Medtronic GUARDIAN Manuel D'utilisation page 32

Using SG readings to make treatment decisions
When using CGM, there are several things to consider to help make treatment decisions.
Look at the most recent SG value along with the SG graph, trend arrows, and alerts. The SG graph helps
to understand how SG values may have recently changed. The trend arrows indicate what the SG level
may be soon.
• If the SG reading is lower than the SG target, and CGM shows
increasing. As a result, consider waiting to treat or adjust treatment for the low SG value. Consider
symptoms before making treatment decisions based on SG value.
• If the SG reading is higher than the SG target, and CGM shows
decreasing. As a result, consider waiting to treat or adjust treatment for the high SG value. Consider
symptoms before making treatment decisions based on the SG value.
Before taking an insulin dose based on the current SG, consider whether insulin from a previous dose
is still lowering glucose levels. Stacking insulin is the process of taking an additional dose of insulin
while there is still active insulin. Insulin stacking may cause low BG levels.
The following table can help to make treatment decisions.
Arrows Dis‐ Low glucose
played
None May need to take a
fast-acting sugar.
Watch for any
1 UP Arrow
changes to glu‐
cose levels, con‐
sider symptoms,
and wait to see if
SG returns to
target range.
Make sure to not
overtreat for a low
SG level.
Watch for any
2 UP Arrows
changes to glu‐
cose levels, con‐
sider symptoms,
and wait to see if
High glucose
May adjust insulin to correct a
high glucose to reach the glucose
target range.
Do not stack insulin.
May adjust insulin to correct a
high glucose to reach the glucose
target range.
Do not stack insulin.
May adjust insulin to correct a
high glucose to reach the glucose
target range.
Do not stack insulin.
32
, this indicates the SG value is
, this indicates the SG value is
Target glucose
Consider last insulin dose
and meal taken. Watch for
any changes to glucose
levels.
Do not stack insulin.
Consider last insulin dose
and meal taken. May
need to take insulin to
stay within the glucose
target range.
Do not stack insulin.
May need to take insulin
to stay within the glucose
target range if insulin was
not already taken with a
recent meal or snack.