continuous glucose monitoring systems
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Continuous Glucose Monitoring Systems
Rockingham Endocrinology and Diabetes Service
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What is Continuous Glucose Monitoring (CGMS)
CGM tells a more complete story like a “movie” not just snapshots of the glucose levels. It provides insight into glucose trends between blood glucose tests, leading to improved knowledge and improved glucose control. Interstitial glucose reflects Plasma glucose. The sensor is placed subcutaneously and measures glucose in the fluid between the blood vessels and the cells, called the interstitial fluid.
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The Various Continuous Glucose Monitoring Systems
Veo plus Sensing Guardian
IPro2
The easier way to reveal Glycaemic patterns
The worlds first pump With personal CGM
Superior Protection And control
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The Various Continuous Glucose Monitoring Systems
Animas Vib plus Sensing Dexcom 4
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The MiniLink™ REAL-Time Transmitter So small it makes a big difference in comfort
Comfort Small, lightweight, ergonomically
shaped, and designed to minimise skin irritation
Discretion An ultra-sleek, thin profile allows
transmitter to lay flat without a bulge
Waterproof Fully immersible to depth of 2.4m
for 30 min. Long-lasting Rechargeable system allows for
long-term use and convenience - 1 AAA battery - 14 days before recharging
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The subcutaneous glucose sensor was first introduced to market in 1999…
Our latest sensor is called the
Enlite™ Sensor
A tiny, sterile, flexible electrode inserted just under the skin Measures glucose in the interstitial fluid
CGM data is available for analysis and treatment adjustment after download in Therapy Management Software
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Enlite™ Sensor Enlite™ Serter
Enlite™ sensor components
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Medtronic CGM used in clinical practice CGM type and device Indications Critical Success
Factor Professional CGM Medtronic iPro™2 System
Short term Diagnostic
Patient blinded to data. Interpretations of glucose profiles by HCP
Personal CGM Minimed Paradigm™Veo™ System
Medtronic Guardian™ System
Short or long term therapeutic use of CGM data
Patient empowerment to read and act upon CGM information
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Glucose sensor inserted in subcutaneous tissue and worn for up to 6 days connected to the MiniLink™ transmitter Glucose sensor sends interstitial glucose values to the transmitter Transmitter then sends these values wirelessly via radio frequency to the insulin pump or Guardian™ monitor every 5 minutes, where data can be viewed and acted on* in real-time
CGM systems: Personal REAL-time systems
* Fingerstick measurements are required for sensor calibration (minimum every 12 hours) and prior to therapy adjustments
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The patient view with Personal REAL-Time CGM
Reservoir Volume
Indicator Battery
Indicator Alarm/Alert Icon Antenna
Icon Current
Time
Which Trend Graph Shown
Time of Sensor Reading
Trend Arrow
Sensor Value
Graphed Sensor Reading
4 graphs – 3, 6, 12, 24 hours – clear picture over time
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Professional (Retrospective) CGM systems: iPro2 system
BLINDED TO THE PATIENT Eliminates the “bias” from patient’s interaction. Minimal patient training required and no intervention required during the procedure. No screen readings.
i
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Continuous Glucose Monitoring System Downloading Data
iPro2 Sign into the Medtronic Carelink iPro website for Blind Data download must have correlating BGL’s from Patient to calibrate the data. Realtime Guardian Clients own pumps may be downloaded at home using the Carelink personal program. Then accessed at the clinic (need to be linked first) using the Carelink Pro program Paradigm Real-time Clients own pumps may be downloaded at home using the Carelink personal program. Then accessed at the clinic (need to be linked first) using the Carelink Pro program
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Continuous Glucose Monitoring System Downloaded Data Examples