Get Started - FreeStyle Libre System

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GetStartedYour Guide tothe FreeStyleLibre 2 System

Get Started 32 Get StartedMeet the FreeStyleLibre 2 SystemCheck your glucose with a painless,1 1-second scan instead of a fingerstick.* Understand howyour body responds to treatment, food, and exercise. See patterns and trends, and customize*optional†, real-time alarms for lows and highs. Share insights with healthcare providers. Getthe complete picture of your glucose levels, not just a moment in time.Table of Contents4Apply Sensor5Tips to Keep Sensor in Place6Activate Sensor7Scan Sensor8Understand SensorGlucose Readings9Learn from Your Data10Use Alarms for Extra Safety12Customize Alarms13Remove & Replace Sensor14The CGM Difference15Different and Accurate1 ApplicatorUsed to applythe sensor12 Sensor3Circle sensor wornon the back of theupper armHas a thin, flexiblefilament that ispainlessly1 insertedjust under the skin3 Handheld readerUsed to scan andsee dataWelcomeCongratulations on your new FreeStyle Libre 2 system! Whether you’re new to using a2continuous glucose monitoring system (CGM) or need a refresher, this guide is for you. Inside,you’ll find tips for getting the most out of your CGM system to help manage your diabetes.—Team FreeStyle Libre**Fingersticks are required if your glucose alarms and readings do not match symptoms or when you see Check Blood Glucose symbol during the first 12 hours.*Fingersticks are required if your glucose alarms and readings do not match symptoms or when you see Check Blood Glucose symbol during the first 12 hours.† Notifications will only be received when alarms are turned on and the sensor is within 20 feet of the reading device.Reference: 1. Data on File. Abbott Diabetes Care.

Get Started 54 Get Started3 Steps to Apply SensorSensors stick better when you wash, clean, and dry your arm before application.01Tips to Help KeepYour Sensor in PlaceThe FreeStyle Libre 2 system is designed to stay on for up to 14 days.Wash, Clean, and DrySelect a site on the back of your upper armthat stays flat during normal activity. Cleanskin with non-moisturizing, fragrancefree soap and water. Use an alcohol wipeto disinfect the skin and let air dry beforeproceeding. Tip: Do not use moisturizerwhere you apply the sensor. Secure sensor by pressing it down and running your finger along the sensor adhesive. Apply sensor to different sites each time to avoid irritating your skin. A void placing sensor on moles, scars, stretch marks, and lumps. Shave hair on arm,if necessary.Some people use the following products for extra stickiness and protection:*02Prep ApplicatorOpen sensor by peeling back the lid.Unscrew cap from the sensor applicator.Line up marks on the sensor applicator.Press down firmly and then lift. Torbot Skin Tac Tegaderm I.V. Skin-Prep ProtectiveMastisol LiquidAdhesiveHypoallergenic andlatex-free “tacky” skin barrierBarrier Wipe03ApplyApply the sensor to the back of yourupper arm by pressing firmly. Listen forthe click. Wait 30 seconds and pull backslowly, leaving the sensor on the skin.Get support and informationat FreeStyleLibre.usParent TipBecause kids have smaller arms, it can be challenging to find a new sensorapplication spot. Make sure to rotate the site to allow skin to fully heal.Switching arms each time can help.Protective liquid dressing thatallows skin to breathe so tapesand films adhere betterA transparent film thatprovides adhesive strengthClear, non-irritating, nonwater-soluble liquid adhesiveOver-bandage†Be sure to use only medical-grade adhesive, bandage, or tape.Apply and remove at the same time you apply or remove yoursensor. Leave the opening/hole over the center of the sensoruncovered so it can breathe.Parent TipExperiment to find extra stickiness products that work for your child.Try an over-bandage for active kids.*Abbott Diabetes Care (“ADC”) is not affiliated with the manufacturers of the products listed. Reference to third-party products does not constitute or imply anendorsement, recommendation, sponsorship or favoring of any product or manufacturer. ADC is not responsible for the completeness or accuracy of any informationregarding third-party products. ADC makes no representations, expressed or implied, regarding third-party products or their manufacturers, quality or suitability foryou. Manufacturers’ instructions for use of each product should be followed.†Over-bandage must be applied at the time of sensor application, the opening/hole in the center of the sensor must not be covered. Additional medical grade bandages/tape can be applied but do not remove bandages/tape once applied until sensor is ready for removal.

Get Started 76 Get Started4 Steps to Activate SensorScanning TipsFollow these steps to be ready to get readings in just one hour.The more you scan, the more you know about your diabetes.New SensorStarting UpOK01 Turn on FreeStyle Libre 2 ReaderScan frequentlySensor can be used in:6002Tap Scan New Sensor03Scan with Readerminutes04Remember to scan at least once every 8 hours toavoid gaps in your daily graph. The more you scan,the more complete picture you and your doctorhave to help manage your diabetes.Parent TipWork with school staff to implementthe daily scanning schedule set byyour child’s healthcare provider.Let Sensor Warm Up for One HourThen you can start getting glucose readings.Alarms TipAlarms are on by default. For more informationon customizing alarms, go to pages 10–11.Key Times to ScanHow to ScanYour SensorHold your reader within 1.5 inchesof your sensor to scan right throughyour clothes.**The reader can capture data from the sensor when it is within 1 cm to 4 cm of the sensor.Before & After Meals or SnacksBefore & After Exercise and Sporting EventsBefore Sleep, During the Night, and After Waking Up

Get Started 98 Get StartedUnderstand Your SensorGlucose ReadingsSensor Glucose ScreenThis screen shows your current glucose reading and atrend arrow. With trend arrows, you can monitor thedirection your glucose is heading. Tip: Trend arrowsdon’t always appear (see Check Glucose Symbol below).Low Glucose35068Current reading1506pmAccess reports on the FreeStyle Libre 2 reader.A1c is useful because it measures your average glucose level over the past three months.It’s helpful to look back at how you are managing your diabetes. But a good A1c doesn’tmean your glucose is in control today. It doesn’t show your highs and lows or how yourblood glucose levels change throughout the day. This is where Time in Range can help.mgdL250502pmLearn from Your Data10pm110110110110What trend arrows mean:Glucose is rising quicklyOKTime In Target(more than 2 mg/dL per minute)Glucose is rising(between 1 and 2 mg/dL per minute)Glucose is falling(between 1 and 2 mg/dL per minute)Glucose is falling quickly(more than 2 mg/dL per minute)Check Glucose SymbolThis symbol may appear if:If you see the symbol, do ablood glucose test beforemaking treatment decisions. Your sensor glucose is rapidly changing34%Above54%In TargetBelowTime in Range is the percentage of time you staywithin your target glucose range. You work withyour healthcare provider to determine a targetrange goal. Your progress is then tracked in aTime In Target report.12%Target Range70-180 mg/dLAbove Target Range ( 180 mg/dL)Target Glucose Range (70-180 mg/dL)Last 7 DaysBelow Target Range ( 70 mg/dL)Learn more about Time In Target and otherreports like Daily Patterns and Low GlucoseEvents at FreeStyleLibre.us. Your sensor glucose is low or going low LO or HI appears on the screenREADER SYMBOL N o trend arrow or glucose number appearson screen You are in the first 12 hours of sensor wearShare your glucose data with your healthcare provider using a secure, cloud-baseddiabetes management system. It’s easy to get started. Create a LibreView accountand link your account to your healthcare provider. Connect your FreeStyle Libre 2reader to your computer and follow the on-screen instructions to upload data.Visit LibreView.com for more information.

Get Started 1110 Get StartedUse Alarms for Extra SafetyCustomize AlarmsThe FreeStyle Libre 2 system has optional, real-time glucose alarms* to help keepAlarms are easy1 to set based on your target glucose goals.you safe, even at night. Alarms are on by default and can be customized. Alarmsfeature preset tones, a vibration option, and adjustable volume. To receive alarms,your reader should be within 20 feet of you and unobstructed at all times. If youHere’s how to customize your alarms. They are optional and on by default.are out of range, you may not receive glucose alarms.01 Touch the Settings2symbolSettingsAlarmGet an alarm from the FreeStyleLibre 2 reader when your glucoseis too low or too high. You alsoreceive an alarm when the readerhas lost contact with the sensorfor more than 20 minutes.*ScanAlarms10:23Ends in 14 daysTime & Date1/4CheckReview02 TouchGlucoseAlarmsHistorythenChange Alarm SettingsScan your FreeStyle Libre 2 sensorto see your glucose reading, trendarrow, and 8-hour history.03 Use arrows to set LowActSound & VibrationLow Glucose Alarmand High Glucose Alarms370mg/dLUse your results to maketreatment decisions.High Glucose Alarm?240mg/dLOnOndoneVisit FreeStyleLibre.us?doneParent TipKnow your child’s glucose levels are beingsafely monitored with customizable alarms.*Notifications will only be received when alarms are turned on and the sensor is within 20 feet of the reading device.Reference: 1. Data on file. Abbott Diabetes Care. 2. Please see the FreeStyle Libre 2 User’s Manual for complete instructions. 3. 70 mg/dL is the default LowGlucose Alarm level and can be set between 60–100 mg/dL. 240 mg/dL is the default High Glucose Alarm level and can be set between 120–400 mg/dL.

Get Started 1312 Get StartedTips for Wearing Your SensorRemove & Replace SensorSome good-to-know ideas about using CGM throughout your day.The sensor is designed to stay on for up to 14 days. Here’s how to remove, replace,and properly dispose of system components.Clothing:* Scan right throughyour clothes. Be careful whendressing to avoid disturbingthe sensor.Sensor EndingSoonShowering, bathing, andswimming:† Sensor is waterresistant. Do not submerge morethan 3 feet or keep under waterlonger than 30 minutes at a time.Gently pat dry after getting it wet.OKReplace Sensor in:40minutesMedical procedures: Notifyyour healthcare provider andremove your sensor whennecessary. Exposing the sensorto MRI, CT scan, diathermy, orX-ray may cause damage andincorrect readings.Your reader or app will alert you when it’s time toremove the sensor. Pull up the adhesive edge thatkeeps the sensor attached to your skin. Then slowlypeel from your skin in a single motion.Replace SensorRemember to choose a different spot on the backof your upper arm to apply the new sensor. Thiswill help avoid skin irritation. See page 4 forapplication instructions.Exercising: Use skin adhesiveif sweating loosens sensor.Try an over-bandage ifplaying contact sports.Traveling: System is safe touse while on an aircraft. Do notexpose the sensor to airportfull-body scanners. Requestanother type of screening toavoid removing your sensor.Remove SensorParent TipBecause kids have smaller arms, it can bechallenging to find a new application site.Try switching arms with each new sensor.Sensor Disposal: The sensor should be disposed of in accordance with all applicable localregulations related to the disposal of electronic equipment, batteries, sharps, and materialspotentially exposed to body fluids. Contact Customer Service for more information.Products that can be helpful for removal but are optional: Baby Oil: Soft moisturizer Remove Adhesive: Removes adhesive residue on the skin U NI-SOLVE Adhesive Remover: Formulated to reduce adhesive trauma to the skinby thoroughly dissolving dressing*The reader can capture data from the sensor when it is within 1 cm to 4 cm of the sensor.†Sensor is water-resistant in up to 1 meter (3 feet) of water. Do not immerse longer than 30 minutes.

Get Started 1514 Get StartedThe CGM DifferenceDifferent and AccurateCGM is different from blood glucose monitors (BGM) and proven to be accurate1,CGM systems give you a look at where you were, where you are, and where you’re headed.with fewer fingersticks.*CGM measures interstitial fluid glucose not blood glucose.You can trust your sensor glucose numbers and can feel confident in your results tomake treatment decisions. The FreeStyle Libre 2 system is approved for insulin dosingwithout fingersticks.*CGM SensorDifference Between CGM and BGM ReadingsSkin LayerFPOBlood glucose readingsare taken from bloodwith fingersticks.CGM readings are takenfrom interstitial fluid, athin layer of fluid thatsurrounds the cells belowyour skin.Glucose Is StableCGM and BGMreadings are oftensimilar when stable.Glucose Rising QuicklyGlucose Falling QuicklyRapidly changing levels, like after a meal or exercise, cancause a lag between your CGM and BGM readings.Glucose enters your blood stream firstbefore it enters the interstitial fluid.BGMCGMThere are times when your CGM and BGM readings may be different.CGMThese include when: Y our glucose is changing rapidly; scanshows a trend arrow (see diagram, page 11) B lood glucose strips were expiredor contaminated Y our fingers were not washed before youperformed a fingerstick test T he fingerstick check and sensor scanwere not performed at the same time Y ou took more than 500 mg of vitamin C(ascorbic acid) It is the first day wearing your sensorCGMBGMBGMFor most people, the lagis about 5–10 minutes.That’s normal. T he sensor was bumped and is not firmlyattached to the back of your upper arm*Fingersticks are required for treatment decisions when you see Check Blood Glucose symbol, when symptoms do not match system readings, when you suspectreadings may be inaccurate, or when you experience symptoms that may be due to high or low blood glucose.Reference: 1. FreeStyle Libre 2 User’s Manual.*Fingersticks are required if your glucose alarms and readings do not match symptoms or when you see Check Blood Glucose symbol during the first 12 hours.

4 Get Started Get Started 5 3 Steps to Apply Sensor Sensors stick better when you wash, clean, and dry your arm before application. 01 Wash, Clean, and Dry Select a site on the back of your upper arm that stays flat during normal activity. Clean skin with non-moisturizing, fragrance-free soap and water. Use an alcohol wipe

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