DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with...

44
2 CONTINUOUS GLUCOSE MONITORING MINIMED ® 630G SYSTEM DURING TRAINING

Transcript of DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with...

Page 1: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2CONTINUOUS GLUCOSE MONITORING MINIMED® 630G SYSTEM

DURING TRAINING

Page 2: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

Page 3: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

1

2 2

DURING TRAINING CONTINUOUS GLUCOSE MONITORINGMINIMED® 630G SYSTEM

Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Section 1: Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Section 2: Keys to Success . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

SensorGlucose(SG)≠BloodGlucose(BG) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

PersonalizedAlerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

SensorInsertion-Thumbprint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

SensorTaping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Section 3: Sensor Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Section 4: Sensor Alerts and Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

SensorAlerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

SuspendonLow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Section 5: CareLink® Personal Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Keys to Success Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Additional Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Quick Reference Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ConnectingthePumpandTransmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Enlite® SensorandOne-pressSerter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

SensorAlerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

SmartGuard™Technology:SuspendonLow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

CareLink®PersonalSoftware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

TABLEOFCONTENTS

Page 4: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

2

Welcome

Wearehappyyouareatyourtrainingtoday.YourtrainerwillworkwithyoutolearnhowtouseyourContinuousGlucoseMonitor(CGM).Together,youwillenteryourCGMsettingsandlearninformationtohelpensureyoursuccessusingCGM.

Section 1: Getting Started

WhyisstartingCGMsoexciting?CGMfillsinthegapsbetweenfingerstickteststakenwithyourmeter,andallowsyoutoseewhatyourglucosevaluesarewhenyouarenottesting.Notonlywillyouseeyourglucosevalue,butyouwillalsogetinsightintothespeedanddirectionyourglucoseismoving.

Glucose Values

100 mg/dL

85 mg/dL

70 mg/dL

85 mg/dL75 mg/dL

12:00 AM 8:00 AM 4:00 PM

Time

GETTINGSTARTED

Page 5: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

3

2 2

Section 2: Keys to Success

ThenextseveralpageswillcovertheimportanttopicsandconceptsthatareveryhelpfultounderstandwhenusingCGM.

Key to Success: Sensor Glucose (SG) ≠ Blood Glucose (BG)

Thesensorandyourbloodglucosemetermeasureglucoseintwodifferentplaces:

SENSOR GLUCOSE ≠

BLOOD GLUCOSE

SG ≠ BG

SENSORGLUCOSEANDBLOODGLUCOSE

Becauseglucosemovesbetweenthesetwoplaces,your blood glucose meter readings (BG) and sensor glucose readings (SG) will be similar, but will rarely match .

Thisdifferenceisnormalandshouldbeexpected.YoucanexpecttoseealargerdifferencebetweenyourBGmeterreadingandthesensorglucosereadingwhenglucoselevelsarerisingorfallingquickly.Thisoftenoccurs:

� Aftermealsortakinginsulin

� Duringandafterexercise

� Whenarrowsappearonyourpumpscreen

Theglucose sensor measuresglucoseintheinterstitial fluid

Your metermeasuresglucoseintheblood .

CHECKPOINT

Page 6: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

4

2

DonnagetsahighSGalertonherpumpaftereatingbreakfast.Shechecksherglucosevaluewithhermeter.ItisalsohighbutthereisadifferencebetweenherBGandSG.SheremembersthatthisisokayandthatitisnormalfortheretobealargerdifferencebetweenSGandBGaftermeals.

LIFE WITH CGM

Understanding SG & BG

ThinkofSGandBGlikearollercoaster.BGisinthefrontcar,SGisinthebackcar.

Whenglucoselevelsarestable,SGandBG valueswillbesimilarbutrarelyexactlythesame.

Whenclimbingupthetrack,orrising,theBG valueisgreaterthantheSGthatfollowsbehindit.

Butwhenmovingdownthetrack,orfalling, theBGinfrontisnowlessthantheSGvalue.

SENSORGLUCOSEANDBLOODGLUCOSE

Page 7: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

5

2 2

Donotmaketherapytreatmentdecisionsbasedonsensorglucosevaluesbecause sensorglucoseandbloodglucosevaluesmaydiffer.Ifyoursensorglucosereadingisloworhigh,orifyoufeelsymptomsofloworhighglucose,confirmyoursensorglucosewithyourBGmeterpriortomakingtherapydecisionstoavoidsevereloworhighglucoseconditions.

!Write either SG or BG next to each statement below.

SG – Sensor Glucose

BG–BloodGlucose

________ glucosereadingsmeasuredwithyourmeter

________ glucosereadingsmeasuredusingCGM

________ measuredininterstitialfluid

________ oftenalowerreadingwhenglucoseismovingdownquickly

Ashley knows it is okay to see a difference between sensor glucose and blood glucose readings. When confirming a sensor glucose with a blood glucose, what might Ashley see as sensor and blood glucose readings?(circlethebestanswer)

A sensorglucose80andbloodglucose70

B sensorglucose215andbloodglucose235

C sensorglucose65andbloodglucose80

D alloftheabove

Why will your sensor glucose be different from your blood glucose? (circlethebestanswer)

A sensorglucoselevelsgenerallyfollowbehindbloodglucose

B sensorglucoseismeasuredintheinterstitialfluidandbloodglucoseismeasuredintheblood

C glucosemovescontinuouslybetweenbloodandinterstitialfluid

D alloftheabove

SENSORGLUCOSEANDBLOODGLUCOSE

Page 8: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

6

2TRENDS

Key to Success: Trends

WhenusingCGM,youwillwanttofocusonsensorglucosetrends.Trends giveinsightintothespeedanddirectionyourglucosehasbeenchanging. Thisallowsyouto:

� focus lessontheindividualsensorglucosenumbers.

� focus moreonhowquicklyyourglucosemayberisingorfalling.

Thesensorgraphandtrendarrowsshowyouthisinformation.

Whenlookingatthesensorinformationabove,youseethecurrent SGreadingis100mg/dL.Butalsonotice:

� the sensor graph: showssensorglucoseistrendingdownward

� two arrows above the number:tellsyouglucosehasbeendropping

Thisgivesyouimportantinsightthatyoudidn’tgetfromthenumberitself.

I’ll focus less on the

number and more on the

direction and speed that

glucose is changing

TRENDS

Example of Sensor Information on the Home Screen

Trend Arrows

Sensor Glucose ReadingSensor

Glucose Graph

Ifyouseenoarrowsabovethesensorglucosevalue,yoursensorglucoseisnotrisingorfallingquickly.

or

SG has been changing very quickly SGhasbeenrisingorfallingmorethan60mg/dLoverthelast20minutes

(morethan3mg/dLperminute)=

or

SG has been changing quickly SGhasbeenrisingorfallingabout40-60mg/dLoverthelast20minutes

(2-3mg/dLperminute)=

or

SG has been changing SGhasbeenrisingorfallingabout20-40mg/dLoverthelast20minutes

(1-2mg/dLperminute)=

CHECKPOINT

Page 9: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

7

2 2TRENDS

Using Trend Arrows…Stevenseesasensorglucosevalueof110mg/dLand$$$trendarrows.Thismeanshissensorglucosehasdroppedapproximately60mg/dLormoreinthelast20minutes.Hetestswithhismetertoconfirmhisglucoselevelanddecidestoeatsomecarbohydratetohelpavoidhypoglycemia.

LIFE WITH CGM

Chris looks down at his sensor display at work. What should he do if his sensor displays the following:

A giveacorrectionbolus

B confirmwithabloodglucosereadingusinghisBGmeter

C eatasnack

Paula sometimes forgets to bolus before eating. Which trend arrow(s) might she see next to her sensor glucose reading as a result of forgetting to bolus?

A ##

B $$

C ###

D bothA andCarepossibilities

Page 10: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

CHECKPOINT

8

2

Key To Success: Personalized Alerts

YourCGMalertandsuspendsettingsaremostbeneficialiftheyare personalizedforyourneeds.

YourhealthcareprofessionalwillworkwithyoutodetermineyourinitialsettingsandhelpwithadjustmentsthatneedtobemadeafteryoustartusingCGM.

Ifyouarereceivingtoomanyalerts,haveyourhealthcareprofessionalhelpadjustthesettingssoyouarealertedonlywhenyoufinditishelpful.

High Settings

Hereyoucanseethealertsthatcanbeset:

Time periods: Differenttimeperiodscanbeusedwhensettinghighalerts.Forexample,youmaywanttousedifferenthighalertsduringthedaythanyoudoatnight.

High Limit: Thisisthehighsensorglucosevaluethatyouset.Youcanbealertedwhenyouareapproachingand/orwhenyoureachorriseaboveit.Youcanhaveadifferenthighlimitforeachtimeperiodthatyouset.

PERSONALIZEDALERTS

PERSONALIZED ALERTS

My settings may need

to be adjusted after I

start using CGM.

400 mg/dL

Sensor Glucose

Personalized Alerts

CGM Alert Setting

( Low Snooze)

( High Snooze) Suspend on Low Alert on Low

Rise Alert

Alert on High

Suspend before Low Alert before Low

40 mg/dL

High Limit

Alert before High

Sensor Glucose Readings

Page 11: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

9

2 2

Alert options: oncethetimeperiodandhighlimitaredecided,yousetthealertsthatwillbeusedduringthattime:

PERSONALIZEDALERTS

Alert on high…Sarahhasbeenworkinghardtokeepherglucoselevelsundercontrol.Herhealthcareprofessionalhassetherhighlimitat225mg/dLandishavingherusetheAlertonhigh. IfherSGreachesorrisesabovethislimit,shewillreceiveanalertandwilltestherBG.Shecantakeinsulinifneededtohelpherglucoselevelsreturntohertargetrange.

LIFE WITH CGM

Low Settings

Hereyoucanseethealertsandsuspendoptionthatcanbeset:

Alert before high YourSGisapproachingyourhighlimit.

Time before high ThenumberofminutesbeforereachingthehighlimitthatyouwillreceivetheAlertbeforehigh.

Alert on high YourSGhasreachedorrisenaboveyourhighlimit.

Rise Alert YourSGisrisingrapidly.

Snooze Theamountoftimebeforebeingre-alertedifthehighalertconditionis stilloccurring.

400 mg/dL

( Low Snooze)

( High Snooze)Suspend on Low Alert on Low

Rise Alert

Alert on High

Alert before Low

40 mg/dL

High Limit

Alert Before HighSensor Glucose Readings

Page 12: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

10

2

I will test my BG

with my meter

before making any

treatment decisions.

Time periods: Likethehighsettings,differenttimeperiodscanbeusedwhensettinglowalerts.Forexample,youmaywanttousedifferentsettingswhileyouareatworkorschoolthanyoudowhenathome.

Low Limit: Thisisthelowsensorglucosevaluethatyouset.Youcanbealertedwhenyouareapproachingand/orwhenyoureachorfallbelowit.ItisalsothepointthatinsulinwouldbesuspendediftheSuspendonlowfeatureisbeingused.Youcanhaveadifferentlowlimitforeachtimeperiodthatyouset.

Low Alerts and Suspend options: thesearechosenforeachtimeperiod,

PERSONALIZEDALERTS

Alert before low YourSGisapproachingyourlowlimit.YouwillbenotifiedwhenyourSGispredictedtoreachyourlowlimitin30minutes.

Suspend on low YourpumpwilltemporarilystopdeliveringinsulinifyourSGhasreachedorfallenbelowyourlowlimit.Thiskeepsadditionalinsulinfrombeingdelivered.

Alert on low YourSGhasreachedyourlowlimit.IfyouuseSuspend on low,thisalertwillautomaticallybesettoOn .

Low snooze Theamountoftimebeforebeingre-alertedifthelowalertorsuspendconditionisstilloccurring.

MoreinformationonaddressingthesealertsandaSuspendonloweventiscoveredinSection4.

Page 13: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

11

2 2PERSONALIZEDALERTS

My High Limit during the day is set at: ________ mg/dL.

My Low Limit during the night is set at: ________ mg/dL.

Place a ‘T’ by each statement that is True.

________ RiseAlertmeansyouhavereachedyourhighlimit

________ AlertbeforelowmeansyourSGisapproachingyourlowlimit

________ Suspendonlowwillstopinsulindelivery

________ AlertonlowmeansyourSGhasreachedyourlowlimit

I should confirm my SG with my meter BG before making any treatment decisions.

A True

B False

If you are receiving too many alerts you may need to:

A changeyourlowandhighsnoozesettingstogiveyourglucosemoretimetorecover

B adjustthealertsettingssotheyoccuronlywhenyouneedtotakeaction

C justturnoffallofthealerts

D bothAandB

Page 14: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

12

2

Key to Success: Sensor Insertion - Thumbprint

Youarenowreadytoinsertyoursensor.Beforeyoubegin,gatherthesuppliesneeded:

SENSORINSERTION-THUMBPRINT

Connect Your Pump and Guardian Link

Beforeusingthesensorforthefirsttime,youwillneedtowirelesslyconnectthepumpandtransmittersothattheycancommunicatewitheachother.Thisallowsthesensorinformationtobedisplayedonthepumpscreen.

Check the resource that you will use to help with your Enlite sensor insertion:

QuickReferenceGuide:seepage31

myLearningvideo:my.medtronicdiabetes.com/mylearning

MedtronicDiabeteswebsite:www.medtronicdiabetes.com/changesensor

For help connecting your Insulin Pump and Guardian Link, see the Quick Reference Guide on page 29.

THUMBPRINT

Enlite® System Components

One-press Serter Guardian Link Transmitter

Sensor OvertapeA–Pre-cutHole

A

Enlite Sensor & PedestalA–SensorB–PedestalC–AdhesiveTape

A

B

C

Drawingsthroughoutthisdocumentareonlygenericrepresentationsofthesystemcomponents.

Page 15: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

13

2 2

Select Your Site

Yoursensorcanbeinsertedintheabdomenandshouldbeatleast:

� 2inchesfromyournavel

� 1inchfromyourinsulinpumpinfusionsite

� 1inchfromanymanualinsulininjectionsite

Avoidinsertingthesensorinareaswhere:

� clothingrubsoristightagainstyourbody

� yourbodybendsorthereisalotofmotion

� youhavescartissue

Insertion – Important Points

Wewillfirstreviewsomeimportantthingstorememberwhileyouareinsertingthesensor:

SENSORINSERTION-THUMBPRINT

I’ll rotate my site

when I put a new sensor in.

When loading and removing the sensor:

� Besurethesensorisonahardandevensurfacelikeatableordesk.

� Besureyourthumbisonthethumbprintandnotthegreenbuttons.

� Placethesertergentlyontothesensor/pedestaltoensureitloadsproperly.

� Keepyourthumbonthethumbprintwhenremovingtheserter.

About the serter:

Thereisasmallbumponeachgreenbutton. Haveyourfingersonthesebumpswheninsertingthesensor.

Page 16: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

14

2

When inserting the sensor:

Holdthesertergentlyagainstyourskin.

Placeyourfingersonthebumpsonthegreenbuttons.

ThenpressandRELEASEbothbuttonsatthesametime.

Continuetoholdserteragainstbodytoallowtheadhesivetimetostickto theskin.

Slowlypulltheserterawayfromtheskinmakingsurethebuttonsarenotpressed.

When removing the sensor needle:

Placefingersonthefrontandbackofthesensorasshown(notonthesensorarms).

Holdtheneedleontheridgesat the top oftheneedlehousingwhenremovingit.

SENSORINSERTION-THUMBPRINT

Review Key to Success: Taping before inserting the sensor.

Light to the touch

Page 17: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

CHECKPOINT

15

2 2

Key to Success: Sensor Taping

Oncethesensorisinserted,itisveryimportantthatyouusetheEnlitesensorovertapetoensurethesensorstaysinplace.

SENSORTAPING

SENSOR TAPING

For step by step instructions for inserting the Enlite sensor, see the Quick Reference Guide for the Enlite Sensor and One-press Serter on page 31 of this book.

Attachtheovertapetoboththeroundedpartofthesensorandtheskin in front of the sensor .

Correcttapeplacement

Avoidpullingtheadhesivetabtootightlywhenplacingitoverthetransmitter.

When connecting the Guardian Link transmitter to your sensor:

Whentapeisplacedontotheskin,presstheadhesiveagainsttheskintohelpensurethatitstickssecurely.

You are now ready to insert and tape the sensor.

After sensor is inserted and the needle is removed:

Page 18: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

16

2

Which of the following are important when loading the sensor into the serter?

A thesensorshouldbeonahardandevensurface

B mythumbshouldbeonthethumbprintandnotthegreenbuttons

C Ishouldplacethesertergentlyontothesensor/pedestal

D alloftheaboveareimportant

Which of the following is important when pressing the green buttons to insert the sensor?

A myfingersshouldbeonthe‘bump’towardthebottomofthegreenbuttons

B Ineedtopushthebuttonsveryhardtogetthesensortoinsert

C Icanhavemyfingersanywhereonthebuttons

My fingers should be on the ridges of the needle house when I remove the sensor.

A True

B False

A second button press is required before removing the serter from the body.

A True

B False

Which of the following steps are in the correct order? Circle the correct answer.

A 1.Insertthesensor

2.Connectthetransmitter

3.Tapethesensor

B 1.Insertthesensor

2.Tapethesensor

3.Connectthetransmitter

SENSOR INSERTION

Page 19: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

CHECKPOINT

17

2 2CALIBRATION

CALIBRATION

Calibrate before bed…PamdoesnotwanttobewokenduringthenightbyaCalibratenowalertsoshetestsherBGandcalibrateshersensorbeforeshegoestobed.

LIFE WITH CGM

Key to Success: Calibration

CalibrationisessentialforoptimalCGMperformance.Tocalibrate,youmustuseafingerstickbloodsampletotestyourBGonyourmeterandthenenterthatvalueintoyourpump.*

When I get a “Calibrate Now” alert:

C = Clear the Alert

A = Accurate BG (enter right away)

L = Look for arrows

(if arrows, don’t calibrate)

Calibration Checklist:

WashhandsbeforecheckingyourBG

CalibratewiththeBGvaluerightaway

Calibrate:

� beforemeals

� beforetakinginsulin

� beforebedtime

Aimfor3to4butnomorecalibrationseachday

Ifyouseearrows,waittocalibrate

Day 1

Thetimeyouinsertedyoursensor: ______________________ AM/PM

1stCalibrationdue2hourslater: ______________________ AM/PM

2ndCalibrationduewithin6hours: by ____________________ AM/PM

Days 2 - 6

BeforeBreakfast: _________________

BeforeLunch: ____________________

BeforeDinner: ___________________

BeforeBed: ______________________

Complete this calibration schedule so you know when to calibrate:

Page 20: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

18

2

ThereareseveraldifferentwaysthatyoucanenteraBGreadingtocalibratethesensor.Whenitistimetocalibrate,choosetheonethatworksbestforyou.

CALIBRATION

OnceyouhaveenteredacalibrationBG,theHomescreenwillshowyouthatthesystemiscalibrating.Youwillstartseeingupdatedsensorglucosereadingsinabout10-15minutes.

For calibration tips, see the Calibration Quick Reference Guide on page 33.

OPTION 2

If giving a bolus using the Bolus Wizard® calculator:

ThisscreenwillappearafteryouselectDeliverBolus.

SelectYes .

OPTION 3

If option 1 or 2 does not apply, you may calibrate

through the Home screen graph:

Highlightsensorgraphandholdselect.EnterBGand

selectCalibrate .

OPTION 1

When you check your BG with the CONTOUR®NEXT

LINK 2.4 Meter:

SelectCalibrate Sensor once theBGappearsonthepump

screen .

Page 21: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

19

2 2

3-4 times/day?

Yes No

CALIBRATION

What might happen if a calibration is required and it is not entered into your pump?

A SGreadingswillnotdisplay

B IwillcontinuetogettheSGdataonmypump

C Imaynotgetimportantalerts/alarmssuchasSuspendonlow

D BothAandC

Place a ‘T’ by each statement that is true.

________ Ishouldcalibrate3-4timeseachdayforbestsensorperformance

________ IfIdon’tcalibrate,Iwillstillgetalarmsandalerts

________ Itisbesttocalibrateaftermeals

________ WhenIdoafingerstickforacalibration,Ishouldwaitatleast15minutesbefore enteringitintothepump

________ Ishouldalwayswashmyhandsbeforeafingerstickcalibration

________ IfInoticealargedifferencebetweenmySGandBG.IcanretestmyBGandcalibrate againifneeded

Decide if the times below are good times to calibrate. Circle Yes or No.

After a meal?

Yes No

After a bolus?

Yes No

Before bed?

Yes No

After exercise?

Yes No

SG is stable?

Yes No

Arrows on screen?

Yes No

More than 4 times/day?

Yes No

Page 22: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

20

2SENSORDISPLAY

Section 3: Sensor Display

Oncethesensorhasstartedgivingyousensorglucosereadings,theHomescreenwilldisplaythemsimilartowhatyouseehere:

Inadditiontothepumpicons,youwillseeadditionalsensoriconsontheStatusBarwhenusingCGM.

Connection icon:showsradiofrequency(RF) communicationbetweenthepumpandsensor.

Calibration icon:representsthetimeleftuntilnext calibrationisdue.Theiconemptiesastimedecreases. Adownarrowmeanscalibrationisneeded.

Sensor Life icon:representsthenumberofdays beforesensorneedstobechanged.

Additional icons:appearwhenthesensorisinwarmup,pumpandtransmitterareoutofrange,systemcannot becalibrated,orcalibrationorsensorageareunknown.

HighLimit

3-hourSensor GlucoseGraph

LowLimit

SmartGuard Suspend by Sensor Icon

DuringanytimesegmentwhenSuspendonlowissettoon,youwillseetheSuspendbysensoriconontheHomescreen:

Suspend on low is on and ready. Ifinsulindeliveryissuspended,theiconwillflashwhileinsulindeliveryisstopped

Suspend on low is on but is unavailable. ThiscanbeduetoarecentsuspendorwhennoSGvaluesareavailable.

AdditionalSensorIcons

TrendArrows

MostrecentSensorGlucose(SG)Reading

SmartGuard™ SuspendbySensorIcon

BolusMarker

Page 23: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

21

2 2SENSORALERTSANDSUSPEND

Read message on pump screen and take any action necessary

Press

Press on desired option

Section 4: Sensor Alerts and Suspend

ReceivingalertsisapartofwearingCGM.Whenanalertisreceived,thepumpscreenwillletyouknowwhythealertisoccurring.Youwillwanttotakethesestepswhenyoureceiveanalertoranalarm.

Sensor Alerts

Alert before lowalertmessage:

For a list of the most common sensor alerts, see the Sensor Alerts Quick Reference Guide on page 35.

Sensor expiredalertmessage:

Page 24: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

22

2SENSORALERTSANDSUSPEND

For more information about Suspend on low, see the Quick Reference Guide on page 37.

Suspend on Low

WhenSuspend on lowisturnedon,yourpumpwilltemporarilystop deliveringinsulinifyoursensorglucosehasreachedorfallenbelow yourlowlimit.Thiskeepsadditionalinsulinfrombeingdelivered.WhenSuspend on lowoccurs,thescreenyouseetotherightappearsonyourpumpscreenandallinsulindeliveryisstoppedimmediately.

Hereisageneraloverviewofthisalarm:

SUSPEND ON LOW OCCURSInsulin Delivery is Stopped

If you are alert and able to respond:

If you are not able to respond and do not clear the alarm:

Press and to clear the alarm.After 2 minutes the pump will begin

to siren and will continue to siren.

Insulin will stay suspended for 2 hours unless you choose to

resume insulin delivery.

Insulin will stay suspended for 2 hours (unless you choose to

resume it). The pump will continue to siren until you clear the alarm.

The Medical device screen will appear.

The Suspend on low alarm screen appears.

Page 25: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

23

2 2

AftertheSuspend on low messageisclearedtheHomescreenwilldisplay:

� Suspended on lowatthebottomofthescreen

� ashadedareatorepresentthetimewheninsulinhas beensuspended

� aflashingSmartGuardicon

Resuming Insulin Delivery

TherearetwowaysinwhichbasalinsulindeliverywillberesumedfollowingaSuspendonlowevent.

Automatic Resume:WhenSuspendonlowoccurs,basalinsulindeliverywillautomaticallyberesumedafter2hours.YouwillalwaysreceiveaBasal delivery resumedalertwhenthisoccurs.

Manual Resume:Youhavetheoptiontomanuallyresumeinsulindeliveryatanytime.Followthesestepstorestartbasalinsulindelivery:

SENSORALERTSANDSUSPEND

DonotusetheSuspendonlowfeaturetopreventortreatlowglucose.TheSuspendonlowfeatureisdesignedtosuspendinsulindeliverywhenyouareunabletorespondtotheSuspendonlowalarm.AlwaysconfirmyoursensorglucoseusingyourBGmeter,andfollowtheinstructionsofyourhealthcareprofessional.UsingSuspendonlowtopreventortreatlowglucosemayresultinprolongedhypoglycemia.

!

1.SelectSuspended on low . 2. Press toResumeBasal. 3. Press andselectYes .

Page 26: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

24

2CARELINK®PERSONALSOFTWARE

Section 5: CareLink® Personal Software

CareLinksoftwareisanotherkeytoCGMsuccess.YoumayalreadybefamiliarwithCareLinkPersonalsoftware.Itallowsyoutouploadinformationfromyourinsulinpump,CGMdevice,andbloodglucosemeterthroughafree,web-basedprogram.CareLinksoftwaremakesiteasiertouncovertrendsandpatternsandassessoverallglucosecontrol.

YoumayhaveregisteredontoCareLinkPersonalsoftwarewhenyoustartedpumptherapy.Ifyouhavenot,youwillwanttodososinceitwillprovideveryhelpfulinformationforyouandyourhealthcareprofessional.ThereisadditionalhelpfulinformationinyourBook 3, After Training .

For help setting up your account, see the CareLink® Personal Software Quick Reference Guide on page 39.

Lets you upload your pump, sensor and

meter information

Displays information on reports

Helps you see patterns

and trends

You and your healthcare professional can

make changes to your pump and

CGM settings

CARELINK

Page 27: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

25

2 2KEYS TO SUCCESS REVIEW

Keys to Success Review

CHECKPOINT CHECKPOINT

Page 28: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

26

2

Congratulationsonyournewjourneyinyourdiabetesmanagement.Pleasebe

suretoseeyourAfter Trainingguideforhelpwithcommonquestionsthatarise.

WehopeyoufindtheinformationCGMprovidesbeneficial.Alwaysremember,

weareheretohelpifyouneedit.

Additional Topics

TherewillbequestionsthatariseasyoustartusingCGM.MoreinformationandanswerstosomeofthemostcommonlyaskedquestionsonthefollowingtopicscanbefoundinBook 3, After Training .

� The First Few Days:reviewsthemostimportantthingstorememberthefirstfewdays usingCGM.

� Frequently Asked Questions:answersquestionsoftenaskedonthefollowingtopics:

� Calibration

� SensorandBloodGlucose

� SensorGlucoseData

� SensorAlertsandSuspend

� SensorPositionandTaping

� CareLink®PersonalSoftware

� ChargingtheGuardianLinkTransmitter

� GuardianLinkTransmitterCare

� X-ray,MRIorCTScan

� TravelingbyAir

� Help and Supply Ordering: providesresourcesthatareavailablewhenyouneedhelpandthedifferentoptionsyouhavefororderingyourCGMsupplies.

ADDITIONALTOPICS

Page 29: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

27

2 2

Quick Reference Guides

Thissectioncontainshandoutsthatyoucanrefertoduringoraftertraining.TheQuickReferenceGuidescanbeusedwhenperformingthemostcommontasksusingCGM.

� Thesetopicsinclude:

� ConnectingthePumpandTransmitter

� Enlite®SensorandOne-pressSerter

� Calibration

� SensorAlerts

� SmartGuard™Technology:SuspendonLow

� CareLink®PersonalSoftware

FeelfreetoteartheseQuickReferenceGuidesoutandkeeptheminaplacewheretheyareeasilyaccessible.

IfyouneedmoreassistanceafterreviewingtheQuickReferenceGuides,youcanalso:

� Callthe24-HourHelpLineat1.800.646.4633

� Gotowww.medtronicdiabetes.comandclickSupport

� ContactyourStartRightSMteammember

� Contactyourtrainer

QUICKREFERENCEGUIDES

Page 30: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

28

2NOTES

Page 31: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

29

2 227. Oncedeviceisfound,confirmthattheserialnumber

(SN)shownonthepumpistheserialnumberonthebackofyourtransmitter.ThenselectConfirm .

If you receive the No devices found message, place the transmitter back onto the charger. Then remove the transmitter from the charger and immediately select Retry on the pump.

8.Connectionisnowcomplete.

CHARGING THE GUARDIAN LINK TRANSMITTER

� Youwillneedtochargethetransmitteraftereach sensoruse.Afullychargedtransmittercanbeusedfor amaximumofsixdayswithoutrecharging.Itcantakeuptoanhourtofullyrecharge.

� Whenthetransmitterischarging,agreenlightwill flashonthecharger.

� Thisgreenlightwillturn offwhenthetransmitteriscompletelycharged.

CLEANING THE GUARDIAN LINK TRANSMITTER

1. Washyourhandsthoroughlyandattachthetestertothetransmitter.

2. Dampenacleanclothwithmild liquidsoapandwarmwater.Wipe theoutsideofthetransmitter.

3. Rinsethetransmitterunderwarmtapwater.

4. Usinganantibacterialhand-sanitizeronaclean,drycloth,wipethetransmitter’ssurface.DoNOTgetanyhand-sanitizerinsidethetesteropeningortransmitterconnector.

5. Disconnectthetesterfromthetransmitter.

6. Placethetransmitteronaclean,dryclothandairdryfor2-3minutes.

The charger and tester are watertight only when they are connected to each other.

Beforeusingthesensorforthefirsttime,youwillneedtowirelesslyconnectthepumpandtransmittersothattheycancommunicatewitheachother.

CONNECTING YOUR PUMP AND TRANSMITTER

1. Attachthetransmitter tothechargerandmake sureitisfullycharged.

2. FromtheMenu,select Utilitiesandthen Device Options .

3. SelectConnect Device .

4. SelectAuto Connect .

5. Readthemessagethatappears.Press andselectContinue .

6 . Make sure the transmitter is on the charger before proceeding. Nowstartthesearchprocessonbothdevices:

a.Removethetransmitterfromthecharger. If green light on transmitter does not flash, reconnect to charger until fully charged.

b.ImmediatelyselectSearchonthepump.

CONNECTINGTHEPUMPANDTRANSMITTER MINIMED® 630G INSULIN PUMP & GUARDIAN®LINKTRANSMITTER

!

!

Charger

Transmitter

Page 32: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

30

2NOTES

Page 33: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

31

2 22 ENLITE®SENSORANDONE-PRESSSERTERQUICKREFERENCEGUIDE

5a . Place serter on body.Holdsertersteadilyagainstyourcleanedinsertionsite,withoutpushingsertertoodeeplyintoskin . Note: Failing to hold serter securely flat against body may allow serter to spring back after pressing buttons and result in improper insertion of sensor.

5b. Insert sensor.Pressandreleasebumponbothbuttonsatsametime.

5c . Hold serter against body. Continueholdingserteragainstbodytoallowadhesivetimetosticktoskin.

5d. Remove serter from body. Slowlypullserterawayfromskin,makingsurebuttonsarenotpressed.

6 . Remove needle housing.Gentlyholdbaseofsensoragainstskinwithonehand.Withotherhand,holdtheneedlehousingat the topandslowlypullstraightout,awayfromthesensor.Disposeofneedlehousinginasharpscontainer.

7a . Remove adhesive pad liner.Holdsensorinplaceandgentlyremovelinerfromunderadhesivepad.

7b.Press entire adhesive pad to skin. Firmlypressadhesiveagainstskinandsmoothentireadhesivepadsoitstickstoskin.NOTE: Enlite adhesive is pressure-sensitive. Continue applying pressure to ensure sensor remains inserted in skin for whole 6 days of wear.

8a . Untuck adhesive tab.Untuckadhesivetabfromundersensorconnector.

8b.Straighten adhesive tab. Straightenadhesivetabsoitliesflatagainstyourskin,butdonotremoveadhesivelineryet.

INSERTING A NEW SENSOR

Wash your hands and clean insertion site with alcohol.

1 . Open sensor package. Pullcornerofpapercoveringtoopensensorpackage.

2a . Hold sensor by plastic pedestal.Removesensorwithattachedpedestalbyholdingpedestalonly.Placesensor/pedestalonaclean,flatsurface(suchasatable).

2b.Tuck adhesive tab. Makesurethatsensor’sadhesivetabistuckedundersensorconnectorandsnaps.

3 . Load sensor into serter. Gripserterexactlyasshown with thumb on serter thumb print. Do not hold green buttons.Pushserterdown ontopedestaluntilbaseof sertersitsflatontable.

4 . Detach serter from pedestal. Todetachserterfrompedestal,gripserterasshown,withthumbonthumbprintonserter.Withotherhand,placetwofingersonpedestalarmsandslowlypullserterstraightup.Note: Make sure that pedestal is firmly on table before pulling serter away. Warning: Do not detach pedestal from serter in mid-air as this may damage sensor.

Correct Incorrect

X

Correct Incorrect

Fingers NOT holding green buttons

X

Page 34: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

32

2ENLITE®SENSORANDONE-PRESSSERTERQUICKREFERENCEGUIDE

TAPING THE SENSOR

1. Removelinermarked1fromovertape.Donotremovetwosmallerlinersmarked2fromsidesofovertape.

2 . Important: Attach overtape to both sensor and skin next to sensor.

3. Stretchremainingpartofovertapearoundsensorconnectorsothatovertapestickstocurvedadhesivepadanddoesnotblocksensorconnectorandsnaps.Continue to press overtape to your skin to help ensure that it sticks securely.

4. Removetwolinersmarked2fromthesidesoftheovertapeandpressadhesiveagainsttheskin.

5. Thisimageisanexampleofovertapeappliedcorrectly.Sensorconnectorandsnapsarenotcoveredandappearinopeningofovertape.

CONNECTING THE TRANSMITTER

1. Withonehand,holdsensorinplace.Withotherhand,connecttransmittertosensor.

2. Youwillhearafaint“click”indicatingthattwocomponentsareconnected.Checkforagreenlighttoflashontransmitter.

3. Removelineronadhesivetab.

4. Foldadhesivetaboverandontotransmitter.Important: Be careful not to pull adhesive tab too tightly or it may cause transmitter to pull from sensor connector.

5. Pressadhesiveontotransmitter.

STARTING THE SENSOR

1 . Once Sensor connected messageappears,press . This typically takes less than a minute, but may take up to 10 minutes.

2. SelectStart New Sensor .

3 . Sensor warm-up started messagewillappear. Press andthen toclear.

Warm up...willappearon theHomescreenuntil sensorisreadyforfirst calibration.

CALIBRATING

1. SelectSnooze .

2. Pumpwilldisplaythisscreen.

3. TestyourBGanduseitto calibratesensor.

4. OncecalibrationBGis entered,thisscreenwill display.Youwillbegin receivingsensorglucose readingsin5-15minutes.

ForadditionalhelpinCalibratingSeetheGetting Started with Continuous Glucose Monitoringpage27.

Connector and snaps in hole of tape

Tape is over both sensor and skin

Page 35: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

33

2 2CALIBRATIONQUICKREFERENCEGUIDE

THE DAY YOU START YOUR SENSOR:

~ 2 hours after sensor is startedAgain within 6 hours

and before bed

EACH DAY AFTER: 3-4 TIMES PER DAY

When you wake up or Before Meal 1

Before Meal 2 Before Meal 3 Before Bed

Skip calibration if you see 2 or 3 up or down arrows on your pump screen

WHEN TO CALIBRATE

WAYS TO CALIBRATE

CALIBRATION TIPS

� Wash your handsbeforecheckingyourBGwithyourmeter.

� Don’t wait.UsetheBGvaluetocalibraterightaway.

� Before is best.Typicallythebesttimestocalibratearebeforemeals,beforetakinginsulin,andbeforebedtimewhenyourglucoseismostlikelytobestable.

� Avoid calibrating when you see trend arrowsabovethesensorglucosereading.

� Besuretowaitatleast15 minutes between calibrations .

� Calibrate before bedtoavoidbeingwokenupbyaCalibratenowalertwhilesleeping.

� Sensoraccuracymaybeimprovedwith3-4 but no more calibrationseachday.

� Calibrate your sensor regularlytoensurethatyoucontinuetoreceivesensorglucosedata.

If you notice a large difference between your BG and SG readings:

� WashyourhandsanddoanotherBGtest.

� Checkthesensorsitetobesuretheovertapeisholdingthesensorinplace.Ifitisnot,youwill needtoremoveandinsertanewsensor.

OPTION 1

Using the CONTOUR®NEXT LINK 2.4 Meter

OPTION 2

Using the Bolus Wizard®

Calculator

OPTION 3

Using the Home Screen Graph

SelectCalibrate Sensorafter BGissentfrommeter.

SelectYestocalibratesensor afterbolusisdelivered.

Highlightsensorgraph,press andholdselect.EnterBGand

selectCalibrate .

Page 36: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

34

2NOTES

Page 37: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

35

2 2SENSORALERTSQUICKREFERENCEGUIDE

Remember:Toclearanalert,press andthenpress onthe desiredoption.

Alert Reason Steps to take

Alert on highSensorglucosevalueisequaltoorhigherthanthehighlimitthatyouset.

DonottreatyourglucosebasedonSG. ConfirmitusingyourBGmeter.Treatif necessarybasedoninstructionsfromyourhealthcareprofessionalandcontinue tomonitor.

Alert on lowSensorglucosevalueisequaltoorlowerthanthelowlimitthatyouset.

Alert before high

Sensorglucosereadingisexpectedtoreachthehighglucoselimitinthelength oftimeyousetforthe Timebeforehigh.

Alert before low

Sensorglucosereading isexpectedtoreachthe lowglucoselimitwithin 30minutes.

Rise Alert

SensorglucosereadingisincreasingataratethatisequaltoorfasterthantheRateLimitthatyouset.

SENSOR ALERTS

ThistableshowssomeofthemostcommonalertsthatyoumayreceivewhenusingCGM.

Page 38: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

36

2SENSORALERTSQUICKREFERENCEGUIDE

Alert Reason Steps to take

Calibrate nowAcalibrationisneededinordertoreceivesensor glucosereadings.

EnterBGvalueintoyourpumptocalibrate.

Lost sensor signal

Communicationbetweenpumpandtransmitterhasbeenlostfor30minutesduringorafterwarm-up.

Checkthatthesensorisstillinsertedinthe skinandthetransmitterandsensorarestillconnected.Moveyourpumpclosertoyourtransmitter.Itcantakeupto15minutesforyourpumpandtransmittertostartcommunicating.

Calibration not accepted

TheBGmetervaluecouldnotbeusedtocalibrate;itwastoodifferentfromtheSGvalue.

WashyourhandsandrepeattheBGtest.Usethisvaluetocalibrateagain.

BG not received

Thetransmitterwasunabletoreceivethecalibration BGreadingfromthepump.

Moveyourpumpclosertoyourtransmitter andselectOK.ThepumpwilltrysendingtheBGagain.

Sensor expired

Sensorhasreachedit’s maximumusageof6fulldays.

Removethesensorandfollowtheinstructionsforinsertingandstartinganewsensor.

Change sensorYouhavereceivedtwo Calibrationnotacceptedalertsinarow.

Removethesensorandfollowtheinstructionsforinsertingandstartinganewsensor.

Cannot find sensor signal

Thepumphasnotreceivedasignalfromthetransmitter.

DisconnectandreconnectyourtransmitterandsensorandselectOK.

SENSOR ALERTS

ThistableshowssomeofthemostcommonalertsthatyoumayreceivewhenusingCGM.

ForacompletelistofAlertsandAlarms,refertotheMiniMed630GSystemUserGuide.

Page 39: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

37

2 22 SMARTGUARD™TECHNOLOGY:SUSPENDONLOWQUICKREFERENCEGUIDE

SuspendonLowoccurswhenyourSGreadinghasreachedorfallenbelowyourprogrammedLow Limit.WhenSuspend on lowoccurs,allinsulindeliveryisimmediatelystopped.

SUSPEND ON LOW OCCURS

If you are alert and able to respond:

The Suspend on low alarm screen appears. Insulin delivery has been stopped.

If you are not able to respond and do not clear the alarm:

Press and to clear the alarm.After 2 minutes the pump will begin

to siren and will continue to siren.

Insulin will stay suspended for 2 hours unless you choose to

resume insulin delivery.

Home screen displays:Suspended on low

Shaded area on graphFlashing SmartGuard icon

Insulin will stay suspended for 2 hours (unless you choose

to resume it). The pump will continue to siren until you

clear the alarm.

The Medical device screen will appear.

Page 40: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

38

2SMARTGUARD™TECHNOLOGY:SUSPENDONLOWQUICKREFERENCEGUIDE

Automatic Resume Basalinsulindeliverywillautomaticallyberesumedafterthe2hour maximumsuspendtime.YouwillalwaysreceiveaBasal delivery resumed alertwhenthisoccurs.

Manual ResumeYoucanchoosetoresumebasalinsulindeliveryanytimeduringaSuspendonlowevent.FromtheHomescreen,selectSuspended on low,selectResume basal,andYestoconfirm.

RESUMING BASAL DELIVERY

SUSPEND UNAVAILABLE

TIPS WHEN USING SUSPEND ON LOW

AfteraSuspendonlowoccursandinsulinisresumed,therewillbeaperiodoftimewhenthepumpwillnotsuspendagain,evenifyouarebelowyourlowlimit.

If you clear the alarm within 2 hours:

� insulinwillstaysuspendedforamaximumof2hoursunlessyoumanuallyresumeinsulindelivery.

� basalinsulinwillthenresumeandwillnotsuspendagainforthedurationoftimedeterminedbyyourLowSnoozesetting.

� afterthistimehaspassed,insulinwillthenbesuspendedagainifsensorglucoseisatorbelowthelowlimit.

If you do not clear the alarm:

� insulindeliverywillremainsuspendedfor2hours.

� basalinsulinwillthenresumeautomaticallyandwillnotsuspendagainfor4hoursregardlessofyoursensorglucosevalue.Ifyouclearthealarmduringthe4hourperiod,thetimebeforeinsulincanbesuspendedagainwillbereducedtothedurationofyourLowSnoozesetting.

� Do not miss calibrations.SuspendonlowrequiresthatCGMisworking.Calibratebeforegoingtobed.

� Address the lost sensor signal alert.SuspendonlowwillnotbeactivatedifthepumpandGuardianLinkarenotcommunicating.

� Check the battery.Changethepumpbatterywhenyoureceivea‘lowbattery’alerttoavoid depletingthebatteryduringaSuspendonlow.

� Suspend on low is not intended to be used to treat or prevent low blood glucose. ConfirmyourbloodglucoseusingyourBGmeter.Thentreatyourconfirmedlowbloodglucose usingthe“15-15Rule”orasdirectedbyyourhealthcareprofessional.

Page 41: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

39

CARELINK®PERSONALSOFTWAREQUICKREFERENCEGUIDE

WHAT IS CARELINK® PERSONAL SOFTWARE?CarelinkPersonalsoftwareallowsyoutocollectinformationfromyourinsulinpump,continuousglucosemonitoring(CGM)device,andbloodglucosemetertoevaluateyourglucosecontrolthroughafree,secure,web-basedsoftware.Thesereportscanbeusedduringofficevisitstodiscusstherapychangeswithyourhealthcareprofessional.Youcanalsomonitoryourprogresstoimprovedglucosemanagement.

WHAT DO I NEED TO START?AllittakestogetstartedisaneasyuploadusingtheCONTOUR® NEXT LINKbloodglucosemeterortheCareLinkUSBprovidedwithyourMedtronicpumporCGM.

SIGN UP IS EASYBeforeusingforthefirsttime,youneedtosetupauseraccountandpassword.Goto:http://medtronicdiabetes.com/carelink

TO CREATE AN ACCOUNT, START AT THE WELCOME SCREEN AND FOLLOW THESE EASY STEPS:

BROWSER SETUP BEFORE UPLOAD: For Windows 7, 8, 8.1, and 10, you will need Administrator Rights.

1 FromtheWelcomescreen,clicktheSign Up Nowbuttonandselectlanguage.

2 Afteryouacceptthetermsof agreement,you’llbeaskedtocreate a username and password.Thepasswordcanbeanycombinationoflettersornumbersfrom8to32characterslongandincludeoneuppercaseletter,onenumber,andonespecialcharacter.Passwordsarecase-sensitive.

3 Enteryourpersonal information in alltherequiredfields.YouwillbeaskedtofollowthroughthereCAPTCHAfeatureof enrollmentonthebottomofthescreen.ChecktheboxandclickSubmit.Onceyouhaveregistered,youcanloginfromthe Welcomescreenusingyournewusernameandpassword.

Please consult the Getting Started Guide available on the CareLink Personal software homepage for more information on sign up or by accessing http://www.medtronicdiabetes.com/CareLink-Getting-Started-Guide

2 RIGHT-CLICK on Internet Explorer® iconfromthetaskbar,RIGHT-CLICKagainonInternet Explorerinthe menuthatappears.Select Run as administrator . Click AllowintheUserAccountControlwindow.

1 Besureallopen windowsinInternet Explorerareclosed.

1 FromtheStartscreen,clicktheDesktoptileandmakesureyouareviewingthedesktop.

2 OpenyourStart Menu andclickonAll Programs RIGHT-CLICKonyour Internet Explorer iconand selectRun as Administrator . Click Allow intheUser AccountControlwindow.

1 FromyourStartmenuonyourdesktop,GotoAllApps,thenWindowsAccessories.

2 RIGHT-CLICK on Internet Explorerinthemenulist. SelectRun as Administrator . Click Allow or YesintheUserAccountControlwindow.

Win

dow

s 7

Win

dow

s 8

or W

indo

ws

8.1

Win

dow

s 10

Page 42: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

40

CARELINK®PERSONALSOFTWAREQUICKREFERENCEGUIDE

UPLOADING DATA FROM YOUR DEVICE

STILL HAVE QUESTIONS?Pleasecallour24-HourHelpLineat 1.800.646.4633, option 1 .

Foralistofsupportedoperatingsystemspleasesee:http://www.medtronicdiabetes.com/support/carelink-personal

Please visit www.medtronicdiabetes.com for detailed product and important safety information .

8 Aprogresswindowwillthenbedisplayed.Theamountoftimeittakestouploadyourdatawilldependonhowmuchdataneedstobeuploaded.Whentheuploadcompletessuccessfully,youare nowabletoviewyourreports.

7 CONNECT yourUSBlinkingdevicetoyourcomputer. TheVerify Connectionsscreenwillappeartoconfirm communicationbetweenyourdevicesandinformyouwhensetupiscomplete.ClickFinish tocontinue.NOTE:MiniMed630Gpumpusers,youwillbepromptedbythepumpto Connect Device.SelectYes onyourpumptoallowconnection.

5 Enteryourpump’sserialnumberasinstructedonthe Identify the pump screen . 6 DependingonwhichpumptypeyouselectedfromStep4,youwillreceiveeitherscreen.ChoosethecorrectUSB linking deviceyouareusing.Mostcommonly,itwillbeyour CONTOUR®NEXTLINKmeter.ClickNexttocontinue.

3 ChoosedeviceandselectMiniMed® Insulin Pump andclickNext . TheCheck Pump Status . . . screenwillappear,thenclick Next .

4 Selectyourpumptype.ForMiniMed® 630Gpump,selectMiniMed 600 series . ForMiniMed®530Gpumpsandolder,selectParadigm® series pumps .

1 Gotohttp://medtronicdiabetes.com/carelink,enteryouruser name and password,andclickonSign In .

2 DO NOT CONNECTyourCONTOUR®NEXT LINKorCareLinkUSBtothecomputeruntilprompted.ClickonUpload Data from My Device.AllowtheJavaPlug-intoload.

Page 43: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

2

Page 44: DURING TRAINING - Medtronic TRAINING CONTINUOUS GLUCOSE ... CHECKPOINT. 7 2 TRENDS 2 ... tests with his meter to confirm his glucose level and decides to eat some carbohydrate

18000DevonshireStreetNorthridge,CA91325USA1 .800 .646 .4633

Toll-free:1.800.328.2518(24-hourtechnicalsupportfor physiciansandmedicalprofessionals)

www.medtronicdiabetes.com Ascensia,theAscensiaDiabetesCarelogo

andContouraretradem

arksand/orregisteredtradem

arksof

AscensiaDiabetesCare.PP-CNL-2.4-US-004

3

BolusWizard,CareLink,Guardian,Enlite,M

iniMedareregisteredtradem

arks,SmartGuardisatradem

ark,

andStartRightisaservicemarkofM

edtronicMiniMed,Inc.

M968827A00

1_B

950M

14664-01

120

1609

09©2016MedtronicMiniMed,Inc.AllR

ightsReserved.