User guide
Table Of Contents
- Contents
- Introduction
- The basics
- Entering your settings
- Basic steps
- Setting the time and date
- Selecting the language
- Setting your Alarm/Alert Type
- Entering your glucose monitoring settings
- Turning on the sensor
- Selecting the BG units
- Turning on the Glucose Alerts
- Setting the Glucose Limits
- Setting the Glucose Limits start time
- Setting the High Snooze
- Setting the Low Snooze
- Setting the Predictive glucose alert
- Setting the Rate Alerts
- AUC calculation
- Setting the Alarm Snooze
- Setting the Cal Reminder
- Entering the transmitter identification number
- Setting up the Missed Data option
- Setting the sensor glucose graph timeout
- Reviewing your settings
- Setting up your transmitter and sensor
- Meter option
- Using your system
- Utilities
- Therapy management software
- Troubleshooting and alarms/alerts
- About alarms and alerts
- What to do when you get an alarm/alert
- Sensor alerts
- Viewing your sensor alert history
- System alarms
- Viewing your system alarm history
- Understanding your transmitter, tester, and charger
- Troubleshooting the transmitter
- Troubleshooting the monitor
- My monitor will not display my BG measurement from my meter
- Reconnect old sensor
- Find lost sensor
- What happens if I leave the monitor battery out for more than ten minutes?
- Why doesn't my monitor battery last very long?
- What is a CHECK SETTINGS alarm?
- My screen looks distorted
- I dropped my monitor
- I submerged my monitor in water
- I cannot get to the User Settings screen
- System maintenance
- System specifications
- Alarm/alert types
- Alarm/alert messages and codes
- Alarm/alert history
- Backlight
- Screen and menu timeout
- Sensor glucose graph timeout
- High and low Glucose Limits (CSS7100)
- High and low Glucose Limits (CSS7100K)
- Daily totals
- Default screen
- Default settings
- ENTER BG meter values
- Meter ID entries
- Power supply
- System safety checks
- Radio frequency (RF) communication specifications
- Quality of service
- Data security
- Monitor size
- Monitor weight
- TIME/DATE SET screen
- STATUS screen
- Guidance and manufacturer's declaration
- MiniLink specifications
- Warranty
- Icon table
- Sensor accuracy
- Performance results in adults
- Accuracy of Guardian RT readings
- Precision of Guardian RT readings
- Low and High Alerts in adults
- Guardian RT Sensor Performance and Calibration Stability As a Function of Time
- Effects of calibration frequency
- Performance results in children and adolescents
- Low and High alerts in children and adolescents
- Glossary
- Index
high blood glucose can be obtained by setting the High Glucose Alert level lower. For example, setting the
High Glucose Alert at 190 mg/dL (10.6 mmol/L), instead of 250 mg/dL (13.8 mmol/L), increases the ability
to detect high blood glucose levels from 53% to 85% (see the following table).
Sometimes the Guardian RT will alert when the blood glucose levels are not high. When the Guardian RT
High Alert was set at 250 mg/dL (13.8 mmol/L) in this study, 7.2% of the results were considered false
alerts (actual blood glucose values are less than 225 mg/dL (12.5 mmol/L)). This percentage may be
exaggerated because blood glucose may be rising when the Guardian RT alerts. The table below shows the
percent of High Glucose readings correctly identified by the Guardian RT for specific settings.
Guardian RT High Alert
Setting (mg/dL)
Guardian RT High Alert
Setting (mmol/L)
True Alert Rate* False Alert Rate**
190 10.6 85% 64%
200 11.1 81% 58%
225 12.5 67% 40%
250 13.8 53% 25%
* True Alert Rates are the % of times when the glucose level was at or above the alert setting and the alert
sounded.
** False Alerts Rates are the % of times when the Guardian RT Sensor alarmed but the blood glucose level
was lower than the alert setting.
Decreasing the High Alert settings will improve the ability to detect high blood glucose events, but it will
also increase the frequency of Guardian RT false alerts for blood glucose levels not above the target value.
You should consider this trade-off between the improved ability to detect true high blood glucose versus
the increased number of false alerts when setting the high alert threshold.
Guardian RT Sensor Performance and Calibration Stability As a
Function of Time
The Guardian RT sensor may be worn for up to 3 days (72 hours) and must be calibrated at least twice a
day. Two sets of data, approximately equal in number, were collected during the clinical trial. One data
set was generated when the frequency of calibrations averaged 3.5 per day (Data Set A), and the other
averaged 5 times a day (Data Set B). During the study, a total of 38 sensors were evaluated in 16
individuals.
Sensor accuracy 141
Appendix A