Bayer HealthCare | Ascensia Elite Blood Glucose Meter MODEL Ascensia Elite | User guide | Bayer HealthCare Ascensia Elite Blood Glucose Meter MODEL Ascensia Elite User guide

THERAPY MANAGEMENT SOFTWARE FOR DIABETES
User Guide
©2007 Medtronic MiniMed, Inc. All rights reserved.
CareLink™ Personal, CareLink™ Pro, Paradigm Link™, and ComLink™ are trademarks of Medtronic MiniMed
Paradigm® and Bolus Wizard® are registered trademarks of Medtronic MiniMed
BD Logic™ is a trademark of Becton, Dickinson and Company
LifeScan™ is a trademark of LifeScan, Inc., a Johnson & Johnson Company
LifeScan OneTouch®, OneTouch® Profile®, OneTouch® Ultra®, OneTouch® Ultra® 2, OneTouch® UltraSmart®, OneTouch® Basic®, OneTouch®
FastTake®, OneTouch® SureStep® are registered trademarks of LifeScan, Inc.
Ascensia®, Glucometer®, Ascensia® DEX®, Glucometer® DEX®, Ascensia® DEX® 2, Glucometer® DEX® 2, Ascensia® DEXTER-Z® II,
Glucometer® DEXTER-Z®, Ascensia® ESPRIT® 2, Glucometer® ESPRIT®, Glucometer® ESPRIT® 2, Glucometer ELITE® XL, are registered
trademarks of Bayer Corporation, Diagnostics Division
Ascensia ELITE™ XL, Ascensia® BREEZE™, Ascensia® CONTOUR™ are trademarks of Bayer Corporation, Diagnostics Division
MediSense™ is a trademark of Abbott Laboratories, Inc.
Precision Xtra™ is a trademark of Abbott Laboratories, Inc., MediSense Products
FreeStyle® is a registered trademark of TheraSense, Inc.
FreeStyle Flash™ is a trademark of TheraSense, Inc.
Java™ is a trademark of Sun Microsystems, Inc.
Microsoft® and Windows® are registered trademarks of Microsoft Corporation
Windows Vista™ is a trademark of Microsoft Corporation
Adobe® is a registered trademark of Adobe Systems, Incorporated
Acrobat® Reader® is a registered trademark of Adobe Systems, Incorporated
U.S., International, and foreign patent applications are pending
REF MMT-7333
6025081-0U1
041907
Contents
Chapter 1:
Introduction
Overview
. . . . . . . . . . . . . . . . . . . . . . . . . 1
................................................1
Reports
...........................................1
Logbook
........................................... 2
Secure access
Supported devices
...................................... 2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Equivalent devices
User safety
............................... 4
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Indications for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
U.S. and Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Outside the U.S. and Canada. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Chapter 2:
Navigational tips . . . . . . . . . . . . . . . . . . . . . . . 7
The Welcome screen
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Common links
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Screen tabs
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Using buttons, links and fields
Chapter 3:
Getting started
. . . . . . . . . . . . . . . . . . . . . . . . 10
. . . . . . . . . . . . . . . . . . . . . . 12
Synchronizing dates and times
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Changing the date and time on your computer
Changing the date and time on your device
Security alert
. . . . 13
. . . . . 13
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
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Choosing not to install the security certificate
Installing the security certificate
Enrolling
. . . . . . . . 14
. . . . . . . . . . . . . . . . . . . 15
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Completing enrollment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Terms of use and privacy statement
. . . . . . . . . . . . . . . . . . . . 18
Enrollment form
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Logging in
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Steps for logging in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
If you forget your password
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Logging off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Security reasons for logging off . . . . . . . . . . . . . . . . . . . . . . . 24
Displaying online help files
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Reviewing the privacy statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Reviewing terms of use
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Chapter 4:
Home screen . . . . . . . . . . . . . . . . . . . . . . . . 28
Opening the Home screen
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Recent Activity – Last 5 Uploads
What Can I Do Next?
Chapter 5:
Upload screen
. . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
. . . . . . . . . . . . . . . . . . . . . . . 32
Opening the Upload screen
Security warning
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Connecting devices to the computer
. . . . . . . . . . . . . . . . . . . . . . . 35
Overview of hardware connections. . . . . . . . . . . . . . . . . . . . . . 36
Hardware connection diagrams
Uploading data from your device
. . . . . . . . . . . . . . . . . . 37
. . . . . . . . . . . . . . . . . . . . . . . . 39
Verifying your device upload
. . . . . . . . . . . . . . . . . . . . 43
Downloading the Java Plug-in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
If you have Windows XP, Service Pack 2
Downloading the SerialPort driver
. . . . . . . . . . . . 45
. . . . . . . . . . . . . . . . . . . . . . . . . 47
Installing the USB interface cable driver
. . . . . . . . . . . . . . . . . . . 48
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Chapter 6:
Logbook screen
. . . . . . . . . . . . . . . . . . . . . 51
Opening the Logbook screen
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Displaying logbook entries for a specific date . . . . . . . . . . . . . . . . . . 53
Adding a logbook entry
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Adding Carbohydrates entries
Adding Exercise entries
. . . . . . . . . . . . . . . . . . . . . 54
. . . . . . . . . . . . . . . . . . . . . . . . . . 55
Adding HbA1c entries
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Adding Infusion Set Change entries
Adding Urine Ketone entries
. . . . . . . . . . . . . . . . . . 56
. . . . . . . . . . . . . . . . . . . . . . . 57
Logbook error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Editing a logbook entry
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Deleting a logbook entry
Chapter 7:
Reports screen
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
. . . . . . . . . . . . . . . . . . . . . . 61
Opening the Reports screen
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Generating a single report
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Generating multiple reports
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Saving a report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Printing a report
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Identifying the report title
Understanding reports
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Quick View Summary report
. . . . . . . . . . . . . . . . . . . . . . . . 73
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Daily Summary report
. . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Data Table report
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Modal Day Periods report
. . . . . . . . . . . . . . . . . . . . . . . . . . 84
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Modal Day Hourly report
. . . . . . . . . . . . . . . . . . . . . . . . . . 86
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Trends Summary report
. . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
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Device Settings report
. . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Sensor Daily Overlay report
. . . . . . . . . . . . . . . . . . . . . . . . 93
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Sensor Weekly Logbook report
. . . . . . . . . . . . . . . . . . . . . 94
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Sensor Overlay by Meal report
. . . . . . . . . . . . . . . . . . . . . 95
Things to look for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Special issues affecting report results
. . . . . . . . . . . . . . . . . . . . . . 98
Device Settings report date and time . . . . . . . . . . . . . . . . . . 98
Changing device time affects report results
Chapter 8:
My Info screen
. . . . . . . . . . 99
. . . . . . . . . . . . . . . . . . . . . .100
Opening the My Info screen
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Changing the information on this screen
Changing your password
. . . . . . . . . . . . . . . . . . . . . 100
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Changing your information sharing . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Allowing access to your data . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Revoking access to your data . . . . . . . . . . . . . . . . . . . . . . . . . 104
Chapter 9:
Preferences screen
. . . . . . . . . . . . . . . . . . . .105
Opening the Preferences screen
. . . . . . . . . . . . . . . . . . . . . . . . . . 105
Changing the information on this screen
. . . . . . . . . . . . . . . . . . . . 105
Guidelines for setting Advanced Intraday Periods . . . . . . . . . . . . . . 107
Appendix A:
Required system & browser settings . . . . . . . . . . 108
Device uploads for Windows Vista™ users . . . . . . . . . . . . . . . . . . . . . 109
Enabling Java scripting
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Secure Sockets Layer (SSL) and encryption . . . . . . . . . . . . . . . . . . 113
Upgrading Internet Explorer
. . . . . . . . . . . . . . . . . . . . . . . 115
Setting Internet Explorer for secure browsing
. . . . . . . . . . . 115
Glossary ....................................................116
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Index .......................................................122
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Chapter 1:
Introduction
• Overview
• Supported devices
• User safety
• Assistance
Overview
CareLink™ Personal is a Web-based system designed to help you manage your
diabetes. It has many key features:
➠
➠
➠
➠
➠
It copies (uploads) data from your devices: insulin pump, continuous
glucose monitor, and supported blood glucose meters.
Device data is stored on a networked database.
There is an online logbook where you can record self-reported
information, such as how many carbohydrates you ate.
Uploaded data and other information stored on the system can be
viewed through several different types of treatment reports.
Access to data and personal information on this system is secure.
Reports
Reports show you data gathered from your device(s), and from what you
directly entered into the system. Examples of the report data you can get
include:
➠
➠
➠
➠
➠
Pump operation, such as alarm settings and maximum allowed bolus
amount.
Insulin delivery rates, types and times.
Blood glucose reading levels and times.
Sensor glucose reading levels and times.
Bolus Wizard® or online logbook entry data.
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Reports are displayed in PDF format. They can be viewed online, saved, or
printed.
You can share your reports with your healthcare professional. They can use
reports to determine if and how your treatment regimen should be adjusted.
Logbook
The logbook allows you to enter the following self-reported information:
Carbohydrates eaten
➠ Exercise activity
➠ Urine ketone results
➠ HbA1c results
➠ Infusion set changes
The data from your logbook is used in the reports you create. You can see
how, for example, your carbohydrate intake compares to blood glucose levels
for the same day or time. You can also use it as an online diary of your
diabetes management.
➠
Secure access
Entry into the system is secure. It requires the use of a username and
password that is unique to you. Do not give away your username and password.
This way, no one else will be able to log in and see your information.
Also, the system uses Secure Sockets Layers (SSL) technology, which encrypts
data during transmission.
Supported devices
The following devices are supported for use with this system.
Note: Some devices supported by this system may not be available in all
countries where this system is approved for use.
➠
Supported insulin pumps:
–
➠
Medtronic MiniMed Paradigm model series pumps - 515, 715, 522, 722,
522K and 722K (U.S. only)
Supported continuous glucose monitors:
–
Medtronic Guardian® REAL-Time Continuous Glucose Monitoring
System
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➠
Supported glucose meters:
–
Paradigm Link™ Blood Glucose Monitor
–
BD Logic™
–
LifeScan
–
–
–
–
OneTouch® Profile®
–
OneTouch® Ultra®
–
OneTouch® Ultra® 2
–
OneTouch® UltraSmart®
–
OneTouch® Basic®
–
OneTouch® FastTake®
–
OneTouch® SureStep®
Bayer
–
Ascensia® BREEZE™
–
Ascensia® CONTOUR™
Bayer Ascensia® DEX® family, including the following compatible
meters:
–
Ascensia® DEX®
–
Glucometer® DEX®
–
Ascensia® DEX® 2
–
Glucometer® DEX® 2
–
Ascensia® DEXTER-Z® II
–
Glucometer® DEXTER-Z®
–
Ascensia® ESPRIT® 2
–
Glucometer® ESPRIT®
–
Glucometer® ESPRIT® 2
Bayer Ascensia ELITE™ family, including the following compatible
meters:
–
Ascensia ELITE™ XL
–
Glucometer ELITE® XL
–
Precision Xtra™
–
TheraSense FreeStyle®, FreeStyle Flash™
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➠
➠
➠
The Medtronic MiniMed Com-Station, for uploading pass-through third
party meters. See the Com-Station User Guide for details about the
required hardware.
Medtronic MiniMed ComLink, for uploading the Medtronic MiniMed
Paradigm Pump or the Guardian REAL-Time CGM System. See the
ComLink User Guide for details about the required hardware.
Data communications cable for uploading data from third-party blood
glucose meters. Each meter manufacturer supplies a data
communications cable.
Equivalent devices
The Bayer Ascensia® DEX® is equivalent to and compatible with the
following meters. It may be selected during an upload for any of them:
–
Bayer Ascensia® DEX® 2
–
Bayer Glucometer® DEX®
–
Bayer Glucometer® DEX® 2
–
Bayer Ascensia® DEXTER-Z®
–
Bayer Glucometer® DEXTER-Z®
–
Bayer Ascensia® ESPRIT® 2
–
Bayer Glucometer® ESPRIT®
–
Bayer Glucometer® ESPRIT® 2
The Bayer Ascensia ELITE™ XL is equivalent to and compatible with the
following meter. It may be selected during an upload for it:
–
Bayer Glucometer ELITE® XL
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User safety
Indications for use
CareLink Personal is intended for use as a tool to help control diabetes. The
purpose of this system is to take information transmitted from insulin pumps,
continuous glucose monitors and glucose meters, and logbook data entered by
the patient, and turn it into CareLink Personal reports. The reports provide
information that can be used to identify trends and track daily activities; such
as carbohydrates eaten, meal times, insulin delivery, and blood glucose
readings.
Warnings
➠
➠
➠
➠
This system is intended to be used together with advice from a
healthcare professional familiar with the diagnosis and treatment of
diabetes.
You should be monitoring your blood glucose levels at least 4 - 6 times a
day.
This system is not intended to provide medical advice and should not be
relied upon for such purpose.
Do not make any changes to your treatment without talking to your
healthcare professional first.
Contraindications
None known
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Assistance
If you need further help with this system, contact one of the following
resources.
U.S. and Canada
Medtronic MiniMed provides a number to call for residents of the United
States and Canada for guidance with software problems. The hours are
Monday through Friday from 8:00 a.m. to 5:00 p.m. Pacific Standard
Time.
Department
Telephone number
24 Hour HelpLine, if calling from within the United
States and Canada
(800) 646-4633
800-MiniMed
24 Hour HelpLine if calling from outside the United
States and Canada
818-576-5555
MiniMed Web site
www.minimed.com
Outside the U.S. and Canada
For assistance for residents of regions outside the United States or Canada,
please contact your local country representative.
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Chapter 2:
Navigational tips
• The Welcome screen
• Common links
• Screen tabs
• Using buttons, links and fields
The Welcome screen
Note: The system screens may vary slightly from the examples shown in this
user guide.
This screen displays each time you enter the system, log off, or time out. It
allows you to safely sign in to the system, and choose country and language.
If you have not done
so, select your
If you are NOT an enrolled user: click
the Sign Up Now button.
country and
language settings.
If you
in in
these
you are
are an
anenrolled
enrolleduser:
user:fillfill
fields
and
click
the
Sign
In
button.
these fields and click Sign In.
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Note: The chapter “Getting started” on page 12 has details on enrolling and
logging in.
Common links
Nearly all of the system screens display links (underlined words) near the
top and bottom of the screen. Links take you to other screens in the system.
The name of the link tells you which screen displays when you click on it.
Note: Log-Off takes you to the Welcome screen.
To display a linked screen, click on any part of the underlined link name.
Click on any of these links to go to another screen in
the system.
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Screen tabs
Tabs appear near the top of all the system screens. They allow you to quickly
get to the main system screens.
To get to the screen named on the tab, simply click the tab.
Click any of these tabs to display the primary screens of the
system.
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Using buttons, links and fields
The following table describes the various system buttons, links or fields you
will see in the system, and the type of action they require. Becoming familiar
with these should make it easier for you to use this system.
Button, Link or Field
Action
Click this type of link on the Home screen to
go to another screen on the system. The new
screen allows you to do the listed action.
Click this type of link to go to a screen and
do the listed action or display the listed
information.
Click to edit the logbook entry on the same
row as this button.
Click to delete the logbook entry on the
same row as this button.
Click on any button like this to do the action
listed on the button (Update, Add, etc.)
Click buttons like this to display the next
screen, cancel, go back or finish functions
like device uploads. The button label tells
you what action you can do when you click on
it.
Enter the date in the field, or click the
calendar to the right of the field, and select
the year, month and date.
Click the arrow(s) in these fields to display a
drop-down list of choices for filling in the
field.
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Button, Link or Field
Action
Type text in the gray box to the right of or
below this type of field. (When you are
editing such fields, delete or type over
existing text to replace it.)
Click in the radio button (circle) next to your
choice for this field.
If you see a question mark next to a field,
you can click it to display information about
how to fill in the field.
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Chapter 3:
Getting started
• Synchronizing dates and times
• Security alert
• Enrolling
• Logging in
• Logging off
• Displaying online help files
• If you forget your password
• Reviewing the privacy statement
• Reviewing terms of use
Synchronizing dates and times
Incorrect dates or times affect the accuracy of the system reports. Multiple
device uploads and manually entered information will not compare correctly if
your devices and computer have different dates/times.
It is very important that you make sure all of the following are displaying the
current date and time. They should also be within one minute of one another.
computer
➠ insulin pump
➠ continuous glucose monitor
➠ glucose meter(s)
A warning message displays during device uploads if there is more than 10
minutes difference between your device and computer.
➠
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Changing the date and time on your computer
1. Double-click on the time display on your computer desktop, or select Start >
Control Panel > Date and Time.
The Date and Time Properties window displays.
2. Use the menu options, tabs and controls to change the date and time as
needed.
Changing the date and time on your device
See the appropriate Medtronic MiniMed pump or continuous glucose monitor
user guide for instructions on changing the date and time on those devices.
For your glucose meter, see the meter’s user guide for instructions on
changing the date and time.
Security alert
When you first enter the system and click either Sign In or Sign Up Now, a
security alert may display. Depending on your Internet Explorer settings, you
may never see this alert. However, if you do, this section describes what it is
and how to handle it.
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The alert provides the following:
Information about the security of the CareLink Personal Web site.
➠ Access to the system’s security certificate.
➠ Statement that information you exchange with this system is secure, but
you have not yet chosen to trust the site. By secure, it means the
information will not be distributed to or viewed by others.
➠ Information about the organization who owns/operates CareLink
Personal, and whether the certificate is current.
You should check to see if the security alert has a circle with a check mark
next to the following:
➠
➠
➠
The security certificate date is valid.
The security certificate has a valid name matching the name of the page
you are trying to view.
Choosing not to install the security certificate
If you do not feel comfortable viewing and installing the security certificate,
do the following each time you log in:
1. Make sure the security alert displays the check marks described above.
2. Click the
Note: If you click
Personal.
button.
, you will not be able to continue using CareLink
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Installing the security certificate
You can also choose to view and install the certificate. Installing it means
you are choosing to trust CareLink Personal. The security alert will no longer
be displayed each time you log in.
Note: You only have to complete this procedure one time.
1. Display the certificate by clicking the
button.
Check to make sure of the following:
➠
➠
The name of the issuer (Issued To and Issued By) matches the Internet
address you used to enter the system.
The date of the certificate (Valid from... to ...) has not expired.
You can also click on the tabs at the top of the Certificate page to see more
information.
If you decide you want to install the certificate, continue with the
following steps:
2. Click the
button at the bottom of the Certificate page.
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The Certificate Import Wizard is displayed.
3. Follow the instructions on the Wizard screens, clicking the Next > button when
you are ready to move on.
When you reach the end of the process, the Completing the Certificate
Import Wizard screen displays.
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4. If you need to make changes, click the < Back button and modify your
certificate store selection. Otherwise, click the Finish button.
A message displays saying the import of the certificate to your system was
successful.
5. Click the OK button to complete the installation process.
Now when you log in, you should no longer see the security alert.
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Enrolling
Before you can use the system to store data and create reports, you must
enroll. During enrollment you will provide information about yourself through
an enrollment form.
Later you can view or change this enrollment information by going to the My
Info screen. See the chapter “My Info screen” on page 100 to learn more about
how to update your personal information.
Completing enrollment
1. From the Welcome screen, click the
button.
➠ If you have not yet selected a country or language, a screen is displayed
to allow you to do so. Select your country, and, if necessary, language.
The Terms of Use and Privacy Statement screen displays.
Note: If the Security Alert pop-up displays, see “Security alert” on page 13.
Terms of use and privacy statement
1. If you need to change your country or language selection, click the link at the
top of the screen. Language selection can also be changed after enrollment
through the Preferences screen (see Chapter 9, “Preferences screen” on
page 105).
2. Use the scroll bar to the right of each section to page through and read the
contents.
3. Make sure the statements at the bottom of the screen are true statements for
you. Click to place a check mark in the boxes next to each one that is true.
4. Click the
button.
The Enrollment Form displays.
Note: If you click the
screen without enrolling.
button, you are returned to the Welcome
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Enrollment form
1. Filling in the fields
1. Enter information in all the required fields—the ones marked with a red
asterisk, *.
The following table describes the types of fields on the form, and the
action required for you to complete them:
Field
Action
Text Entry
Type your information into the gray
field to the right.
Pull Down Menu
Click the arrow to the right of the gray
field to display a selection list.
Highlight your choice and click it to
place it in the gray field.
Note: If you already have a U.S. Medtronic MiniMed Online Store username
and password, type them into the Username and Password fields.
Spaces are not allowed in usernames. If you use spaces in a password, you will
have to remember to enter the same spaces each time you use that password.
2. Understanding a field
Some of the fields that might require explanation, have question mark
buttons,
, next to them. When you click on the question mark, a window
displays with information about how to fill in the field.
To close the information window, click the
button or the
button in the upper right corner of the window.
3. Submitting the enrollment form
1. Verify that all of the information you have provided on the enrollment form is
correct and complete.
2. Click the
button at the bottom of the form.
If your enrollment is successful, the Enrollment Completed screen displays.
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Note: If you receive an error message after clicking the Submit button, it
could be for one of the following reasons:
➠
➠
➠
not all of the required fields have been completed.
the information in one or more of the fields is either not complete or is
the wrong type of information for that field.
Your username matches someone else’s.
3. Click the
button to return to the Welcome screen to log in.
See “Logging in” on page 21 for information on logging in.
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Logging in
In order to use this system, you must first log in. This is for security reasons,
so no one else can see your information unless they know your username and
password.
A login is required to use CareLink Personal in the following situations:
➠
➠
➠
Each time you access the system.
If you change your mind after choosing to log off.
Your session times out, which happens if there is no activity on a screen
for several minutes.
Steps for logging in
1. On the Welcome screen sign in box, type the username and password you
entered at enrollment.
2. Click the
button.
Note: If the Security Alert pop-up displays, see “Security alert” on page 13.
The Home screen displays. See the chapter, “Home screen” on page 28, to
learn more about the Home screen.
If you receive an error message when you try to log in, try re-typing your
username and password. If you continue to fail, contact the Product Help
Line (see “Assistance” on page 6).
If you forget your password
If you forget your password, take the following steps to reset and update
the password.
1. Click the
screen displays:
link on the Welcome screen. The Reset Password
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2. Type in the username and email address you use for your CareLink account in
the appropriate fields, and click SUBMIT. Once the system validates your
information, and the reset occurs, an acknowledgement page displays:
3. Click the OK button.
4. A temporary password is emailed to you. The next time you log in to the
system using this temporary password, the Password Update screen displays.
This allows you to choose your own new password.
Note: You must login with your temporary password and update it within 24
hours of the time the password was reset. Otherwise, the temporary password
expires, and you will need to request another reset.
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5. Type in a password in the New Password field.
The password can be from 4 to 20 characters long. It is recommended that
you make it at least 8 characters, and include upper case, lower case and
numbers.
6. Re-type your new password in the Confirm Password field.
7. Click the
button.
A box displays, confirming the successful update of your password.
8. Click OK.
The Home screen displays.
If you experience any problems in resetting or updating your password,
contact the HelpLine (see “Assistance” on page 6).
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Logging off
If you have finished using the system, you should log off by taking the
following step:
1. Click the
link in the upper right part of whichever system screen you
are on, as shown below:
The Welcome screen displays. You can then choose to log in again (see
“Logging in” on page 21 for login instructions). Or, you can leave the system
by going to another Web site or by closing Internet Explorer.
Security reasons for logging off
If you are going to leave your computer for a while, make sure you log off
the system. The system does time out and automatically log you off after a
certain period of inactivity. However, to make certain you are logged off right
away, it is best that you log off yourself.
Please note that your personal information may remain visible in the
browser after you log off. So, you should also close the browser if you are
concerned about guarding that information. You should take special care to
close the browser after you log off if you use public access computers.
Examples of public access computers are those found in public libraries and
Internet cafes. For information on setting your browser to be as secure as
possible, see Appendix A, “Setting Internet Explorer for secure browsing” on
page 115.
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Displaying online help files
If you need help while you are on the system, you can display the online help
screens. These are instructions and guidelines similar to this document that
you can view from the system.
To display the online help, take the following steps:
1. Click the
link in the upper right part of whichever screen you are on, as
shown below:
The online help screens display. Follow the tabs and links, and use the
search tools and Back button to access the topic you want.
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Reviewing the privacy statement
You can read the Privacy Statement at any time during your use of the
system by taking the following steps. This gives the security and privacy
measures in effect to protect all CareLink Personal users.
1. From anywhere in the system, click the Privacy Statement link at the bottom
of the screen, as shown below:
The Privacy Statement screen displays. Use the scroll bar on the right side
of the screen to see all of the information.
2. To print out this screen, select File > Print from the Internet Explorer menu
options.
3. To close this screen, click the
in the upper right corner of the Internet
Explorer title bar.
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Reviewing terms of use
You can read the Terms of Use any time while in the system by taking the
following steps. Terms of Use states the agreement for use of CareLink
Personal you accepted at enrollment.
1. From anywhere in the system, click the Terms of Use link at the bottom of the
screen, as shown below:
The Terms of Use screen displays. Use the scroll bar on the right side of the
screen to see all of the information.
2. To print out this screen, select File > Print from the Internet Explorer menu
options.
3. To close this screen, click the
Explorer title bar.
in the upper right corner of the Internet
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Chapter 4:
Home screen
• Opening the Home screen
• Recent Activity – Last 5 Uploads
• What Can I Do Next?
The Home screen is the first screen you see when you log in to CareLink
Personal. It is a personalized screen, welcoming you and displaying the
following information:
Recent Activity – Last 5 Uploads: information about your most recent
device uploads.
➠ What Can I Do Next?: links to the other screens where you can use the
system’s features.
When you first enroll, before any device uploads, the Recent Activity – Last 5
Uploads section is empty. The Home screen lets you know that you have not
yet stored any data.
➠
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Once you have done some device uploads, the Home screen will look more
like the following.
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Opening the Home screen
There are two ways to open the Home screen:
➠
➠
Logging into the system always takes you to the Home screen first.
Once you are logged in, open the Home screen from anywhere within
the system by clicking on the
tab.
Recent Activity – Last 5 Uploads
This section of the Home screen displays the last five device uploads you
have done. The information about these uploads displays in three columns
with the following data:
The date of the upload.
➠ The name of the device from which you uploaded data.
➠ The serial number of the device from which you uploaded data.
The information is displayed as follows:
➠
The number of device uploads displayed is less than five if you have not yet
done five uploads. If you have yet to perform any device uploads at all, this
section of the Home screen is empty.
Note: Information about uploading from devices is in the chapter “Upload
screen” on page 32.
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What Can I Do Next?
This section of the Home screen gives the types of activities you can do on
the system. It also provides links to the screens from which you can perform
these activities:
Click on one of these links to go to the associated screen and begin the
activity you have chosen.
Note: For information about these screens, see the remaining sections of this
document.
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Chapter 5:
Upload screen
• Opening the Upload screen
• Connecting devices to the computer
• Uploading data from your device
• Downloading the Java Plug-in
• Downloading the SerialPort driver
Use the Upload screen to copy information from your device to the system.
This information is then ready for use in reports.
Uploads can only be done using the devices specified in “Supported devices”
on page 2 in Chapter 1. Device uploads will not be successful unless your
computer hardware and devices are connected properly to one another.
Diagrams for connecting your computer and devices are provided in this
chapter. For further instructions, you should refer to the appropriate
hardware user guide (e.g., the ComLink User Guide).
Here are some of the types of information the system gathers from your
insulin pump during an upload:
Pump name and serial number
➠ Various settings on the pump, such as the alert mode, the beep volume
and the time display
➠ Basal insulin amounts delivered
➠ Bolus insulin types and amounts delivered
➠ Priming amounts
➠ Suspend periods
➠ Sensor glucose readings over a period of time
The information the system gathers from your glucose meter includes the
following:
➠
➠
➠
➠
Your various blood glucose readings over a period of time
Control solution tests
Check strip tests
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Blood ketone values
The information the system gathers from your continuous glucose monitor
includes the following:
➠
➠
➠
➠
➠
➠
➠
Isig values
Sensor Glucose (SG) readings
Sensor coefficient values
Sensor Calibration factors
Meal Markers
Insulin Injections
Note: To retrieve certain data from a Guardian REAL-Time CGM System, you
must first have entered the data via the Capture Event feature. This is
entered manually on the monitor. It includes meter BG reading, exercise
duration, boluses given, and carbohydrates eaten. Refer to the Capture Event
instructions in the “Guardian® REAL-Time Continuous Glucose Monitoring
System User Guide.”
For uploads, the system requires your Internet browser to have the Sun
Microsystems Java™ Plug-in. The plug-in allows your Internet Explorer Web
browser to run the device upload program (applet). If the plug-in is not
installed, the system detects this and lets you know. The system then gives
you the option of installing it before your first device upload. Plug-in
installation information is contained in this chapter in “Downloading the Java
Plug-in” on page 44.
The system also requires a driver, called the SerialPort package file, to be
installed. This driver extends the capabilities of the plug-in so it can gather
data from your computer’s serial communications port. You will be given the
option of installing this driver before your first device upload. The section
“Downloading the SerialPort driver” on page 47 contains installation
instructions.
In addition, if you are using the USB interface cable, the system may require
installation of the driver for it. This may occur during your first upload when
you select the USB interface cable for your communication device. The section
“Installing the USB interface cable driver” on page 48 contains installation
instructions.
Note: If your PC is running with the Vista operating system, and you have not
yet uploaded a device with this operating system, see “Device uploads for
Windows Vista™ users” on page 109.
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Opening the Upload screen
1. Make sure you are logged in.
2. Click the
tab.
or
Click the
link on the Home screen.
The Upload screen begins displaying.
Security warning
Before the first Upload screen is displayed, the following security warning
displays.
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This is asking if you trust that the content of this system is safe. Your trust is
based on the fact that Medtronic MiniMed has stated that it is safe. You can
choose Yes, No or Always.
➠
➠
➠
If you choose Yes, you can proceed with the Upload. However, you will
see this warning again the next time you select the Upload screen.
If you choose No, you will not be able to proceed with the upload.
If you choose Always, you can proceed with the upload. Plus, you will no
longer see this warning when you select the Upload screen.
If you want to view more information about the security certificate, click on
the More Details button.
Connecting devices to the computer
The hardware connection diagrams that follow show you how to connect
your device to your computer for uploads.
First, review the overview diagram so you have an idea of where things
should be connected. Then, look at the other diagrams for specifics. During
the system upload process, detailed connection instructions are displayed,
such as whether the device should be on or off.
Note: Some devices supported by this system may not be available in all
countries where this system is approved for use.
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Overview of hardware connections
Note: The above example shows the ComLink being used as the communication
device between a pump and a PC.The Guardian REAL-Time CGM System can also
use the ComLink to communicate with the PC.
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Hardware connection diagrams
PC connections
USB
port
Serial
port
Optional Components
connect
to serial
port on
your PC
ComLink for use with the Paradigm series pumps
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Meter Options
25 to 9 pin
Serial Adapter
Connect to
USB port on
your computer
BD Logic™
Connect to
serial port on
your computer
Elite™ XL
Paradigm Link™
Connect to
serial port on
your computer
Note: The above diagram provides a few examples, and does not attempt to
show all of the supported meters.
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Uploading data from your device
Once you connect your device to your computer, you are ready to use the
Upload screen to copy device data.
The data uploaded from your device(s) is stored in the system—not on your
computer. Data is accessed from the system via the Internet. This way,
uploaded files do not use up your computer storage space.
Note: If you click on another system tab or link during an upload, the upload
will be cancelled.
WARNING: If a bolus or temp basal is being delivered, allow it to finish
before uploading the pump.
CAUTION: The pump will be in SUSPEND mode during an upload. Make sure
the pump is taken out of SUSPEND mode when the upload is
complete.
The following steps take you through the process of a device upload:
1. Make sure you are on the Upload screen.
Note: For Java plug-in installation, see “Downloading the Java Plug-in” on page
44. For SerialPort driver installation, see “Downloading the SerialPort driver”
on page 47.
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Once the applet loads, the first device upload window displays:
2. Follow the instructions on the window (to select device). When you are ready
to go to the next step, click NEXT> to display the next window.
Follow the instructions on each window, making sure to click NEXT> when
you are ready to move on.
Note: If you see screens for installing the driver for the USB interface cable,
see “Installing the USB interface cable driver” on page 48.
To skip steps in the process, wait until the FINISH button is highlighted, and
click on it instead of NEXT>.
3. When you see the Verify Connections window, read the steps. This is to ensure
you have properly set up communication between your computer and device.
(If need be, see “Connecting devices to the computer” on page 35.) When you
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are ready to complete the upload, click FINISH. A progress window similar to
the following displays:
Tip: To stop the upload, click CANCEL.
This window shows the progress of your device upload. Its display changes
to tell you each step in the upload.
A Checking Conditions window displays if there are differences between the
device you are uploading and one you uploaded before. If there is a
difference in the time settings between your device and your computer,
another Checking Conditions window displays. See the following example.
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4. If you see a window like one of the above, read and follow the provided
information.
When the upload completes successfully, the following message displays:
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The screen lists options for how to make use of the uploaded data. It also
reminds Paradigm Link users to disconnect the Link from the PC to conserve
battery life.
If you want to see if your upload was recorded in the database, see
“Verifying your device upload.”
If you get an error message and cannot fix it, see “Assistance” on page 6.
CAUTION: Once the upload is complete, make sure the pump is no longer in
suspend mode.
Verifying your device upload
If you want to make sure your device upload was entered into the system
database, check the Home screen:
1. Click the
tab.
The Home screen displays.
2. Look at the Recent Activity – Last 5 Uploads section of the screen.
The upload you just performed should be listed at the top of the list as the
most recent upload. It will have today’s date and the name of the device
you uploaded data from.
Most recent upload
If you want to create a report using the data you just uploaded, see the
chapter “Reports screen” on page 61.
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Downloading the Java Plug-in
If your operating system is Windows XP, with Service Pack 2, see the
section “If you have Windows XP, Service Pack 2” on page 45 first.
1. If you do not have the Java plug-in installed, you will be notified on the Upload
screen.
2. Click the button
displays, asking if you want to install the plug-in.
. A pop-up window
3. Click YES. The download progress is displayed.
Note: Some operating systems may require that you have Administrative
privileges in order to install the Java plug-in.
4. Accept the License Agreement when it is displayed, and select Typical for
Setup Type. An installation progress window displays.
5. The installation of the plug-in is complete when you are returned to the
Upload screen.
Note: You may be prompted to restart your computer in order for the Java
installation to take effect. If so, close any open programs and restart your
computer.
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If you have Windows XP, Service Pack 2
If the operating system installed on your computer is Windows XP, Service
Pack 2, the steps for downloading the Java plug-in vary:
1. If you do not have the Java plug-in installed, you are notified on a yellow
information bar that displays near the top of your Web browser.
Information Bar
2. Click on the yellow information bar. A pop-up list displays.
3. Select Install ActiveX Control from the pop-up list. The Security Warning
pop-up displays.
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4. Click the INSTALL button. A window displays the Java installation progress.
5. Accept the License Agreement when it is displayed, and select Typical for
Setup Type. An installation progress window displays.
6. The installation of the plug-in is complete when you are returned to the
Upload screen.
Note: You may be prompted to restart your computer in order for the Java
installation to take effect. If so, close any open programs and restart your
computer.
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Downloading the SerialPort driver
During your first device upload, the system requires the installation of a
driver called the SerialPort package file. When you see the following screen,
take the step that follows to download the required driver.
1. When you are ready to download and install the driver, click the
button.
The installation is complete when the Upload device selection screen is
displayed. If you want further information about the Serialport package
file, go to the provided URL, http://www.serialio.com.
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Installing the USB interface cable driver
Depending on the interface cable you are using, the system may require
installation of the USB interface cable driver. During the first upload in which
you select the USB interface cable as your communication device, the
following screen may display. If so, take the steps that follow to download the
required driver.
1. Make sure you do not have the USB interface cable connected to your PC, and
click Next >.
The following screen displays:
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2. Wait until one of the following two screens display. The screen you will see
depends on your operating system.
or
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3. Connect the USB interface cable to your computer, wait a few seconds, and
click Next >.
The installation is complete, unless your operating system is Windows 98. If
so, see the next step.
4. If your operating system is Windows 98SE, you will need to follow the extra
instructions shown on the screen above. The instructions are displayed as a
note for Windows 98 Second Edition users only. They guide you through the
additional installation dialog box that displays.
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Chapter 6:
Logbook screen
• Opening the Logbook screen
• Displaying logbook entries for a specific date
• Adding a logbook entry
• Editing a logbook entry
• Deleting a logbook entry
The Logbook screen is where you can record events related to your diabetes
therapy. Display this screen to view, add, edit or delete logbook entries. Your
logbook information is included in many of the system reports.
Here are the types of logbook entries you can make:
Carbohydrates: date, time and number of grams/exchanges of
carbohydrates you consumed for a meal or snack.
➠ Exercise: date, time, duration and intensity level of your exercise.
➠ HbA1c results: date, time and results of your HbA1c test.
➠ Infusion set change: date and time you changed your infusion set.
➠ Urine ketones: date, time and results of your urine ketone test.
You can also add comments to provide details about your entries. For
example, your comment for a carbohydrate entry might be "Dinner: pasta with
meat sauce, salad and bread."
➠
Opening the Logbook screen
1. Make sure you are logged in.
2. Click the
or
tab.
Click the
link on the Home screen.
The Logbook screen is displayed.
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A Logbook screen with no entries
Above is how the Logbook screen appears when you have not yet made any
entries. Once you have made some logbook entries, the screen will look
similar to the one below.
A Logbook screen with entries
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Displaying logbook entries for a specific date
Once you have logbook entries for various dates, take the following steps to
display the date you want.
1. Click the calendar next to the date field in the upper left of the Logbook
screen. Select the date you want to see.
2. Click the
button.
Any logbook entries you have made for the date you selected in step 1 are
displayed.
Adding a logbook entry
The following steps are for adding any type of logbook entry for any date
and time.
1. If you want to select a different date for the new entries, click the calendar
next to the date field, and click the
button.
2. Click the drop-down arrow next to Add Entry. Select the type of entry you want
to add from the list by clicking on it.
3. Click the
button on the Logbook screen.
The Add screen for the type of entry you selected is displayed.
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Adding Carbohydrates entries
1. Click the drop-down arrows in the Time fields to set the time for the entry.
2. Type the number of carbohydrate grams or exchanges for the entry in the
grams or exchanges field. (The range you can enter is 1 to 1,000 grams or 0.1
to 50 exchanges.)
3. Type details you want to include with the entry in the Comment field (e.g.,
type of food or meal).
4. Click the
button.
You are returned to the main Logbook screen where you can verify your new
entry.
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Adding Exercise entries
1. Click the drop-down arrows in the Time fields to set the time for the entry.
2. Type the number of minutes you exercised in the Minutes field. (The range you
can enter is from 1 to 1440.)
3. Click the drop-down arrow in the Intensity field. Select low, medium or high to
describe how hard you were exercising.
4. Type details you want to include with the entry in the Comment field (e.g., the
kind of exercise or how you felt).
5. Click the
button.
You are returned to the main Logbook screen where you can verify your new
entry.
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Adding HbA1c entries
1. Click the drop-down arrows in the Time fields to set the time for the entry.
2. Type the results of your HbA1c test in terms of percentage in the HbA1c test
result field. But, do not type the ‘%’ symbol. (The range you can enter is from
3.0 to 19.9.)
3. Type details you want to include with the entry in the Comment field (e.g.,
conditions relating to the test).
4. Click the
button.
You are returned to the main Logbook screen where you can verify your new
entry.
Adding Infusion Set Change entries
1. Click the drop-down arrows in the Time fields to set the time for the entry.
2. Type details you want to include with the entry in the Comment field (e.g.,
difficulties with the change).
3. Click the
button.
You are returned to the main Logbook screen where you can verify your new
entry.
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Adding Urine Ketone entries
1. Click the drop-down arrows in the Time fields to set the time for the entry.
2. Click the drop-down arrow in the Urine ketone measurement field. Select
negative, trace, small, moderate, or large—whichever best describes your
results.
3. Type details you want to include with the entry in the Comment field (e.g., any
action the results may require).
4. Click the
button.
You are returned to the main Logbook screen where you can verify your new
entry.
Logbook error messages
There are a few types of error messages you may receive if there is a
problem with a logbook entry. The first type of message is a general type that
describes such errors as a conflict between two entries. See the message in
the following example:
If you see this kind of message, you need to take action according to the
message. For example, if you received the above message you would find the
two entries and decide which one to correct. See “Editing a logbook entry” on
page 58.
The other type of error message happens if you type a number that is out of
the acceptable range. A reminder of the acceptable range displays in red
underneath the field with the incorrect information. See the message in the
following example:
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If you see this kind of message, change the number to be within the range
and click the
button.
Editing a logbook entry
You can go back and edit a logbook entry at any time by taking the following
steps:
1. Make sure you are on the main Logbook screen. See “Opening the Logbook
screen” on page 51 for instructions.
2. Select the date of the entry you want to change. See “Displaying logbook
entries for a specific date” on page 53.
3. In the row containing the entry you want to edit, click the edit
shown in the following picture.
icon, as
The Update Entry screen displays.
4. Make the changes you want, using drop-down arrows or text-entry as
appropriate for each field.
5. If you are ready to finalize your changes, click the
button.
Your logbook is updated to reflect the changes you made.
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Note: If you decide not to make any changes, you can click the
link
instead of the Update button. You will return to the main Logbook screen without
making any edits.
Deleting a logbook entry
If you decide to remove an entry from the logbook, take the following steps:
1. Make sure you are on the main Logbook screen. See “Opening the Logbook
screen” on page 51 for instructions.
2. Select the date of the entry you want to delete. See “Displaying logbook
entries for a specific date” on page 53.
3. In the row containing the entry you want to delete, click delete
in the following picture.
CareLink™ Personal
, as shown
59
The Delete entry screen displays:
4. If you are sure you want to delete the entry displayed, click the
button.
You are returned to the main Logbook screen where you can verify the entry
no longer appears in the logbook.
Note: If you decide not to delete the entry displayed, click the
link. You are returned to the Logbook screen without deleting the entry.
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Chapter 7:
Reports screen
• Opening the Reports screen
• Generating a single report
• Generating multiple reports
• Saving a report
• Printing a report
• Understanding reports
• Special issues affecting report results
The Reports screen allows you to display and print several different report
types. The report type you select depends upon the data you want to display
and the duration you want reported.
The list of report types you can select from varies depending on the
device(s) you have uploaded.
Device
Paradigm 515/715
pump
Available Reports
➠ Quick View Summary
➠ Daily Summary
➠ Modal Day Periods
➠ Modal Day Hourly
➠ Trends Summary
➠ Data Table
➠ Device Settings
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Device
Paradigm 522/722
pump
Available Reports
➠ Quick View Summary
➠ Daily Summary
➠ Modal Day Periods
➠ Modal Day Hourly
➠ Trends Summary
➠ Data Table
➠ Device Settings
➠ Sensor Daily Overlay
➠ Sensor Weekly Logbook
Glucose Meter
➠ Sensor Overlay by Meal
➠ Quick View Summary
➠ Daily Summary
➠ Data Table
➠ Modal Day Periods
➠ Modal Day Hourly
Guardian REAL-Time
CGM System
➠ Trends Summary
➠ Quick View Summary
➠ Daily Summary
➠ Trends Summary
➠ Data Table
➠ Device Settings
➠ Sensor Daily Overlay
➠ Sensor Weekly Logbook
➠ Sensor Overlay by Meal
Reports are generated as PDF files. They are viewable in a separate window,
and can be saved, printed or given to your healthcare professional. Each type
of report available in this system is described below.
Note: Some devices supported by this system may not be available in all
countries where this system is approved for use. Certain report types only
produce data if you are using a specific device.
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➠
Quick View Summary: shows graphical summaries of
insulin as well as sensor and blood glucose for the two
weeks you select. It also shows statistical and logbook
information in tables. It is designed to assist your
healthcare professional with a one-page summary of the
most important information about your therapy.
➠
Daily Summary: shows glucose readings, insulin delivered
by the pump and important pump changes. It also shows
carbohydrate and exercise entries recorded in the logbook
for the day selected. It is designed to allow you to see a
“graphical logbook” of the interaction of your pump with
the other events in your day to assist you in using your
pump for optimal control.
➠
Data Table: provides a table of information that covers a
range of days. It includes meter and sensor glucose
readings, insulin values, carbohydrates consumed,
exercise duration, pump events, and miscellaneous
information. It is intended to allow you to see all the
collected data to help you understand other reports.
➠
Modal Day Periods: plots individual and average blood
glucose readings for a range of days analyzed over a
standard or typical day. The data is grouped over
specified time periods of the day. It also displays the
graph information in tabular form. It is designed to assist
you in seeing how well your glucose stayed within your
target range before and after meals, in the evening and
during sleeping time.
➠
Modal Day Hourly: plots individual and average hourly
blood glucose readings for a range of days analyzed over a
standard or typical day. The data is grouped by hour. It
also displays a pie chart representing percentages of
glucose readings at, above and below your target BG
range, as well as hypo events. It is designed to assist you
in seeing patterns in your blood glucose related to the
time of the day, and also to provide an overall summary of your blood
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63
glucose readings.
➠
Trends Summary: graphs daily sensor and blood glucose
readings, insulin delivery, and carbohydrate intake. These
are shown as one, two, four or six day averages and
totals, depending on the duration selected. It also
displays the graphical information in tabular form. It is
designed to show trends and interactions of this
information. This is to assist you and your healthcare
professional in understanding how well your therapy management is
working. More long-term trends can be shown than with the Quick View
Summary because the duration can be much longer.
➠
Device Settings: displays pump or Guardian REAL-Time
settings in effect for the date and time you select (e.g.,
Max Basal and Alert Mode). For pumps, it also graphs the
active basal insulin pattern and any other basal insulin
pattern that has been defined. It is designed to give you a
complete report of your device settings at a particular
point in time. This is to assist you in understanding other
reports or to simply document your settings. You should not select a
date or time for this report that is earlier than the first upload of this
device or later than the last upload. Otherwise, the system reports the
settings of the nearest device upload to the date and time you
selected.
➠
Sensor Daily Overlay: provides seven days of sensor
glucose tracings placed on top of one another to help
show repeating patterns and differences from day to day.
Each day’s tracing has its own color. It includes a table
with sensor glucose information about each day, such as
highs, lows, averages, and number of calibrations. There
are also tables and pie charts showing information about
glucose control based on a target range, such as number and type of
excursions.
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➠
➠
Sensor Weekly Logbook: presents sensor data and logbook
information in the context of pre- and post-meal target
ranges, as well as targets for evening and sleeping time
periods. Time periods and target ranges used for this
report come from the Advanced Intraday Periods
Preferences you set on the Preferences screen. It is
designed to help you to see impacts to your glucose
control based on delivered Bolus insulin and external events
documented in the system Logbook.
Sensor Overlay by Meal: displays snapshots of seven days
of sensor glucose tracings placed on top of one another
during meal events— one hour before, during, and a time
period after breakfast, lunch and dinner. It is intended to
help show repeating patterns and differences during meal
periods from day to day. Time periods and target ranges
used for this report come from the Advanced Intraday
Periods Preferences you set on the Preferences screen.
Each day’s tracing has its own color. It includes tables and pie charts
with a description of glucose before and after meals and sleeping time,
and information about keeping your glucose in target ranges before and
after you eat.
WARNING: The reports produced by CareLink Personal are intended to be
used together with the consultation of a healthcare professional
familiar with the diagnosis and treatment of diabetes. Prior to
any adjustment of insulin therapy, please review the report
data with your healthcare professional. This is to ensure that
the historical data from your pump, continuous glucose monitor,
and meter is analyzed and interpreted by a professional trained
in diabetes care.
The information included in these reports comes from your device uploads
and from the logbook entries you have made. It is also affected by information
you have provided on the Preference screen. For example, time formats, units
of measurement, and BG target ranges in the reports are taken from your
settings on the Preference screen, not from your pump.
On the main Reports screen, there are places to select date(s) and either
time or duration. Please note that while a date applies to all types of reports,
time and duration do not. The Time/Duration field will not display if it does
not apply to a certain report type.
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65
Opening the Reports screen
1. Make sure you are logged in.
2. Click the
tab.
or
Click the
link on the Home screen.
The Reports screen displays.
Note: You must have a minimum of version 5.0 of Adobe Acrobat Reader on
your computer in order to view reports. If you do not have Reader, or need to
update your version, click on the
link on the first Reports
screen. This takes you to the Adobe Web site where you can download a free
copy.
Generating a single report
The following steps apply to generating reports one at a time. If you want to
generate more than one report at a time, see “Generating multiple reports” on
page 68.
1. Open the Reports screen. The following is displayed:
2. From the list on the left, click the name of the report you want to generate
(The selection varies according to the devices you have uploaded.)
3. Click
in the Date field, and select the year, month and date for the report.
This may be the date for the day you want to see reported (Pump Settings or
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Daily Summary). Or, it may be the start date of the period you want to see
reported.
Note: You should not select the current day as the end date for a duration
report, such as Trend Summary. These reports require a full day of data to be
meaningful.
4. If there is no other field to set, go to Step 5. Otherwise, complete the part of
this step that applies to the type of report you are generating:
➠ Time (only applies to Device Settings report): Click the drop-down
arrows in the Time fields at the top of the screen. Select the time for
which you want to view pump setting data.
➠
Duration: Click the drop-down arrow in the Duration field at the top of
the screen. Select the length of time for which you want to generate
report data.
➠
End: Click
in the End Date field at the top of the screen. Select the
last date in the period you want to see reported (the end date).
➠
Data Table Input (only applies to Data Table report): Check the check
box next to each data category you want to display in the Data Table
report.
5. Click the
button.
Your report is generated and is displayed as a PDF file in a separate window.
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67
Note: If you are generating a report with several weeks worth of data, the
PDF will take longer to display.
Generating multiple reports
The following steps apply to generating more than one report at a time. If
you want to generate only a single report, see “Generating a single report” on
page 66.
1. Open the Reports screen.
2. Click Batch Reporting. The following is displayed:
3. Select the check box for each report you want to generate (The selection
varies according to the devices you have uploaded.)
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68
4. You can set the reporting period for all the selected reports at once by filling in
the fields for the Reporting Period at the top of the screen.
Or, you can set the reporting period for each report individually. The
remaining steps guide you in setting reporting period information.
5. Click
in the Date field, and select the year, month and date for the report.
This may be the date for the day you want to see reported (Pump Settings or
Daily Summary). Or, it may be the start date of the period you want to see
reported.
Note: You should not select the current day as the end date for a duration
report, such as Trend Summary. These reports require a full day of data to be
meaningful.
6. If there is no other field to set, go to Step 7. Otherwise, complete the part of
this step that applies to the type of report you are generating:
➠ Time (only applies to Device Settings report): Click the drop-down
arrows in the Time fields. Select the time for which you want to view
pump setting data.
➠
Duration: Click the drop-down arrow in the Duration field. Select the
length of time for which you want to generate report data.
➠
End: Click
in the End Date field. Select the last date in the period
you want to see reported (the end date).
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➠
Data Table Input (only applies to Data Table report): Check the check
box next to each data category you want to display in the Data Table
report.
7. Click the
button.
Your reports are generated and are displayed as a PDF file in a separate
window.
Note: If you are generating reports with several weeks worth of data, the PDF
will take longer to display.
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Saving a report
To save your report, take the following steps:
1. Once the report you generated is displayed, click
Acrobat toolbar, as shown below.
(SAVE) on the Adobe
2. In the Save As window, use the drop-down menu in the Save in field to select
where to save. Type a name for the report in the File name field.
3. Click Save. Your report is saved.
Printing a report
To print your report, take the following steps:
1. Once the report you generated is displayed, click
Acrobat toolbar, as shown below.
(PRINT) on the Adobe
2. Make sure all the print options in the Print window are correct. This includes
the printer you are sending it to and the number of copies to print.
3. Click Print.
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Your report is printed out on the printer you selected.
Identifying the report title
The title of each report is displayed at the top of the first report page. The
report title includes the type of report, the name or ID of the person the
report is for, and the dates covered by the report. See the following graphic
for an example of a report title.
Report Title
Understanding reports
There is a link near the top right of the Reports screen, called
. When you click this link, help text displays with
information describing the report you generated. Also, where appropriate, it
explains what you should be looking for in the results.
The following sections contain the information displayed when you click on
the Understanding My Reports link for each different report.
Note: The target glucose range displayed on various reports is determined by
settings you enter on the Preferences screen, not by what you may have set on
your pump. You set your BG Target Range High and BG Target Range Low
preferences (with the help of your healthcare professional). Any glucose
reading between these two settings is reported as “within target range.”
Readings above the high setting or below the low setting are reported as high
or low excursion events.
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Quick View Summary report
This report provides you with a summary of the following for the 2 week
period you select:
glucose control (including averages, highs and lows, number of readings,
and hypo events)
➠ insulin usage (including totals, percent basal and bolus, number and
average of boluses, and priming information)
➠ carbohydrate intake (if entered in your logbook)
➠ exercise (if entered in your logbook)
➠ infusion set changes (if entered in your logbook).
If you are using a sensor-augmented pump or a Guardian REAL-Time device,
this report may include glucose data captured by the sensor. This is in addition
to blood glucose information captured by a glucose meter.
➠
Note: To see certain data from a Guardian REAL-Time CGM System reported,
you must first have entered the data via the Capture Event feature. This is
entered manually on the monitor. It includes meter BG reading, exercise
duration, boluses given, and carbohydrates eaten. Refer to the Capture Event
instructions in the “Guardian® REAL-Time Continuous Glucose Monitoring
System User Guide.”
If you run the Quick View Summary report for the Guardian REAL-Time
device only, this report will look slightly different than what is described
below.
Things to look for
Glucose Distribution bar
To the right of the Glucose graph, there
is a Distribution bar. It shows you the
total number of glucose readings and the
percentage you were above, below and
within your target glucose range during
the two week period. The green segment
represents the percentage of the total
readings that were within target range—
this makes it easy to tell if you had more
readings within target range or more
readings that were either above it or
below it. In the example on the right,
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Distribution
835 high
(24%)
2,536
(72%)
155 low
(4%)
73
there were 835 glucose reading that were above the target range,
which is 24 percent of the total readings. There were 2,536 glucose
readings within the target range, which is 72 percent of the total
readings. Finally, there were 155 glucose readings that were below the
target range, which is four percent of the total readings. According to
the Distribution bar on your report, what percentage of the time are
you within your target range?
What it means
Ideally, you should mostly be in your target range. If you are not, check
the modal day reports. Find out what times of the day you tend to be
out of your range.
Glucose averages and ranges
On the Glucose graph, circles indicate your
average glucose for the day. The vertical
line, extending above and below each
circle, shows your range of glucose values
for the day. Do you have any days where the
range is significantly large?
Range
Average
Are your basal rates set correctly? On the
Glucose graph, you can check to see if your
average daily glucose tends to be above
your prescribed target range.
What it means
If the range is significant on any day, you may have had many potentially
dangerous highs and lows that day. Check the Daily Summary Report for
those days to get more detail about your glucose range.
If your glucose levels tend to be high daily, ask your healthcare
professional if your basal rate is set too low.
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BG and Sensor Values
On the Glucose graph, the circles, lines and
statistics in black are Blood Glucose (BG)
values from your BG meter. Circles, lines,
and statistics in Blue are Sensor Glucose (SG)
values from the sensor. If you are using a
sensor-augmented pump you should see both
BG and SG information. Do you have days
where you thought you should have sensor
data but don't?
BG values
Sensor
values
What it means
If you are not seeing sensor glucose data for
days when you thought you were using a
sensor, check the Sensor Data Table Report
and the Daily Summary Report for those days
to see more detail on your sensor data.
Daily insulin totals and type
The Insulin Delivery graph shows the total
amount of insulin you received each day. It
also shows the breakdown between basal and
bolus insulin. Over a week, what is the
relationship between the basal insulin as you
are taking and the bolus insulin?
Insulin Delivery (Units)
What it means
Many people find that they are close to a half
basal and half bolus ratio on most days.
However, ask your healthcare professional to
assess your rates to determine what the
relationship should be for you.
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Hypo events
Check the statistics below the Glucose
graph to see how many hypo events you
had during this period.
What it means
See if you have had one or more hypo
events during the two-week period. If
so, you might want to check the Daily
Summary report for those days for more
details.
Number of hypo events each day
Infusion set changes
At the bottom of the page, the last line of
Logbook
the Logbook table shows you when you
changed your infusion set. Are you
changing every three days? Check the
Blood Glucose graph. Look at how your
glucose control was the day before versus
the day after you changed your infusion
infusion set changes
set.
What it means
Sometimes, if you don't change your
infusion set often enough, insulin will not
be absorbed properly, or your insulin may not be working as well after
being left at ambient temperatures for longer than recommended. See
if you tend to have high blood glucose levels the day before you change
your set. And then see if your glucose levels are back in your target
range the day after your set change. Maybe try changing your infusion
set more frequently to see if that helps you stay in better control.
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Exercise
On the bottom of the page, in the Log Book
table, note the days that you exercised. Did
your exercise affect your glucose control (see
the glucose graph and statistics for each day
you exercised)?
Glucose
What it means
When exercising, you may need less insulin.
Suspending your pump, or using a temporary
basal rate, may help you stay in better control
while you are exercising.
Logbook
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Daily Summary report
This report centers around only one day—whatever day you have selected. It
shows you three graphs:
meter and sensor glucose readings
➠ insulin usage
➠ the carbohydrates you have eaten and your exercise (if you recorded
these)
A table at the bottom summarizes the information displayed in the three
graphs.
➠
If you look down the page, you will see that on all three graphs, the time of
day is aligned. So, looking from graph to graph, you see exactly what was
happening at the same time for all the elements.
If you are using a sensor-augmented pump or Guardian REAL-Time device,
this report will include any sensor glucose data available for the day.
Note: To see certain data from a Guardian REAL-Time CGM System reported,
you must first have entered the data via the Capture Event feature. This is
entered manually on the monitor. It includes meter BG reading, exercise
duration, boluses given, and carbohydrates eaten. Refer to the Capture Event
instructions in the “Guardian® REAL-Time Continuous Glucose Monitoring
System User Guide.”
If you run the Quick View Summary report for the Guardian REAL-Time
device only, this report will look slightly different than what is described
below.
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Things to look for
Blood glucose reading outside target range
Check the Glucose graph. Are any of
your blood glucose readings outside
of your target range? If so, how
many?
Glucose
What it means
What else was occurring that day
that might have caused you to be out
of range?
–
Check the Insulin Delivery and
Target range
Carbohydrate and Exercise
graphs. Look at how your boluses,
basal rate and meals correlate to your blood glucose readings.
–
Look at the Modal Day Glucose reports. See if there is a pattern to
being out of your target range that time of day.
–
Ask your healthcare professional about adjusting your basal rates to
keep you within your target range. Click for more information.
Hyperglycemic and hypoglycemic readings
Are any of your blood glucose
readings below 60 or above 240?
Glucose
What it means
–
Review what to do if you are
hypoglycemic or hyperglycemic.
–
Look at the Modal Day reports to
see if there is a pattern to being
this far out of your target range at
a certain time of day.
–
If a pattern appears, ask your
healthcare professional if you are
taking enough (or NOT enough) insulin at that time.
–
Ask your healthcare professional about adjusting your basal rates to
keep you within your target range. Click for more information.
Blood glucose readings
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Sensor glucose values
If you are on a sensor-augmented pump, do
you see sensor glucose (SG) values plotted
as a tracing line? The SG tracing line will
give you a much clearer picture of your
glucose control. Look to see that your
sensor is being properly calibrated with BG
values and that you do not have too many
sensor alarms.
Glucose
What it means
If you are not seeing sensor glucose data
for a day when you thought you were using
a sensor, or if there are many alarms or
times with no data, check the Sensor Data
Table Report to see more detail on your
sensor events and alarms.
Sensor glucose values plotted
as a tracing line
SG trace above or below target
Does the SG trace go outside your target
range?
Glucose
Does your SG go above or below your
target range for long periods of time or
many times during the day?
What it means
–
What else was occurring that day that
might have caused you to be out of
range?
Sensor glucose tracing
above target range
–
Check the Insulin Delivery and
Carbohydrate and Exercise graphs.
Look at how your boluses, basal rate
and meals correlate to your SG trace.
–
Look at the various Modal and Overlay reports. See if there is a
pattern to being out of your target range that time of day.
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Glucose readings below 60 or above 240
Are any of your glucose readings below 60
or above 240?
Glucose
What it means
Review what to do if you are hypoglycemic
or hyperglycemic.
–
Your sensor-augmented pump has the
ability to alert you when you are
hypoglycemic or hyperglycemic. You
may want to ensure that your pump’s
High and Low alarms are set correctly to
alert you to these events.
–
Review the Modal and Overlays reports
60
to see if there is a pattern to being this
far out of your target range at a certain time of day.
–
If a pattern appears, ask your healthcare professional if you are taking
enough (or NOT enough) insulin at that time.
–
Be sure to ask your healthcare professional about the many features
of your pump, such as basal rates and the Bolus Wizard (which
includes insulin to carbohydrate ratios, insulin sensitivity and active
insulin), which are designed to help keep you within your target
range. Click for more information.
Blood glucose readings below
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Insulin totals
In the Summary Data chart at the bottom
of the page, look at your insulin column.
You will see the total amount of insulin
delivered that day. There are also
percentages describing how much of that
insulin was basal, and how much was
bolus. What is the relationship between
the percentage basal insulin as you are
taking and the percentage bolus insulin?
What it means
Summary
Insulin totals in the
Summary Data chart
Many people find that they are close to a
half basal and half bolus ratio on most
days. However, ask your healthcare
professional to assess your rates to
determine what the relationship should be for you.
–
Are you giving yourself one or more correction boluses during the day?
If so, talk with your healthcare professional about possibly readjusting
your insulin-to-carbohydrate or bolus amount.
–
Do not make changes without consulting your healthcare professional
first!
Carbohydrate amounts
If you made logbook entries, look at the
Carbohydrates and Exercise graph. Are
you eating approximately the same
amount of carbohydrates at each meal?
Carbohydrates and Exercise
What it means
Your insulin to carbohydrate ratio may
need to be adjusted for different meals
and time of day. Ask your healthcare
professional what is right for you. Click to
learn more about carbohydrate counting.
Carbohydrate amounts
eaten during the day
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Comparing carbs, insulin and glucose readings
Look at each carbohydrate dot on the
Carbohydrates and Exercise graph. Then
look at the Insulin Delivery graph to see
how much bolus insulin you gave for the
amount of carbohydrates consumed. Now
look up at the Glucose graph to see what
your meter and/or sensor reading was after
that meal. Do this for all carbohydrate dots
on the graph. Do you notice that your
glucose was too high or too low after a
meal?
What it means
–
Ask your healthcare professional if you
are giving yourself enough insulin for
the amount of carbohydrates you are
eating.
–
Ask your healthcare professional if you are giving yourself the correct
type of bolus for the type of food eaten. For example, a slice of pizza
might be better controlled with a Dual Wave Bolus. Click for
information on the Dual Wave bolus.
Exercise and blood glucose readings
Did you exercise this day? If so, look up at
your Blood Glucose graph to see what your
meter and/or sensor reading was before
and after you exercised. Was your blood
glucose too high or too low?
What it means
Discuss with your healthcare professional
your insulin requirements for exercise.
Click to learn to better control your blood
glucose levels by temporarily adjusting
your basal rate.
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Data Table report
This provides a table of information that covers a range of days. It includes
the following information—plus more. This report is designed to show you all
data that is useful for understanding and troubleshooting other reports. You
choose the type of data you want to see reported.
➠
➠
➠
➠
➠
➠
➠
Meter glucose
Sensor data
Manual logging
Settings changes
Pumps and sensor diagnostics information
Alarms
Insulin delivery and priming
➠
➠
Bolus Wizard details
Control solution tests
Modal Day Periods report
This report will show you glucose trends by periods of the day—typically
periods revolving around meals. You can adjust the time range of each of
these “periods” by going to the Intraday Periods Preferences part of the
Preferences screen. In the report, you can learn what time periods of day you
tend to be high, low or within your target range.
This report uses your meter values only, and does not use sensor glucose
data for its graphs or table.
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Things to look for
High/Low/Average graph
Look at the High/Low/Average graph. Is
there a particular period of the day that
you tend to be outside of your target
range? If yes, review the information
below.
What it means
–
Check the statistics at the bottom to
see if you had a significant number of
BG readings at that time. If not, you
may want to start testing more during
that time.
–
Talk with your healthcare professional
concerning changes to your insulin
therapy to move you into target range
for that period.
–
Check the Standard Dev. (deviations)
row. If there is a large number there,
relative to your other Standard Dev.
numbers, this indicates a lack of consistency in your readings for that
period.
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–
Look at the second graph. Each dot on
this graph represents one meter
reading. See how many meter readings
you had at the time when the first chart
showed you high or low. If there are
only one or two readings, you probably
do not have enough meter readings to
draw any real conclusions. But, you will
want to remember to start checking
your glucose at this time each day going
forward. Then you can refer to this
report to determine if there is a real
trend.
–
If there are enough meter readings, look
at the Logbook Diary report to see if you
eat or exercise regularly. Discuss with
your healthcare professional why you
tend to be high/low during that time of
day. They can help you adjust your basal rates to put you back within
range after exercise.
–
If you tend to be high/low in the morning, you will probably want to
know what is happening with your glucose while you are sleeping.
Modal Day Hourly report
This report analyzes blood glucose trends by time of day. Over the range of
days you specified, it averages blood glucose readings by hour. So, for
example, in a two-week period, you can see what your blood glucose level was
at 8:00 a.m., 10:00 p.m., etc. You can learn what times of day you tend to be
high, low, or within your target BG range.
This report does not use sensor glucose data for its graphs or table.
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Things to look for
High/Low/Average graph
Look at the High/Low/Averages graph. Is there
a particular time of day that you tend to be
outside of your target range?
What it means
–
First thing to do is to look at the second
graph. Each dot on this graph represents
one meter reading. See how many
meter readings you had at the time
when the first chart showed you high or
low. If there are only one or two
readings, you probably do not have
enough meter readings to draw any real
conclusions. But, you will want to
remember to start checking your
glucose at this time each day going
forward. Then you can refer to this
report to determine if there is a real
trend.
–
If there are enough meter readings, look at the Logbook Diary report
to see if you eat or exercise regularly. Discuss with your healthcare
professional why you tend to be high/low during that time of day.
They can help you adjust your basal rates to put you back within
range after exercise.
–
If you tend to be high/low in the morning, you will probably want to
know what is happening with your glucose while you are sleeping.
Distributions and Statistics chart
Look at the Distributions and Statistics
pie chart on the bottom of the page.
This chart will show how well you
controlled your diabetes over the time
range you specified. Click for
information about how pump therapy
can help you stay in range. If you are
not in your target range, see the
information below.
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What it means
–
First, look to the left of the pie chart to see how many meter readings
you had during that time. Check with you healthcare provider to see if
you have enough data to draw any accurate conclusions.
–
Look at the top graph to see what times of day are particularly
troublesome for you. Discuss with your healthcare professional
adjusting your basal rates and possibly your boluses to move you into
target range. You may also want to work with your healthcare
professional on fine-tuning your pump.
–
If you are not on a pump, you might benefit from more intensive
management. Click to read more about it.
Trends Summary report
This report shows you trends in your glucose control, insulin usage and
carbohydrate intake. For whatever time period you specified (2 weeks – 12
weeks) you will see graphs with the following.
Your average glucose reading for each day in that time period.
➠ Your total insulin usage for each day in that time period.
➠ The total number of carbohydrates you consumed for each day in that
time period.
To the right of the graphs, you will see a summary of the graph data. This
includes the number of meter readings you had, your average glucose reading,
your average insulin per day, etc.
➠
A summary table at the bottom of the report presents data for 14 different
days. The interval at which the data is reported on this table varies according
to the length of the reporting period:
2-week reporting period: every day
➠ 4-week reporting period: every 2nd day
➠ 8-week reporting period: every 4th day
➠ 12-week reporting period: every 6th day
If you are using a sensor-augmented pump or Guardian REAL-Time device,
this report will include sensor glucose information in addition to blood glucose
information.
➠
Note: To see certain data from a Guardian REAL-Time CGM System reported,
you must first have entered the data via the Capture Event feature. This is
entered manually on the monitor. It includes meter BG reading, exercise
duration, boluses given, and carbohydrates eaten. Refer to the Capture Event
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instructions in the “Guardian® REAL-Time Continuous Glucose Monitoring
System User Guide.”
If you run the Quick View Summary report for the Guardian REAL-Time
device only, this report will look slightly different than what is described
below.
Things to look for
Daily Glucose graph
Check the Daily Glucose graph. Were
there any days that your average
glucose readings were out of your target
range?
Glucose - High/Low/Average
What it means
–
First, try the following. If you’ve
been looking at a two week
range, try viewing 8 or 12 weeks to see if there are patterns to when
you are out of range.
–
If there is a pattern, what day of the week are you typically out of
range? Does your lifestyle dramatically change each week on that
particular day? (For example, do you usually sleep more and eat more
on weekends?) Check the carbohydrate graph at the bottom of the
page. See if there are days that you tend to eat more than others.
–
Ask your healthcare professional if you have different insulin
requirements for different days of the week. This might be based on
the kinds of activities that you typically perform on those days. They
might recommend using different basal rates for certain periods.
–
If there is not a pattern, look back in your personal calendar. Were
you sick that day? If so, you can work with your healthcare
professional to determine your insulin requirements for days that you
are sick. Program a temp basal into your pump for sick days.
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Sensor data
On the Glucose graph, the circles,
Glucose - High/Low/Average
lines and statistics in black are Blood
Glucose (BG) values from your BG
meter. Circles, lines, and statistics in
blue are Sensor Glucose (SG) values
from the sensor. On days where you
used a sensor, only the SG information
is shown (in blue). Do you have days
Sensor data is in blue
where you thought you should have
sensor data but don't?
What it means
If you are not seeing sensor glucose data for days when you thought you
were using a sensor, check the Sensor Data Table Report and the Daily
Summary Report for those days to see more detail on your sensor data.
Total Daily Insulin graph
Check the Total Daily Insulin
Total Daily Insulin (Units)
graph. Are there any days during
which you took a lot more insulin
than others? (The blue dotted
horizontal line tells you what your
average daily insulin usage is.)
What it means
Average daily total for the
Bolus
Basal
If so, look carefully at the
period
breakdown between basal and
bolus. For that particular day, did
you use a lot more bolus insulin
than basal insulin? If so, what was happening that day to cause you to
need more insulin?
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Daily insulin averages
Next to Total Daily Insulin, you will
see some numbers showing you
average basal insulin compared to
average bolus insulin. On average,
are you using about the same amount
of bolus insulin as you are basal
insulin each day? If no, review the
information below.
What it means
Next to the Total Daily Insulin graph
–
Look carefully at the breakdown
between basal and bolus. Many people find that they are close to a
half basal and half bolus ratio on most days. However, ask your
healthcare professional to assess your rates to determine what the
relationship should be for you.
–
Are you giving yourself one or more correction boluses during the day?
If so, talk with your healthcare professional about possibly readjusting
your insulin-to-carbohydrate or bolus amount.
–
Consult with your healthcare professional to come up with basal rate
testing to help you fine tune your basal rates. Do not make changes
without consulting your healthcare professional first.
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Device Settings report
You can see all other elements you have programmed into your pump or
Guardian REAL-time device—alarm volume, the remote serial number, etc.
This report provides a helpful record of your device settings in case of
settings loss. You can also protect device settings by using the Save Settings
feature in the Utilities > User Settings menu on your pump or Guardian REALTime device. You may also want to consider using ParadigmPAL™ which allows
you to program and store pump settings on your PC. You can then quickly
upload them to your pump from the PC.
The date and time you select for your Device Settings report affects the data
in the report. See “Device Settings report date and time” on page 98 for more
information.
Note: For the pump, this report does not show actual insulin usage. It only
displays the basal rates that have been programmed into the pump. It also
shows which basal rate was active at the time of upload.
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Sensor Daily Overlay report
You choose the seven days of glucose tracings you want to see, and this
report layers them on top of each other for comparison. Each day has a
different color tracing so you can tell them apart.
Averages and totals across all days in the report are displayed in a table for
statistical items such as Mean Absolute Difference (MAD) and Area Under Curve
(AUC), excursion and duration data. In addition, pie charts show the duration
of time above, below and within target range for each day.
To see BG values together with sensor data, use the Daily Summary report.
Note: For definitions of the terms MAD and AUC, please refer to the
“Glossary” on page 116.
Things to look for
Repeating patterns
Check the Sensor Data graph at the top of the report that shows the
sensor glucose tracings for 1 – 7 days. See if you can spot trends across
the days.
What it means
If you see a trend toward
Post prandial rise and fall after breakfast
overnight drops, it could indicate
that your basal is too high or it is a
drop off from a correction dose.
Discuss this with your healthcare
professional to determine if you
need to make a basal or bolus
adjustment.
Rapid
If you see repeated post prandial
Repeating drop overnight
drops
rise and fall after a meal, you
should check your food-insulin
factors. Discuss with your healthcare professional the need to
accurately count carbohydrates and modify your bolus accordingly.
Repeated rapid drops can indicate a tendency to over-correct with
insulin. Discuss with your healthcare professional how best to determine
bolus amounts.
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What else was going on
Use the information provided by each table
and chart to help determine the larger picture
of your daily glucose control.
What does it mean?
Look at the number and type of high and low
excursions you had on a given day. Then
compare that to the pie chart to see how much
time was spent above, below and at target.
The tracings at the top of the report show you
what time of day excursions were occurring
and whether they were occurring at about the
same time each day. From all this, you can see
patterns in your glucose control. Discuss any
trends with your healthcare provider to decide
if a change therapy should be made.
Sensor Weekly Logbook report
Use this tabular report to help understand the results of other sensor
reports. This report shows you up to seven days of sensor glucose readings,
insulin usage, carbohydrate intake, and related events from your logbook or
pump for time periods that you specify (sleeping and eating).
The time periods and target ranges used for this report come from the
Advanced Intraday Periods Preferences you set on the Preferences screen. See
“Guidelines for setting Advanced Intraday Periods” on page 107 for more
information.
The table lists the following:
Sensor glucose readings for each day in that time period (including
before and after meals).
➠ Carbohydrate intake for each day in that time period.
➠ Bolus insulin delivered each day in that time period.
➠ Events that may affect sensor readings, such as exercise, an infusion set
change or pump suspension.
At the bottom of the tables, you will see a summary of the entire period.
This includes the average sensor glucose reading over all days for each time
period, the percent of sensor glucose readings over the days that were within
your target range, and the total number of sensor glucose readings that were
taken for all days for each time period.
➠
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Things to look for
Compare table to tracings
Create both a Sensor Overlay
by Meal and a Sensor Weekly
Logbook report for the same
period. Use the tracings at the
top of the Sensor Overlay by
Meal report to spot trends and
also the days when something
very different happened. Use
the table of the Sensor Weekly
Logbook to see the details for
what was going on during
these trends and differences.
Tracings for Sensor Overlay by Meal report
Sensor Overlay by Meal report
Use this report to keep your glucose in range after eating.
You choose up to seven days of glucose tracings you want to see. This report
layers the tracings on top of each other so you can compare the days to each
other in time blocks associated with Breakfast, Lunch and Dinner. Each day has
a different color tracing so you can tell them apart.
Averages and totals across all days in the report are displayed in tables for
each meal, evening and sleep time period. In addition, pie charts show the
duration of time above, below and within target range for each time period.
The time periods and target ranges used for this report come from the
Advanced Intraday Periods Preferences you set on the Preferences screen. See
“Guidelines for setting Advanced Intraday Periods” on page 107 for more
information.
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Things to look for
Patterns and differences
Check the Overlay by Meal
High
Drop to low
Low
Event graphs at the top of the
report. They show the sensor
glucose tracings for each day
during time periods associated
with meals. You determine the
length of time shown for each
meal period. You also set the
range of time for post-meal
analysis, depending on when in
the time period the meal falls.
These settings are made in
Advanced Intraday Periods Preferences section on the Preferences
screen.
Also look at the table of totals and averages below the graphs. See if
you can spot trends across the days. Do you see any big differences on
certain days?
What does it mean?
The Average, High and Low sensor glucose listed in the table for the
time of 3 a.m. to 6 a.m. indicate a high fasting glucose. The sensor
readings for after breakfast go higher still and then drop. If you are
seeing patterns like this, discuss your basal and bolus amounts with your
healthcare provider. The pattern of high glucose after dinner followed
by a drop indicates the need to better match your food and insulin.
The high glucose reading after lunch for the date of 3/13 and the low
after dinner reading for the date of 3/12 are different than the readings
for the other days. If you see this, try to determine what you were doing
differently at this time on those days.
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Averages and distribution
Check the Daily Average by
Meal Event table and the
Meal Event Distributions. Do
you see a lot of yellow or
orange?
What does it mean?
Yellow on this table or on
the pie charts indicates
sensor glucose reading that
are above your target
range. Orange indicates
readings below your target
range. White on the chart
represents the number of
readings that were within
target. If you are seeing a lot of yellow or orange, discuss your food and
insulin matching with your healthcare provider.
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Special issues affecting report results
The following sections discuss special system reporting conditions. Read
them to get an idea of what report results to expect in these kinds of
situations.
Device Settings report date and time
This table shows how the system uses date and time you select for Device
Settings reports. It shows how that date and time compared to the upload
ones affects report data:
Selected versus Upload date & time
What is reported...
You select a date and time that falls before
the first recorded device upload, or after the
last recorded upload.
The system reports the settings of the nearest
device upload to the date and time you
selected. It uses the upload it reports as the
date and time of the report. It also notes the
date and time you selected, and says settings
not available for that time and date.
You select a date and time that falls between
two overlapping device uploads on record.
The system creates a device settings report by
starting with the first upload. It then adds all
detected changes to the settings up to the date
and time you requested. It reports your
requested date and time as the date and time of
the report.
You select a date and time that falls between
two non-overlapping device uploads on
record.
The system reports the settings of the earlier
upload, and does not report any changes after
that upload. It reports the earlier upload’s date
and time as the date and time of the report.
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Changing device time affects report results
Keep in mind, if you change the time setting on your device, it may affect
report results. There may be a short period of time in which report results
show doubled-up or gapped events.
1. Determine if this corresponds to the approximate period in which you made a
time setting change to your device. If so, you can ignore an anomaly in the
report results.
2. You should not be using system reports to help make adjustments to your
diabetes therapy based on a short period. The reports are designed to show
more longer term trending.
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Chapter 8:
My Info screen
• Opening the My Info screen
• Changing the information on this screen
• Changing your password
• Changing your information sharing
Use the My Info screen to view or change the information you provided
during enrollment. You can make changes to reflect a new address, to change
your security question, and so forth. You can also change your password from
this screen.
Opening the My Info screen
1. Make sure you are logged in.
2. Click the
link.
The My Info screen displays.
Changing the information on this screen
1. Editing the fields
Make your changes to the information in the fields on this screen.
The following table describes the types of fields on the screen, and the
action needed to change them:
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Field
Action
Text Entry
Type your information over the text in
the gray field to the right.
Pull Down Menu
Click the arrow to the right of the gray
field to display a selection list.
Highlight your choice and click it to
replace what is in the gray field.
Check Boxes
Click to select the check box or click to
clear the check box. A check in the
check box means you are selecting the
option.
2. Submitting your changes
Make sure you are ready to submit the changes you have made, and have
completed all required fields. Click UPDATE.
The following message displays, confirming that the system database was
successfully updated with your new personal information. Click OK.
Note: If you have not clicked the Update button, and would rather not change
your information, select My Info again. Or, you can navigate to another page.
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Changing your password
If you want to change your password, go to the My Info screen and take the
following steps:
1. Click the
link on the My Info screen.
The Change Password screen is displayed.
2. In Current Password field, type in the password you are now using.
3. In the New Password field, type the password you would like to start using
(from 4 to 20 characters).
4. Re-type your new password in the Confirm New Password field.
5. Click CHANGE.
The following message displays, confirming that your new password has
been saved to the system’s database.
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Note: If you change your mind about updating your password, and you have not
yet clicked CHANGE, click
. This clears your changes and goes
back to your previous password.
Changing your information sharing
With your permission, clinics can link to your CareLink Personal account and
obtain your device data to use in their therapy reports. The MyInfo screen is
where you can manage data sharing with a clinic, including revoking
permission from a clinic.
Note: Linking to your CareLink Personal account must be initiated from a clinic
using the CareLink™ Pro application.
Allowing access to your data
1. Go to the Information Sharing section on the MyInfo screen.
2. Click to select the check box next to the clinic you now want to have access to
your CareLink Personal data.
A verification message is displayed.
3. Click OK.
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4. Click UPDATE on the MyInfo screen.
This clinic is now allowed access to your CareLink Personal data.
Revoking access to your data
1. Go to Information Sharing section on the MyInfo screen.
2. Click to clear the check box next to the clinic you no longer want to have
access to your CareLink Personal data.
A verification message is displayed.
3. Click OK.
4. Click UPDATE on the MyInfo screen.
This clinic no longer has access to your CareLink Personal data. If they try
to access it, they will receive notice that you have revoked their access.
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Chapter 9:
Preferences screen
• Opening the Preferences screen
• Changing the information on this screen
• Guidelines for setting Advanced Intraday Periods
You can use the Preferences screen to view or change information that
affects how the data in reports is generated. It also affects how information is
displayed on the system screens. For example, the Time Format you choose
determines how time is displayed in logbook entries and report graphs. Also,
you can use this screen to change the language in which everything in this
system is displayed.
Opening the Preferences screen
1. Make sure you are logged in.
2. Click the
link.
The Preferences screen displays.
Changing the information on this screen
1. Editing the fields
1. Make your changes to the information in the fields on this screen.
The following table describes the types of fields on the screen, and the
action needed to change them:
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Field
Action
Pull Down Menu
Click the arrow to the right of the gray
field to display a selection list.
Highlight your choice and click it to
replace what is in the gray field.
Text Entry
Type your information over the text in
the gray field to the right.
Radio Button Selection
Click the radio button (circle) next to
the option you want to select.
2. Understanding a field
Some of the fields have question-mark buttons,
, next to them. Click the
question mark to bring up an information window about how to fill in the
field.
When you are ready to close the information window, click the
button or the
in the upper right corner.
3. Submitting your updates
1. Make sure all of the information on the screen is set the way you want.
2. Click the
button at the bottom of the screen.
The following message displays, verifying that the system’s database has
been successfully updated with your changes.
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Note: If you have not clicked Update, and you would rather not change your
information, click the Preferences link again. Or, navigate to another page.
Guidelines for setting Advanced Intraday
Periods
These fields allow you to enter all time periods and target ranges used by
the Sensor Overlay by Meal Report and Sensor Weekly Logbook Report. It is
important to set these to closely match your eating and sleeping habits.
The following information can also be accessed by clicking on the
button in the Advanced Intraday periods section on the Preferences screen.
The SG Target Ranges specify a Before Meal and After Meal target range for
each of the three meal periods. The overnight periods of Evening and Sleeping
contain a single target range. You may enter a low value for a target range
according to the following rules.
If you have selected mg/dL as your BG units, the format for entering
your target low value is xxx (e.g. 123). The range can be from 40 to the
Target Range High - 2.
➠ If you selected mmol/L as your BG units, the format for entering your
target low value is xx.x (e.g. 12.3). The range can be from 2.2 to the
Target Range High - 0.1.
You may enter a high value for a target range according to the following
rules.
➠
If you have selected mg/dL as your BG units, the format for entering
your target high value is xxx (e.g. 123). The range can be from 60 to
300.
➠ If you selected mmol/L as your BG units, the format for entering your
target high value is xx.x (e.g. 12.3). The range can be from 3.3 to 16.6
You may set the Time Periods in any way that makes sense to you so long as
they remain in chronological order. The duration of each period must be at
least 0.5 hours. The end time of a period need not be the same as the start
time of the next period, so gaps between periods may exist. The one
exception to this rule is that the end of Evening must be the same as the start
of Sleeping.
➠
The Post-Meal Analysis window can extend up to 4.0 hours after a meal
event. The duration of the analysis window must be at least 0.5 hours. The
start time can range from 0.0 to 3.5 and the end time can range from 0.5 to
4.0.
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Appendix A:
Required system & browser
settings
There are certain requirements that your PC and browser should meet to
ensure proper operation of CareLink Personal. If you receive one of the
following messages when you try to access CareLink Personal, check your PC
system and browser settings, and respond as directed.
If you see the above screen, you are allowed to continue to CareLink
Personal, although it is not recommended. To use CareLink Personal with your
current settings, click CONTINUE. For help with your system setup, contact
Medtronic (see “Assistance” on page 6).
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If you see the above screen, you will not be allowed to continue to CareLink
Personal until your system is modified to meet the required settings. For help
with your system setup, contact Medtronic (see “Assistance” on page 6).
Device uploads for Windows Vista™ users
If your PC is running the Windows Vista operating system, there are some
additional steps to follow when you upload your device data to CareLink
Personal. You only need to perform these steps for the first CareLink Personal
device upload.
1. Open Internet Explorer, and navigate to Tools > Internet Options.
2. Click the Security tab.
3. Make sure the check box next to Enable Protected Mode is NOT checked.
4. Click OK.
5. Close Internet Explorer.
6. Navigate to Start > All Programs
7. Right-Click on the Internet Explorer menu item.
8. Select Run as Administrator.
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9. When the User Account Control window is displayed, click ALLOW.
10.Logon to CareLink Personal.
11.Upload your device(s). See Chapter 5: Upload screen for upload instructions.
12.Once you have successfully uploaded a device, reset the Internet Explorer
security settings:
➠ From Internet Explorer, navigate to Tools > Internet Options.
➠ Click the Security tab.
➠ Check the box next to Enable Protected Mode.
➠ Click OK
➠ Close Internet Explorer.
Note: Once you complete an upload successfully, you do not need to repeat this
process.
Enabling Java scripting
CareLink Personal uses Java scripting to perform some of its functions. If the
Java Script setting for your Internet Explorer is disabled, you need to change
this setting to enable scripting before you try to access the system.
Take the following steps if you need to change the Java Script setting to
Enable or want to check the setting.
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1. From the Internet Explorer menu options, select Tools > Internet Options. The
Internet Options page is displayed.
2. Click the Security tab. The Security tab page is displayed.
Internet Icon
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3. Select the Internet icon and click CUSTOM LEVEL ... The Security Settings page
is displayed.
4. Use the scroll bar on the right of the Settings box to scroll down to Active
scripting.
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5. Underneath Active scripting, click the circle to the left of Enable so that a dot
is displayed in the center of it like the following example shows:
6. Click OK.
Secure Sockets Layer (SSL) and encryption
Secure Sockets Layer (SSL) refers to a security protocol designed to protect
your Web browser sessions. CareLink Personal requires your browser to be
enabled for SSL Version 3. It also requires support for 128-bit SSL encryption.
The version of Internet Explorer required by CareLink Personal (at a
minimum version 5.5) has 128-bit encryption built in. So, if you are receiving
an error message about your browser configuration, like the message shown at
the beginning of this appendix, and it shows that you have an SSL setting of
less than 128-bit key, you probably need to upgrade to the latest version of
Internet Explorer.
First take the following steps to check the SSL on your current Internet
Explorer version.
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1. From the Internet Explorer menu options, select Help > About Internet
Explorer.
SSL Level
2. The amount listed after Cipher Strength is the SSL. If this is less than 128-bit,
see the next section for information about upgrading to the latest version of
Internet Explorer.
3. When you have finished checking the SSL, click OK.
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Upgrading Internet Explorer
If you need to upgrade your Internet Explorer to the latest version, you must
to go to the Microsoft Internet Explorer Web site:
1. Click on the following link to go to the Microsoft Internet Explorer Web site:
http://www.microsoft.com/windows/ie/default.asp
2. Click on the most recent version of Internet Explorer under the Latest
Downloads column, and follow the download instructions.
Setting Internet Explorer for secure
browsing
There is an Internet Explorer variable you need to have set so that if you log
off of the system, but do not close Internet Explorer, someone cannot use the
Explorer Back button,
before.
, to see any of the screens you had displayed
Take the following steps to check the setting, and, if need be, set it as
follows:
1. Select Tools > Internet Options from the Internet Explorer main menu.
2. Click the Advanced tab.
3. Scroll down to the Security check items.
4. Make sure there is a check mark in the box next to “Do not save encrypted
pages to disk.” (If need be, click in the box to place a check mark in it.)
5. Click OK.
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115
Glossary
A
B
A1c
Basal insulin
Glycosylated hemoglobin
A1c Test
Hemoglobin A1c test, used to interpret
blood glucose level over a period of time.
Area Under the Curve (AUC)
Indicates the level of glucose control that
is being reported by the sensor. It
compliments excursion data. Excursion
data indicates the frequency of highs or
lows. AUC indicates the magnitude of
events by showing how far out of control
and for how long.
Audio bolus
The pump can be programmed so the
user hears a beep when they select a
bolus insulin amount (0.5 or 1.0 units) to
be delivered. This is useful for situations
when it is difficult to see the buttons on
the pump.
Authenticate
A means by which a user verifies their
identity by use of a username and
password combination when entering a
Web site area that contains sensitive
patient information or data.
An amount of insulin delivered
automatically by an insulin pump based
on preprogrammed profiles and
personalized rates set in the pump. The
pump delivers a daily pattern of insulin
that typically covers "background" insulin
needs during periods of fasting (i.e.,
overnight and between meals).
Basal patterns
The user can program up to three
different basal rate patterns into their
pump for the delivery of basal insulin:
Standard, A, and B. For each pattern
there is the option of setting up to 48
basal rates.
Basal profile
A basal rate with a start and stop time.
The user can program several different
profiles into their pump, each with a
different basal rate, during a 24-hour
period of time to achieve better glucose
control.
Basal rate
The pump setting that provides a
continuous infusion of insulin to keep the
blood glucose stable between meals and
during the night. Basal insulin mimics
pancreatic insulin delivery—which meets
all the body’s non-food related insulin
needs.
BG
Blood Glucose
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Bolus insulin
A dose of insulin given to cover an
expected rise in blood glucose (such as
the rise after a meal) or to lower a high
blood glucose down to target range.
Com-Station
A device used to download pass-through
third-party meter data to the computer.
ComLink
A radio frequency (RF) transceiver device
used to download Paradigm pump or
Guardian REAL-Time CGM System data to
the computer.
C
Cal Reminder
The pump will trigger a Meter BG By
HH:MM alarm automatically every 12
hours, signaling that the current
calibration value is no longer valid. The
value of the Cal Reminder is the amount
of time before the current calibration
value expires by which the user wants to
be reminded to calibrate. For example, if
the Cal Reminder is set to 2 hours, the
Meter BG By HH:MM alarm will occur 2
hours before calibration is required.
Correction bolus
The amount of insulin needed to return a
high blood glucose level back down to
target range.
Correction bolus factor
How much 1.0 unit of insulin will lower
your blood glucose. This factor is used to
calculate a correction bolus amount
when your blood sugar is high.
(BG level) – (BG target) = X.
X ÷ (correction bolus factor) =
correction bolus amount
Carb ratio (carbohydrate ratio)
Used when counting carbohydrates in
grams. The amount of carbohydrates
covered by one unit of insulin. (Also see
exch ratio.)
Carb units
D
Dual Wave™ bolus
Combination of a Normal bolus that is
delivered immediately, then followed by
a Square Wave bolus. The Square Wave
portion is delivered evenly over a period
of time.
The food entry when using the Bolus
Wizard. Entered as (carbohydrate) grams
or exchanges.
CareLink Personal
A therapy management Web application
that allows uploading, logging and
reporting of diabetes data via the
Internet.
CH
Carbohydrate
E
Easy bolus
Method of delivery for a Normal bolus by
using the Easy Bolus button on the pump.
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Exch ratio (exchange ratio)
Hypoglycemic
Used when counting carbohydrates as
exchanges. The amount of insulin
required to cover one (1) carbohydrate
exchange. (Also see carb ratio.)
Low blood glucose as seen by monitoring
blood glucose levels, with or without any
or all of the following symptoms:
excessive hunger, shaking or tremors,
perspiration, "dancing" visions,
headache, blurred speech, sudden mood
swings or personality change.
Express bolus
Method of delivery for any bolus type
using the express bolus button on the
pump.
F
I
IFU
Food bolus
A dose of insulin given to cover the
expected rise in blood glucose that
occurs after eating.
H
HbA1c
Glycosylated hemoglobin
HbA1c Test
Hemoglobin A1c test, used to interpret
blood glucose level over a period of time.
High Glucose
The pump will alarm if the sensor
indicates that the user’s sensor glucose is
at or above this value. You have the
option to turn this feature on or off.
Hyperglycemic
Elevated blood glucose as seen by
monitoring blood glucose levels with any
or all of the following symptoms: nausea,
vomiting, blurred vision, headache,
gastric distress, frequent urination of
large amounts, and lethargy.
Instructions for Use, also referred to as
the User Guide.
Infusion set
The apparatus used for inserting and
securing a cannula below the skin and
transporting insulin to the insertion site
via tubing from the pump.
Insulin concentration
The concentration or type of insulin the
doctor has prescribed for the user. This
affects the rate of insulin the pump
delivers. If the user’s insulin
concentration changes, the basal
profiles, and the maximum basal and
bolus rates must be reprogrammed in the
pump.
Insulin sensitivity
The amount that your blood glucose (BG)
level is reduced by one unit of insulin.
(Bolus Wizard data).
ISIG
Sensor values that indicate whether the
transmitter electronics are working
properly. If you see an ISIG value that is
less than 24.00 nA or more than 29.00 nA,
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118
call for product assistance. It may be
time to replace your transmitter. ISIG
values are displayed in the Data Table
report, next to sensor glucose values.
K
Ketone test
Ketone is a waste product that is
produced when the body is forced to burn
body fat instead of glucose for energy. It
may be a sign of lack of insulin in the
body. The Ketone test measures the
amount of ketone concentrated in the
blood or urine.
L
M
Manual bolus
Optional item available in the BOLUS
MENU when Bolus Wizard is active. One
method of programming a bolus without
Bolus Wizard.
Max basal insulin
The maximum amount of basal insulin
that the pump will deliver at one time.
(set by the user).
Max bolus
The maximum amount of bolus insulin
that the pump will deliver at one time.
(set by the user).
Mean Absolute Difference (MAD)
Link
To turn on and setup the meter option
that allows the pump to receive BG
readings from the Paradigm Link meter.
It is also used in this system to refer to
hypertext links. When clicked on,
hypertext links take you to another place
in the system or to another Web site.
Low Glucose
The pump will alarm if the sensor
indicates that the user’s sensor glucose is
at or below this value. You have the
option to turn this feature on or off.
Low reservoir warning
Programmable warning that notifies you
with an alert when either a specified
number of units remain in the reservoir
of your pump, or a specified amount of
time remains before the reservoir will be
empty.
Represents the level of accuracy in
calibration of the sensor to meter
readings. The lower this number, the
greater the calibration accuracy. MAD is
calculated by taking the difference
between closely occurring pairs of SG and
meter readings, dividing by the meter
reading and then averaging across all
pairs.
Meter
The Paradigm Link Blood Glucose Monitor
Powered by BD Logic™ Technology
(Paradigm Link meter). Your pump can
be programmed to receive your BG
readings from this meter.
This word is also used to refer to other
supported third-party glucose meters.
Meter option
Feature that allows the pump to receive
BG readings from the Paradigm Link
meter.
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N
Square Wave portion
(Sq) The second part of a Dual Wave
bolus. The Square Wave portion delivers
evenly over a period of time after the
NOW portion delivers.
Normal bolus
An immediate delivery of a specified unit
amount of insulin.
Now
The “Normal” portion of a Dual Wave
bolus. The now portion delivers
immediately and is then followed by the
Square portion.
Step
Measurement of insulin that you set and
use for Easy Bolus delivery.
Suspend
Function on the pump that stops all
insulin delivery. Any current bolus and/or
prime deliveries are canceled. The basal
delivery is paused until restarted.
P
Pattern feature
Extended pump feature that allows you
to program optional basals (Pattern A,
Pattern B) that support activities that are
not a part of your day-to-day routine, but
are usual in your lifestyle. Such activities
could be a sport that you do once a week
or a change in your sleep pattern over
the weekend.
T
Temp
Temporary
Temp basal (tmp basal)
Temporary one-time basal insulin with a
specified amount and duration. Used to
support insulin needs for special
activities or conditions that are not part
of the normal daily routine.
Pattern, standard
Your normal basal that supports your
usual day-to-day activity. When the
Patterns feature is off, the pump uses
your standard (basal) pattern.
Transmtr ID
The serial number of the transmitter
currently in use.
R
RF
U
Radio frequency (RF).
μL
micro liter
S
Square Wave™ bolus
Bolus delivered evenly over a specified
time period (30 minutes to 8 hours).
Upload
The process of transferring diabetes
device data to the CareLink Personal
server.
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120
User
The registered person.
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121
Index
A
Adding a logbook entry 53
Carbohydrates 54
Exercise 55
HbA1c 56
Infusion Set Change 56
Urine Ketones 57
B
monitor 33
pump 32
Data Table report, understanding 84
Date and time synchronizing 12
changing computer date & time 13
changing device date & time 13
Deleting a logbook entry 59
Device data, uploading
verifying an upload 43
Back button
Internet Explorer secure setting 115
Device time changing
inaccurate results 99
Devices
changing date and time 13
connecting to your computer 35, 37
supported 2
ComLink 4
Com-Station 4
continuous glucose monitors 2
glucose meters 3
Guardian REAL-Time CGMS 2
insulin pumps 2
meter data communications cable 4
uploading 39
C
Changing
computer date and time 13
device date and time 13
inaccurate results 99
My Info screen 100
editing the fields 100
submitting your changes 101
Preferences screen 105
editing the fields 105
submitting your updates 106
understanding the fields 106
your password 102
ComLink supported 4
Computer
changing date and time 13
Com-Station supported 4
Connecting devices to your computer 35
instruction diagrams 37
Connecting meters to your computer 35
Displaying logbook entries for a specific date 53
Displaying online help 25
Downloading the Java Plug-in 44
Windows XP, Service Pack 2 45
Downloading the SerialPort package file 47
E
Editing a logbook entry 58
Enrolling 18
enrollment form 19
security alert 13
terms of use and privacy statement 18
instruction diagrams 37
Connecting pumps to your computer 35
instruction diagrams 37
Continuous glucose monitors supported 2
Guardian REAL-Time CGMS 2
Contraindications 5
D
Enrollment form
enrolling 19
F
Forgetting your password
Daily Summary report, understanding 78
Data communications cable supported 4
Data gathered during uploads
meter 32
what to do 21
G
Generating a report 66, 68
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Glossary 116
Glucose meters supported 3
Guardian REAL-Time CGMS
supported devices 2
H
Help
displaying online help information 25
HelpLine, contacting 6
Home screen
opening 30
Recent Activity - Last 5 Uploads section 30
What Can I Do Next? section 31
I
Inaccurate report results
deleting a logbook entry 59
displaying entries for a specific date 53
editing a logbook entry 58
opening 51
overview 51
Logging in 21
security alert 13
installing certificate 15
not installing certificate 14
steps for 21
Logging off 24
M
Meter data communications cable supported 4
Meter data gathered from uploads 32
Meters
changing date and time 13
connecting to your computer 35, 37
instruction diagrams 37
supported 3
uploading data 39
verifying an upload 43
changing device time 99
Indications for use 5
Installing the USB interface cable driver 48
Insulin pumps supported 2
Internet Explorer
back button
secure setting 115
required settings
Java Scripting, enabling 110
overview 108
Secure Sockets Layer (SSL) 113
upgrading version 115
secure browser setting 115
J
Java Plug-in, downloading 44
Windows XP, Service Pack 2 45
Java Scripting, enabling
required Internet Explorer settings 110
Modal Day Hourly report, understanding 86
Modal Day Periods report, understanding 84
Monitor data gathered from uploads 33
My Info screen
changing 100
editing the fields 100
submitting your changes 101
changing your password 102
opening 100
N
Navigating the system 7
Navigational tips 7
buttons 10
common links 8
fields 10
links 10
screen tabs 9
the Welcome screen 7
L
Logbook
overview 2
Logbook entries
adding 53
Carbohydrates 54
Exercise 55
HbA1c 56
Infusion Set Change 56
Urine Ketones 57
deleting 59
displaying for a specific date 53
editing 58
Logbook screen
adding a logbook entry 53
Carbohydrates 54
Exercise 55
HbA1c 56
Infusion Set Change 56
Urine Ketones 57
O
Online help, displaying 25
Opening
Home screen 30
Logbook screen 51
My Info screen 100
Preferences screen 105
Reports screen 66
Upload screen 34
security warning 34
Overview
Carelink™ Personal 1
logbook 2
reports 1
secure access 2
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123
P
Sensor Overlay by Meal report 95
Sensor Weekly Logbook report 94
Trends Summary report 88
Password
changing 102
what to do if you forget it 21
Preferences screen
changing 105
editing the fields 105
submitting your updates 106
understanding the fields 106
opening 105
overview 105
Printing a report 71
Privacy policy, reviewing 26
Pump data gathered from uploads 32
Pump Settings report
understanding 92
Pump settings report
results
effects of date and time selection 98
Pumps
changing date and time 13
connecting to your computer 35, 37
instruction diagrams 37
supported 2
uploading data 39
verifying an upload 43
S
Safety 5
Secure access
overview 2
Secure browser setting for Internet Explorer 115
Secure Sockets Layer (SSL)
required Internet Explorer settings 113
Security alert 13
installing certificate 15
not installing certificate 14
Security certificate
installing 15
not installing 14
Security warning on the Upload screen 34
Sensor Daily Overlay report, understanding 93
Sensor Overlay by Meal report,
understanding 95
Sensor Weekly Logbook report,
understanding 94
SerialPort package file, downloading 47
Supported devices 2
ComLink 4
Com-Station 4
continuous glucose monitors 2
glucose meters 3
equivalent devices 4
Guardian REAL-Time CGMS 2
insulin pumps 2
meter data communications cable 4
Q
Quick View Summary report, understanding 73
R
Recent Activity - Last 5 Uploads
section of the Home screen 30
Report results
special issues 98
Report titles, locating 72
Reports
generating 66, 68
locating the title 72
overview 1
printing 71
special issues affecting results 98
Synchronizing date and time of computer and
devices 12
changing computer date & time 13
changing device date & time 13
System
how to navigate 7
buttons 10
common links 8
fields 10
links 10
screen tabs 9
Reports screen
generating a report 66, 68
locating the report title 72
opening 66
overview 61
printing a report 71
special issues affecting results 98
Understanding This Report link 72
Daily Summary report 78
Data Table report 84
Modal Day Hourly report 86
Modal Day Periods report 84
Pump Settings report 92
Quick View Summary report 73
Sensor Daily Overlay report 93
T
Terms of use and privacy statement
enrolling 18
Terms of Use, reviewing 27
Time and date synchronizing 12
changing computer date & time 13
changing device date & time 13
Trends Summary report, understanding 88
U
Understanding This Report link
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124
Daily Summary report 78
Data Table report 84
key information about reports 72
Modal Day Hourly report 86
Modal Day Periods report 84
Pump Settings report 92
Quick View Summary report 73
Sensor Daily Overlay report 93
Sensor Overlay by Meal report 95
Sensor Weekly Logbook report 94
Trends Summary report 88
Upgrading Internet Explorer version 115
Upload screen
connecting devices to your computer 35
downloading the Java Plug-in 44
Windows XP, Service Pack 2 45
downloading the SerialPort package file 47
installing the USB interface cable driver 48
opening 34
security warning 34
overview 32
uploading device data 39
verifying an upload 43
Uploading device data 39
verifying an upload 43
USB interface cable driver, installing 48
User safety
contraindications 5
indications for use 5
warnings 5
V
Verifying a device upload 43
W
Warnings 5
Web site
how to navigate 7
Welcome screen 7
What Can I Do Next?
section of the Home screen 31
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