mySugr Logbook User Manual

1 Indications for Use

1.1 Intended Use

The mySugr Logbook (mySugr app) is used to support the treatment of diabetes through daily diabetes-related data management and aims to support the optimization of therapy. Users can manually create log entries including information about insulin therapy, current and target blood sugar levels, carbohydrate intake, and activity details. The app also allows synchronization with other therapy devices, such as blood sugar meters, to mitigate errors from manual entry and improve user confidence.

The mySugr Logbook supports therapy optimization in two ways:

1. Monitoring: By monitoring parameters in day-to-day life, users are assisted in making better-informed therapy decisions. Data reports can be generated for discussion with a healthcare professional.
2. Therapy Compliance: The app provides motivational triggers, feedback on therapy status, and rewards for staying motivated, thereby increasing therapy compliance.

1.2 Who is the mySugr Logbook for?

The mySugr Logbook is designed for individuals:

• Diagnosed with diabetes
• Aged 16 years and above
• Under the guidance of a doctor or other healthcare professional
• Physically and mentally able to independently manage their diabetes therapy
• Proficient in using a smartphone

1.3 What devices does the mySugr Logbook work on?

The mySugr Logbook is compatible with iOS devices running iOS 14.2 or higher, and Android smartphones running Android 6.0 or higher. It should not be used on rooted devices or smartphones with a jailbreak installed.

1.4 Environment for Use

As a mobile application, the mySugr Logbook can be used in any environment where a smartphone is typically used, and is not limited to indoor use.

2 Contraindications

None known.

3 Warnings

[⚠️] 3.1 Medical Advice

The mySugr Logbook supports diabetes treatment but cannot replace professional medical advice or regular review by a doctor or diabetes care team. Users must continue to independently manage their blood sugar levels and require professional review of long-term blood sugar values (HbA1c).

3.2 Recommended Updates

To ensure safe and optimized operation, it is recommended to install software updates as soon as they become available.

4 Key Features

4.1 Summary

mySugr aims to simplify daily diabetes management and optimize therapy. Success depends on active user involvement, particularly in data entry. The app includes motivational elements to keep users engaged. It is important to enter as much information as possible and be honest for the app to be beneficial; false or corrupted data is unhelpful.

mySugr key features:

• Lightning quick data entry
• Personalized logging screen
• Detailed analysis of your day
• Handy photo functions (multiple pictures per entry)
• Exciting challenges
• Multiple report formats (PDF, CSV, Excel)
• Clear graphs
• Practical blood sugar reminders
• Social sharing
• Apple Health Integration [? Health]
• Secure data backup
• Fast multi-device sync
• Integration with Accu-Chek Aviva/Performa Connect/Guide/Instant/Mobile
• Integration with Beurer GL 50 evo (Germany & Italy Only)
• Integration with Ascensia Contour Next One (where available)

4.2 Key Features (Detailed)

• Quick and easy data entry: Illustration of a smartphone showing a simple data entry interface.
• Smart search: Illustration of a smartphone with a magnifying glass icon [?] for searching entries.
• Neat and clear graphs: Illustration of a smartphone displaying organized and easy-to-read graphs.
• Handy photo function (multiple pics per entry): Illustration of a smartphone with a camera icon, indicating the ability to add multiple photos per entry.
• Exciting challenges: Illustration depicting game-like elements or challenges within the app.
• Multiple report formats: Text indicating availability of PDF, CSV, and Excel reports (PDF and Excel are exclusive to mySugr PRO).
• Smile-inducing feedback: Description of positive feedback provided by the app.
• Practical blood sugar reminders: Description of timely reminders for blood sugar checks.
• Social sharing functions: Description of features allowing users to share their progress or data.
• Fast multi-device sync (mySugr PRO): Description of efficient data synchronization across devices.

5 Getting started

5.1 Installation

iOS: Open the App Store, search for "mySugr", select the app, and tap "Get" then "Install". You may need to enter your App Store password. The app will download and install.

Android: Open the Play Store, search for "mySugr", select the app, and tap "Install". You will need to accept Google's download conditions. The app will then download and install.

An account must be created to use the mySugr app, which is necessary for data export.

5.2 Home

5.2.1 If you measure your blood sugar with a meter exclusively (or use a real-time CGM connection that is not Eversense)

The most commonly used features are the Magnifying Glass icon [?] for searching entries (mySugr PRO) and the Plus Sign icon [➕] for making a new entry.

Below the graph, daily statistics are displayed, including:

• Average blood sugar
• Blood sugar deviation
• Hypos and hypers

Further information fields below these statistics cover units of insulin, carbohydrates, and more.

Under the graph, tiles display information for specific days, such as:

• Blood sugar average
• Blood sugar deviation
• Number of hypers and hypos
• Insulin ratio
• Bolus or mealtime insulin taken
• Amount of carbohydrates eaten
• Duration of activity
• Pills
• Weight
• Blood pressure

5.2.2 If you use an Eversense real-time CGM connection

A graph displays CGM values as a curve with markers for therapy events. Users can scroll the graph sideways to view older data. Scrolling all the way to the right displays the latest CGM value.

Boxes below the graph may indicate issues, such as problems with the CGM connection.

A list of log entries is displayed, with the newest entries at the top. The list can be scrolled up and down to view older values.

5.3 Explanation of terms, icons and colors

5.3.1 If you measure your blood sugar with a meter exclusively (or use a real-time CGM connection that is not Eversense)

1. Tapping the Magnifying Glass icon [?] on the dashboard allows searching for entries, tags, locations, etc.
2. Tapping the Plus Sign icon [➕] allows adding an entry.

The dashboard elements (3) and the monster (2) react to the current day's blood sugar levels. The graph's color adapts to the time of day (1).

Each tag in the new entry screen describes a situation, scenario, context, mood, or emotion, with a text description provided below each icon.

The colors used in the app are based on target ranges set by the user:

• Red: Blood sugar not in target range
• Green: Blood sugar in target range
• Orange: Blood sugar is not great but ok

The app displays various tiles in eleven different shapes:

1. Blood sugar
2. Weight
3. HbA1c
4. Ketones
5. Bolus insulin
6. Basal insulin
7. Pills
8. Food
9. Activity
10. Steps
11. Blood pressure

5.3.2 If you use an Eversense real-time CGM connection

Tapping the Plus Sign icon [➕] allows adding an entry.

The color of the CGM value adapts to the user's level:

• Red: Glucose in hypo or hyper
• Green: Glucose in target range
• Orange: Glucose outside the target range, but not in hypo or hyper

These ranges can be changed in the settings screen. The same color coding applies to the CGM curve and blood glucose measurements in the graph and list.

Graph markers use icons referring to data types, consistent with list items. Markers and list items are also colored based on data type.

• 1) Drop [?]: Blood sugar measurement
• 2) Syringe [?]: Bolus insulin injection
• 3) Apple [?]: Carbs
• 4) Syringe with dots [?•••]: Basal insulin injection

Each tag in the new entry screen describes a situation, scenario, context, mood, or emotion, with a text description provided below each icon.

5.4 Profile

Access Profile & Settings via the "More" menu in the tab bar.

This section allows users to personalize the app. mySugr requires specific diabetes management details to function properly, consolidating all diabetes-related information in one place.

Users can change personal details and basic therapy information, including email address and password. Users can also log out and name their diabetes monster.

The "My subscription" section allows users to upgrade from basic to paid memberships. Subscription management is also handled here.

The "Blood sugar testing" screen lets users specify their measurement method (meter or sensor). If a specific device is not listed, it can be left blank, with a prompt to notify the developers for addition.

The "Insulin therapy" screen is for configuring medication details. Oral medications (pills) can be entered for easy selection. For insulin pump users, basal rates can be entered, with the total 24-hour basal insulin shown in the upper right corner and visible on the graph (can be hidden).

The "Food" screen is for carb-related entries. Users can adjust carb units and set a body weight goal. Logging body weight will color values appropriately to remind users of their goals.

The "Other settings" screen allows users to toggle monster sounds on/off and choose whether to receive weekly email reports and/or newsletters.

6 Entries

6.1 Add an entry

Open the mySugr app.

Tap on the plus sign icon [➕].

Change date, time, and location if needed.

Take a picture of your food.

Enter blood sugar, carbs, nutrition, insulin details, pills, activity, weight, HbA1c, ketones, and notes.

Select tags.

Tap on the reminder icon [⏰] to access the reminder menu. Move the slider to the desired time.

Save the entry [✔️].

Confirmation: "You did it!"

6.2 Edit an entry

Tap on the entry to edit or slide to the right and click "edit".

Tap the green checkmark [✔️] to save changes or tap the "x" [❌] to cancel and go back.

6.3 Delete an entry

Tap on the entry to delete or swipe to the right to delete it.

6.4 Search an entry

Tap on the magnifying glass icon [?].

Use filters to retrieve appropriate search results.

6.5 See past entries

Scroll up and down on entries or tap and drag the graph left and right to navigate.

7 Earn points

Users earn points for each action taken to care for themselves, with the goal of filling a daily points bar.

Points are awarded as follows:

• 1 Point: Tags, more pictures, pills, notes, meal tags
• 2 Points: Blood sugar, meal entry, location, bolus (pump) / short-acting insulin (pen/syringe), meal description, temporary basal rate (pump) / long-acting insulin (pen/syringe), blood pressure, weight, ketones
• 3 Points: First picture, activity, activity description, HbA1c

Users can earn up to 50 points per day and "tame their monster".

8 Estimated HbA1c

The top right of the graph displays the estimated HbA1c, based on logged blood sugar values. This value is an estimate and may deviate from laboratory results.

To calculate an estimated HbA1c, the mySugr Logbook requires an average of 3 blood sugar values per day for a minimum of 7 days. More values lead to a more accurate estimate.

The maximum calculation period is 90 days.

9 Inbox

9.1 Coaching

Coaching can be found by selecting "Inbox" in the tab bar menu (available in certain countries).

Messages can be collapsed or expanded. Users can view and send messages here.

Badges indicate unread messages.

9.2 Healthcare professional (HCP)

HCP information is found by selecting "Inbox" in the tab bar menu (available in certain countries).

Tap on a note/comment in the list to view it and to reply to the healthcare professional's note.

A badge on the inbox icon and a highlighted title in the inbox list indicate an unread note.

The most recent messages are displayed at the top of the list.

Unsent comments are marked by warning icons:

• Comment sending in progress: [⏳]
• Comment not delivered: [❗]

10 Challenges

Challenges are accessible via the "More" menu in the tab bar.

Challenges are typically oriented towards achieving goals related to overall health or diabetes management, such as checking blood sugar more often or increasing exercise.

11 Import data

11.1 Hardware

Ensure your device is not connected to your smartphone. If connected, go to Bluetooth settings and remove the device. If the device allows, remove pairing from the device itself.

Select "Connections" from the menu.

Select your device from the list.

Click "Connect" and follow the on-screen instructions in the mySugr app.

After successful activation, blood sugar values are automatically synchronized with the mySugr app each time the device is connected to the smartphone with the app open.

ATTENTION: Please ensure the units shown on your device (e.g., mg/dL or mmol/L) match the units set in the mySugr app to avoid mix-ups.

Duplicate entries (e.g., a reading in the meter memory also manually entered) are automatically merged.

Extremely high or low values are marked as "Lo" (below 20 mg/dL) or "Hi" (above 600 mg/dL), with equivalent values for mmol/L.

After data import, a live measurement can be performed by going to the home screen and inserting a test strip into the meter.

When prompted, apply blood to the test strip and wait for the result. The value is transferred with the current date and time. Additional information can be added.

ATTENTION: Blood sugar values imported from a connected meter cannot be changed!

11.1.1 Pair multiple meters of the same type

Select "Connections" from the menu, choose your device, click "Connect another meter", and follow the instructions.

11.2 Import CGM Data

11.2.1 Import CGM via Apple Health (iOS only)

Ensure Apple Health is enabled in mySugr app settings and sharing for glucose is enabled in Apple Health settings. Open the mySugr app to view CGM data in the graph.

*Note for Dexcom: The Health app may display Sharer's glucose information with a three-hour delay, not real-time data.

11.2.2 Hide CGM Data

Double-tap the graph to open an overlay control panel to enable or disable CGM data visibility (not available for Eversense CGM users).

11.3 Import data via NFC (Near Field Communication) (iOS only)

11.3.1 Pair your NFC pen

Select "Connections" from the menu.

Select your NFC pen from the list.

Click "Connect" and follow the instructions in the mySugr app.

After successful connection, the NFC pen can be scanned to import its data.

11.3.2 Scanning your NFC pen (iOS only)

To scan your NFC pen, go to the "My trend" section of the mySugr app and tap the pen icon on top. Bring the pen to the top side of your iPhone until a checkmark is displayed.

11.4 Marking your airshots (Connected pen & iOS only)

Before injecting insulin, users may clear air from the needle (a "priming dose" or "airshot"). The connected pen does not record the difference between an "airshot" and an insulin injection.

The app offers automatic and manual airshot marking to track them.

11.4.1 Marking your airshots automatically (connected pen & iOS only)

After the first imported injection from an NFC pen, users can choose automatic airshot marking settings:

• 1) "Don't mark automatically": Airshots will not be marked automatically.
• 2) "Mark every injection up to 1 unit": Injections up to 1 unit of insulin will be marked as airshots.
• 3) "Mark every injection up to 2 units": Injections up to 2 units of insulin will be marked as airshots.
• 4) "Mark every injection up to 3 units": Injections up to 3 units of insulin will be marked as airshots.

11.4.2 Marking your airshots manually (connected pen & iOS only)

To manually mark an imported injection as an airshot, tap the insulin icon and select "mark as airshot". To mark an airshot as an injection, tap the airshot icon and select "mark as injection".

12 Export data

Select "Reports" or "My data" from the tab bar menu.

Change file format and period if needed (mySugr PRO) and tap "Export". Access sending and saving options by tapping the button in the upper right (or lower left since iOS 10) once the export appears on screen.

13 Apple Health/Google Fit

Apple Health can be activated in iOS via the "Connections" tab. Google Fit can be activated in Android via the side menu.

Apple Health allows sharing data between mySugr and other health apps.

14 Analysis

Swipe the daily overview to the left to enter analysis mode.

Users can access overviews for the last 7 days, 14 days, monthly, and quarterly periods by swiping left.

The dots indicate the current position in time. Graphs display past data.

The blue area shows the average number of daily logs, total logs, and points collected.

15 Deinstallation

15.1 Deinstallation iOS

Tap and hold the mySugr app icon until it shakes. Tap the small "x" in the upper corner. Confirm deinstallation by pressing "Delete" or cancel by pressing "Cancel".

15.2 Deinstallation Android

Go to Android phone settings, find "Apps", locate the mySugr app, and tap "Uninstall".

16 Data Security

mySugr prioritizes data security and personal data protection, adhering to the General Data Protection Regulation. For more information, refer to the privacy notice within the Terms and Conditions.

17 Support

17.1 Troubleshooting

For questions, worries, and concerns related to diabetes management, mySugr has dedicated support staff. For quick troubleshooting, visit the FAQs page.

17.2 Support

For questions about mySugr, help with the app, or to report mistakes or problems, contact support@mysugr.com immediately.

Support phone numbers:

• +1 (855) 337-7847 (US toll-free)
• +44 800-011-9897 (UK toll-free)
• +43 720 884555 (Austria)
• +49 511 874 26938 (Germany)

For serious incidents related to mySugr Logbook usage, contact mySugr customer support and the local competent authority.

18 Manufacturer

mySugr GmbH

Trattnerhof 1/5 OG

A-1010 Vienna, Austria

Telephone: +1 (855) 337-7847 (US toll-free), +44 800-011-9897 (UK toll-free), +43 720 884555 (Austria), +49 511 874 26938 (Germany)

E-Mail: support@mysugr.com

Managing Director: Joerg Hoelzing

Manufacturer Registration Number: FN 376086v

Jurisdiction: Commercial Court of Vienna, Austria

VAT Number: ATU67061939

User Manual Version 3.83.21 (en)

19 Country Information

19.1 Australia

Australian Sponsor:

Roche Diabetes Care Australia

2 Julius Avenue

North Ryde NSW 2113

19.2 Brazil

Registered by: Roche Diabetes Care Brasil Ltda.

CNPJ: 23.552.212/0001-87

Rua Dr. Rubens Gomes Bueno, 691 - 2º andar - Várzea de Baixo

São Paulo/SP - CEP: 04730-903 - Brasil

Technical Manager: Caroline O. Gaspar CRF/SP: 76.652

Reg. ANVISA: 81414021713