Medtronic CareLink User guide
Contents
1. Get a serial cable from the meter manufacturer You will need a serial cable because most meter manufacturers that provide USB cables do not provide Mac support STEP 2 Get a USB to serial adapter that is compatible with your Mac operating system You will need a USB to serial adapter because Mac computers do not have serial ports STEP 3 Go to www medtronicdiabetes com carelinksetup and click on the link for Setting Up amp Uploading on a MAC Next click on Uploading Your Meter amp Multiple Devices This will provide you with links to any drivers you will need to install to use your USB to serial adapter for the MAC operating system on your computer STEP 4 When prompted enter your Mac username and password The username must be the Administrator on your computer STEP 5 Restart your computer when instructed STEP 6 Plug the USB adapter for your meter cable into your USB port Plug your meter serial cable into the USB adapter 4 NOTE The first time you connect the cable after installing the driver you may see a screen that tells you that a new network interface has been detected Do the following e Click Network Preferences The Network window is displayed e Click Apply e Close the Network window 16 CareLink Personal Software Set Up CareLink Personal Reports Tips For Using CareLink J TIPS FOR USING CARELINK Regularly upload and review your information using CareLink CareLink2. Auto Calloreiion Ofi Thre miter ID EAS Ale Aris Abert tl Wank Eignal 0 30 Fall Fate Alert Gi Esmor Graph J Tana mapana nao ngai Darn Made CH CareLink Personal Software Reports 21 CareLink Personal Reports Quick view Summary Report Quick View Summary Report This report provides you with a summary of the following for the two week period you select e Glucose control including averages highs and lows number of readings and hypo events e Insulin usage including totals percent basal and bolus number and average of boluses and priming filling information e Carbohydrate intake if entered in the Capture Event feature the Bolus Wizard or in your Logbook e Exercise if entered in your logbook e Infusion set changes if entered in your logbook If you are using a sensor enabled pump or a Guardian monitor this report may include glucose data captured by the sensor This is in addition to blood glucose information captured by a glucose meter If you run the Quick View Summary report for the Guardian monitor only this report will look slightly different from what is described here when insulin delivery is shown To retrieve certain data from a MiniMed pump or Guardian monitor you must first have entered the data by using the Capture Event feature the Bolus Wizard Calculator or by entering the data in the logbook 3 IMPORTANT If you enter the same data in multiple places Capture Event Bol
3. If using an insulin pump consider whether a Dual Wave bolus would have been better for meals high in carbs and fat 72 Insulin sensitivity carb ratios and active insulin may also be contributing factors Discuss these and any other changes such as what to do for exercise with your healthcare professional Use the 1 2 3 approach to reading your reports Looking at specific sections of each report will help you and your healthcare professional better manage your diabetes Be sure to share any regular patterns with your healthcare professional 18 CareLink Personal Software Reports CareLink Personal Reports Reports Overview CARELINK PERSONAL REPORTS CareLink Personal software generates many useful reports In the beginning focus on one or two key CareLink reports We will review several key reports here beginning with reports for those using the pump with meter data the pump with CGM data and those using CGM only Remember Guardian users In order to see insulin delivery diet and exercise information in your reports you must enter this information using the Capture Events feature in your device or the Logbook of CareLink Report What is in this report How do l use this report Quick View Summary of insulin delivery diet and Uncover potential insulin delivery issues Summary exercise and glucose levels related to glucose meals and or activity Glucose readings basal and bolus insulin deli
4. e ieee Sued I 34 CareLink Personal Software Reports Appendix Understanding Generating and Viewing Reports Understanding Generating and Viewing Reports gt Medtronic CareLink personal Understanding Reports ce ee eg EOR CLM TES S When you click this link CareLink will display information describing the report you generated Also where appropriate it explains what to look for in the results Reports one at a Time Batch Reporting Quick View Summary Daily Summary Logbook Diary Date 02 02 2011 uP Data Table Generating Reports This report shows glucose readings insulin Reports are displayed in PDF delivered by the pump and important pump changes and carbohydrate and exercise entries format Th ey can be viewed recorded in the logbook for the day selected i ji aS OREA online saved printed or Itis designed to allow you to see a graphical logbook of the interaction of your pump the ema led You can sha re you r other events in your day fo assist you in using ji ene eee reports with your healthcare professional to help them sicker waza make decisions about your treatment regimen Modal Day Periods Modal Day Hourly Trends Summary Device Settings Sensor Daily Overlay Sensor Weekly Logbook Sensor Overlay by Meal Reports can be generated one at atime or in batches Batch reporting allows you to choose a group of reports you would like to see and gen
5. What can you do next Click the Reports tab to view your data Click the Logbook tab to add additional information Click the Upload tab to upload another device CareLink Personal Software Set Up 9 Set Up Set up Instructions for Windows Vista and Windows 7 and 8 Users AY SET UP INSTRUCTIONS For Windows Vista 7 and 8 users there are additional steps needed to set up your CareLink USB as your communication device This will only need to be completed the first time you use your CareLink USB in order to install the drivers needed to run the software If using Windows 8 follow the instructions below STEP 1 Close all Internet Explorer browser windows Do not use Internet Explorer from the Start screen STEP 2 Click on Desktop icon STEP 3 Right click on Internet Explorer from the task bar STEP 4 Right click on Internet Explorer in the pull up menu STEP 5 Click on Run as administrator STEP 6 When the User Account Control window is displayed click Allow administrator from Taskbar STEP 7 Log on to CareLink Personal software http medtronicdiabetes com carelink Bre Explorer Always use Internet Explorer from the Desktop not the Start screen when accessing CareLink Personal Jnpin this program from taskbar STEP 8 Upload your device HAVING TROUBLE Visit www medtronicdiabetes com carelinksetup for step by step instructions or call t
6. device listed J Devices Barttingm mt 2020 12 Gre AM Sattings an nat Davion J mvailabls for the rauas niet end ima 82 AG PAR Version VER 41 041 1 Shows your basal settings and highlights the pattern o e Tarn Banzi Typa Insulin Rais Lit that is active at the time of the upload Standard Patia arth 3 Uni i Hour s Bolus settings include Bolus Wizard settings such as carbohydrate ratio Bolus Wizard targets insulin op E mop A sensitivity active insulin time and any special features that might be turned on en eee eee a SIK a Shi Utility features and settings Duslquars On Somll Ep 11 Bolus Wierd Uria gama myni BG Reminder Of Active inmdin Time A hsurs Sensor alerts and settings if E a Ar you are using a sensor Review Tre gamni Tit Tima 1200p 12 1200 12 12KW 21a to see if your sensor alerts are EH 11 ae 24 Hour Aree 24 Hour Arenaya Bd appropriate are YOU MISSING 24 Hour Aarma 11 alerts you need or getting Mbesa Hola or more than you desire Tunae If you have a pump enabled Time Dia 12 Hr with the Threshold Suspend pe feature you will see that Low Hamarir Wam Insulin Una setting here Ameunt 25 0 LI Program Biook OH Capir Events Kanu Oi Calkraton Aamiider 111 High AUC Thre 180 my Cal Alert Repeat 030 Lew AUC Thehell 71 mga Tims Lew High ihe Aa Alert Elenos CH Alert spent h mmj AA 40 Duration Cand ot ler Prediotve Alerts ti Sar On Sanze hemm
7. glucose averages Overlay by around pre set meal periods breakfast Meal lunch dinner Data Export Tool for exporting data out of CareLink into Export the data from CareLink to other CSV other programs programs to allow for more detailed analysis Shaded reports require the use of CGM to obtain sensor values Review the effects of food bolus insulin and pre meal glucose levels on post meal control CareLink Personal Software Reports 19 CareLink Personal Reports Device Settings Report p Device Settings Report This report shows the settings you have programmed into your pump or Guardian monitor alarm volume the remote serial number alert settings etc It provides a helpful record of your device settings in case of settings loss or allows you to track how your settings have changed over time You can also protect device settings by using the Save Settings feature in the Utilities gt User Settings menu on your pump or Guardian monitor The date and time you select for your Device Settings report affects the data in the report NOTE This report does not show actual insulin usage it only displays the basal rates that have been programmed into the pump It also shows which basal rate was active at the time of upload 20 CareLink Personal Software Reports CareLink Personal Reports Device Settings Report gt Medtronic Device Settings for The time and date for the settings of the
8. min NA Set Changes 0 32 CareLink Personal Software Reports CareLink Personal Reports Improving Insulin Dosing Improving Insulin Dosing CGM As you adjust to CGM and improve your control you may notice trends associated with too much or not enough insulin Very little time spent within Sensor Daily Overlay S Medtronic the target glucose range HbAte No Dats marae se Significant percentage of Sensor Data mg dL time spent above the high BATT oe BIBT BATT ROT gt DRIN gt WW DAAT UW p glucose target If your CareLink reports show a trend of glucose levels outside of your target glucose range discuss Ber a a a ra i UA YAA this with your healthcare Fei Bug 17 Sal gy H fun hapii an deg Tae Magy dt wai Tomain imee professional as you may Mig BG impish S0 ane ate ate ze ee m W need an adjustment of your Lom Bia ting TIE Ek Thi THE 15 IH tH fiz i ee he T sll el wa in a za insulin doses HLD Hp wd TALE Eld HA na ht Wa Fed id Chel ed oi T d a Li a F a H Excursion Summary Feat Bung 17 Sal Aug kai baig Tering Beifegti Tee kag i iren ii as Eure ore 1 1 H E hypo Grundore ci D D E a a 9 g ALD Abra Linn 415 ELE ETE Trt m E ETF ma AL Balear Limi ao ii IL tLe fi iiih na riii Duration Distribution h mm 1S KA ETB ar T Ss Pi a m TE ka an i CareLink Personal Software Reports 33 CareLink Personal Reports Fine Tuning Alarm and Ale
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10. Medtronic UNDERSTANDING CARELINK PERSONAL SOFTWARE Before You Start What Is CareLink What Do Need to Start Why is CareLink Useful SET UP Signing Up for Your CareLink Account Before Your Upload to CareLink Uploading Your Device with the Bayer CONTOUR NEXT LINK Meter Set up Instructions for Windows Vista and Windows 7 or 8 Users Uploading Your Device Using CareLink USB Uploading Your Meter to a Mac CARELINK PERSONAL REPORTS Tips for Using CareLink Reading CareLink Reports Device Settings Report Quick View Summary Report Daily Summary Report Sensor Daily Overlay Report Sensor Overlay by Meal Report APPLYING PERSONAL SOFTWARE IN YOUR LIFE Therapy Adjustment with CareLink Preventing Nocturnal Hypoglycemia Improving Insulin Dosing Fine Tuning Alarm and Alert Settings APPENDIX Understanding Generating and Viewing Reports Saving Printing and Emailing Reports Table of Contents Ww Ww WwW N 10 12 16 17 18 20 22 24 26 28 30 31 32 34 35 36 Table of Contents 1 CareLink Personal Software Before You Start DEVICES YOU CAN READ WITH CARELINK PERSONAL SOFTWARE MiniMed series pumps Guardian REAL Time monitors Various glucose meters See on line User Guide for complete list of supported devices and meters A HOW TO USE THIS GETTING STARTED GUIDE Set Up and General Overview This Getting Started Guide will provide you with instructions for setting up yo
11. Tun Lai e A I s i 12 CareLink Personal Software Set Up Set Up Uploading Your Device Using CareLink USB STEP 4 The Check Pump Status screen verifies that your pump is ready to upload STEP 5 The Identify the pump screen requires that you enter your pump serial number Once you do this the software will save your current pump serial number and you won t have to enter this the next time you upload STEP 6 The Select the Device screen asks you to choose the device that you will be using to link your device to the software STEP 7 The Finish Installation screen lets you know that you are now ready to insert the device you will be using to link your device to the software Please check your MiniMed Paradigm insulin pump for the following Complete or cancel any bolus in progress 0 Complete or cancel any Temp Basal in progress 0 Confirm that pump battery indication is NORMAL 0 Clear any pump error state spam pene A zi r a ay CONTOUR NEXT LINK CareLink USB Paradigm Link ComLink t po y Finish Installation JELI E E 1 Connect the CareLink USB device to your computer 2 Wait a few seconds for Windows to recognize the device CareLink Personal Software Set Up 13 Set Up Uploading Your Device Using CareLink USB STEP 8 The Installing device driver software message will show up when you have followed the above steps in settin
12. a pump through the CONTOUR NEXT LINK The next time you upload you will not see this screen For Windows Only A password may be requested if in Windows 7 8 or Vista Some screens flash by and then you see this screen It displays regardless of whether your CONTOUR NEXT LINK is plugged in or not The following screen shows each time you upload a pump through the CONTOUR NEXT LINK including the first time you upload your device after driver install When you plug in the device you may see Windows recognize it in the system tray 6 CareLink Personal Software Set Up Inttallaton Meee We need to install a USB driver to read data from your pump You will need to log in as an administrator on your computer or provide an administrator password Finish Installation i i gE L A 1 Connect the CONTOUR NEXT LINK device to your computer 2 Wait a few seconds for your computer to recognize the device 3 Click Next Verify Connections dy Please ensure the CONTOUR NEXT LINK device is connected to your computer 0 Wait a few seconds for your computer to recognize your device 0 Click Finish to begin reading your pump Th Please do not navigate away from this page Finding CONTOUR NEXT LINK until the operation completes The system is finding and setting up your CONTOUR NEXT LINK Read Progress 0 complete Set Up Uploading Your Device wi
13. can help you get the most out of your MiniMed insulin pump or Guardian monitor Pick a day each week and spend a few minutes to invest in yourself by reviewing CareLink reports to improve your glucose control Discuss therapy adjustments with your healthcare professional Make sure to talk to your healthcare professional before making any changes to your settings Make one or two changes at a time CareLink may help reveal the changes needed to better manage your glucose levels Take it slowly and focus on changing one or two things at a time CareLink helps to show how each therapy decision you make affects your glucose levels Make CareLink a part of your regular diabetes routine to achieve the best possible outcomes Bring reports to appointments with your healthcare professional Bringing your CareLink reports to your appointments gives your healthcare professional the option to use them when making decisions about therapy adjustments and ways to improve your diabetes care You may also identify questions or concerns from the reports that you want to discuss with your healthcare professional lew Did You Know Your healthcare professional may be able to view your reports on their office computer if they have CareLink Pro Software If they do not have this software you can print out your CareLink Personal reports to bring to your next office visit CareLink Personal Software Reports 17 CareLink Personal Reports Reading Ca
14. erate them all at once Viewing Reports Select a report from the menu on the left hand side of the screen Select the date or date range for the report and click the Go button Your report is displayed as a PDF file in a separate window NOTE There is an option to download and install Adobe Reader The link is located on the bottom right hand side of the Reports page CareLink Personal Software Reports 35 Appendix Saving Printing and Emailing Reports p Saving Printing and Emailing Reports hip imedtronicdibetes com carelink Back G A 4 ah aaa A CARELINK PRO Saving Reports To save your report click Save a Copy on the Adobe Acrobat toolbar as shown Type a name for the report in the file name field and click Save Printing Reports Once the report you generated is displayed click Print on the Adobe Acrobat toolbar to open the print dialog box and print the report Emailing Reports To email a report to your healthcare professional Microsoft Outlook users can simply click Email on the Adobe Acrobat toolbar An email form will automatically open with the report already attached Simply type in your healthcare professional s email address and click Send If you have a different email program be sure your report is saved where you can easily find it Start a new email message to your healthcare professional and use the Attach funct
15. g up your CareLink USB and the drivers for the CareLink USB are being installed This step only occurs the first time you use the CareLink USB and install the drivers STEP 9 The Verify Connections screen lets you know that the CareLink USB is ready to link your device to the software The needed drivers have been correctly installed You now need to click Finish Have your insulin pump or Guardian device near the USB device and your data will begin to upload STEP 10 The Looking for Pump xxxxxx tells you that the system is waiting for the pump to respond 14 CareLink Personal Software Set Up The CareLink USB device is ready Click Finish to begin reading your pump NOTE The pump will be suspended during reading Be sure to check that the pump is no longer suspended when you are finished e e il m f Looking for Pump 8 f gh Leg il Please do not navigate away from this page z until the operation completes The system is waiting for your pump to respond Please wait This may take up to 30 seconds Read Progress 1 complete Set Up Uploading Your Device Using CareLink USB STEP 11 A progress window will then be displayed The amount of time it takes to upload your data will depend on how much data needs to be uploaded When the upload completes successfully a message will be displayed and allow you to view your reports on your CareLink repor
16. he Medtronic 24 Hour HelpLine anytime at 1 800 646 4633 option 1 for assistance 10 CareLink Personal Software Set Up Set Up Set up Instructions for Windows Vista and Windows 7 and 8 Users To find out if the computer you are using is on the Windows Vista or Windows 7 operating system right click on Computer then select Properties to view basic information about your computer If using Windows Vista or 7 please follow the instructions below STEP 1 Close all Internet Explorer browser windows STEP 2 Click on the Windows icon STEP 3 Click on All Programs STEP 4 Right click on the Internet Explorer option STEP 5 Click on Run as Administrator STEP 6 When the User Account Control window is displayed click Allow STEP 7 Log on to CareLink Personal software http medtronicdiabetes com carelink STEP 8 Upload your device Control Panel Defauli Program i Help and Support F TT a aai W bit Safar 2 Software Mar a windo Cak Windows Cor a Windows Defi Windows DVE fe Windows Wlan Windows Med Go Windows Mes Gi Windows Met B Windows M T Windows Pha g Window Upe p ccessones J AVG Freeb5 Opepfile location scan with AYG Free Pin to Sart Menu Add to Quick Launch Send To F Cut Copy Delete Rename Properties O O At this point set up for Windows Vista or Windows 7 or 8 is complete Once you complete an
17. ion to embed the report in the message Be sure to get your healthcare professional s permission before emailing reports to them Also be aware that email may not be a secure form of communication Your medical information contained within an emailed report is no longer protected under the security of the CareLink Personal Software system Medtronic Diabetes also offers a professional version of CareLink CareLink Pro It allows your healthcare professional to view your CareLink information so you don t have to email or print your reports Ask your healthcare professional if they have this software and are able to use it to access your CareLink reports 36 CareLink Personal Software Reports Visit www medtronicdiabetes com carelinksetup or call our Software Support Team at 1 800 646 4633 option 1 M F 7am 7pm Central Time Still have questions pansasal SYSH y U P WLUIN 2IUOPOW ELOZO OE60E LOZ ZLO E8vL0S6 E L0Z 60 CELTL EL yakeg Jo ye wape pasaysibas e SI YNOLNOD U1 ajddy jo wape pasa siBai e si SO PEW UO eJOdIOD YOSOIIIW JO SyJeWapes pa1a3s1691 aie YOO INC pue JadxJ 1910 dX7 19 UJIJU LISIA SMOPUI M YOSIN DU SWayshs agopy Jo YI Wape pasaysiBal e si YeqouDy aqopy DU P WLUIW DUOs pay Jo syseWapes pasajsiBas ase JAM Eng pue yure psezIN snjog WHIpeseg POWIN E E S wn U Ce 2 Q Vin oe N Q See 9 E20 B 5 JIJ 8 Z 9 S po oO SBSraeo y ON s 32
18. it takes to get started is an easy upload using the Bayer CONTOUR NEXT LINK Blood Glucose Meter or the CareLink USB device provided with a MiniMed series pump or Guardian REAL Time monitor f WHY IS CARELINK USEFUL Easily track your glucose levels and the impact of insulin delivery meals and exercise routines Store your information securely Uncover patterns and make more informed therapy decisions Sign up for a CareLink account and get started by simply uploading information from your pump using your CareLink communication device Understanding CareLink Personal Software 3 Set Up Signing Up for Your CareLink Account Let s get started FOR A LIST OF SUPPORTED OPERATING SYSTEMS PLEASE SEE http www medtronicdiabetes com support carelink personal Click on Setting Up amp Uploading on a Personal Computer or Setting Up amp Uploading on a Mac for details A SIGNING UP FOR YOUR CARELINK ACCOUNT When you are ready to use CareLink go to http medtronicdiabetes com carelink Please remember that you should not insert the CareLink USB device until prompted This will take you to the CareLink Welcome screen Before using CareLink for the first time you need to set up a user account and password To do so just follow these easy steps STEP 1 From the Welcome screen click the Sign Up Now button STEP 2 After you have accepted the terms of agreement you ll be asked to create a username and pa
19. mg dL If your device has a Threshold Suspend feature you may want to set this value to match your Threshold Suspend value Sensor alarm received Shows basal and bolus Summary insulin This looks different if you are using Guardian ar bes K ngari n seat Fo os average Cambs lasmal ae ty _ Pump alarm received REET e E a _ Threshold Suspend with aa daar ana auto resume of basal insulin aTheewoklguspen 2 after 2 hours identified by a dashed red line with alarms at the start and end of the event Threshold Suspend with response by user Manual suspend by user The carbs eaten and exercise information if entered CareLink Personal Software Reports 25 CareLink Personal Reports Sensor Daily Overlay Report 14 Sensor Daily Overlay Report The Sensor Daily Overlay Report shows 7 days of glucose sensor readings in a single chart Each day has a different color tracing so you can easily tell them apart allowing you to identify recurring patterns from day to day or at specific times of day The Sensor Daily Overlay Report also helps you identify specific days that you may want to look at in more detail with the Daily Summary Report If you see an event in your report that appears out of the ordinary use the Daily Summary Report to identify its cause For more detail on reading your reports use the Understanding My Reports tab in CareLink or refer to the CareLink module i
20. n myLearning a a A al a BD eV a a Leh y p Fi Pe e Se 26 CareLink Personal Software Reports CareLink Personal Reports Sensor Daily Overlay Report This graph shows a 7 day Sensor Daily Overlay SE Medtronic overlay of sensor glucose values Each day is shown HbAto No Data KS with a different color Sensor Data magdl The green shaded area aT 4abW uu ait aH uu ih ee WAO og ee represents the target glucose range set in the preferences section of CareLink and shows whether you are meeting your goals for glucose control The default setting is 70 140 mg dL The red line represents the low glucose indicator set in the preferences section of CareLink The default setting is 60 mg dL If your device has a Threshold Suspend feature you may want to set this value to match your Threshold Suspend value Specific information 126 ga am 2M im BS Hs os aw 1h Se is regarding each day s sensor Heo an ee 2 a e Be REA i ae i eR em am rs ow m oa m eo m m o a m a on readings and calibrations The number and type of excursions outside the target glucose range The amount of time spent above in and below your target glucose range ona pie chart CareLink Personal Software Reports 27 CareLink Personal Reports Sensor Overlay by Meal Report Sensor Overlay by Meal Report The Sens
21. ng for each meal period The duration and percentage of time spent above in and below the target glucose range for each meal period CareLink Personal Software Reports 29 CareLink Personal Reports Applying Personal Software in Your Life CareLink offers you and your healthcare professional access to information to help you make better therapy decisions and improve your glucose control THERAPY ADJUSTMENT WITH CARELINK In this section you will see a number of examples of CareLink reports with sample information These reports may identify a need for possible adjustments such as Preventing Nocturnal Hypoglycemia Improving Insulin Dosing Fine Tuning Alarm and Alert Settings The following reports show examples that are intended to help clarify the types of trends and patterns you may see in your own reports Use this information as a reference when reviewing your reports and looking for possible trends or patterns 30 CareLink Personal Software Reports CareLink Personal Reports Preventing Nocturnal Hypoglycemia o Preventing Nocturnal Hypoglycemia Low glucose levels at night are a common issue for many people living with diabetes A clear trend of nocturnal hypoglycemia heading lower throughout the night as shown by the Sansor Data mg dL average SG line UA es USOT LL OTA e T a T a T AA aim DM tronic Sensor Dally Overlay HbAt No Data WAR EE Low SG shows SG levels as low a
22. or Daily Overlay by Meal Report shows your glucose values related to meal times You choose up to seven days of glucose tracings you want to see This report layers the tracings on top of each other so you can compare the days to each other in time blocks associated with Breakfast Lunch and Dinner Each day has a different color tracing so you can tell them apart Averages and totals across all days in the report are displayed in tables for each meal evening and sleep time period In addition pie charts show the duration of time above below and within target range for each time period The time periods and target ranges used for this report come from the Advanced Intraday Periods Preferences you set on the Preferences screen You can check the Guidelines for setting Advanced Intraday Periods section of the User Guide for more information on how to change these time periods and target ranges 28 CareLink Personal Software Reports CareLink Personal Reports Sensor Daily Overlay by Meal Report A 7 day overlay of glucose readings at the breakfast lunch and dinner periods set HAI 6 4 347 05 i in the CareLink preferences Swala by Meal Eveni reget Braaktadi The overlay graph will only show SG readings for days when carbohydrates have been entered during the preset meal period gt Medtronic The range of glucose readings for the pre and post meal period over 7 days The daily average glucose readi
23. reLink Reports READING CARELINK REPORTS Reading your reports is as easy as 1 2 3 Follow these three steps to read your Daily Summary and Sensor Daily Overlay reports An overview of these reports can be found on pages 22 25 of this guide Step 1 Look at the overnight period Do you see a pattern of lows Do you see a pattern of highs Consider talking to your healthcare professional HCP about reducing your overnight basal insulin rates Was your BG level already high before bed Was there a bedtime snack Consider talking to your HCP about increasing your basal insulin rates or if on an insulin pump changing the timing of your basal rate to increase during the night Step 2 Look at the period before meals Do you see a pattern of lows Do you see a pattern of highs Consider talking to your HCP about decreasing your basal insulin Consider talking to your HCP about increasing your basal insulin Step 3 Look at the period after meals Do you see a pattern of lows Do you see a pattern of highs Determine whether food was an issue Were you accurately carb counting Was insulin given at the right time Determine whether food was an issue Were you accurately carb counting Was insulin given at the right time Is your carb ratio correct If using an insulin pump consider whether a Dual Wave bolus would have been better for meals high in carbs and fat Is your carb ratio correct
24. rt Settings WW Fine Tuning Alarm and Alert Settings Too many alarms and alerts are a common concern when using CGM CareLink helps to show when a change should be made to your alarm or alert settings Sensor alarms and alerts throughout the day ii Daily Summary R it gt Medtronic j ae Excessive alarms and alerts can cause difficulty and AA ee a a ee ee EE frustration with the system If you see a similar pattern in your reports consider modifying your alert or snooze settings HATE Me Data Seca how Glucose img dL Insulin Delivery 09 Pump alarms If you have a Threshold Suspend enabled j pump and notice a pattern y of Threshold Suspend events occurring in your reports discuss this with your healthcare professional Mime Adain S Sous Beba Bami Temp Bwal Biard Thaaiok Inecion B KIINI 25 i i E Ii i IIJ ines ri EX Carbohydrates and Exercise Cabs kia Cll YI Eswin Bwana KAA E i Alarms and alerts i should serve as a helpful a z reminder and should not be a nuisance insulin es OO Eeercise PHAR corey bell HA kalj SAH Imini leha rp ray FIY imi Minirier Heh Hp TAINTA Baali THA Se oye Bra SA Ka aa wot Mwamza Inbenril ar l ARR Anin il ji wa 41 Thine 1h SSA Menia de nf Tabga ATS Hml iLi ia Aer Fyasiiles kul AG Hapa Syne I j amp Hypu Suara 1 Suspended mules 120 Tup Bird Mmu ha J wal Aim ie J A ct igaelennA Il
25. s 40 mg dL during the night Shows the duration and percentage of time spent below 60 mg dL on TE Ei E aT E T mirii EA T Pas SD Tey EEk rI Eii oon Tue ant amp Pel on i Piha un 11 Fri whan 12 Sl van fun San Bi Mend Average Toa bs ey HE EFI ir H TE PEI ig lild 15A 1E 1 Fae Lik f If you see a trend of low mt F za za ia glucose levels at night 3 4 F 4 7 a Hi ji in your CareLink reports Pena Sny discuss this with your ec i A E AA E y Ze healthcare professional as PHD Eiri D D D a ia J J Frapo Eraio 1 p s a 1 a ra you may needan insulin ALO Above Lirek a0 it ph oe 04 oa an wa ALH Deica Limh ai 1i Li TE 13 Le fd ay dose adjustment Duration Distribution hh mm nm a i ie ti BR Ho s mm Aa wb e au an ms Ce a ee a isi Tue AA Eg mib S ja a de e d o g zE E a E i a ne i ae 31 CareLink Personal Software Reports 31 CareLink Personal Reports Improving Insulin Dosing Improving Insulin Dosing As you adjust to insulin pump therapy and improve your control you may notice trends associated with too much or not enough insulin Very little time spent within Guick View Summary S Medtronic the target glucose range HbA1c No Data Pump Paradigm Revel 523 Significant percentage of Glucose High Low Average mg dL time spent above the high In Range 8 Out of Range Meter BG Target Range Hypo __ Distribution a a es glucose
26. s to be uploaded When the upload completes successfully a message will be displayed and allow you to view your reports 3 NOTE Be sure to upload any additional C amp I devices that you use such as your glucose meter To do so follow the above steps This will allow you to see all your important information on your CareLink reports To upload a glucose meter you will need a cable that works with your specific compatible meter If you use a linked meter your glucose values will be in your insulin pump or Guardian and do not need to be uploaded separately If you click on another tab or link during an upload the upload will be cancelled You can also stop the upload by clicking Cancel Ir lps eee ie gie nF a ze i wt Ba aa BB O Please ensure the CONTOUR NEXT LINK device is connected to your computer 0 Wait a few seconds for your computer to recognize your device 0 Click Finish to begin reading your pump i Please do not navigate away from this page until the operation completes The system is waiting for your pump to respond Please wait This may take up to 30 seconds Read Progress 1 complete KAIKE 4 Eg ao A wa 1 Please do not navigate away from this page until the operation completes The system is reading your pump now Please wait Read Heeres wb complete ome et a oo ammi Comat MAA The system has successfully read your pump
27. sed When your infusion set was changed CareLink Personal Software Reports 23 CareLink Personal Reports Daily Summary Report Daily Summary Report The Daily Summary Report shows glucose readings basal and bolus insulin delivery and carbohydrate and exercise levels for one day This report helps you identify the cause and effect of specific high and low glucose events There are four main sections to the Daily Summary Report shown on the following page e Meter and Sensor Glucose Readings e Insulin Delivery Allows you to see the amount and type of insulin delivered throughout the day as well as any pump alarms and times when delivery of insulin was suspended If you have a Threshold Suspend enabled pump the dashed red lines indicate when the pump suspended insulin delivery due to sensor value reaching the Threshold Suspend limit An alarm icon will show at the beginning of the suspend Asecond alarm icon will show if the pump resumes basal insulin without user interaction with the pump e Carbohydrates and Exercise Carbohydrates Get the most out of CareLink by entering carbohydrate information in Capture Events in your insulin pump or Guardian or by using the Logbook feature in CareLink For insulin pump users every time you use the Bolus Wizard feature your carbohydrate information automatically gets recorded for you to view in your CareLink reports Exercise Enter time duration and intensity low medi
28. ssword The password can be any combination of letters or numbers from 4 to 20 characters Be aware that passwords are case sensitive Be sure to save your user name and password in a safe place and don t share them with anyone else You can use one of the cards on the back cover to write down this information dB di Pee STEP 3 Enter your personal information in all the required fields and click the Submit button at the bottom of the form Once you have registered to use CareLink you can log in from the Welcome screen using your new username and password NOTE Prior to inserting CareLink USB Windows Vista 7 8 users will need to first follow the Set up Instructions for Windows Vista and Windows 7 and 8 Users to successfully install the CareLink USB drivers on page 10 4 CareLink Personal Software Set Up Set Up Uploading to CareLink Software J BEFORE YOUR UPLOAD TO CARELINK When you are ready to upload to CareLink make sure to have your insulin pump or Guardian monitor and all BG meters on hand If you are using a linked meter those BG values will be in your insulin pump or Guardian and you will not need to upload your meter CareLink will walk you through the upload process telling you which device to upload and when to connect it Simply follow the instructions in each window making sure to click Next gt when you are ready to move on NOTE Wait until prompted to connect yo
29. target a o 68 o xo 5 5 z A 3 5 Se z If your CareLink reports e Si Q show a trend of glucose A levels outside of your target Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Average or glucose range discuss Jun 18 Jun19 Jun20 Jun21 Jun22 Jun23 Jun24 Jun25 Jun26 Jun27 Jun28 Jun29 Jun30 Juli Total k 8 Se this with your healthcare Low 173 118 154 184 177 181 265 190 228 149 197 251 448 346 118 Standard Dev NA NA NA NA NA NA NA NA NA NA NA NA NA NA 81 professional aS you may of Readings 3 3 3 2 2 2 2 2 3 3 3 3 1 1 33 Hypo Excurs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 need an adjustment of your Insulin Delivery Units insulin doses aT T Low a 462 z Joa 43 6 ER ER Total U Bolus Basal if gt 50 E ED 1 53 Se SH 53 55 64 EEM zg Er E Hi Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Average or Jun 18 Jun19 Jun20 Jun21 Jun22 Jun23 Jun24 Jun25 Jun26 Jun27 Jun28 Jun29 Jun30 Juli Total Total Insulin 47 7 45 2 44 4 43 6 41 4 43 8 40 9 37 2 40 5 40 7 48 8 46 0 46 2 43 2 43 5 Basal Insulin 26 3 27 0 26 3 25 2 24 1 23 2 23 7 23 8 22 6 24 2 24 2 24 2 24 2 24 2 24 5 Bolus Insulin 21 4 18 2 18 1 18 4 17 3 20 6 17 2 13 4 17 9 16 5 24 6 21 8 22 0 19 0 19 0 of Boluses 7 4 6 4 5 5 5 4 4 5 6 4 4 4 79 Average Bolus 3 06 4 55 4 52 3 07 4 32 4 12 3 44 2 68 4 48 4 12 4 92 3 63 5 5 4 75 3 98 Fill Amount 2 2 1 3 2 1 1 87 Logbook Carbs grams 102 110 96 40 47 30 20 42 90 96 65 40 0 0 65 Exercise
30. th Bayer CONTOUR NEXT LINK Meter alli E PM CareLink resora Go to www medtronicdiabetes com carelink Enter your user name and password amete are mr ea aria ae aart lies fer ai of pour GEH erage eo WA ein ger i M Trey Gees ise Did a eee eed lege pr Click on Sign In oye eS ae td ate shied Ube Fhe poet ca Bap TF bagel Th Seed aa Page ot gate cord NOTE If you forget your password click on Forgot your password You will need to enter your Username and the e mail address from your CareLink profile A temporary password will be sent to your e mail address You will then enter a new password into your account STEP 2 Click on Upload Data from My Device This screen will display your last five uploads el Lr nag etme 24 boas dey dork ae me best war ig i STEP 3 Choose device beme Gre eed fg Fra iu ria mm tibe re ee E E eerte maii Fra qe i epee T rit Please choose your device MiniMed Paradigm Insulin Pump Guardian REAL Time Continuous Glucose Monitor Blood Glucose Meter x jock faa Ta m m l Fam i a CareLink Personal Software Set Up 7 Set Up Uploading Your Device with Bayer CONTOUR NEXT LINK Meter STEP 4 The Check Pump Status screen verifies that your pump is ready to upload STEP 5 The Identify the pump screen requires that you enter your pump serial number Once you do this the software will save your current pump serial number and you won t ha
31. ts FHESrr vere me ol a r usa 1 Please do not navigate away from this page until the operation completes The system is reading your pump now Please wait Read PERESS eak complete ome ewi a a oe T a m Pen Tm The system has successfully read your pump What can you do next 0 Click the Reports tab to view your data 0 Click the Logbook tab to add additional information 0 Click the Upload tab to upload another device NOTE Be sure to upload any additional devices that you use such as your glucose meter To do so follow the above steps This will allow you to see all your important information To upload a glucose meter you will need a cable that works with your specific compatible meter If you are using a linked meter your glucose values will be in your insulin pump or Guardian and do not need to be uploaded separately If you click on another tab or link during an upload the upload will be cancelled You can also stop the upload by clicking Cancel CareLink Personal Software Set Up 15 Set Up Uploading Your Meter to a Mac Lol A UPLOADING YOUR METERTOA MAC Y If you are using a Mac there are a few additional steps to follow to set up your computer to upload your compatible blood glucose meter NOTE Make sure to start up your Mac in 32 bit kernel mode whenever you want to upload your meter By default most Mac computers start in 32 bit kernel mode STEP 1
32. um high of exercise events using the Logbook feature in CareLink or add the exercise icon in Capture Events on your insulin pump or Guardian e Summary All three graphs on the Daily Summary Report are in the same chronological order and aligned throughout the day Use these graphs together to understand the effect that carbohydrates exercise and insulin delivery have on your glucose levels 4790 IMPORTANT To retrieve certain data from a MiniMed insulin pump or Guardian monitor 2 you must first have entered the data by using the Capture Event feature the Bolus Wizard Calculator or entered the data in the CareLink Personal Logbook You do not want to enter the same data in multiple places Capture Events Bolus Wizard CareLink Logbook or you may see duplicate information 24 CareLink Personal Software Reports CareLink Personal Reports Daily summary Report Blue line represents R onic Dally Summary sensor readings Green shaded area Pur HAT Na Data ua represents the target Glucose madui glucose range setin Pudge Meter BG E Sur Tarai Aber i Target owe Hygi the preferences section of CareLink Black circles represent linked BG meter readings marked Paradigm BG Black squares represent BG cues l a a e eee tee readings manually entered re ae into the device The red line is the low glucose indicator set in the preferences section of CareLink The default setting is 60
33. upload successfully you do not need to repeat this process CareLink Personal Software Set Up 11 Set Up Uploading Your Device Using CareLink USB iJ UPLOADING YOUR DEVICE USING CARELINK USB STEP 1 E l gt p CareLink rersana Go to www medtronicdiabetes com carelink Se ree shee Enter your user name and password Click on Sign In EF eer Ch Sheer ede eT ho E COME 64 6 6 NOTE If you forget your password click on Forgot your password You will need to enter your Username and the e mail address from your CareLink profile A temporary password will be sent to your e mail address You will then enter a new password into your account STEP 2 Click on Upload Data from My Device This screen will display your last five uploads g m Shore E opra 24 homs ader 3 AO kaaa Hew Canet dei 1155 whe Gree lite remar Sa ha via Greased Bree piid haic To piani cla fo Bh ainsi ami Wa CO order ideen ii epee eo ai aa or cen Aa aa amen ramen Gtk oe Poet dave Far sha bated prigi monjen produces Recetas badiy and learn on Eha rew ma Hei paii GHH m D DAHA eck hi Sdn abe mena Aal wubb deliver grog aT Tiripa contact pour mefer company STEP 3 Choose device en Gr eee oy Pes tarie mm ee e ee ieee 2 eee se ee Fori ee AA eet YA Wa Please choose your device MiniMed Paradigm Insulin Pump Guardian REAL Time Continuous Glucose Monitor gt Blood Glucose Meter face fea
34. ur CareLink Personal account uploading your devices and tools to use as you evaluate some of the reports that you can obtain with CareLink This booklet may be used as an ongoing resource for you The complete user guide for CareLink Personal software is located in the Help section after you log in to the web based software ee CareLink yaa Buin Preteen i bap aa tome e Upload i l bak io Wiha Can j Ge Seo T vcinet Ovta toe My Dmi 8 Gineste Reports el The Da Store H ppa PA adey E PA Tha Orne EI CENERE ee piid ic To upload date ph Eee oboe Eee wake E order kiina ium Pree Poul feed a cable oF then of ETENE Mee Gn cased eTe ard cata cooeg decy For the latest promonan LENET gan Beite today ird bear A Bhai haw ad dire mare abot hare nas feted a Coble for your meter roy an paaa contact ma NOTE Prior to updating your computer operating system you may want to check K 1 http www medtronicdiabetes com support carelink personal to be sure that the updated operating system will be compatible with the CareLink Personal software 2 Before You Start Understanding CareLink personal Software A WHAT IS CARELINK CareLink Personal software allows you to upload information from your insulin pump Continuous Glucose Monitoring CGM device and blood glucose meter to assess glucose control through a free web based program making it easier to uncover trends and patterns WHAT DO I NEED TO START All
35. ur USB device to a USB port on your computer Your insulin pump may go into Suspend mode and stop dispensing insulin during the upload process The software will automatically return it to normal operation when the upload process is complete You may not be able to upload if your pump is in a special feature mode and you see the open circle next to your reservoir icon on the pump screen Complete or cancel any bolus or temp basal in progress Make sure your computer and your device s are displaying the current date and time They should be within one minute of each other to ensure that the information that is shared between them is consistent If you re using the Bayer CONTOUR NEXT LINK Meter If you re using the CareLink USB device Go to page 6 for upload instructions Go to page 12 for upload instructions NOTE The data uploaded from your device s through the USB is stored on the CareLink secure server not on your computer CareLink meets high standards for security It s actually safer than storing data on your own computer For instructions on how to view and print reports see pages 35 36 CareLink Personal Software SetUp 5 Set Up Uploading Your Device with Bayer CONTOUR NEXT LINK Meter A UPLOADING YOUR DEVICE WITH THE BAYER CONTOUR NEXT LINK METER For Windows Only One time Driver install happens the first time you upload a CONTOUR NEXT LINK as a meter or upload
36. us Wizard or the Logbook you may see duplicate information This data is entered manually on the monitor or pump It includes meter BG reading exercise you do boluses given carbohydrates eaten and other events Refer to the Capture Event instructions in the user guide for your device The Capture Event feature is not available for the 515 715 or 522 722 pumps 22 CareLink Personal Software Reports CareLink Personal Reports Quick View Summary Report Total number of glucose SR Medtronic crepe readings and the percentage 14 days wi you were above below and within your target glucose range during the period HbAte No Dain Ghunoes High Lows Anega mL namga Goto henge meter He bner fj Tepig Heo Percentage of total readings within target range ERR Circles indicate your average Ti glucose for the day oe Cie H Black hash marks identify Be Bee Re i ee Re Bee ee ee ee ee Blood Glucose BG values from your BG meter Vertical lines show your range of glucose values for the day ig a O Circles lines and statistics in Blue are Sensor Glucose SG values from the sensor Number of hypo events during this period kunia The total amount of insulin you received each day and breakdown of bolus solid black bar and basal solid white bar insulin The number of Threshold Suspends that occurred on specific days The days you exerci
37. ve to enter this the next time you upload STEP 6 The Select the Device Screen asks you to choose the device that you will be using to link your device to the software STEP 7 The Finish Installation screen lets you know that you are now ready to insert the device you will be using to link your device to the software 8 CareLink Personal Software Set Up Ka onai mweze Please check your MiniMed Paradigm insulin pump for the following 0 Complete or cancel any bolus in progress 0 Complete or cancel any Temp Basal in progress 0 Confirm that pump battery indication is NORMAL 0 Clear any pump error state Please enter your pump s 6 character serial number CONTOUR NEXT LINK CareLink USB Paradigm Link ComLink 1 Connect the CONTOUR NEXT LINK device to your computer 2 Wait a few seconds for your computer to recognize the device 3 Click Next Set Up Uploading Your Device with Bayer CONTOUR NEXT LINK Meter STEP 8 When you see the Verify Connections window read the steps This is to ensure you have properly set up communication between your computer and your device When you are ready to complete the upload click Finish STEP 9 The Looking for Pump xxxxxx tells you that the system is waiting for the pump to respond STEP 10 A progress window will then be displayed The amount of time it takes to upload your data will depend on how much data need
38. very and carbohydrate and exercise levels for one day Daily Summary See the effect of carbohydrates exercise and insulin delivery have on glucose levels Logbook information such as BG readings carbohydrate entries and boluses grouped by periods of the day Data Table All collected information over the Better understand information in selected reporting period other reports Modal Day BG readings over a period of time grouped See how well your glucose stays within your Periods by periods in the day target range at certain periods of the day Modal Day BG readings over a period of time grouped See patterns in BGs related to the time of day Hourly by the hour of the day as well as an overall summary of BG readings Trends Statistics of glucose control insulin usage See average glucose readings insulin usage Summary and carbohydrate intake and carbohydrate intake Device Insulin pump CGM device and meter Settings settings for a particular time and day view pump CGM ana Metrersantings Sensor 7 days of glucose sensor readings in a IEEE PENT ESE EEE MAE T Overlay single chart y JP y y Sensor A table of sensor and Logbook information Weekly broken up into pre meal post meal Logbook evening and sleep periods Logbook Diary Review past treatment decisions to understand possible areas for improvement See how boluses basal insulin and external events affect blood sugars Sensor Sensor readings and
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