first day) b. Every day and at times that are cnvenient fr yu such as befre bed c. 3-4 times a day fr best sensr perfrmance d. All f the abve Calibratin Schedule Day 1 Enlite sensr inserted: AM/PM I will calibrate: 2 hurs after sensr inserted: AM/PM Within the next 6 hurs: AM/PM At bedtime: AM/PM Day 2 t Day 6 I will calibrate: When I wake up: AM/PM Again within 12 hurs: AM/PM At bedtime: AM/PM 11

12 CARELINK See Getting Started with CGM, pages n CareLink CareLink sftware helps yu t understand the effects f,, and n yur glucse levels. CARELINK What are three benefits f using CareLink? Fllw these steps t get started n CareLink: 1. G t and click n CareLink 2. Click the Sign Up Nw buttn 3. Read and accept the terms f agreement 4. Create a User Name, Passwrd, and enter yur cntact infrmatin 5. Once yu submit, yu will be able t lg in frm the Welcme screen 6. Click the Uplad buttn and fllw the steps prvided n the screen 7. Click n Reprts t view yur upladed infrmatin Yu can learn mre abut setting up yur accunt, uplading yur pump and lking at reprts by: Ging t Taking the CareLink class n mylearning at my.medtrnicdiabetes.cm/mylearning Seeing Getting Started with CareLink Persnal Sftware My CareLink Username: and Passwrd: 12

13 CGM Fllw-up CARELINK REPORTS See Getting Started with CareLink 13

14 CGM Fllw-up CARELINK REPORTS See Getting Started with CareLink Lk carefully at this example Daily Summary reprt the sectins n Glucse, Insulin Delivery, and Carbhydrates and Exercise. During the vernight perid was the sensr glucse mstly abve r belw target? T determine if this is the same pattern that is seen n mst vernights, which CareLink reprt wuld yu review? T treat the sensr glucse levels during the vernight perid which actin was taken? a. Bluses were delivered b. Temprary basal was prgrammed c. N actin was taken d. I dn t knw what happened What events might have caused the sensr glucse t fall and trigger a Threshld Suspend alarm at 5 pm? Insulin delivery was autmatically suspended fr tw hurs (5pm 7 pm) and then basal insulin was restarted autmatically. Shuld the Threshld Suspend have ccurred again afterwards? Why r why nt? 14

15 CGM Fllw-up CARELINK REPORTS See Getting Started with CareLink 15

16 CGM Fllw-up CARELINK REPORTS See Getting Started with CareLink Nw, lk at anther example Daily Summary reprt. What might have caused the sensr glucse t rise steadily starting at 11 am? At abut 7:40 pm a Threshld Suspend alarm began t siren. Did insulin delivery remain suspended r was it restarted? What event(s) might have caused the sensr glucse t fall and then trigger the Threshld Suspend alarm? Hw many ttal Threshld Suspend alarms were received? 16

17 RESOURCES Starting cntinuus glucse mnitring is exciting, but it can als smetimes feel like a lt t learn. If yu need answers, there are several places yu can g: This Learning Guide shws yu where t g fr mre infrmatin and help n the tpics we cvered. T find additinal infrmatin n many tpics g t RESOURCES Fr classes t review infrmatin and help yu learn mre g t my.medtrnicdiabetes.cm/mylearning The 24-hur HelpLine is there fr yu 24 hurs a day, 365 days a year t help with any technical questins: Ordering Supplies It is imprtant that yu d nt run ut f CGM supplies. There are several ways t rder. Chse the way that will wrk best fr yu. mysupplycnnectin Autmatic Rerder Prgram Call , Optin 2 t have yur supplies autmatically sent t yu n a regular basis. Supply Rerder Card This card is mailed t yu. Simply fllw the instructins n the card and return t us by mail. Online Stre Create an accunt at my.medtrnicdiabetes.cm and rder nline. If yu have already gne nt mylearning, yu will use that username and passwrd. mymedtrnic Cnnect This app lets yu rder supplies right frm yur phne. G t itunes t dwnlad fr yur iphne, ipad r ipd Tuch. Autmated Phne System Place an rder 24 hurs a day, 7 days a week by calling , Optin 2. Live Representative Call the Supply Order Team at , Optin 2, Mnday thrugh Friday, frm 8:00 AM t 6:00 PM Central Standard Time. 17

18 Let s review... 2x CHECKPOINT? 18 3

University College Hospital. Pump school Starting on an insulin pump. Children and Young People s Diabetes Service

University College Hospital. Pump school Starting on an insulin pump. Children and Young People s Diabetes Service University Cllege Hspital Pump schl Starting n an insulin pump Children and Yung Peple s Diabetes Service 2 If yu wuld like this dcument in anther language r frmat, r require the services f an interpreter,