User Guide for Abbott models including: ADC-75852 Libre View Healthcare Professionals, ADC-75852, Libre View Healthcare Professionals, View Healthcare Professionals, Healthcare Professionals, Professionals
*Default range is 70-180 mg/dL. The LibreView data management software is intended for use by both patients and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis
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DocumentDocumentLibreView* Quick Reference Guide Save time by using LibreView* · Access real-time patient data anytime, anywhere · View easy-to-understand reports1 · Make more informed treatment decisions1 LibreView Abbott thefullest Not actual patient data; for illustrative purposes only. *The LibreView data management software is intended for use by both patients and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis and evaluation of historical glucose meter data to support effective diabetes management. The LibreView software is not intended to provide treatment decisions or to be used as a substitute for professional healthcare advice. The user's device must have internet connectivity for glucose data to automatically upload to LibreView. Glucose readings are not available during 1-hour warm-up, when sensor is too hot or too cold, when you see an error or "LO" or "HI" message, or no current glucose reading. 1. Unger, Jeff, Pamela Kushner, and John E. Anderson. "Practical Guidance for Using the FreeStyle Libre Flash Continuous Glucose Monitoring in Primary Care." Postgraduate Medicine 132, no. 4 (May 2020): 305-313. https://doi.org/10.1080/00325481.2020.1744393. See last page for Important Safety Information. 1 Incorporating LibreView* into your practice Follow these steps to get the most out of LibreView* 1 Select a LibreView* report: · Compare patient glucose data and time in ranges with American Diabetes Association (ADA) recommendations (A1c <7% or TIR >70%, with time below range <4%, for most adults)1 3 Discuss with the patient2: · What are possible causes of hypoglycemic events? · Where can improvements be made? · How can we replicate what is working well? 5 Set or reassess individual goals2: · Discuss physical activity, diet, and medication changes4 2 Assess patient safety by identifying2: · Any hypoglycemic events or patterns · Postprandial spikes in glucose · Periods of high glycemic variability 4 Identify and celebrate positive modifications2: · Amount of time CGM is active (recommend 70% time active3) · Periods of sustained time in range · Days without severe highs or lows 7 Document the visit5: · Current procedural terminology (CPT) covers CGM implementation and interpretation in your practice · Use codes 95251 and 95249 6 Schedule a follow-up appointment or monitor remotely§ 95251: Analysis, interpretation, and reporting of CGM data for a minimum of 72 hours of data collection 95249: Ambulatory CGM of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training and printout of recording5 Practice these steps with the LibreView* reports available to you. Note: Abbott provides this information as a courtesy, it is subject to change and interpretation. The customer is ultimately responsible for determining the appropriate codes, coverage, and payment policies for individual patients. Abbott does not guarantee third party coverage or payment for our products or reimburse customers for claims that are denied by third party payors. *The LibreView data management software is intended for use by both patients and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis and evaluation of historical glucose meter data to support effective diabetes management. The LibreView software is not intended to provide treatment decisions or to be used as a substitute for professional healthcare advice. Default range is 70-180 mg/dL. For adults with type 1 and type 2 diabetes who are not pregnant, not older, or at risk. §The user's device must have internet connectivity for glucose data to automatically upload to LibreView and to transfer to connected LibreLinkUp app users. 1. ADA. Diabetes Care (2023): https://doi.org/10.2337/dc23-S006. 2. ADCES (2020). Accessed August 2023. https://www.diabeteseducator.org/docs/default-source/practice/educator-tools/ cgm-playbooks/personal-cgm-playbook.pdf. 3. Bergenstal, R. M. ADA Clinical Compendia (2018): https://doi.org/10.2337/db20181-20. 4. Aleppo, G. Journal of Diabetes Science and Technology (2018): https://doi.org/10.1177/1932296818813581. 5. American Medical Association CPT. Professional Codebook (2023). See last page for Important Safety Information. 2 Using the Ambulatory Glucose Profile report Mirroring the recommendations of the International Consensus1, the Ambulatory Glucose Profile (AGP) report report reveals glucose variations that can help focus treatment1,2 See your patient's glucose metrics and time in ranges compared to goals Significance of Time in Range* (TIR): · Every 10% increase in TIR* = ~0.8% decrease in A1c3 · Each 5% increase in TIR* is clinically significant1 Review a 14-day glucose profile to see patterns, trends, and glycemic variability Quick tips4: · FLAT is better than jagged · NARROW is better than broad · IN RANGE is better than outside of target range* AGP Report January 13, 2023 January 26, 2023 (14 GLUCOSE STATISTICS AND TARGETS January 13, 2023 January 26, 2023 % Time CGM is Active R And 14 99.9% `Glucose Ranges Below 70Range 54 70-180 Above 180 Above 250 Targets of Readings Gre thana70t%e(1r6h 48min) Less than 4% (58min) Less than 1% (14min) Less than 25% (6h) Less than (1h 12min) Average Glucose Glucose Management Indicator (GMI) as Glucose Variability Defined percent coefficient of variation target 173 7.6% TIME IN RANGES Vary High LibreView 20% 181-250 23% Target Range Low Very Low 6% AMBULATORY GLUCOSE PROFILE (AGP) 350 Range 54 5% Identify specific glycemic events not visible in weekly averages. Patient discussion tip: Highlight glucose spikes or lows and ask the patient what may have caused the glycemic event DAILY GLUCOSE PROFILES Thursday Sunday Monday Tuesday 1 Wednesday 2 Not actual patient data; for illustrative purposes only. Make more informed decisions with individualized data not reflected by A1c1, with the AGP report. *Default range is 70-180 mg/dL. The LibreView data management software is intended for use by both patients and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis and evaluation of historical glucose meter data to support effective diabetes management. The LibreView software is not intended to provide treatment decisions or to be used as a substitute for professional healthcare advice. 1. Battelino, T. Diabetes Care (2019): https://doi.org/10.2337/dci19-0028. 2. ADA. Diabetes Care (2023): https://doi.org/10.2337/dc23-S006. 3. Vigersky, R. Diabetes Technology and Therapeutics (2019): https://doi.org/10.1089/dia.2018.0310. 4. Bergenstal, R. M. ADA Clinical Compendia (2018): https://doi.org/10.2337/db20181-20. See last page for Important Safety Information. 3 Using the Glucose Pattern Insights report The Glucose Pattern Insights (GPI) report provides a guided interpretation of your patient's CGM data to highlight important patterns Compare glucose metrics with expert recommendations1,2 Quick tips: 1 · Teach patients to aim for more green and less red1 · Glucose Management Indicator (GMI) approximates a patient's A1c based on CGM data LibreView Generated: 10/06/2022 PAGE: 1 / 1 Personalize treatment with suggested clinical considerations Quick tip: Discuss medication and lifestyle changes that prioritize addressing the most important glucose patterns Identify when the most important glucose patterns occurred Significance of GPI: Glucose patterns give context to a patient's time spent out of range* Highs Device(s): FreeStyle Libre 3 1. Suggested considerations do not replace the opinion or advice of the healthcare provider. Not actual patient data; for illustrative purposes only. Use the GPI report to elevate patient care and interpret CGM data. *Default range is 70-180 mg/dL. The LibreView data management software is intended for use by both patients and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis and evaluation of historical glucose meter data to support effective diabetes management. The LibreView software is not intended to provide treatment decisions or to be used as a substitute for professional healthcare advice. 1. Battelino, T. Diabetes Care (2019): https://doi.org/10.2337/dci19-0028. 2. ADA. Diabetes Care (2023): https://doi.org/10.2337/dc23-S006. See last page for Important Safety Information. 4 Assessing additional reports Using patient-specific data, LibreView* reports uncover hidden glucose patterns for a complete picture1 PAGE: 5 / 6 Generated: 10/06/2022 PAGE: 1 / 1 Generated: 10/06/2022 Demo Clinic PHONE: xxxxxxxxxx SOURCES: FreeStyle Libre 2 Snapshot September 23, 2022 - October 6, 2022 (14 Days) Glucose GMI 6.9% or 52 mmol/mol Carbs AVERAGE GLUCOSE % above target % in target % below target 152 mg/dL 22 % Average Glucose 350 mg/dL 76 % 180 2% Median DAILY CARBS 503 grams/day INSULIN RAPID-ACTING INSULIN Meal units/day LOW GLUCOSE EVENTS Average duration 1 420 Min 70 5th to 95th Percentiles 0 12am 6am Low Glucose Events 100 90 80 70 60 50 40 12am 6am 12pm 12pm 6pm 6pm 12am Correction User Change Manual LONG-ACTING INSULIN Total Daily Insulin units/day units/day Comments · There were 2 ketone tests and the highest ketone result was 0.6 mmol/L. · Gaps found in the insulin data. 14 days 12am in this reporting period have no recorded Sensor Usage insulin events. % Time Sensor is Active 100% SNAPSHOT An overview of your patient's average glucose and hypoglycemia events. est Patient xx/xx/xxxx SOURCES: FreeStyle Libre 2 Demo Clinic PHONE: xxxxxxxxxx Daily Log September 23, 2022 - October 6, 2022 (14 Days) SAT Oct 1 Glucose mg/dL Carbs grams 12am 350 2am 180 4am 6am 8am 10am 12pm 2pm 212 4pm 6pm 8pm 10pm 12am 188 70 0 126 234 192 166 110g 179g SUN Oct 2 Glucose mg/dL Carbs grams 12am 350 2am 4am 6am 8am 10am 12pm 2pm 4pm 243 6pm 8pm 10pm 12am 180 70 * 0 206 96* 162g MON Oct 3 Glucose mg/dL Carbs grams 12am 350 2am 4am 6am 8am 10am 12pm 2pm 4pm 6pm 8pm 10pm 12am 180 * 70 0 115* 205 163 71g 144g Weekly Summary September 23, 2022 - October 6, 2022 (14 Days) Glucose Fri Sep 23 Sat Sep 24 Sun Sep 25 Mon Sep 26 Tue Sep 27 12am 350 mg/dL 180 70 0 350 mg/dL 12am 180 70 0 350 mg/dL 12am 180 70 0 350 mg/dL 12am 180 70 0 350 mg/dL 12am 180 6am 12pm 6pm 12am 226g 162g 179g 78g 293g 6am 12pm 6pm 107g 177g 12am 6am 66g 12pm 301g 6pm 179g 12am 6am 12pm 105g 362g 6pm 12am 200g 6am 12pm 6pm 12am 180g 144g 200g Average Glucose Total Carbs Total Insulin Low Events 124 938 0 mg/dL grams 148 284 0 mg/dL grams 175 546 0 mg/dL grams 170 667 0 mg/dL grams 138 595 1 DAILY LOG Entries for each time the patient scanned/viewed their glucose, performed a blood glucose test, and entered carbohydrates, insulin, and exercise. WEEKLY SUMMARY Shows average glucose, scans/views, carbs, and insulin entered for a full week. xx/xx/xxxx Additional reports include: Monthly Summary Monthly list of daily average glucose readings, glucose scans/ views per day, and low glucose events. Mealtime Patterns Highlights pre- and post-meal glucose levels throughout the day and daily averages for the 14-day wear period. Daily Patterns Shows glucose, carbohydrate, and insulin data over the "typical" day. Not actual patient data; for illustrative purposes only. Use different LibreView* reports to tailor your discussions to your patient's needs. *The LibreView data management software is intended for use by both patients and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis and evaluation of historical glucose meter data to support effective diabetes management. The LibreView software is not intended to provide treatment decisions or to be used as a substitute for professional healthcare advice. 1. Unger, Jeff, Pamela Kushner, and John E. Anderson. "Practical Guidance for Using the FreeStyle Libre Flash Continuous Glucose Monitoring in Primary Care." Postgraduate Medicine 132, no. 4 (May 2020): 305-313. https://doi.org/10.1080/00325481.2020.1744393. See last page for Important Safety Information. 5 Getting started is easy with LibreView* Visit LibreView.com/auth/register and follow these 3 steps or scan the QR code: 1 Set up a LibreView* Practice account 2 Add Care Team members 3 Choose an option to connect with patients to share data You can do this in 2 ways: Option 1: Share Practice ID Write your ID in the box to share with your patients Customize your Practice ID with something memorable (e.g., consider using a phone number, name of practice,or the last name of a provider for your Practice ID) Option 2: Invite new or existing patients Add their email to your LibreView* Practice through the patient dashboard Make the most of LibreView* data and reports today! Call Toll Free: (855) 450-3563 ext 3, Monday-Friday 9:00am - 8:00pm ET LibreView Specialist Team Email libreviewsupport@abbott.com Book 1:1 session with the LibreView Specialist Team via their Team Booking Site - diabetescare.abbott/lvs LibreView Abbott the fullest *The LibreView data management software is intended for use by both patients and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis and evaluation of historical glucose meter data to support effective diabetes management. The LibreView software is not intended to provide treatment decisions or to be used as a substitute for professional healthcare advice. The user's device must have internet connectivity for glucose data to automatically upload to LibreView and to transfer to connected LibreLinkUp app users. IMPORTANT SAFETY INFORMATION FreeStyle Libre 14 day, FreeStyle Libre 2 and FreeStyle Libre 3 systems: Failure to use FreeStyle Libre systems as instructed in labeling may result in missing a severe low or high glucose event and/ or making a treatment decision, resulting in injury. If glucose reading and alarms (if enabled) do not match symptoms or expectations, use a fingerstick value from a blood glucose meter for treatment decisions. Seek medical attention when appropriate or contact Abbott at 855-632-8658 or https://www.freestyle.abbott/us-en/safety-information.html for safety info. The sensor housing, FreeStyle, Libre, and related brand marks are marks of Abbott. Other trademarks are property of their respective owners. © 2023 Abbott. ADC-75852 v2.0 08/23 6