Mobile 0:00 AM 100%

6.0
5 min ago
mmol/L

11 12 1 2
AM PM PM PM
22.2

? 1 2 3 4 5 6 7
19.4

16.7
...
13.9

11.1

8.3

5.6

2.8

Now | 3hr 6hr 12hr 24hr

Today

Now | 3hr 6hr 12hr 24hr

Today

2.8

5.6

8.3

GETTING 11.1

13.9

STARTED WITH
16.7

19.4

CONTINUOUS GLUCOSE
22.2
AM PM PM PM
11 12 1 2

6.0 5 min ago

mmol/L

MONITORING Mobile 0:00 AM 100%

Guardian Connect System ™

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 1 23/02/2017 12:36:34 PM

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 2 23/02/2017 12:36:34 PM
 TABLE OF CONTENTS

GETTING STARTED WITH CONTINUOUS GLUCOSE MONITORING

Guardian Connect System

SECTION 1: Introduction to Continuous Glucose Monitoring. . . . . . . . . . . . . . . . . 2

SECTION 2: Sensor Glucose (SG) and Blood Glucose (BG) . . . . . . . . . . . . . . . . . . . 4

SECTION 3: Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

SECTION 4: Guardian Connect Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

SECTION 5: Inserting and Starting the Sensor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

SECTION 6: Personalized Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SECTION 7: Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

SECTION 8: Reading the Sensor Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

SECTION 9: Sensor Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

SECTION 10: CareLink Personal Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

SECTION 11: Appendix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

TRAINING HANDOUTS

Quick Reference Guide to Sensor Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Quick Reference Guide for using the

One-press serter insertion device with Guardian Connect system. . . . . . . . . . . 39

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 INTRODUCTION TO CONTINUOUS GLUCOSE MONITORING

SECTION 1: WELCOME TO CONTINUOUS GLUCOSE MONITORING

The first step in using CGM is to understand the items included in your CGM system.

Mobile 0:00 AM 100%

B
6.0
5 min ago
mmol/L

11
AM
12
PM PM
1 2
PM
22.2
C
A 19.4

16.7

13.9

11.1

8.3

5.6

2.8

Now | 3hr 6hr 12hr 24hr

Today

Your Continuous Glucose Monitoring (CGM) system includes 3 key items:

A Glucose sensor The Enlite sensor measures glucose levels in the body.
B Transmitter*  he Guardian Connect transmitter connects to the glucose
T
sensor and sends glucose readings to your app.
C Guardian Connect app The Guardian Connect app displays glucose readings.

Other items include: One-press serter, overtape, transmitter charger and tester

Refer to the Guardian Connect System User Guide for more information.
* The transmitter must be within 6.1 meters (20 feet) of the Guardian Connect
app in order to communicate sensor readings.
2

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 INTRODUCTION TO CONTINUOUS GLUCOSE MONITORING

Before we proceed, let’s make sure that you have

completed these important steps:
1 Charge your Guardian Connect transmitter
Place the transmitter on the gray charger. The green light on the
charger will flash. The transmitter is fully charged when the
green light is off.

2 Download the Guardian Connect app

Download the app directly from your mobile device app store.

Guardian
3 Turn on Bluetooth wireless technology ®

Make sure Bluetooth wireless technology is turned on in your

mobile device.

4 Turn on internet connection

Internet must be available on your mobile device in order to access
CareLink Personal software.

5 Create a CareLink® software account

If you do not have an existing account and need to enroll, or are
unsure of your personal login, visit the following website:
www.carelink.minimed.eu

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 SENSOR GLUCOSE (SG) AND BLOOD GLUCOSE (BG)

SECTION 2: SENSOR GLUCOSE (SG) AND BLOOD GLUCOSE (BG)

Continuous Glucose Monitoring (CGM) allows you to see what your glucose values are when you
are not testing. You will receive up to 288 sensor glucose readings every 24 hours, filling the gaps
between your blood glucose (BG) tests. CGM can alert you to your high and low glucose values and
show you the speed and direction that your glucose levels are moving.

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 SENSOR GLUCOSE (SG) AND BLOOD GLUCOSE (BG)

Your BG meter measures glucose levels in your blood. The glucose sensor measures glucose in the
fluid surrounding the cells of your tissue called interstitial fluid.

Transmitter
Glucose sensor
measures glucose
in the interstitial
fluid

BG meter measures
glucose in the blood

Because your glucose moves between these two places, your blood glucose meter readings (BG)
and sensor glucose readings (SG) will be similar but will rarely match exactly.

This difference is normal and should be expected.

You can expect to see a larger difference between your BG meter reading and the sensor glucose
reading when your glucose levels are rising or falling quickly.
Examples of times when this larger difference may occur:

After meals or taking a bolus of insulin

During and after exercise

When arrows appear on your Guardian Connect app

screen as explained in the next section

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 SENSOR GLUCOSE (SG) AND BLOOD GLUCOSE (BG)

IMPORTANT: Sensor glucose is not the same as blood glucose. Your SG and
BG readings will be similar to one another but will rarely match exactly.

Sensor glucose values should not be used to make diabetes treatment

decisions. Always confirm your glucose value with a BG meter first.

If you “feel” that your glucose is high or low, but your sensor glucose does not
match your symptoms, always test your blood glucose using your BG meter.

KNOWLEDGE CHECK

Sometimes my SG and BG will not match exactly.

A. True
B. False

Write either SG or BG next to each statement below.

SG – Sensor Glucose
BG – Blood Glucose

________ readings are measured with your finger stick meter

________ readings are measured using CGM

________ is measured in interstitial fluid

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 TRENDS

SECTION 3: TRENDS
When using CGM, focus on sensor glucose trends. These trends give insight into the direction and
the speed that your glucose is changing.

This allows you to:

- focus less on the individual sensor glucose numbers.
- focus more on how quickly your glucose may be rising or falling.

Example of sensor information on the Home Screen

Mobile 0:00 AM 100%

sensor glucose value

6.0
5 min ago
mmol/L
trend arrows

11 12 1 2
AM PM PM PM
22.2

19.4

16.7

13.9
high glucose setting
11.1

8.3
sensor glucose tracing
5.6

low glucose setting

2.8

Now | 3hr 6hr 12hr 24hr

Today

When looking at the sensor information above, you can see that the current glucose reading is
6.0 mmol/L. But also notice:
- the sensor glucose tracing shows the glucose has been trending downward.
- the two arrows next to the sensor glucose value tell you the glucose has been dropping.

or - SG has been changing by 1-2 mmol/L over the last 20 minutes

or - SG has been changing quickly by 2-3 mmol/L over the last 20 minutes

or - SG has been changing very quickly by 3 mmol/L over the last 20 minutes

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 7 23/02/2017 12:36:39 PM

 TRENDS

Note: You can expect to see your glucose rising or falling quickly after eating, taking
insulin, or when exercising.

KNOWLEDGE CHECK
and mean my sensor glucose has been ___________ quickly.

A. rising
B. falling

Paula sometimes forgets to bolus before eating. Which trend arrow(s)

might she see next to her sensor glucose reading as a result of
forgetting to bolus?

A
B
C
D both A and C are possibilities

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 GUARDIAN CONNECT APPLICATION

SECTION 4: GUARDIAN CONNECT APPLICATION

Now that we have covered the basics of how CGM works let’s set up your Guardian Connect
application on your mobile device.

Starting the Guardian Connect Application

To open the application:

1) Tap on your mobile device.
2) Follow the steps on the screen to set up your Guardian
Connect app.
3) When you have reached the Start Sensor screen, proceed to
the next section on Inserting and Starting the Sensor of this
Getting Started Guide.

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 INSERTING THE SENSOR

SECTION 5: INSERTING AND STARTING THE SENSOR

Before you insert your sensor, gather all of your supplies:

Guardian Connect System Components*

Thumbprint
D A
C B
A

GC
Bump on both buttons
One-press Serter Enlite® Sensor & Pedestal Sensor Overtape Guardian Connect
A – Sensor A – Pre-cut Hole Transmitter
B – Pedestal
C – Adhesive pad
D - Needle housing
*For more details on the Enlite System Components, consult the User Guides

One-press serter is required in order to insert the sensor properly and safely

Enlite sensor is individually packaged and comes attached to a plastic pedestal which is necessary for
proper loading into the serter

Sensor overtape is required to keep the sensor securely in place

Guardian Connect transmitter is connected after the sensor is inserted and covered with
the overtape

10

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 INSERTING THE SENSOR

Selecting Your Site

Choose an insertion site that has an adequate amount
of fat in the shaded areas shown to the right.**
The sensor insertion site should be at least:
5 centimeters (2 inches) from your navel
2.5 centimeters (1 inch) from your insulin pump
infusion site
2.5 centimeters (1 inch) from any manual insulin
injection site Abdomen

**
Clinical trials for glucose sensors were performed on sensors
inserted in the shaded area shown

For best sensor glucose performance, avoid sites:

  Where clothing may rub or constrict (for example, your beltline)
  Where your body naturally bends a great deal which may cause the sensor to pull out
  That are scarred or have hardened tissue or stretch marks
  Where there is a great deal of motion or friction

Preparing Your Site

  Wash your hands with soap and water.

  Clean the selected site with an alcohol swab and allow the
alcohol to dry. Do not use IV prep.

11

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 INSERTING THE SENSOR

Example of Enlite sensor after

insertion is complete

Overtape is
covering both
the sensor and
the skin

Correct Incorrect

Inserting Your Sensor 3. Load sensor into

serter. Grip serter
1. Open the exactly as shown
sensor package. with thumb placed on
Pull the corner of the thumbprint on
paper covering to serter. Do not hold
open the sensor green buttons.
package. Push serter down onto
pedestal until base of
serter sits flat on table.
2a. Hold sensor
by plastic pedestal.
Remove the
sensor with the
attached pedestal
by holding the Note: The thumbprint on the serter
pedestal only. Place can be used for either left handed
the sensor and or right-handed insertion.
pedestal on a clean,
flat surface (a table).

Correct Incorrect
2b. Tuck adhesive tab. Make sure that the
sensor’s adhesive tab is tucked under the
sensor connector and snaps.
12

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 INSERTING THE SENSOR

Inserting Your Sensor, cont’d NOTE: Failing to hold serter securely flat against
the body may allow serter to spring back after
pressing the buttons and result in improper
Fingers NOT holding
green buttons
4. Detach serter insertion of the sensor.
from pedestal. To
detach serter from
pedestal, grip serter
as shown, with thumb
5a. Place serter
on thumbprint on on body. Hold serter
serter. With the other steadily against your
hand, place two fingers cleaned insertion site,
on pedestal feet and without pushing serter
slowly pull serter too deeply into skin.
straight up.
NOTE: Make sure 5b. Insert sensor.
that pedestal is firmly Press and release
on the table before the bump on both
pulling serter away. buttons at same time.
Warning: Do not Do not pull the serter
detach pedestal from away from your body
serter in mid-air as just yet.
this may damage
sensor.

5c. Hold serter

against body.
Continue holding
Note: The sensor remains inside serter against your
the serter after removing the body to allow adhesive
pedestal. The arrow on each side time to stick to skin.
of the serter indicates location of
the sensor needle.

Do not press buttons

5d. Remove serter

from body. Slowly pull
serter away from skin,
making sure buttons
are not pressed.

13

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 INSERTING THE SENSOR

Inserting Your Sensor, cont’d Taping Your Sensor

6. Remove needle Before you connect the MiniLink transmitter

housing. Gently to your Enlite sensor it is very important that
hold sensor base you properly secure the sensor against your
against skin at sensor skin using the sensor overtape.
connector and
opposite end of sensor
base. With the other
hand, hold needle 1. Remove adhesive
housing at the top liner 1. Remove liner 1
and slowly pull straight from the overtape. Do
out, away from sensor. not remove the two
Dispose needle smaller liners marked
housing in sharps 2 on the sides of the
container. overtape.

7a. Remove
adhesive pad liner.
Hold sensor in place
and gently remove 2. Apply overtape
liner from under on sensor and skin.
adhesive pad. Do Important:
not remove liner on Attach the overtape
rectangular adhesive to both the rounded
tab yet. part of the sensor
and the skin next to
7b. Press entire the sensor.
adhesive pad to skin.
Firmly press adhesive
pad against skin Sensor connector Sensor snaps are uncovered.
and smooth entire is uncovered
adhesive pad so it 3. Apply remainder
sticks to skin. of overtape on
adhesive pad. Stretch
8a. Untuck the remaining part of
adhesive tab. the overtape around
Untuck adhesive tab the sensor connector
from under sensor so that the tape sticks
connector. to the curved adhesive
pad and does not
8b. Straighten block the sensor
adhesive tab. connector and snaps.
Straighten adhesive Continue to press
tab so it lies flat the overtape to
against your skin, but your skin to help
do not remove ensure that it sticks
adhesive liner yet. securely.
14

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 INSERTING THE SENSOR

4. Remove liners 5. This image is

marked 2. Remove an example of the
the liners marked 2 overtape applied
from both sides of the correctly. The sensor
overtape and press base and skin next to
the adhesive against it are covered, but the
the skin. sensor connector and
snaps are uncovered
and appear in the
opening in the center
of the overtape.

IMPORTANT: All sensor tapes and adhesives stick best when you continue to apply
pressure after putting them on your skin. Doing so helps the Enlite sensor stay securely
placed and fully inserted.

Checking Proper Tape Application

It is important to check your sensor site periodically to make sure the sensor is still secure and has not
been pulled out. If the sensor has been pulled out, do not try to push it back into place. A new sensor
may need to be inserted.

Check Proper Tape Application

Correct Not Correct

Overtape is covering both Overtape is missing Overtape is covering the

the sensor and the skin sensor but not the skin

15

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 15 23/02/2017 12:36:47 PM

 INSERTING THE SENSOR

Connecting Your Transmitter Applying Optional Second Overtape

After the glucose sensor is inserted and taped After connecting your transmitter to your sensor,
securely, connect the transmitter to the apply a second piece of overtape, if needed, use
glucose sensor immediately. Option 1 or 2.
If you have skin irritation due to moisture buildup,
1. Connect transmitter follow Option 1. If transmitter catches on your
to sensor. With one clothes, follow Option 2.
hand, hold the sensor Option 1 Option 2
in place. With the other End of
transmitter Tape is over
hand, connect the end of
is exposed
transmitter to the transmitter
sensor.

2. Check for green Starting the Sensor

light. You will hear a faint
“click” indicating that the Now that you have inserted and
two parts are connected. taped your sensor return to your
Check for a green light to Guardian Connect app on your
flash on the transmitter. mobile device to complete the
sensor start up. Tap Start New
Sensor.
3. Remove liner on Removing Sensor in Six Days
tab. Remove the paper 1. Peel off tape.
on the adhesive tab.
2. Disconnect transmitter by pinching side
arms of sensor. Then pull transmitter away.
3. Place transmitter on charger.
4. Peel off and discard sensor.

4. Apply tab. Fold the IMPORTANT If you do not see

adhesive tab over and a green light flashing on the
onto the transmitter. transmitter after it is connected
Important: Be careful to the sensor, then disconnect
not to pull the adhesive the transmitter and place it back
tab too tightly or it may on the charger to ensure that it is
cause the transmitter to fully charged. Then reconnect the
bend or pull from the transmitter to the sensor.
sensor connection.

5. Press tab. Press Note: When your transmitter is

the adhesive onto the connected to your sensor they
transmitter. are water-tight at 2.4 meters
(8 feet) for up to 30 minutes. You
can shower and swim without
removing them.

16

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 INSERTING THE SENSOR

Properly applying the overtape is key to ensuring your success with the Enlite sensor.
Due to the sensor’s small size and flexible nature, the overtape helps to secure it from
body motion or physical activity that can cause it to be pulled out.

KNOWLEDGE CHECK
Placing your thumb on the thumbprint marking on the serter is
necessary in order to:

A. Avoid accidentally pressing the green buttons before you are ready to
insert the sensor.
B. To insert the sensor into the skin.
C. I don’t know.

Taping the sensor for extra security is optional.

A. True
B. False

17

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 17 23/02/2017 12:36:52 PM

 PERSONALIZED ALERTS

SECTION 6: PERSONALIZED ALERTS

Completing Setup of the Guardian Connect System
When you have reached the Sensor Alerts screen refer to the
descriptions of the alert settings below.
Then write in your alert settings prescribed by your healthcare professional
on the CGM Settings Form on page 20. These are the alert settings you
will use to complete the setup of your Guardian Connect system.
Your CGM alert settings are most beneficial if they are personalized for
your needs.
Your healthcare professional will work with you to determine your
initial settings and help you with adjustments that need to be made.

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ALERT SETTING ALERT SHOWN ON SCREEN WHAT DOES IT MEAN

HIGH SETTINGS

High Limit No alert is shown. The high limit The sensor glucose value that your
is the value that the other high healthcare provider determines is
settings are based on. above the sensor glucose range
appropriate for you.
Alert Before High High Predicted Your sensor glucose value is predicted to
reach your programmed high limit.

Time Before High High Predicted You can be notified from 10 minutes up to
1 hour before your sensor glucose value is
expected to reach your high limit.

18

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 PERSONALIZED ALERTS

ALERT SETTING ALERT SHOWN ON SCREEN WHAT DOES IT MEAN

HIGH SETTINGS

Alert on High High Sensor Glucose Your sensor glucose value has reached or
risen above your high limit.

Rise Alert Rise Alert Your sensor glucose has been rising rapidly.
Indicated by , , or

Snooze Time N/A You can be reminded when any of the high
alert situations still exist after 5 minutes up
to 1 hour has passed. Applies to all
high settings.

Snooze...
Stephen’s doctor instructed him to turn on Alert on High with a Snooze of 2
hours. If his sensor glucose reaches his high limit, he checks his BG and takes
insulin if he needs it. His Guardian Connect system will check again in 2 hours
and alert him if he is still at or above his high limit.

ALERT SETTING ALERT SHOWN ON SCREEN WHAT DOES IT MEAN

LOW SETTINGS

Low Limit No alert is shown. The low limit The sensor glucose value that your
is the value that the other low healthcare provider determines is below
settings are based on. the sensor glucose range appropriate for
you.
Alert Before Low Low Predicted Your sensor glucose value is predicted to
reach your programmed low limit.

Time Before Low Low Predicted You can be notified from 10 minutes up to
1 hour before your sensor glucose value is
predicted to reach your programmed low
limit.
Alert on Low Low Sensor Glucose Your sensor glucose value has reached or
fallen below your low limit.

Fall Alert Fall Alert Your sensor glucose has been falling
rapidly. Indicated by , , or .

Snooze Time N/A You can be reminded when any of the low
alert situations still exist after 5 minutes
up to 1 hour has passed. Applies to all low
settings.
19

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 PERSONALIZED ALERTS

Guardian Connect - Continuous Glucose Monitoring Settings Form

Record your CGM settings here for future reference.

HIGH SETTING LOW SETTING

High Limit Low Limit

__________mmol/L __________mmol/L

Alert Before High Alert Before Low

_____ON _____OFF _____ON _____OFF

Time Before High Time Before Low

______Minutes _____Hour ______Minutes _____Hour

Alert on High Alert on Low

_____ON _____OFF _____ON _____OFF

Rise Alert Fall Alert

_____ _____ _____ _____ _____ _____

Snooze Time Snooze Time

______Minutes _____Hour ______Minutes _____Hour

20

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 20 23/02/2017 12:36:55 PM

 CALIBRATION

SECTION 7: CALIBRATION
Calibration is necessary to receive sensor glucose readings and for optimal CGM performance. To
calibrate, you must use a fingerstick blood sample to test your BG on your meter and then enter that
value into your Guardian Connect app. CGM does not eliminate the need for BG meter tests.
If the system is not calibrated regularly, then you will not receive sensor glucose readings until there is
a calibration.
After inserting a new sensor, a calibration is needed:

Approximately 2 hours after you connect the transmitter to your sensor and
start the Warm up period. You will receive a Calibrate now alert when it is ready for its first
calibration.

Again within 6 hours (on the first day of inserting sensor only)

Again every 12 hours

Calibration Checklist:
Calibration Schedule
Wash hands before checking your BG Day 1
Enlite sensor inserted: _____________AM/PM
Calibrate 3 to 4 times a day for best results or I will calibrate:
when you receive a Calibrate now 2 hours after sensor inserted:________AM/PM
Within the next 6 hours:_____________AM/PM
Enter the BG into the app right away if it is a good At bedtime: _____________AM/PM
time to calibrate Day 2 to Day 6
I will calibrate:
Don’t use an old BG reading When I wake up: _____________AM/PM
Again within 12 hours: _____________AM/PM
Don’t reuse BG readings from previous calibrations Again during the day: ______________ AM/PM
At bedtime: _____________AM/PM
Wait at least 15 minutes in between
calibration attempts

Blood drop

Tap the blood drop on the app to calibrate.

? 1 2 3 4 5 6 7

...

21

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 CALIBRATION

Calibrating the Sensor

?
Calibration timer
?
? On the Home screen the calibration icon tells you the amount of time left until your next
? 7 6 5 4 3 2 1 ?
calibration is due:
7 6 5 4 3 2 1 ?

7
?
6 5 4 3 2 1
... calibration is due
12? hours remaining before the next
4 3 2 1 ?
3 hours are...remaining
3 2 1 ? 1 hour is...remaining
... is due now. Calibrate using your blood glucose meter
Calibration
... Calibration is not permitted yet

To calibrate:

1. Test your blood glucose on your meter.

2. Tap the blood drop on the top right corner of the Home Screen.

3. Enter your blood 4. Tap Calibrate at

? 1 2 3 4 5 6 7
5. Tap Calibrate
glucose reading (2.2 the top right corner sensor -- mmol/L.
...
mmol/L to 22.2 mmol/L) of the screen.
using the keypad.

The application returns to the home screen. A appears on the graph at the time it was entered.
Your sensor glucose reading will appear in about 5 minutes after the calibration is entered.

22

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 CALIBRATION

IMPORTANT If you notice a large difference between your BG meter reading and
sensor glucose readings, wash your hands and do another BG fingerstick test to
make sure it is an accurate reading. Check the sensor site to ensure that the
sensor overtape is still holding the sensor in place. If there is still a large difference
in glucose readings, another calibration may be needed to bring the readings
closer together again.

Calibration Reminder
You can use the Calibration Reminder to give you notice before the next calibration is necessary. The
Calibration Reminder can be set from 5 minutes to 1 hour from the Alert Settings menu option.

Using a Calibration Reminder

Lina calibrates at 7 AM when she wakes up. Her next calibration would be
due 12 hours later at 7 PM. Her calibration reminder is set to 1 hour so she
would be reminded at 6 PM that a calibration will be needed.

KNOWLEDGE CHECK
What might happen if a calibration is required and it’s not entered into your app?

A SG readings will not display

B I will continue to get the SG data on my app
C I may not get important alerts such as Low Sensor Glucose
D Both A and C

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 SENSOR DISPLAY

A B C
SECTION 8: READING THE SENSOR DISPLAY

Viewing the Main Menu

Press on the top left corner of the Home Screen.

You will now see these 3 icons in the system status bar.

?
A Sensor Life Icon
After you insert a new sensor you will see how many
days of sensor use are left. The sensor icon will change
with each day that passes. 7 6 5 4 3 2 1 ?

B Transmitter Battery Icon

When the transmitter is fully charged, the battery icon ...
will appear as solid green. The icon will change as
the battery life is used. ?

7 6 5 4 3 2 1 ?
C Transmitter Communication Icon

The transmitter is paired and communicating with the application.

A communication error, the transmitter is not paired, or Bluetooth is off
on your mobile device.

Note: When the Transmitter Battery is depleted, Transmitter is not

paired, or the sensor has one day or less before it expires, then these
icons will appear in both the Main Menu and at the top of the Home
Screen.

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 SENSOR DISPLAY

Once the sensor has started giving you sensor glucose readings, the Home screen will display:

Mobile 0:00 AM 100% device status bar

menu calibration timer

current SG reading
6.0
5 min ago
mmol/L
trend arrows

time 11
AM
12
PM PM
1 2
PM
22.2
event markers
19.4

16.7

13.9
high glucose limit sensor graph
11.1

8.3
sensor glucose tracing
5.6
low glucose limit
2.8

day Now | 3hr 6hr 12hr 24hr

Today

add event
zoom level

Current Sensor Glucose Value

The most current sensor reading is updated every 5 minutes. The sensor reads glucose values
from 2.2 mmol/L to 22.2 mmol/L.

25

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 SENSOR DISPLAY

Viewing the Sensor Graph Example of an “info box”

for Insulin
Swipe center of graph, right and left: to view past sensor information

Double tap screen: to return to current glucose.

Slide your finger on SG tracing: to view more details, SG reading, time, date.
?

Touch anywhere on graph: to view more details, event information. ? 11 22 33 44 55 66 77

...

Additional Sensor Graphs

To view 3-hour, 6-hour, 12-hour, and 24-hour glucose graphs:

tap graph twice or

select graph hours at bottom of Home screen.

time

22.2
event marker
19.4
?
16.7

?13.9 1 2 3 4 5 6 7

SG values
11.1 ...

8.3

5.6

2.8

day
add event
zoom levels

26

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#2 ?

?
7 6 5 4 3 2 1 ? SENSOR DISPLAY

#2 ?
7 6 5 4 3 2 1 ? ...
Entering Event Markers
#2 ?
7 6 5 ?
... on your4 3 2 1
Capture other information right app:
#6
?
Blood Glucose: BG meter readings. These can be used both to calibrate the sensor
#7
7 6 5 4 3 2 1 ? ...
and simply to manage your diabetes without calibrating the system.

#87 6 5 4 3 2 1 ? ...
Insulin: The type and amount of insulin you use.
#6

... of carbohydrates you eat or drink.

Meal: The amount
#7
#6

#8 Exercise: The intensity and duration of exercise you do.

#7

#8 Other: This event can be used to enter any other information relevant to your diabetes
management. For example, you can record when you take medications, when you feel ill, or
when you are under stress.

27

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 SENSOR DISPLAY ?

? 1 2 3 4 5 6 7

...

To enter an event marker

1. Tap on the bottom right corner of the home screen.

2. Tap the desired 3. Enter the information 4. Tap Done at the top
event icon. for the selected event. of the screen when finished.

The application returns to the home screen and the event icon appears on the graph at the
selected time.

Note: A BG reading entered as an event can

be used to calibrate the sensor.
1. Enter BG reading
2. Select Done
3. When Calibrate now? appears, select
Calibrate Sensor -- mmol/L if you are sure
you want to calibrate.

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 SENSOR ALERTS

SECTION 9: SENSOR ALERTS

Receiving alerts is a part of wearing CGM. We discussed some of these alerts earlier in Section 3:
Personalized Alerts. There are other alerts that you will receive as well.

When a sensor alert occurs:

- High alerts will appear as orange,

- Low alerts will be red,

- and all other alerts (such as Calibrate now) will be blue.

Follow the instructions on the screen to address the alert.

Clear alert: Drag bottom of alert screen upwards.

Snooze alert: Drag bottom of alert screen downwards.

Then tap or adjust the snooze time.

Sensor Alerts
Example of the Low Sensor Glucose alert message:

Note: If your mobile device has returned to the locked screen, alerts
will also appear on this screen. Do not turn off notifications or enable
the Do Not Disturb setting on your mobile device. Doing so may
result in missing important alerts requiring your immediate attention.

IMPORTANT: Do not exit the Guardian Connect app while

using CGM. Doing so will prevent sensor glucose readings
and sensor alerts from being delivered. If the app is running
in the background you will still receive sensor information
and may receive alerts.

See Quick Reference Guides section on page 37-38 of this guide

for other alerts.

29

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 KEY REMINDERS

KEY REMINDERS:

I will:

check my BG with my meter to confirm my SG before

making treatment decisions.

calibrate my sensor at least twice a day but 3 to 4 times

a day for best results

avoid closing the Guardian Connect app in order to continue

receiving sensor glucose alerts.

select New Sensor, not Reconnect Sensor, each time I insert

a new sensor.

charge my transmitter after six days of wear.

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 CARELINK® PERSONAL SOFTWARE

SECTION 10: CARELINK® PERSONAL SOFTWARE

Creating a Care Partner Account and Sharing Your Information
Guardian Connect allows you to sync your data to CareLink Personal software automatically. This
automated sync sends data displayed in your Guardian Connect app to the CareLink Connect tab
of the CareLink Personal website approximately every five minutes. This feature also automatically
sends pump and sensor history information to create your CareLink Personal report every 24 hours.

Reminder: Have your healthcare professional (HCP) view your information at the
office or bring a report with you to your next visit.

You can invite a family member, friend, or other care partner to view
your CGM information on the CareLink Personal website by selecting
Manage Care Partners.

1) Press on the top left corner of the Home Screen.

Tap on the link Sync to CareLink

2) Be sure Sync to Carelink is toggled ON. Tap on Manage Care

Partners.

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 CARELINK® PERSONAL SOFTWARE

2a) If you are brought to the CareLink Connect screen, tap the
on the top left corner of the screen and tap Connect
Settings.

3) Set a nickname for yourself so when text message

notifications are sent, this is the name that will appear in
the message. Then tap Save.

4) Tap on Add Care Partner. In the next screen fill the

mandatory fields for your care partner (First and
Last name). You can add up to 5 Care Partners to your
CareLink Personal account.

Create a unique username for your care partner
and temporary password, then tap Save. This temporary
password is valid for 24 hours. Give this username
and password to your care partner.

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 CARELINK® PERSONAL SOFTWARE

Set Up and Access to the Care Partner Account

1) After the Care Partner account has been created and a

temporary password has been given, the care partner will
need to go onto the CareLink Personal website
www.carelink.minimed.eu on the web browser of their mobile
device or computer and log in with their new credentials. The care
partner will need to check all boxes in Terms of Use and tap
Accept. From their account they will be able to change their
password and tap Next.

2) The care partner will fill out their remaining

information on the My Info screen. Then
tap Save.

3) The care partner must enter their mobile number and have
the Active box checked in order to receive text message
alert notifications. Tap Save when complete.

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 CARELINK® PERSONAL SOFTWARE

Notifications Settings Screen

Selecting Low Alerts and High Alerts

Your care partner can select and choose what alerts and alarms from Guardian Connect they want to
receive. If the alert has not been cleared in the Guardian Connect app, a text message will be sent to
the care partner based on the 0-30 minute delay set in Select Notifications. If your care partner does
not want a delay in alerts, select 0. Once all desired notifications have been made, tap Save.

Note: The care partner may only receive alerts and alarms that have been set by
the patient in the Guardian Connect app regardless of the Notification selected.
For example, if the patient does not set High Alerts in the Guardian Connect app,
the care partner will not receive High Alert messages even if they select it in Select
Notifications on the CareLink Personal website.

Status Messages
The care partner can also select to receive text messaging on sensor alarms from the Guardian
Connect app. If the alarm has not been cleared in the Guardian Connect app, a text message will
be sent to the care partner based on the 0-30 minute delay set in Select Notifications. If your care
partner does not want a delay in alerts, select 0. Once all desired notifications have been selected,
tap Save.

34

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 APPENDIX

SECTION 11: APPENDIX

Charging and Storing the Transmitter

Charge the transmitter before each use. When the transmitter
is charging, a green light will flash on the charger. This green light
will turn off when the transmitter is completely charged. You
will need to charge the transmitter after each sensor use. A fully
charged transmitter can be used for a maximum of six days without
recharging. It can take up to 2 hours to fully recharge.

When you remove the transmitter from the charger, a green light
should flash on the transmitter. This indicates that it has enough
battery power to be connected to the sensor. If you do not see the
green flashing light on the transmitter place it back on the charger
until it is fully charged.

Store the transmitter, charger, and tester in a clean, dry

location at room temperature. Do not store the transmitter on
the charger for more than 60 days. Otherwise, the transmitter
battery will be permanently damaged. If the transmitter is not
in use, you must charge the transmitter at least once every 60
days.

If you connect transmitter to charger and you see no lights on

the charger: replace the battery in the charger.

While charging your transmitter you see a flashing red light on

the charger: replace the battery in the charger.

While charging your transmitter you see a mix of short and long Tester
flashing red lights on the charger: replace the battery in the charger
and fully charge the transmitter.

Refer to your transmitter and charger User Guides for more information.

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 APPENDIX

X-rays, MRI, or CT Scan

If you are going to have an X-ray, MRI, CT scan, or other type of

X
diagnostic imaging involving radiation exposure or strong
magnetic field, remove your mobile device (where your Guardian
Connect app is installed), transmitter, and glucose sensor and
place them outside of the testing area.

Going through Airport Security

The full body scanner may be a form of x-ray. If you choose to go
through the full body scanner, you will need to remove your sensor
and transmitter prior to the scan. To avoid removing your devices,
you should request an alternative screening process that does
not use x-ray. Your CGM system can withstand exposure to metal
detectors and wands used at airport security checkpoints.

Traveling by Air
If you wear a CGM device, it is safe for use on commercial airlines.
If airline personnel request that you turn off your CGM device,
you must comply.

Note: It is important that you test your blood glucose (BG) more frequently while
you are traveling. The routine hassle of travel, including stress, changes in time
zones, schedules and activity levels, meal times and types of food, can all affect
your diabetes control. Be extra attentive to monitoring your BG frequently, and be
prepared to respond if needed.

Answer Key:
Page 6: 1) A 2) BG, SG, SG Page 17: 1) A 2) B
Page 8: 1) A 2) D Page 23: 1) D
36

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 QUICK REFERENCE GUIDE FOR SENSOR ALERTS

What Sensor Alerts Mean

Follow up with your healthcare professional regularly to evaluate your settings for possible changes.
Follow the instructions on the screen to address the alert.
To clear the alert, drag the bottom of the alert screen up.
To snooze the alert, drag the bottom of the alert screen down. Then tap the snooze time. You can
change the snooze time using the - and +.

Alert Alert shown Reason Steps to take

setting on screen

Alert on High Sensor Sensor glucose value is equal to Check your blood glucose
High Glucose or higher than the high limit that using a fingerstick blood
you have set. sample and blood glucose
meter. Do not use the
sensor glucose values
to make treatment
Alert on Low Sensor Sensor glucose value is equal to decisions. Treat based on
Low Glucose or lower than the low limit that instructions from your
you have set. healthcare professional.

Alert High Sensor glucose is expected to

Before High Predicted reach the high glucose limit in
the length of time you have set
Time for the Time Before High.
Before High

Alert Low Sensor glucose is expected to

Before Low Predicted reach the low glucose limit in the
amount of time you have set for
Time
the Time Before Low.
Before Low

Rise Rise Alert Sensor glucose has been

Alert increasing at a rate is equal to
or faster than the Rise Rate that
you have set , , .

Fall Fall Alert Sensor glucose has been falling

Alert at a rate that is equal to or faster
than the Fall rate you have set
, , .

37

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 QUICK REFERENCE GUIDE FOR SENSOR ALERTS

These sensor alerts come pre-programmed in the Guardian Connect application with the exception
of the last alert, “Calibrate by” (alert setting is called “Calibration Reminder”). These alerts cannot be
modified and are required by the app.

Alert Reason Steps to take

Wash hands and check blood glucose

Calibrate now A calibration is needed in order to
using a fingerstick sample and blood
receive sensor glucose readings. glucose meter. Enter blood glucose
value into the Guardian Connect app.
Lost Communication between Guardian Check that the sensor is still inserted
communication Connect and transmitter has been lost in the skin and the transmitter and
for 30 minutes during or after warm-up. sensor are still connected. Move your
Guardian Connect closer to your
transmitter.

Calibration not The BG meter value could not be used Wait 15 minutes. Wash your hands and
accepted to calibrate; it was too different from the check your blood glucose again. Enter
SG value. this blood glucose value into app.

Sensor end Sensor has reached it’s maximum usage Remove the sensor. Recharge the
of life of 6 full days. transmitter. Follow the instructions for
inserting and starting a new sensor.

Change sensor You may have received a second Remove the sensor and follow the
Calibration not accepted alert or the instructions for inserting and starting a
sensor is not working properly. new sensor.

Sensor glucose Sensor information is not available due Do not calibrate unless notified. The
not available to several possible causes. Some causes system is attempting to correct the
include the sensor pulling out of the skin problem. This could take up to 3 hours.
or the sensor not working properly. No action is needed at this time.

Calibrate by You programmed the Calibration Calibrate by the time shown in the alert
Reminder setting to alert you when a message.
calibration will be due.

For a complete list of Alerts and Alarms, refer to the Guardian Connect System User Guide.

38

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 QUICK REFERENCE GUIDE FOR USING THE ONE-PRESS SERTER AND GUARDIAN CONNECT

Part 1. Removing Sensor in Six Days 4. Detach serter from pedestal. Fingers NOT holding
To detach serter from pedestal, green buttons

1. Peel off tape. grip serter as shown, with

2. Disconnect transmitter by pinching side arms of thumb on thumbprint on serter.
sensor. Then pull transmitter away from sensor. With other hand, place two
3. Place transmitter on charger. fingers on pedestal feet and
4. Peel off and discard sensor. slowly pull serter straight up.
NOTE: Make sure that
pedestal is firmly on table
Part 2. Inserting a New Sensor before pulling serter away.
Warning: Do not detach
Wash your hands and clean pedestal from serter in
insertion site with alcohol. mid-air as this may damage
sensor.
1. Open sensor package.
5a. Place serter on body.
Hold serter steadily against your
cleaned insertion site, without pushing
serter too deeply into skin.
2a. Hold sensor by plastic Note: Failing to hold serter securely
pedestal. Remove sensor with flat against body may allow serter to
attached pedestal by holding spring back after pressing buttons and
pedestal only. Place sensor and result in improper insertion of sensor.
pedestal on a clean, flat surface
(a table).

The tab tucked 5b. Insert sensor.

2b.Tuck adhesive tab. Press and release the bump on both
Make sure that buttons at same time.
sensor’s adhesive
tab is tucked under
sensor connector 5c. Hold serter against body.
and snaps. Continue holding serter against your
Correct Incorrect body to allow adhesive time to stick
to skin.

5d. Remove serter from body.

Slowly pull serter away from skin,
making sure buttons are not pressed.
Correct Incorrect

6. Remove needle housing. Gently

3. Load sensor into hold sensor base against skin at
serter. Grip serter sensor connector and opposite end of
exactly as shown sensor base. With the other hand, hold
with thumb placed needle housing at the top and slowly
on thumbprint pull straight out, away from sensor.
on serter. Do not Dispose needle housing in sharps
hold side buttons. container.
Push serter down
on to pedestal until 7a. Remove adhesive pad liner. Hold
base of serter sensor in place and gently remove
sits flat on table. liner from under adhesive pad. Do not
remove liner on rectangular adhesive
tab yet.

39

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 QUICK REFERENCE GUIDE FOR USING THE ONE-PRESS SERTER AND GUARDIAN CONNECT

Part 2. Inserting a New Sensor, cont’d

5. This image is an example of
overtape applied correctly.
7b. Press entire adhesive pad
to skin. Firmly press adhesive pad
against skin and smooth entire
adhesive pad so it sticks to skin.

IMPORTANT: All sensor tapes and adhesives stick best

8a. Untuck adhesive tab. Untuck when you continue to apply pressure after putting them
adhesive tab from under sensor on your skin. Doing so helps the Enlite sensor stay
connector. securely placed and fully inserted.

8b. Straighten adhesive tab. Part 4. Connecting the Transmitter

Straighten adhesive tab so it lies flat
against your skin, but do not remove After glucose sensor is inserted and taped securely,
adhesive liner yet. connect transmitter to glucose sensor immediately.
1. Connect transmitter to sensor.
With one hand, hold sensor in
place. With other hand, connect
Part 3. Taping Sensor transmitter to sensor.

Before you connect the transmitter to your Enlite

sensor it is very important that you properly secure
the sensor against your skin using the sensor 2. Check for green light. You will hear a
overtape. faint “click” indicating that the two
1. Remove adhesive liner 1. parts are connected. Check for a
Remove liner 1 from overtape. green light to flash on the
Do not remove two smaller liners transmitter.
marked 2 from the sides of
overtape.
3. Remove liner on tab. Remove the
2. Apply overtape on sensor paper on the adhesive tab.
and skin. Important: Attach
overtape to both rounded
part of sensor and skin
next to sensor.
4. Apply tab. Fold the adhesive tab
over and onto the transmitter.
3. Apply remainder of overtape Important: Be careful not to pull
on adhesive pad. Stretch remaining the adhesive tab too tightly or it
part of overtape around sensor may cause the transmitter to bend
connector so that tape sticks to or pull from the sensor connection.
curved adhesive pad and does
not block sensor connector. 5. Press tab. Press the adhesive onto
Continue to press overtape to the transmitter.
your skin to help ensure that it
sticks securely. IMPORTANT If you do not see a
green light flashing on transmitter
4. Remove liners marked 2. after it is connected to sensor,
Remove two paper tabs from then disconnect transmitter
sides of overtape and press and place it back on charger
adhesive against skin. to ensure that it is fully charged.
Then reconnect transmitter to
sensor.
40

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 ?

QUICK REFERENCE GUIDE FOR USING THE ONE-PRESS SERTER AND GUARDIAN CONNECT
? 1 2 3 4 5 6 7

Part 5. Applying Optional Second Overtape Part 7. Calibrating

...
After connecting your transmitter to your sensor, 1. Check your blood glucose using
apply a second piece of overtape, if needed, use a blood sample from your finger.
Option 1 or 2.
2. Tap on top right corner of
If you have skin irritation due to moisture buildup, follow Home Screen.
Option 1. If transmitter catches on your clothes, follow
Option 2.
Option 1 Option 2
End of
transmitter Tape is over
is exposed end of
transmitter 3. Enter your blood glucose
reading (2.2 mmol/L to 22.2 mmol/L)
using keypad.

Part 6. Starting the Sensor

1. When Sensor connected screen

appears automatically, tap New
Sensor. Then tap OK.
4. Tap Calibrate at top right
corner of screen.

5. Tap, Calibrate sensor -- mmol/L.

41

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 NOTES:

Notes

42

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 NOTES:

Notes

43

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 43 23/02/2017 12:37:24 PM

 NOTES:

Notes

44

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 44 23/02/2017 12:37:24 PM

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 45 23/02/2017 12:37:24 PM
 Australia
5 Alma Road

1.800 777 808

North Ryde, NSW 2113
Medtronic Diabetes Australia

www.medtronic-diabetes.com.au

950M14630-011_GSG_GC_E2-EnliteSerter_CareLink_MMOL.indd 46
Guardian and CareLink are registered trademarks of Medtronic MiniMed, Inc.
Bluetooth is a registered trademark owned by the Bluetooth SIG, Inc.
3676-112016 ©2017 Medtronic MiniMed, Inc. All rights reserved.

23/02/2017 12:37:24 PM