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1. Imperial Pounds feet inches 4 1 9 Location PredictBGL reads your device settings to determine the time zone Your device should be set to update the time zone automatically so that if you move between time zones e g fly on a plane the time zone will update automatically E g if you fly from New York to London PredictBGL will then display all data and suggests meals for London s time zone PredictBGL uses the time zone to choose which blood glucose target carb ratio and insulin sensitivity is used for dose calculations Any insulin you injected during the flight will still be tracked perfectly as internally all times are stored in UTC GMT When you fly back to New York PredictBGL will update the time zone when you land 23 Apr 15 Page 12 User Manual Web 1 3 0 0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 4 2 Step 2 Active Insulin Time If you DO NOT use a bolus insulin such as Humalog NovoLog NovoRapid or Apidra then use a setting of 3 hours and do not use the Insulin Calculator Active Insulin is the amount of time your fast acting insulin acts for This setting tells PredictBGL how much insulin to subtract Insulin on Board or IOB before calculating a dose Your healthcare professional can advise you on a starting value typically 3 hours but you must adjust it yourself based on trial and error PredictBGL nominally uses 3 hours for a fast acting insulin profile Huma2. 0 5 Maximum Dose 13 0 SLOW ACTING BASAL INSULIN Slow Acting 1 Lantus gt 23 Apr 15 Page 31 User Manual Web 1 3 0 0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 2 1 Fast Acting 1 Choose your fast or rapid acting insulin from the list Typically Humalog NovoRapid Novolog Apidra If you do not remember what it is check the Actrapid packaging or ask your Health Care Professional as different insulins have very different action times and Afreeza c rves Apidra Humalog Y Humalog mix 25 Humalog mix 50 Humulin 70 30 Humulin NPH Humulin R Lantus 9 2 2 Insulin Sensitivity Please refer to page 13 9 2 3 Active Insulin Time Please refer to page 13 9 2 4 Minimum Dose This refers to the minimum amount of fast acting insulin your delivery device can provide PredictBGL will round its insulin calculations to suit Device Suggestion Syringe 0 02 unit 1 unit depending on your eyesight and how steady your hand is Insulin 0 5 units or 1 unit pen Pump 0 03 to 0 1 unit 9 2 5 Maximum Dose This refers to the maximum dose of fast acting insulin that you are ever likely to take PredictBGL will not let you add a dose larger than this You must split it manually into two doses or adjust this value To disable this feature set the Maximum Dose to zero 9 2 6 Slow Acting 1 Specify here your slow acting insulin Typically Lantus Levemir T
3. 3 Example If you had 30 grams of carbohydrate and Add new carb ratio you gave yourself 1 units to cover it and when the insulin has finished acting 2 5 3 hours later your BGL was similar to before eating then your Insulin To Carb A A ratio is 30 ie 30 grams of carbohydrate is covered by ate It can vary 1 Unit of Insulin and the ratio is 30 grams per unit you generally Vv Vv Vv Mv 6 00PM 11 59PM 13 How to calculate your carb ratio The Carbohy to use for en amount of carbo particularly in the morning where Example 2 If you had 60 grams of carbohydrate and you gave yourself 4 units to cover it and if 2 5 3 hours later your BGL was similar to before eating then your Insulin To Carb ratio is 60 4 15 grams per unit ie 60 grams of carbohydrate is covered by 4 Units of Insulin When you first set up PredictBGL three common time periods are shown with a default value of 1 unit of insulin covers 10 grams You must personalise these values to reflect your own diabetes management See your Health Care Professional if you need assistance You may also find a worksheet helpful https www managebgl com scenarios calculating carbohydrate ratio 4 4 1 Determining your initial Carbohydrate Ratio If you use Humalog Novolog or NovoRapid the 500 Rule provides a rule of thumb for determining your initial carb ratio 23 Apr 15 Page 14 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty L
4. A A O OT 41 9 14 SODA A A EROS 41 9 15 MORE LOG TYPES WEIGHT ALC RESULTS ETC ccccccnnnononononocononannnannnoncconnnnonnnnnnononnnnnnnnnnnnnonnnnnnnnnannnccnnnnns 41 OTE ABOUT A E E7 S AATA ENTA A ei oda 42 DIC PRIVA ia aiaa ata i A A A A i Aa Ea iE 42 9 16 2 Labellihg siirroista eea cevvntts bedeuctacdvecchsbevaccsasevuctiadevaccincbencdiededeceeaseatedes exted 42 916 3 Terms Of Servite setete aai laa aaae aa aoei 42 S Pa AON MER d 20 1812130 A 2 AAA AA A EA EE EE A AT A A en ET seed 42 9 16 5 Adverse Event Reporting sscccccssssccceesssccsessssccesssscsesssscessssseecsssassecsensecessesssseseesssesensaesesessasseesaes 42 A A A 42 EN Force Sync NOW AAA AA 42 9 16 8 Discard Local Data and RE AOWNIOAA ssssecsscccseseensneseccessessnsssesececsseeensnacsesceseseesnsaaseseeseeees 42 A AA ALO 42 10 ALCOHOL AND STANDARD DRINKS sscccsscccsseccsscccescccescccesccceseccessecesceceneccuseccesecceseeceseeees 43 10 12 FHOWiMUGCHISTOO MUCH Paita iia 43 10 2 HOW DOES ALCOHOL AFFECT A PERSON WITH TYPE 1 DIABETES csscccsssssccesssscecesssseceesessecesssseeeessseeesssseeeesees 44 1 023 ALGOHOLAND HYPOS citant rin A oduaseVhdesaausenddenavascteenciadsauvseauieeereders 44 11 TROUBLESHOOTING cios iia 45 TUVO CARS A dad 45 11 1 1 Rises constant slope straight 1iN S cscccccsssscccesssscessssscceessssccssessscesesseeecesssssessessseesesssesensasees 45 11 1 2 Drops constant slope straight line csccc
5. Manual Type 2 0 7 Gestational 0 8 Other 0 8 9 2 11 Advanced Factors Advanced Factors STRESS Increases insulin needed 20 0 Magnifies basal sugar only has an effect i Advanced factors control increases to dose as a result of factors 20 0 ILLNESS Increases insulin needed 30 0 ADRENALIN Increases insulin needed 30 0 Factor Use for Default Duration Default Sickness Add extra Insulin when sick 2 hours 30 Stress Add extra Insulin when stressed 1 hour 20 Excited High impact sport or other activities 3 hours 30 that produce adrenaline Menstruation Add extra insulin during 5 hours 5 Menstruation Only shown to females Pain e g MS episodes 2 hours 30 Alcohol A pseudo factor it does not modify the 2 standard drinks n a dose calculation but the prediction model uses it to shut off the background insulin production Note Alcohol is only shown to those 16 and older See Standard Drinks page 10 23 Apr 15 Page 34 User Manual Web 1 3 0 0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 3 Blood Glucose Blood Glucose BLOOD GLUCOSE RANGE Low Range 4 0 High Range 10 0 Set Glucose Targets gt 9 3 1 Low and High Range The Low and High Range is the ideal range or clinically preferred range where you would like your blood sugar to be Below the Low mark is considered Hypo and above the High mark is considered Hype
6. Tuesday there are 2 hours of overlap S EGL mg dl 8 coach says 3 Legend BGL Estimate 120 mg dl Active Insulin 6 47 units S A1C Estimate Update 5 Time is 8 35 PM Thu Jan 8 2015 SplitView Import Show from 2015 01 07 to 2015 01 08 Show Insulin 3 Legend Click to add Insulin at 7 39 pm 7 Jan Copy Delete Copy Delete Iculator suggested 26 87 Ins Correction 26 87 IOB 0 00 Edit Copy Delete y Delete Edit Copy 0 45 108 0 00 s g it Copy Delete Delete Copy Delete Jistor suggested 4 7 IOB 0 00 Edit Copy Delete EE Humalog 5 E Humalog 5 u Lantus MM Humalog 2 I Humalog 20 uni B 4 95 Edit Copy Delete 5 12 IOB 0 19 Edit Copy Delete bs 14 17 Ins Correction 8 23 IOB 0 00 Edit Copy Delete 23 Apr 15 User Manual Web 1 3 docx v1 0 Copyright O 2015 ManageBGL Pty Ltd Page 45
7. WellDoc The capabilities of the services very tremendously in sophistication 9 10 Help and Feedback 9 10 1 Help Manual PDF Opens this manual in your document viewer 9 10 2 PredictBGL Forum Allows you to share thoughts and experience and trade stories with other people with diabetes in the PredictBGL forums 9 10 3 Email Support Opens your email client to send a support request 9 10 4 Skype Open skype to chat with us 9 10 5 Phone Opens your phone to call us 9 10 6 TuDiabetes Forums Opens your web browser at this useful reference site 9 10 7 DiabetesMine Opens your web browser at this useful reference site 23 Apr 15 User Manual Web 1 3 0 0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Page 40 Predict BGL App User Manual 9 10 8 Book a Diabetes Educator Allows you to book a diabetes educator for help with your ratios etc with PredictBGL 9 10 9 Find a Local Diabetes Organisation Helps you find a local organisation to support you 9 10 10 Add Diabetes Organisation Adds a diabetes organization and provides them with PredictBGL discounts 9 11 Points This option shows points for the way you are managing your diabetes and shows how you can improve your results This option is only accessible when you have an internet connection 9 12 Did we do well Rate us If you think we re awesome please rate us via social media If not please provide feedback so we can improve 9 1
8. lock your phone 5 1 Blood Glucose Chart es Blood Glucose Prediction 10am llanmi2pm Febl2pm Now pm 4pm Estimated BG 79 4 99 Active Insulin Estimated A1C Hypos Detected gt 6 4 8 Log a Reading 23 Apr 15 Copyright 2015 ManageBGL Pty Ltd User Manual Web 1 3 0 0CX v1 0 The dashboard shows your blood glucose graph The yellow line represents your blood glucose levels over a 6 hour period Swipe the graph to move forwards backwards in time e Green dots represent actual readings you ve made Press the green dot to find out the actual reading and time e Amber alert dots represent discrepancies between predictions and your actual blood tests Press the amber dot for suggestions as to what could have gone wrong e The Red alert dots represent a predicted hypo hyper warning in the future Don t ignore these Press the red dot to find out what is predicted e Your normal zone see page 35 is shaded differently in the centre of the chart e Your BGL target is shown as a dark green line see page 35 Page 16 Predict BGL App User Manual 5 2 Green Dots Actual BGLs 11 18 AM Thu Feb 12 2015 Blood Glucose Carbs Insulin Exercise 8 8 30 4 50 z mmol l grams units total minutes 5 3 Red dots future Hypo or Hyper warnings O Hypo Predicted AT TIT coach RECOMMENDS Take a new Blood Glucose reading Have Hypo food Jelly Beans on hand If consistently low
9. the carbohydrate amount just by pressing on it on the main Log screen See page 25 6 7 2 GI Factor The GI factor for the food can be selected This does not modify the dose calculation but affects the way the prediction model estimates how quickly the food will be absorbed and makes Hypo prediction more accurate You can change the default GI factor this is pre selected for every meal see page 36 You cannot choose Very High GI as a GI factor as this type of food is entered in the Hypo Treatment field below GI Factor Usage Very Low Fatty Fatty foods such as pizza and lasagne Low Vegetables not corn pumpkin potato Normal Breads Rice Pasta High Cake Very High Jelly beans glucose tablets 6 7 3 Hypo Treatment The Hypo Treatment is a Very High Gl food that you only eat to recover from hypos e g jelly beans or glucose tablets see page 37 23 Apr 15 Page 25 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual The calculator will recommend how many of these are required to offset a Hypo and return your BGL to the normal zone The Hypo Treatment count can be increased or decreased by pressing the or buttons on either side of it 6 7 4 Protein Enter Protein here by clicking on it To clear the Protein just enter 0 A percentage of the Protein that you eat is converted to Carbohydrates by Gluconeogenesis The percentage can
10. throughout day your basal insulin may be too high Factors such as Exercise may be missing and have not been taken into account Consider whether this information is right for you before making changes Speak to your Health Care Professional if unsure 23 Apr 15 User Manual Web 1 3 docx v1 0 When you press a green dot or actual BGL PredictBGL shows you the measurements taken at that time To clear this box press anywhere in the green box When you press a red dot or warning PredictBGL shows you a prediction of future Hypos or Hypers PredictBGL recommends that you perform a BG test at the indicated time Even if your ratios are correct it is possible for the predictions and actual blood sugars to not line up If this happens repeatedly you need to consider the suggestions and if they are right for you To clear this box press anywhere in the upper red title section Page 17 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual User Manual Web 1 3 0 0Cx v1 0 High Blood Glucose Expected AT GE COACH RECOMMENDS Take a new Blood Glucose reading Have Insulin on hand if required If consistently high throughout day your basal insulin may be too low Factors and emotional state may be missing and have not been taken into account 5 4 Amber dots Coaching Suggestions Higher Than Expected Predicted 1 0 Actually 6 9 AT 2 15PM This could be due to 2 4 u
11. 3 Coach This option shows suggestions from the coach on how you can improve your results This option is only accessible when you have an internet connection 9 14 Social A multitude of social sharing and following options for you social types 9 15 More log types weight A1C results etc This option allows you to log doctor visits blood tests and more The following settings cannot be set in the App and must be set via the website Avatar Age By adding your age PredictBGL can remind you to get certain aspects of your condition monitored at appropriate milestones Pump Type You MUST tell PredictBGL if you use a pump or not as we tailor choices based on this CGMS Type If you use a CGMS we will allow you to enter Sensor BGLs on the website BGL and website Logs screens normally these can only be added via a data import Sharing with Health Care Team and others Third party application access Data Import Dawn effect Sub accounts Pump Basal Rate 23 Apr 15 Page 41 User Manual Web 1 3 0 0CX v1 0 Copyright 2015 ManageBG Pty Ltd Predict BGL App User Manual Pattern detection Email monthly points email Newsletter 9 16 About Legal 9 16 1 Privacy We won t spam you here s proof 9 16 2 Labelling This displays the legal labelling instructions as to whom the product is suitable for 9 16 3 Terms of Service This displays the current terms and conditions see web
12. Diabetes educator A healthcare person who has the skill and knowledge to teach a person with diabetes how to manage the condition Diabetes educators may be doctors nurses dieticians mental health or fitness clinicians Some also have the credential CDE Certified 23 Apr 15 Page 4 User Manual Web 1 3 d0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual Diabetes Educator Endogenous From within for example insulin from own pancreas which may be functioning in some capacity Gl Glycaemic Index how fast the carbohydrate content of food hits the blood stream High Gl foods are absorbed quickly and cause a spike in blood sugars Spikes in blood sugar cause progressive damage to fine blood vessels in the eyes hands feet heart and kidneys HCP Health Care Provider e g doctor endocrinologist educator dietician nurse etc Honeymoon period After diagnosis of Type 1 diabetes a period of time when the body initially returns to producing some insulin Some Type 1s do not require insulin during this period others require far less Hyperglycaemia or hyper or high A high blood sugar level I Hypoglycaemia or hypo or low A low blood sugar level Hypoglycaemic unawareness A condition where a person no longer recognizes the symptoms of low blood glucose Insulin pen An insulin delivery method that looks like a w
13. GL you must decide if PredictBGL s advice 23 Apr 15 User Manual Web 1 3 0 0CX v1 0 is relevant and appropriate to you Do not allow young children to play with PredictBGL s settings Page 5 Copyright O 2015 ManageBGL Pty Ltd Predict BGL App User Manual 1 4 Recall Alert Warning this version of PredictBGL has a minor bug in the Daily Reports Please download an update ASAP OK 23 Apr 15 If we identify a serious bug in the PredictBGL App version that you have you will see a message similar to that shown We advise you to update your version of PredictBGL whenever you see one of these messages Note that we do not force you to download an update straight away because it is possible that downloading at that time may not be convenient eg about to get ona plane User Manual Web 1 3 d0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Page 6 Predict BGL App User Manual 2 Getting PredictBGL You can download the PredictBGL App from the Apple App Store or Google Play for Android If your device is damaged lost or stolen you can also access PredictBGL directly from the ManageBGL com website with the same login information 2 1 Device Requirements PredictBGL runs on any web browser on a PC Mac iPhone iPad iPod or Android smart phone or tablet 23 Apr 15 Page 7 User Manual Web 1 3 d0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 3 Sign Up Bef
14. ManageBGL User Manual PredictBGL App Last Update 23 Apr 15 Revision 1 3 Status Public release Document User Manual Web 1 3 docx For Users Predict BGL App User Manual Table of Contents 1 IMPORTANT NOTES 0sccccccssssceccscsecsccscscesseesscessacssssscacseesscnsseessecsssessacesesscucssessasesessauseseseuss 1 1 NOTES ABOUT THIS IMAN UV Alis A val dels a ER E ES 1 2 ACRONYMS AND DEFINITIONS Sei scccecvesnvicsosvancencenscvees coseticases avceisseenceula sassede sbunteisaesscedetvantessasincevacvardvedceaevieese 1 3 WARNINGS E E EET E E TEE ocio 1 4 RECALL iii 2 GETTING PREDICTBGL cccssccsccssccnsscecsssccnsccccsseccnsssecessccusssececccsssecesaccssseceuaccussseceaceusssecenes 2 1 DEVICE REQUIREMENTS visccsccctacesessiacevacedigeaccsaecevacedadeacdsaatavededecancdadalsevdcdedevataledvavddaedavacedadsaduebacavederssieedens ARS O 3 1 WEBSITE OR A P SETUP Ss cassas ssazscecetvaesstasacesstaseaasetescdacenasedesesibagesaads adacscdh adeseaieedacacdsidecanabedecetdaadesseasedacstese 3 2 SYNGHRONIZATION coccion A AA A A AA A AA 3 3 WELCOME SCREEN A AS 3 4 A A 3 5 SIGNUP AND INITIAL SETTINGS a eins AS AAA NO 4 1 STEP 1 TYPE DIAGNOSIS THERAPY ETC ccccsssecccceseccccsecccesecsecsececeeseseeeeseseeeesceeeeuseseeeueceesenecesseneceesenees 4 1 1 Diabetes Types atacada iia da rada De E RA A 4 1 2 Year Of DIAJNOSIS ii aeeai a eaaa aeaaea e toate dded otis a deca ted 4 1 3 Therapy oeseri iieiaeie A oaia aa
15. abetes People with type 1 diabetes face more risks when drinking alcohol than people without diabetes Alcohol can affect your blood glucose levels BGLs which may cause hypoglycaemia a hypo When you drink alcohol your liver thinks it is a toxin that needs to be processed Until the alcohol is completely processed your liver will not release a sufficient amount of glucose into your blood which means your BGLs are lower and may lead to a hypo Sometimes your BGLs are first raised by the sugar content in some alcoholic drinks which are mixed with soft drink and then lowered once your liver starts processing the alcohol The risk of a hypo occurring is possible both during the time you are drinking as well as for many hours after drinking Symptoms of a hypo can include shaking sweating dizziness headaches crying grumpiness hunger and numbness around the lips and fingers So it is very important to treat a hypo if you feel any or all of these symptoms You should check your blood glucose level If it is below 4mmol L you should have e Glucose tablets equivalent to 15 grams carbohydrate OR e 6 7 jellybeans OR e can of regular soft drink not diet OR e 3 teaspoons sugar or honey OR e Y glass of fruit juice For more information on how to treat a hypo see the Diabetes Australia fact sheet http www ndss com au Documents NDSS Resources Diabetes Information Sheets HYPOGLYCAE MIA 2009 pdf or search the ndss
16. be set by you see page 38 The carbohydrate equivalent is taken into account by the dose calculation You must adjust this percentage to suit your own body We suggest a starting Protein Conversion percentage of 40 6 7 5 Fat Enter Fat here by clicking on it To clear the Fat just enter 0 A percentage of the Fat that you eat is converted to Carbohydrates by Gluconeogenesis The percentage can be set by you see page 38 The carbohydrate equivalent is taken into account by the dose calculation Fat is converted to carbs at a lower rate than protein You must adjust this percentage to suit your own body We suggest a starting Fat Conversion percentage of 10 6 7 6 Food database This option allows you to lookup a food s carbohydrates protein and fat This option is only accessible when you have an internet connection 23 Apr 15 Page 26 User Manual Web 1 3 d0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 6 8 Detailed Info peilen Pressing Detailed Info gt takes you to the Detailed Info screen Factors When done press lt at the top left to return to the main screen How I m feeling Lantus e 6 8 1 Factors Factors modify the dose calculation in accordance with your settings More than one factor can be chosen at the same time When you select a factor and save the factor starts running for a predefined length of time To cancel a running fact
17. ccsssscccesssscesessssecessscesssnsesessssssccsssaesessnssseesenassesensaeees 45 23 Apr 15 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Page 3 Predict BGL App User Manual 1 Important Notes Thank you for choosing PredictBGL to help you gain better control of your diabetes PredictBGL is a bolus calculator and blood glucose prediction system designed for tracking patterns and detecting trends in blood glucose levels in people with diabetes The system is intended for use in individual patients PredictBGL aids in the detection of episodes of hyperglycemia and hypoglycemia It alerts you to these so that you can adjust your therapy both in the short term and for the future By doing this it can help you to reduce the number of times that your blood sugar levels are too high or too low It is important that PredictBGL is set up correctly Its calculations are based on your personal settings and the information that you put into it The more accurate your settings are the more accurate the suggestions will be It will take you time to tweak your settings and get your ratios right but don t give up it s worth it 1 1 Notes about this Manual This manual has been written for the diabetes community world wide As such both mmol L and mg dL units are used for Blood Glucose levels in both screen displays and in this text PredictBGL adjusts its display depending on what your preferences are Similarly for carbo
18. com au site Alcohol and hypos If you drink alcohol you and your friends may not recognise the symptoms of a hypo because it may be assumed that you are drunk This is dangerous because you may not get the right help fast enough Young people with type 1 diabetes need to plan ahead if they are drinking Tips to reduce your risk of alcohol related hypos e Never drink on an empty stomach Always ensure you have some carbohydrate in a meal or snack prior to commencing drinking e Check your blood glucose just before going to bed to minimise the chances of hypoglycaemia while sleeping e Eata snack before going to bed Remember that the body continues to process alcohol even after drinking stops e Never drink alone Identify a friend who knows you have diabetes to watch out for you if you decide to drink Make sure they know how to recognise when you are having a hypo and that they know how to help you to treat it 23 Apr 15 Page 44 User Manual Web 1 3 docx v1 0 Copyright O 2015 ManageBGL Pty Ltd Predict BGL App User Manual 11 Troubleshooting 11 1 Charts 11 1 1 Rises constant slope straight lines Missing basal insulin logs for 12 hours prior Levemir or 24 hours prior Lantus Dawn effect only editable via website 11 1 2 Drops constant slope straight line If the drop is a straight line then most likely it comes from a basal insulin overlap e g having 10 units Lantus at 8am on Monday but 6am on
19. d N A Insulin cannot be logged 4 1 4 Gender Unknown Menstruation is available as a factor Male Menstruation is not available as a factor Female Menstruation is available as a factor During Menstruation more insulin is needed compared to normal By personalising the Menstruation factor see page 34 and then ticking the menstruation factor during a dose calculation see page 27 insulin doses are magnified accordingly 23 Apr 15 Page 11 User Manual Web 1 3 0 0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 4 1 5 Enable Insulin Calculator Disable the Insulin Calculator if you DO NOT use Humalog NovoLog NovoRapid or Apidra Enable the Insulin Calculator if you use Humalog NovoLog NovoRapid or Apidra with Lantus or Levemir and vary your Insulin amount according to the size of each meal and your current blood sugar 4 1 6 Blood Glucose Units Used for logging Blood Glucose data mg dL USA Parts of Europe mmol L Australia UK Parts of Europe 4 1 7 Carb Units Used for logging how much carbohydrate you consume Choose from Unit Name Each Unit Is Grams 1 gram Exchanges 15 grams Portions 10 grams BE bread units used in Europe 12 grams KE bread units used in Europe 10 grams CC used in Europe 15 grams 4 1 8 Dimensional Units not currently used Used for logging weight and height Choose from Metric Kg cm
20. d n 33 9 2 10 Natural Pancreas FUNCTION ccceeeeecceseeseeeeessccseceescsesnssseeceessseensnsssesecssesecnnaessseesesesnenasseeeeseneees 33 G2 Vo 10 Lo 20 No 0110 RA A A O AN 34 93 BLOOD GLUCOSE A A A td 35 9 3 1 LoW and High RaNDE cicooooiidnnicocidaicciid rinn ierann reire ra iiaa kaia ieont narri ih Saites 35 9 3 2 A A E E EEEE O 35 9 3 3 Connect Devices Blood Glucose Meters eriein aai aa r ai ia iiaia 36 9 3 4 Connect Devices CGM DeviC8S ooooooocooooooooanonanononono nono no nonnno nono non cnn nn nn nono nnnn nono nono n nono non nono nononnnnnos 36 A cdasccvnveliacenveasatvinrss aceeuveesedetatshacduaaFoaatanseleeacdieaPunadsebnwedadses euactielae andi GuactahavoardueaGeactae lt aaddevvGeadtahevaaate gt 36 9 4 1 DETAUTEC ELO a ee 36 9 4 2 Meal Time Defaults iiris doin idad iden cia diiniita dani reih Saates 37 9 4 3 COrb RATIO tidad lada 37 9 4 4 Hypo Low Blood Sugar Treatment cccccesccesscesscesseesscesscessessessscssessessscssesscssesseessesssenssensees 37 9 4 5 Proteiwand FOU FACTO aran ainda eA 38 9 5 A RN 38 9 6 LOW MEDIUM HIGH INTENSITY LEVELS ccccssccccessseccesssececssssecccssceccecsssescesasesecsseseseesuseesecssseseectaseseceaaes 38 23 Apr 15 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Page 2 Predict BGL App User Manual 9 6 1 BOSOU SUG A A A a a EE a EE 39 9 6 2 Connect Devices Fitness DeviCES oooooococooooooooononooaonano nono non no non nono no
21. e ani aaee ia E Ea AE a Ee a AEE EEE AE i aeri ri aair aee ai anii 4 1 4 Gender rain na E O E A EEA 4 1 5 Enable INSUMA Caa OM had 4 1 6 Blood GIUCOSE UNIS iio dida did 4 1 7 COPD INES tad in iaa en oe OE ee a O 4 1 8 Dimensional Units not currently used ooocccooccconnnconnnonannononnnnnnnnnnnn conan conan nnnn nora nccnnnnona ccoo 4 1 9 NA A O I O A A 4 2 STEP 2 ACTIVE NSULIN TIME da 4 3 STEP 3 INSULIN SENSITIV Vico a tdt 4 3 1 Determining your initial Insulin Sensitivity ooooccnnocccnnnonannnnnnnnnnonnnnnnnononononnnannnnnnnnn nn conan nnnnnnnnos 4 4 STEP CARBOHYDRATE RATIO odia aan 4 4 1 Determining your initial Carbohydrate Ratio cccsccccssssscccsesssccsessssceesssesesesssssesssssesssssssesenaes 4 5 INITIAL SETUP COMPLETE sniviviss Geavcces cn svceds svsvceusavavecss svavouss chiveess vances sniavedscvdacdisdeivecisceissdssindvnciscesacbasseiveeies 5 DASHBOARD haa anaana a aasa sae eana Eaa AAAA ANENE OSANA SANASAN ASAS ASAA K AEEA KA AAAA E OANA aSK AS EKEN ASAKA 5 1 BLOOD GLUCOSE CHART a a na a aaa aaa a aa aa aa a aaia aaa danii asana 5 2 GREEN DOTS ACTUAL BG lS i aa a E aaa a iaai aE aiaa ia 5 3 RED DOTS FUTURE HYPO OR HYPER WARNINGS ccsssssssseccceccseeesseececccsseeassseececeeseeeaseeeceeessseeasseeeeeesesaaaasees 5 4 AMBER DOTS COACHING SUGGESTIONS ssssssccccceesssssseceecceesecsssaeeeccceeesesssaeeeeceeesesssaaeeeeeceeesessaeeeeeeeeens 5 4 1 Higher or Lower than Expected anna
22. elBand Shine TicTrak FitBit Validic etc via a range of data services such as FitnessSycner 9 7 Reports This option shows a range of reports that help to summarize and identify issues with your results This option is only accessible when you have an internet connection 9 8 Emergency Contacts This option displays your emergency contact information This option is only accessible when you have an internet connection 9 9 Sharing and Devices Connects to the website to setup connections to connected diabetic devices 9 9 1 Share with Health Care team Add a member of your Health Care team by adding their email address The Team member must login and approve the connection before they can see your data The Team member can log data and modify settings 9 9 2 Share with some other bod Shares with another carer The carer can log data and modify settings 23 Apr 15 Page 39 User Manual Web 1 3 docx v1 0 Copyright O 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 9 3 Connect devices via PredictBGL offers a range of data integration You must have an account or device with the third party service in order to use it and the ManageBGL website will walk you through a one time connection with that service to link your ManageBGL account with the service s account As time of publication these services are e HumanAPIl e Validic e FitnessSyncer e Tictrac e Biomedtrics e CareMonkey e Diabeto e Glooko e
23. fo screen see page 26 6 5 Insulin The insulin section will show a calculated dose if the dose calculator is on page 12 You can override this dose by pressing the Insulin amount To clear the Insulin just enter 0 If the dose calculator is off just enter the insulin amount 6 5 1 Active Insulin Remaining The insulin section also shows the amount of insulin remaining This helps to avoid hypos by preventing overdosing The Active Insulin is only taken into account when a BGL is entered The Active Insulin depends on your Active Insulin Time page 13 and the units of insulin you have injected within this timeframe and their timing 6 6 Save Reading When the data has been entered press Save Reading to log it If you are editing an existing reading a Delete Reading will also be shown that can be used to remove the reading 23 Apr 15 Page 24 User Manual Web 1 3 d0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 6 7 Carbohydrate Details Pressing the gt to the right of the Carbohydrates Carbohydrates j takes you to the Carbohydrate Details screen Meal Presets When done press lt at the top left to return to the main screen GI Factor Hypo Treatment 0 O Protein Fat Ae 6 7 1 Meal Presets To override the carbohydrate amount that has been pre selected you can simply press on the meal pre set you want e g if you have a late breakfast You can also modify
24. food a Green button will COACH RECOMMENDS show how much extra food is needed to counter act active insulin If you agree to follow the suggestion press the green button to add this to Exercise the Carbohydrates C Detailed Info gt Humalog 6 2 2 Negative Insulin Response If the food you are eating is not enough to counteract the insulin that you have already injected PredictBGL shows a Green button showing how many extra carbs you may need to eat to offset insulin In addition if you have entered a BGL it tells you when is the best time to eat these extra carbs This allows your BGL to drop first rather than having a high BGL for longer which has long term health consequences and increases your A1C If you agree to follow the suggestion press the Green button Depending on how low your BGL is the suggestion may be to eat straight away or to eat later 23 Apr 15 Page 22 User Manual Web 1 3 0 0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 5 44 PM 12 February 2015 Blood Glucose Carbohydrates 7 Add 5 0 grams now Exercise Detailed Info Humalog 6 2 3 Delayed Eating Response 5 46 PM 12 February 2015 Blood Glucose Carbohydrates COACH RECOMMENDS Exercise Detailed Info 6 3 Exercise 15 0 30 0 Log Reading 5 46 PM 12 February 2015 Blood Glucose 7 0 Carbohydrates 0 gt OACH RECOMMENDS Y Add 17 0 grams in 18 minute
25. hydrates PredictBGL supports grams Exchanges Portions KE CC and BE measures PredictBGL will display the one you prefer The screen displays may differ slightly from what you see in this manual due to your choice of settings 1 2 Acronyms and Definitions Active Insulin Time The amount of time your short acting insulin acts for Basal insulin The insulin that controls blood glucose levels between meals and overnight It controls glucose in the fasting state BGL BSL Blood Glucose Level Blood Sugar Level Bolus insulin The insulin that is released when food is eaten It is also the name for a burst of insulin that is delivered by injection or by the insulin pump to cover a meal or snack or to correct for a high blood glucose level Carbohydrate counting A meal planning method commonly used by people with diabetes to plan their food and meal choices Carbohydrate counting helps achieve a balance between the amount of carbohydrate foods eaten and the available insulin Carbohydrate ratio A method of determining how much rapid acting insulin is needed to cover the carbohydrate eaten at a meal or snack This is used as part of a more advanced level of carbohydrate counting CGMS Continuous Glucose Monitor ing System A device that measures blood sugar every five minutes through a sensor inserted under the skin Dawn phenomenon Arise in blood glucose levels that occurs in the early morning hours
26. ia iea aia e a aiaa aiii k aidaa enana as 5 5 S NSOR DATA CGMS incida iniciada dolia dada casas 5 6 LOG SUMMARY EET Stes hes A E E tants semcsiteanecentesceeietsecntaageste cin E 5 6 1 Estimated Blood GIUCOSC 2 adocietlaadecdacadacbsaecedasdadtas a a a ai cates 5 6 2 ACEIVE LNSULINE ELA OS A habeas bata hen Aaa EI ito doit AT 5 6 3 Estimated ALCA o e O 5 6 4 FAV DOS ist destoee seat ots Bea eaet ieatoels datos iat aoe eaten E E EE 5 7 Kolek READING wscasscaeaceceasvesscusetcases duvess sasnGensvedeucss SUR DORA seen EEEE E E E T 6 LOG SCREEN E E E ETE E TE EE EE EE E 23 Apr 15 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Page 1 Predict BGL App User Manual 641s BLOOD GLUCOSE EEA AE E EA ias 21 6 1 1 If your meter SHOWS LO OF HiGh 1 ccssssscceesssscceessscecsssssccesssesesensaesesessseseesaeseseesssesenasseseensssesenaes 21 6 2 CARBOHYDRATES lt i wsvevecedacesacnvanscessvadeuganesuedetsvaccueksyaveuetd vat exes la wen sue deg ceuece ua sceceiadeuedteatsvadene 21 6 2 1 LOW BG RESPONSE a iiO cello 22 6 2 2 Negative INSULIN RCSPONSC csssccceessssceeessssecesssseesennecsessaesesesssesesesasseeessaesessessseseeassesesnasseseaaes 22 6 2 3 Delayed Eating RESPONSE LA A A dd 23 6 3 A NN 23 6 4 DETAILEDINFO SEE MATER riencia A Ie 24 6 5 A NN 24 6 5 1 Active Insulin Remaining ccccccsscccceesssceeesssceceesscsesensaecesessssecseusesecesuesesesseseseaseesesnaesessetssseesaaes 24 6 6 SAVE READING
27. ilar if the BGL is too low for it to measure accurately or Hi or similar if it is too high to measure accurately If this happens press the BGL field and then press either the Lo or High button instead of typing a number Carponyarates DU U gt n p as La Blood Glucose Low High 4 9 9 6 2 Carbohydrates Enter your Carbs here by clicking on it To clear the Carbs just enter 0 23 Apr 15 Page 21 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual If your default meal times have been set it shows the meal time selected and the carbs for this meal time will be pre set in the carbs field so you don t have to enter them each time It also shows what GI factor has been chosen for this food This is most important for fatty foods such as pizza and lasagne and can be set on the Carbohydrate Details screen by pressing gt If the meal times have not been set it shows a warning message For the Carbohydrate Details screen see later in this section 6 2 1 Low BG Response 8 8 PredictBGL uses a Red button to tell you how AUT February 2015 many of your Hypo recovery food items page 37 are needed to return to a normal BGL If you agree Blood Glucose typo warning 3 8 to follow the suggestion press the Red button to Pano add this to the log and remember to retest in 10 Carbohydrates 30 0 gt Aptos Afemoon tes NonmalGh If you will still need extra
28. information Diabetes Type Type 1 Year of Diagnosis Year Therapy Insulin Enable Insulin Calculator O UNIT PREFERENCES Blood Glucose Units Carb Units Grams Dimenional Units LOCATION Set Automatically Timezone 23 Apr 15 Page 10 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 4 1 1 Diabetes Type Choose your diabetes type from Type 1 Type 1 5 Type 2 Gestational Prediabetes LADA Other None do not have diabetes If your body still makes insulin or you are in the honeymoon period of Type 1 diabetes then use the Natural Pancreas setting see page 33 to simulate this 4 1 2 Year of Diagnosis In what year were you diagnosed PredictBGL uses this to prompt you for eye checks and other tests These tests are initiated after a period of time with diabetes and pickup early warning signs of larger problems such as kidney failure blindness heart disease and eye damage 4 1 3 Therapy This determines what other data you will need to enter in the setup process which then allows for more accurate predictions How is your diabetes treated Choose from Oral Medication Insulin cannot be logged Insulin Therapy Insulin can be logged Insulin and Oral Medication Insulin can be logged Diet and Exercise Only Insulin cannot be logged Other Insulin cannot be logge
29. log NovoLog NovoRapid Apidra The valid range is 2 8 hours linsulin action time can vary from person to person PredictBGL allows you to alter this 3 hour active insulin time if needed If you use an insulin pump then you may have to set PredictBGL s Active Insulin time to a lower value than your pump as PredictBGL tracks insulin more accurately than your pump 4 3 Step 3 Insulin Sensitivity Your Insulin Sensitivity Factor ISF determines how Insulin Sensitivity much your blood sugar will drop in response to 1 unit of insulin It is also known as a Correction ratio Start End 1 unit insulin drops or Correction Factor 12 00am 5 59am 3 0 gt 6 00am 5 59pm 3 0 gt Your Insulin Sensitivity can vary throughout the day and you normally need more insulin in the morning 6 00pm 11 59pm 3 0 gt compared to the middle or end of the day to achieve the same drop in blood sugar level Add new insulin sensitivity time e g at breakfast you may need 3 extra units to drop your blood sugar from 10 mmol L to 5 mmol L 180 mg dL to 90 mg dL but at dinner time you might only need 2 extra units for the same drop Insulin Sensitivity is normally between 1 1 5 6 mmol l 20 100 mg dL How to calculate your insultin sensitivity gt When you first setup PredictBGL three common time periods are shown with a default value of 1 unit of insulin drops 3 0 mmol L 54 mg dL You must personalise these values to reflect y
30. nits too little insulin 23 6 grams too many carbs Insulin ratio of 1 unit 2 5 mmol l at 11 18AM might be too high try 1 unit 2 3 mmol l Carb ratio of 1 unit 10 grams at 11 18AM might be too high try 1 unit 9 grams Missing factors Stress sickness adrenaline high impact exercise or similar Consider whether this information is right for you before making changes Speak to your Health Care Professional if unsure PredictBGL also shows warnings for expected High Blood Sugars If your blood sugar is higher or lower than expected PredictBGL will mark the difference with an amber dot When you press an amber dot or coaching suggestion PredictBGL shows you the difference between its predictions and your BGLs and the reasons for this You must decide for yourself if the suggestions make sense to you Even if your ratios are correct it is possible for the predictions and actual blood sugars to not line up If this happens repeatedly you need to consider the suggestions and if they are right for you To clear this box press anywhere in the upper amber title section Page 18 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 5 4 1 Higher or Lower than Expected 5 Blood Glucose Prediction e 0 lpm 2pm 3pm 4pm 5pm Ma iNow pm Log summary Estimated BG Active Insulin Estimated ALC Hypos gt 69 025 71 15 mmol l units Last 90 Days Last 7 days The example chart sho
31. no nnnnnnnnnn non nn non non nn nn non nnnnnnnnnnns 39 9 7 REPORTS A A ii idas 39 9 8 EMERGENCY CONTACTS siecevccesticvocdSecavaccundsvasctecicccuaadevaacbacavoasasduvaucbaeveusassueethadovadedsiuueciie feveassuieveudaeaviasess 39 9 9 SHARING AND DEVICES is cscscisecacccdsegasecsssdasacahadscandhadasandhadacaadhadacacdhada cand dadacdhedisaadhdacaedhadasaada dadandaedacaedas 39 9 9 1 Share With Health CaretedM ais 39 9 9 2 Share With some Other DOA csssscccscccssseeesscsccccsessensseeeeccssesessnesseeeeseeeesneessseeseseeenasatseeeseeeeneaaees 39 9 9 3 CONNCCE GCVICES VIG cote Sector sett irae sa E Oe e tarot Y 40 9 10 HELP AND FEEDBACK iio A a a aai 40 9 10 1 Help Manual PDA dedicas coset e bugs 40 9 10 27 sPLCOICTBGISFORUINN A teeter ete eter Steet loo eel te O 40 DIO EMail SUPPOMt e NE asec A das ads bade ects abe et 40 DADA SKY o EE hd cree A e a Miho ER 40 910 5 PONES tes tos eeik e o ol e el eat 40 9 10 06 TUDIGDCECS FOLUMS Li a a a da oa ALA idad 40 AOS DIOAbetes MINE da dico ld da reed rta aldea tea alada tea 40 9 10 8 Book a Diabetes EdUCOTOF cnc enn a a a a a a a aaa a a aderai 41 9 10 9 Finda Local Diabetes Organisation ccsssccccssssccceessscecessssecesssssccessesesssnsssesesesesessassesesssseeeeeaes 41 9 10 10 Add Diabetes OLganisSAtion ccsssccccessssccesssscccsssscesensssesssnuscsesssscesesssseesscsssesessassessssssseseaes 41 GITA POINTS A AA E E aA EA 41 9 12 DID WE DOWELL RATE USI ninio idad 41
32. nual 3 4 Login Enter your email address and password on the login screen The login screen will remember your email address for 2 weeks from the time you last used it If you have forgotten your password press the I forgot my password link and follow the instructions 3 5 Sign Up and Initial Settings Sign up First name Last name Email address Password ing up to PredictBGL accept the and hav Sign Up 23 Apr 15 To sign up enter your first name last name email address and password The password must have a mixture of at least 4 letters and or numbers Before pressing Sign Up you must accept the terms and ensure that PredictBGL is appropriate for you After Sign Up the next screen is the initial settings Page 9 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 4 Initial Settings Soe esi iy Sia a If unsure about any of these settings please contact your Health Care Professional Press Get Started to continue Let s get your blood glucose graph working To do this you ll need to provide informatior about your Maybe later I d like to log a reading first 4 1 Step 1 Type Diagnosis Therapy etc PredictBGL tailors displays and coaching advice based on the settings you give it Please do not skip any settings Please see below for detailed DIABETES INFORMATION information on why we ask for particular
33. ny standard drinks it contains It s important to remember that some drinks served at restaurants bars clubs and particularly at parties can have more alcohol than a standard drink As an example an average serving of wine at a restaurant is 150ml making it 1 5 standard drinks In addition cocktails can contain many shots of different spirits so even though they may look like one standard drink they can actually contain a whole lot more 10 1 How much is too much Research shows that people with diabetes can drink alcohol like everyone else but it is advisable that they stick to the recommended 2 standard drinks limit day Most people with diabetes can safely drink alcohol in moderation but it is always best to check with your doctor if you have any questions For young people under 18 years of age not drinking alcohol is the safest option Excessive drinking or binge drinking can be dangerous for your health Short term effects can include hangovers headaches nausea vomiting memory loss and injuries There is also the risk of alcohol poisoning which can cause death Other effects include changed behaviour such as aggression or depression Long term affects can include alcohol dependence which can lead to liver or brain damage over time 23 Apr 15 Page 43 User Manual Web 1 3 d0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 10 2 10 3 How does alcohol affect a person with type 1 di
34. o Nervous Normal Sad 6 8 3 Notes Add any text notes that you wish to associate with this log e g feeling tired etc 6 8 4 Basal Insulin If you have set up Basal Insulin you can record the amount here If you have set up Basal Insulin Defaults simply press the default e g 17 and it will be copied to the basal insulin field 23 Apr 15 Page 28 User Manual Web 1 3 d0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 7 Log History Display The log history shows a summary of recent statistics as well as recent logs of blood sugar carbohydrates and insulin for the last 7 days You can press any log entry to edit or review it To return to the charts screen press the lt in the top left hand corner You can also press in the top right corner to log a new entry Note that Sensor CGMS BGLs are not shown in the Log History only BGLs Carbs Insulin and Exercise 23 Apr 15 Page 29 User Manual Web 1 3 d0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 8 Profile The profile circle in the upper left of the screen shows you how complete your profile is A full circle or SN donut indicates that all settings have been entered Press the circle or your avatar can be set via the O website to see which settings you need to fix ynard Keenar To fix the issue press on the row to be taken to the appropriate settings screen Renee Pre
35. o anto a a a aaa 24 6 7 CARBOHYDRATE DETAILS csnoiinniancio a vac nn Aden daa aa aaa RAI OA wen euedevadeasde eau suedsuadeaedteatevadene 25 6 7 1 MeaRPrESC EAE AE ada eee sein ete 25 6 7 2 ERAO SA0 PEIA A II oo boe aL cd nae 25 6 7 3 Hy PO TROQtMe nti vice cecicces ccs scavenivcdeseuavatesevicnas suvectesssvecdesssvavutesevaveasssvexdvessvesdescsdevetesedecuassabeceeessiies 25 6 7 4 ARA E chet TEE EE edtucecte diate Mebues 26 6 7 5 EA ne o eee eo eee ee 26 6 7 6 el AAA naea a a e a a n e arei ia 26 6 8 DISKAUN DAINA e E NN 27 6 8 1 FACTOS Sen ne n a a a aa T a o 27 6 8 2 Feel OS viii E E E 28 6 8 3 INLO a E IPA E RN A 28 6 8 4 BOSNIA 230 A a o do 28 E EOG HISTORY DISPLAY 2075024 a 2o 0s ceca ace eece sa cateas sacs tace es calace leas sues taceevcacacatuas sues tacbescusacaieascacatacuesness 29 8 PROFILE sides scecssscedsacsasacassavaasacaasacaasaeuasacausiecasacaasqonastoassaenasacaasaodasacausiecasacaasaenasioassaenasacaasaouasacadtn 30 97 SETTINGS cu ses GGG AE BGA ERG GREASE 31 9 1 GENERA EEA E EE EE E E 31 ZA INSON A A T A A E aT 31 9 2 1 Fast Acting A a ei a aaeei iaiia 32 9 2 2 INSUIIN SORSIEIVIT dc EN E AE AEE A EET 32 9 2 3 ACtIVe INSUNA TIMO e oa E a diaz 32 9 2 4 ANI IO A NN 32 9 2 5 WALKA TAAl a BIOI APAIN EE E EE E 32 9 2 6 SIOW ACUNG Tananan e net de e e e bd a 32 9 2 7 Model Basal INSU INO coonvicnni iaa ii tidad aliada texeeseegesncshvevees 33 9 2 8 BOSGI TIMES adidas tia testa 33 9 2 9 BOSGE ROTC Toritama a a a l
36. or log a new entry and uncheck the factor The factor will then be turned off at that point in time The most common factors are shown first To see extra factors you may have to scroll right by dragging the icons The Factors are Sickness Stress Excited adrenaline Menstruation Pain and Alcohol Factor Use for Default Duration Default Sickness Add extra Insulin when sick 2 hours 30 Stress Add extra Insulin when stressed 1 hour 20 Excited High impact sport or other activities 3 hours 30 that produce adrenaline Menstruation Add extra insulin during 5 hours 5 Menstruation Only shown to females Pain e g MS episodes 2 hours 30 Alcohol A pseudo factor it does not modify the J standardidrinks n a dose calculation but the prediction model uses it to shut off the background insulin production 23 Apr 15 Page 27 User Manual Web 1 3 d0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual Note Alcohol is only shown to those 16 and older See Standard Drinks page 43 See also Exercise page23 Factor Settings page 34 alcohol amounts page 43 6 8 2 Feelings Feeling do not modify the dose calculation but can be used to track how you feel Your doctor may ask you to log this Only one feeling can be chosen at a time The most common feelings are shown first To see extra feelings you may have to scroll right by dragging the icons Happy Hyp
37. ore you can use PredictBGL you need to create an account using your email address and password 3 1 Website or App Setup PredictBGL can be setup either via the PredictBGL app or via the ManageBGL website The ManageBGL website may be easier to setup for some people as you have use of a full keyboard larger screen and mouse The ManageBGL website can also enter items not available in the App user interface such as your avatar image photo and recording of extra data such as eye tests Future development of the App will allow this 3 2 Synchronization The App and the website have been designed to work together and synchronize data between them automatically Data entered in the App should normally appear on the website within 2 5 minutes and on other Apps within 5 minutes If there are events that may disrupt power and phone connections storms fire this may take longer You can always check the time that the data was last synchronised on your Dashboard This enables you to use the website on your computer at work or home and on your smart phone or tablet when you are out and about 3 3 Welcome Screen When PredictBGL starts you will see the welcome screen If you already have an account press the Login button If you need an account press the Sign Up button PredictBGL Peace of mind Sign Up 23 Apr 15 Page 8 User Manual Web 1 3 d0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Ma
38. otein converted to carbs Typical 50 70 Fat he percentage of fat converted to carbs Typical 10 309 9 5 Exercise This section allows you to specify how exercise reduces your insulin requirements 50 Disable 10 As your diabetes varies compared to other people you must adjust the percentages if they do not work for you 9 6 Low Medium High Intensity Levels Exercise is divided into 3 intensities Exercise Use for Default Duration Default Intensity Low Impact Walking 4 hours 10 Medium Impact Tennis swimming light aerobics 4 hours 20 High Impact High impact aerobics bike 4 hours 40 classes karate body pump and very high aerobic output exercise 23 Apr 15 Page 38 User Manual Web 1 3 0 0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 6 1 Basal Sugar A High impact exercise can also increase your background glucose production Exercise magnifies insulin so that it covers more This setting allows you to control how much it is carbs than usual or drops your blood sugar by q magnified by more than usual Low Impact Exercise 10 Medium Impact Exercise High Impact Exercise 40 High impact exercise also magnifies background glucose production Magnifies basal sugar Default 20 onl 20 9 6 2 Connect Devices Fitness Devices Connects to the website to accept data from connected fitness devices such as Fitbit JawBone Fu
39. our own diabetes management See your Health Care Professional if you need assistance You may also find a worksheet helpful https www managebgl com scenarios calculating insulin sensitivity factor ISF 4 3 1 Determining your initial Insulin Sensitivity If you use Humalog Novolog or NovoRapid the 100 Rule provides a rule of thumb for determining your initial insulin sensitivity If you measure blood sugar in mg dL 23 Apr 15 Page 13 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual ISF 1800 divided by your TDD total daily dose If you measure blood sugar in mmol L ISF 100 divided by your TDD total daily dose Note This rules gives a good starting point but you must be prepared to adjust your sensitivity if it is wrong for you Also remember that your sensitivity can change throughout the day 4 4 Step 4 Carbohydrate Ratio The Carbohydrate Ratio determines how much Setup 4 of 4 f i carbohydrate is covered by one unit of insulin It is also known as a Carb ratio CARB RATIO Your Carbohydrate Ratio can vary throughout the day and you normally need more insulin in the morning compared to the middle or end of the day to cover the same amount of carbs 12 00AM 5 59AM 7 6 00AM 10 59AM 7 11 00AM 5 59PM 10 e g at breakfast you may need 6 units of insulin for 45 grams carbs but at dinner time you might only need 4 units for 45 grams a
40. r In addition the delayed eating suggestions page use the High mark and Glucose Target as suggested points at which to start eating if Hyper 9 3 2 Set Glucose Targets Set Glucose Targets The Glucose Targets work with the Insulin sensitivity see page 14 to determine how much insulin to add ser Eg ESA if your BG is above the Glucose Target and how 12 00 AM 7 59 AM 6 0 insulin much to subtract or swap for carbs when 8 00 AM 6 59 PM 48 you are below the Glucose Target Normally the Glucose Target is set lower during the 7 00 PM 11 59 PM 6 0 day and higher at night when you are asleep to help prevent overnight hypos Night time to start at 6 00 Geer ee ak In the Free App the times cannot be changed Need to set additional Glucose Targets To edit a target press the number to the right of the Upgrade to PRO time period 23 Apr 15 Page 35 User Manual Web 1 3 d0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 3 3 Connect Devices Blood Glucose Meters Connects to the website to setup connections to connected meters via a range of data services 9 3 4 Connect Devices CGM Devices Connects to the website to setup connections to connected Continuous Glucose Monitors 9 4 Carbs Default GI Factor DAR OS Norma Meal Time Defaults gt Carb Ratio gt Hypo Low Blood Sugar Treatment gt Protein amp Fat Factors gt 9 4 1 Default GI Factor If you eat low Gl food lo
41. resiba 23 Apr 15 Page 32 User Manual Web 1 3 docx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 2 7 Model Basal Insulin PredictBGL can model your basal insulin as well as your fast acting insulin If Basal Modelling is turned on then you MUST enter each basal dose for PredictBGL s charts to make sense Skipping a basal dose will show a steadily rising Blood Glucose Double entering a basal dose will show a steadily falling Blood Glucose The purpose of turning on Basal Modelling is 1 To provide more accurate modelling of exercise and stress 2 To provide modelling of alcohol 3 To detect effects from basal insulin overlap e g 9am on day 1 but 8am on day 2 can give 1 hour of double effect 9 2 8 Basal Times Ti Set the time insulin and dose of basal Basal Times insulin that you normally take Time Insulin Name Units If you take basal insulin twice a day this can be configured via the website 10 00 PM Lantus 17 0 Note Additional basal times can be setup via the website 9 2 9 Basal Rate For pumpers currently must be setup via the website 9 2 10 Natural Pancreas Function If you still produce insulin the model can optionally allow for this Diabetes Type Suggested value Type 1 not in honeymoon period 0 Type 1 in honeymoon period 0 3 23 Apr 15 Page 33 User Manual Web 1 3 d0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User
42. riting pen Insulin pump An insulin delivery system a small mechanical device typically the size of a beeper or small cell phone that releases insulin into the tissues of the body by way of tubing and a needle Insulin sensitivity factor also called the correction factor or supplemental factor The amount of blood glucose that is lowered by 1 unit of rapid acting or regular insulin The insulin sensitivity factor is used to calculate the amount of insulin you need to return blood glucose to within your target blood glucose range IOB Insulin on Board Insulin on Board the amount of insulin remaining to be absorbed calculated using the time it was injected the Active Insulin time and the size of the dose PHI Personal Health Information Pumper A person using an insulin pump PWD Person or People With Diabetes 1 3 Warnings PredictBGL is primarily intended for PWD People With Diabetes who use insulin as part of their treatment regime However it can also be useful for those not on insulin PredictBGL is intended for use by a single PWD Do not share an account with another PWD Guessing or using the wrong settings can be dangerous Ask your healthcare professional for assistance in setting up PredictBGL and in making any future changes If you give PredictBGL the wrong data the information it gives you can be misleading or wrong And just like when managing diabetes without PredictB
43. s at 6 04 PM Exercise Detailed Info gt Humalog If your BGL is above your High Range page 35 and you are eating PredictBGL tells you how long to delay eating This allows your BGL to drop first rather than having a high BGL for longer which has long term health consequences and increases your A1C See https www managebgl com resources delay gt eating gt Exercise modifies the dose calculation in accordance with your settings page 38 generally by reducing your insulin Only one exercise factor can be chosen When you select an exercise factor and save the factor starts running for a pre determined length of time To cancel a running exercise factor log a new entry and uncheck the factor The factor will then you re unsure of the exact duration 23 Apr 15 User Manual Web 1 3 0 0Cx v1 0 Exercise is divided into 3 intensities Copyright 2015 ManageBGL Pty Ltd be turned off at that point in time This makes it easy to start and stop an exercise factor when Page 23 Predict BGL App User Manual Exercise Intensity Use for Default Duration Default Low Impact Walking 4 hours 10 Medium Impact Tennis swimming light aerobics 4 hours 20 High Impact High impact aerobics bike 4 hours 40 classes karate body pump and very high aerobic output exercise See Exercise Settings page 38 6 4 Detailed Info see later For the Detailed In
44. s down by itself as your insulin is absorbed If this shows Settings this means that the active insulin time has not yet been set 5 6 3 Estimated A1C This shows an estimate of your A1C based on your previous 90 days readings if available 5 6 4 Hypos This shows the number of Hypos detected in the last 7 days 5 7 Log a Reading Pressing Log a Reading takes you to the log screen 23 Apr 15 Page 20 User Manual Web 1 3 d0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 6 Log Screen Log Reading The Log screen is where you enter data 2 30 PM 12 February 2015 If calculation is enabled the logging screen will automatically calculate a dose based on the data you Blood Glucose enter 4 8 mmol l If calculation is not enabled see page 12 you must Carbohydrates 30 0 gt enter the insulin amount yourself Afternoon tea Normal GI Exercise O Detailed Info gt Humalog Save Reading 6 1 Blood Glucose Enter your BGL here by clicking on it To clear a BGL just enter 0 To fix a BGL just enter the new value If your BGL target has been set see page 35 it shows what the target is and your insulin action time see page 13 If the BGL target is not set it shows a warning message The BGL is colour coded according to its level Red Green or Amber Low BGLs also show a Hypo Warning 6 1 1 Ifyour meter shows Lo or High Most meters show Lo or sim
45. site for the most recently updated terms 9 16 4 Regulatory The regulatory documentation we re required to have 9 16 5 Adverse Event Reporting Something went wrong Please tell us about it 9 16 6 Version The current version of the App 9 16 7 Force Sync Now Start a sync 9 16 8 Discard Local Data and Re download In the unlikely case of sync failure this discards all locally cached logs and settings and downloads them fresh 9 16 9 Log out This logs out of the App There is no need to save data as all data is saved constantly Use this before giving the phone to someone else 23 Apr 15 Page 42 User Manual Web 1 3 0 0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 10Alcohol and Standard Drinks In the body alcohol reduces the liver s constant production of glucose meaning that basal insulin has nothing to act on leading to unexpected Hypos A standard drink is one that contains 10 grams of alcohol One standard drink is equal to 285ml regular beer 425ml low alcohol 60ml fortified wine 100ml wine 30ml spirits Pre mixed drink beer less than 3 port sherry alcohol Pa v Source NDSS Australian National Diabetes Supply Scheme ndss com au It is important to be familiar with how much is in a standard drink of each type of alcohol as it is easy to misjudge the amount consumed In most regions labels on every alcoholic drink has to show how ma
46. ss the lt button to return to the dashboard User Profile 25 Complete _ Cannot show accurate predictions without L Insulin sensitivity Fix now gt Currently using default 1 unit per 3 0 mmol L _ Cannot show accurate predictions without O Carb ratio Fix now gt Currently using default 1 unit per 15 grams _ Cannot show accurate predictions without L Active Insulin Time Fix now gt Currently using default 3 hours 7 You have incoming Shares that you have not accepted Fix now gt 23 Apr 15 Page 30 User Manual Web 1 3 d0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 Settings We strongly recommend that you work closely with your Health Care Professional for a safe and General gt complete start with PredictBGL If required training material for Health Care Professional s is available on Insulin gt the ManageBGL website Blood Glucose gt The best results are seen when readings and other information are consistently and continuously added Carbs gt to PredictBGL as they occur Exercise gt ONLINE OPTIONS More log types gt Coach gt Points gt Reports gt 9 1 General Please see Initial Settings on page 10 9 2 Insulin These settings control which insulin PredictBGL expects so that it can apply the to apply the correct FAST ACTING BOLUS INSULIN insulin curve Fast Acting 1 Humalog gt Insulin Sensitivity gt Active Insulin Time 3 0 Minimum Dose
47. td Predict BGL App User Manual If you measure food in grams Carb ratio 500 divided by your TDD total daily dose If you measure food in Exchanges Carb ratio 33 divided by your TDD total daily dose Note This rules gives a good starting point but you must be prepared to adjust your carb ratio if it is wrong for you Also remember that your carb ratio can change throughout the day 4 5 Initial Setup complete After initial setup you are taken to the dashboard Complete There are some items that currently cannot be setup within the App see page Error Bookmark not O defined Everything is awesome PredictBGL can now start to better predict your blood glucose levels and warn you of hypos and hypers Take me to my dashboard 23 Apr 15 Page 15 User Manual Web 1 3 0 0CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 5 Dashboard In the top left corner is your avatar if you have set this up via the ManageBGL website The pie chart around the Avatar shows the percentage complete of your profile If it is not 100 full press the Avatar to find out what items are missing see page 30 The gear icon takes you to settings and reports see page 31 The Updated 20 mins ago text shows the date and time of last synchronisation Pressing this text causes a sync to occur You can use this to check that your most recent entries have been synchronised before you
48. w carb then you can set the default Gl factor to be used by the calculator If you have gastroparesis you can also set the default Gl factor to low Gl to simulate the longer food absorption time as it empties from your stomach 23 Apr 15 Page 36 User Manual Web 1 3 0 0Cx v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 4 2 Meal Time Defaults This screen defines your usual meal times and the Meal Time Defaults carbohydrates you usually have for each This makes ES pa it far quicker to enter your carbohydrates as PredictBGL fills in the expected carbs for the current 7 00 AM 10 29 AM 45 0 time which you can still adjust up or down if required 10 30 AM 12 59 PM 30 0 1 00 PM 3 29 PM 60 0 3 30 PM 5 59 PM 30 0 6 00 PM 9 29 PM 60 0 9 30 PM 11 59 PM 30 0 Need to modify meal times Upgrade to PRO 9 4 3 Carb Ratio Please see section O on page 14 9 4 4 Hypo Low Blood Sugar Treatment Hypo Low Blood Sugar Tr PredictBGL uses this information to tell you exactly how many grams of carbohydrate to take when you get low Hypo Treatment Jelly Beans We recommend foods with 3 to 7 grams each as Carbs in each 3 more than this makes your BGL rise higher than necessary causing damage 23 Apr 15 Page 37 User Manual Web 1 3 docx v1 0 Copyright O 2015 ManageBGL Pty Ltd Predict BGL App User Manual 9 4 5 Protein and Fat Factors Protein amp Fat Factors Protein he percentage of pr
49. ws a blood sugar at 4pm that was higher than expected The actual blood sugar was 16 0 while the expected blood sugar was 10 0 The amber dot appears mid way between the two 5 5 Sensor Data CGMS Blood Glucose Prediction am Feb26 1pm 2pm 3pm 4pm Now Feb26 Log summary Estimated BG Active Insulin Estimated A1C Hypos 260 4 03 7 3 0 mg dl units Last 90 Days Last 7 days Log a Reading If you use a CGMS and link it to the ManageBGL website your CGM data is shared live and is plotted on the chart against predictions 5 6 Log Summary The log summary below the chart shows you several useful numbers To modify previous log entries press anywhere on the log summary line or the gt to the right of the line 23 Apr 15 Page 19 User Manual Web 1 3 00CX v1 0 Copyright 2015 ManageBGL Pty Ltd Predict BGL App User Manual 5 6 1 Estimated Blood Glucose This shows what your estimated blood glucose is right now If this shows Do BGL or it means that PredictBGL does not have enough information to estimate your Blood Glucose and you need to do a blood test The BGL is color coded according to its level Red Green or Amber If your Blood Glucose is too high it may not appear on the chart and the estimated blood glucose display will show gt 22 0 or gt 396 where gt indicates greater than 5 6 2 Active Insulin This shows the amount of insulin still active It count
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