4. The System is not approved for use in these patients. Get answers and details around popular health questions on symptoms, causes and treatment options plus related articles, videos and more. This method may be recommended for people with T1D and T2D. Glucose-6-phosphate dehydrogenase deficiency is a genetic disorder that affects red blood cells, which carry oxygen from the lungs to tissues throughout the body. The oral glucose tolerance test (OGTT) is one method of evaluating an individual's apparent insulin sensitivity and insulin resistance. Insulin Pumps Continuous Glucose Monitor (CGM) Sensors and Serters Meters Injection Port Mobile Accessory Remote Glucose Monitor CareLink Therapy Management Software Medtronic MiniMed Insulin Infusion Pumps This section applies to insulin infusion function of all MiniMed external pumps, with or without Continuous Glucose Monitoring function, including MiniMed pump model MMT-508 or older, MiniMed Paradigm pumps, MiniMed Paradigm REAL-Time pumps and MiniMed Paradigm REAL-Time Revel pumps. The common belief, presently held by many endocrinologists, is that test blood, drawn from the fingertips, gives a more current and accurate indication of blood glucose than blood drawn from alternate sites, such as the forearm, shoulder and stomach. Provide staff members who assume responsibilities for fingersticks and injections with infection control training. The fasting blood glucose (sugar) test is used to detect diabetes. Once blood is drawn, the healthcare provider may apply pressure to the puncture site with a cotton swab. Wait until the flashing drop appears in the display before applying the blood. What is Mala? Never Events: Hepatitis B Outbreaks and Patient Notifications Resulting from Unsafe Practices during Assisted Monitoring of Blood Glucose, 2009-2010. Hypersensitivity to insulin or its excipients (inactive co-ingredients) Hypoglycemia may occur and is the most common side effect of insulin treatment. The glucometer screen will tell you when it's time to put blood on the strip. For example, if drug A interacts with drug B, the labeling for drug A will list drug B as a contraindication. Appalachian Trail Water Sources Map, name four site specific contraindications for blood glucose testing. A typical system consists of a glucose sensor placed subcutaneously, a non-implanted. Do not use the System in pregnant women or persons on dialysis. The FreeStyle Libre, a device for monitoring blood sugar, is a pleasure to use. Additional information on the requirements for these products may be found in the Health Canada document Notice: New Requirements for Medical Device Licence Applications for Lancing Devices and Blood Glucose Monitoring Systems. hemoglobin can bind to sugar in your blood, which is known as blood glucose. Home; Mine; Mala Menu Toggle. Rationale 3: Children with Hyperinsulinism should not have blood glucose of less than 3.5mmol/L without intervention as are unable to produce alternative fuel sources such as ketones and are therefore at high risk of brain damage ( Hussain et al 2007 ). Leonard Roberts Husband, Av. CDC is alerting all persons who assist others with blood glucose monitoring and/or insulin administration of the following infection control requirements: Monitoring of blood glucose levels is frequently performed to guide therapy for persons with diabetes. Butterfly Caught In Spider Web Meaning, The doctor tests your blood sugar levels after fasting for 8 hours and it's higher than 126 mg/dL. Assisted Monitoring of Blood Glucose: Special Safety Needs for a New Paradigm in Testing Glucoseexternal icon. Never reuse needles or syringes. quinton city ranch new mexico; waved goodbye in a sentence; Rationale 6: Monitoring is necessary for dose adjustment. Email: [emailprotected] Copyright 2016 Diabetes Technology Society This article has been cited by other articles in PMC. 4 ounces (1/2 cup) of juice or regular soda (not diet), or. Evaluation of the Potential for Bloodborne Pathogen Transmission Associated with Diabetes Care Practices in Nursing Homes and Assisted Living Facilities, Pinellas County. A study called TrialNet offers free testing to relatives of . Oral glucose tolerance test. Incorrect blood glucose readings may lead to treatment errors, for example, incorrect insulin dosing. Multiple daily insulin injections or continuous subcutaneous infusions via a pump closely mimic pancreatic insulin secretion. Infection Control Practices in Assisted Living Facilities: A Response to Hepatitis B Virus Infection Outbreaks. More than 4000 lab tests are available, and an estimated 70% of clinical decisions are based on their results. Hypokalemia (low blood potassium) may occur because insulin stimulates movement of potassium from blood into cells. Rationale 9: To exclude meter error and incorrect results. No. The System detects trends and tracks patterns aiding in the detection of episodes of hyperglycemia and hypoglycemia, facilitating both acute and long-term therapy adjustments. In addition, a lumbar puncture may be used to measure the pressure of the CSF. SMBG works by having patients perform a number of glucose tests each day or each week. Continue reading >>, Indications, Contraindications, Warnings and Precautions All Medtronic MiniMed devices and associated components listed below are limited to sale by or on the order of a physician and should only be used under the direction of a healthcare professional familiar with the risks associated with the use of these systems. When performing blood glucose monitoring staff should be trained in both the theoretical and practical aspects including the use of the device and instruction on calibration of quality control. A symptom, condition, or trait that interferes with a given drug or treatment in a dangerous or counterproductive way. Record results on a memory meter (~ 3 months). Self-monitoring of blood glucose (SMBG) is an important component of modern therapy for diabetes mellitus. Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE). Get your blood glucose (also known as blood sugar) in target range before you conceive, however, and that changes. Simvastatin. Does Heres the not-so-sweet truth. best life and beyond katie and spencer. Infect Control Hosp Epidemiol2009;30:209-214. A melhor frmula do mercado name four site specific contraindications for blood glucose testing After this test . A recent view of the prescribing information for 1368 prescription drugs found that 134 (9.8%) included information about a specific lab test interaction, 31 (2.3%) stated . Dont Do It: Sharing Insulin Pens Jeopardizes Patients [ 3:26 ]external icon The blood is applied to the test strip so that it can be analyzed on-site. Glycemic Control Two primary techniques are available to assess a patient's glycemic control: Self-monitoring of blood glucose (SMBG) and interval measurement of hemoglobin A1c (HbA1c). Illness, emotional disturbance, or other stress may alter the insulin requirement. abdominal . Relative contraindications include the following: Severe coagulopathy. Contraindications: INVEGA TRINZA and INVEGA SUSTENNA are contraindicated in patients with a known hypersensitivity to either paliperidone, risperidone, or to any excipients of their formulation. Your doctor may order this test to help diagnose diabetes. There are two main types of fingerstick devices: those that are designed for reuse on a single person and those that are disposable and for single-use. The System is not approved for use in pregnant women or persons on dialysis and has not been evaluated in these populations. The fasting blood glucose (sugar) test is used to detect diabetes. Intense exercise may cause your Sensor to loosen due to sweat or movement of the Sensor. They must be calibrated with traditional fingerstick tests. Abbott's Revolutionary Continuous Glucose Monitoring System, FreeStyle Libre, Now Available To Medicare Patients - Jan 4, 2018. This condition should be treated with . However, various factors such as application errors, extreme environmental conditions, extreme hematocrit values, or medication interferences may potentially falsify blood glucose readings. Hypersensitivity to insulin or its excipients (inactive co-ingredients) Hypoglycemia may occur and is the most common side effect of insulin treatment. In addition, a lumbar puncture may be used to measure the pressure of the CSF. Examples of settings whereassisted monitoring of blood glucose and insulin administrationmay occur include: An underappreciated risk of blood glucose testing is the opportunity for exposure to bloodborne viruses (HBV, hepatitis C virus, and HIV) through contaminated equipment and supplies if devices used for testing and/or insulin administration (e.g., blood glucose meters, fingerstick devices, insulin pens) are shared. The test most commonly involves pricking a finger with a lancet device to obtain a small blood sample, applying a drop of blood onto a reagent strip, and determining the glucose concentration by inserting the strip into a reflectance photometer for an automated reading. CBG - Capillary Blood Glucose. Cerebrovascular Adverse Reactions: Cerebrovascular adverse reactions (e.g., stroke, transient ischemic attacks), including fatalities, were reported at a higher incidence in elderly patients with . 12(3):221-31 . Dispose of used injection equipment at point of use in an approved sharps container. No More Routine Finger Sticks(1) for Americans with Diabetes: Abbotts FreeStyle Libre Approved in the U.S. High rates of scanning with Abbotts FreeStyle Libre system linked to improved glucose control in diabetes patients, Abbott Secures Health Canada License for FreeStyle Libre System for People with Diabetes, Abbott Secures Health Canada License for FreeStyle Libre System for People with Diabetes - Jun 29, 2017, Exercise and Glucose Metabolism in Persons with Diabetes Mellitus: Perspectives on the Role for Continuous Glucose Monitoring. This destruction of red blood cells is called . Most drugs and medical treatments have contraindications. If group 2 license holder and taking non-insulin medications which may cause hypoglycaemia, test blood glucose at least twice daily (including non driving days) and at times relevant to driving. Infection Prevention and Control Guidelines For Blood Glucose Monitoring In Care Homes Version 1.0 2 Introduction Routine diabetes care involves monitoring blood glucose levels by taking a sample of capillary blood with a fingerprick lancing device and testing it with a glucometer. Methods used to control blood glucose in patients with newly diagnosed type 2 diabetes are reviewed here. Such conditions include type 1 diabetes, type 2 diabetes, gestational diabetes, and complications of diabetes such as diabetic ketoacidosis and hyperosmolar hyperglycemic states. We also use content and scripts from third parties that may use tracking technologies. Glyburide Tablets, USP contain glyburide, USP, which is an oral blood-glucose-lowering drug of the sulfonylurea class. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. If you notice significant skin irritation around or under your Sensor, remove the Sensor and stop using the FreeStyle Libre System. Patient discomfort and inconvenience are minimal, and compliance with testing regimens is therefore high. mustang mach e dark matter grey. Have you ever felt like no matter how much water or juice you drink, it just isnt enough? The healthcare provider uses a special tube . February 21, 2012. In primary hyperparathyroidism, one or more of the parathyroid . The products label will include warnings about these limitations. Severe, life-threatening allergic reactions, including anaphylaxis, may occur. For example, phone #: 123-333-4567. The USA company Genteel have developed a new lancet device that is reported to be painless and can be used successfully for blood sampling in a variety of sites. Can Diabetes Cause Confusion And Memory Loss? You can selectively provide your consent below to allow such third party embeds. It develops when your pancreas doesn't make enough insulin or any at all, or when your body isn't responding to the effects of insulin properly. This is usually done by inserting a test strip. Sviatoslav Richter Best Recordings, After fasting for 8 hours, you get a . Talk to your doctor about any activities you're contemplating, the best time to exercise and the potential impact of medications on your blood sugar as you become more active. Of course, if you have type 1 diabetes, your daily routine will include insulin injections. As a result, the blood vessels remain open and relaxed. In Final Program and Abstracts. Blood glucose monitoring and insulin administration can be accomplished in two ways:self-monitoring of blood glucose and insulin administration, where the individual performs all steps of the testing and insulin administration themselves, andassisted monitoring of blood glucose and insulin administration, where another person assists with or performs testing and insulin administration for an individual. For example, you shouldn't use the hand on the same side as a mastectomy. It is designed to replace blood glucose testing for diabetes treatment decisions. Freckmann G, Baumstark A, Jendrike N, et al. A blood sugar test is a procedure that measures the amount of sugar, or glucose, in your blood. name four site specific contraindications for blood glucose testing. Rationale 17: Continued use of the same puncture site can lead to the area becoming sore and the development of calluses ( Naughten 2005 ). The goal of SMBG is to collect detailed . While this collection method has been in use for many years, especially for blood glucose testing, transmission of hepatitis B virus from infected blood and accidental injuries is on the rise as the number of tests performed involving . While bolus (rapid- or short-acting) insulin helps to manage blood glucose at meals. Remember also to read the labels on all prescription and over-the-counter drugs before you take them to see if they have any warnings about diabetes or any other contraindications that apply to you. Outbreaks of hepatitis B in care homes have been attributed to Glyburide Tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. CGM systems monitor interstitial fluid glucose levels. You can also review Medicare resources at www.medicare.gov or by calling 1-800-MEDICARE (1-800-633-4227). The factory-calibrated FreeStyle Libre system is the only CGM system recognized by Medicare that requires no user calibration whatsoever (either by fingerstick or manual data entry). 1 The A1C test is also the primary test used for diabetes management. After the test. "A blood glucose result taken at the fingertip will not . Physical activity recommendations and precautions may vary by diabetes type. When performing blood glucose monitoring staff should be trained in both the theoretical and practical aspects including the use of the device and instruction on calibration of quality control. All information these cookies collect is aggregated and therefore anonymous. Keywords: blood glucose testing, diabetes, interference, reliability, self-monitoring of blood glucose, SMBG Self-monitoring of blood glucose (SMBG) both in insulin-treated and non-insulin-treated people with diabetes is supported by recently published trials, reviews, meta-analyses, and guidelines. July 3 2022. name four site specific contraindications for blood glucose testingwhere is ryan blankenship today. The A1C test is sometimes called the hemoglobin A1C, HbA1c, glycated hemoglobin, or glycohemoglobin test. When your doctor prescribes a drug or treatment, he or she should be aware of the contraindications and consider whether they apply to you. Glucose, a sugar, is one of the bodys main sources of energy. This Hazard Summary is a supplement; it DOES NOT replace latest revisions of existing guidelines and directives for proper handling, storage and operation of BGMs, their accessories and/or test strips. Self-monitoring of blood glucose using glucose meters and test strips provides quantitative measurements of fingerstick blood glucose at a single point in time for patients and their healthcare providers to monitor the effectiveness of The main reason for a lumbar puncture is to help diagnose diseases of the central nervous system, including the brain and spine.Examples of these conditions include meningitis and subarachnoid . In the United States, 57.9% of patients with diabetes have 1 or more diabetes-related complications and 14.3% have 3 or more. With a basal-bolus regimen, you may have four or more injections per day. Dispose of used lancets at the point of use in an approved sharps container. What is metformin? Taking a blood sugar test can help determine your blood Type 2 diabetes can be described as a syndrome characterized by insulin deficiency, insulin resistance and increased hepatic glucose output. Age restrictions apply depending on pump model. J Diabetes Sci Technology 2011;5(6): 1307-1311, Klonoff DC, Perz JF. Diabetes Awareness Month: Why is it so important to take your diabetes medication? This method may be recommended for people with T1D and T2D. A symptom, condition, or trait that interferes with a given drug or treatment in a dangerous or counterproductive way. Program name, year . Rdr2 No Goats At Downes Ranch, What Does It Mean If Your Glucose Levels Are High. by | Jun 21, 2022 | what is the most accurate latin translator | burlington iowa arrests | Jun 21, 2022 | what is the most accurate latin translator | burlington iowa arrests [PDF 1,118 KB]external iconJ Diabetes Sci Technol2011;5(6):1396-1402. and asked me got What is hyperglycemia? If blood glucose concentration rises above this range, insulin is released, which stimulates body cells to remove glucose from the blood. Contraindications Pump therapy is not recommended for people who are unwilling or unable to perform a minimum of four blood glucose tests per day and to maintain contact with their healthcare professional. Continue reading >>, People with diabetes require regular monitoring of their blood glucose to help them achieve as close to normal blood glucose levels as possible for as much of the time as possible. A fasting blood sugar level of 99 mg/dL or lower is normal, 100 to 125 mg/dL indicates you have prediabetes, and 126 mg/dL or higher indicates you have diabetes. Choosing the correct site allows for accurate reading of the test site at the appropriate time. name four site specific contraindications for blood glucose testing . Glucometers This Hazard Summary addresses portable Blood Glucose Monitors (BGMs) that are used by diabetic patients to self-monitor glucose levels. You carefully touch the test strip to the blood and wait for a blood . Known or suspected severe peripheral vascular disease of the limb involved. Diabetes Technol Ther . Severe orthopedic conditions, acute thyroiditis, elevated or low potassium levels, uncontrolled diabetes, blood pressure greater than 200 systolic or 110 diastolic, an orthostatic hypotension, recent blood clot, acute illness, fever or dehydration. Allows you to reapply blood to the same test strip - which may help you save money. In general, patients with diabetes performing self-monitoring of blood glucose (SMBG) can strongly rely on the accuracy of measurement results. A blood sample is taken after your child hasn't eaten (fasted) for at least 8 hours or overnight. Rationale 13: To promote involvement and enable partnership in care. Injection sites should be rotated within the same region. In the United States, 57.9% of patients with diabetes have one or more diabetes-related complications and 14.3% have three or more. If the vial must be used for more than one person it should be stored and prepared in a dedicated medication preparation area outside of the patient care environment and away from potentially contaminated equipment, Medication vials should always be entered with a new needle and new syringe. Figure 9.8 Homeostatic Regulation of Blood Glucose Levels. This means that people taking drug B should not take drug A. Discard gloves in appropriate receptacles. Blood glucose reagent strips, blood glucose meters, urine glucose tests, tests for urinary ketones, continuous glucose sensors, and Hemoglobin A1C testing information will enable you to mange your diabetes at home . 1 glucose gel tube (15 grams per gel tube), or. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. For most people, this is a safe pre-exercise Body fluid tests. limit aluminum to <4 mcg/kg/day. It helps patients and physicians assess the effects of food, medications, stress, and activity on blood glucose levels. Perform hand hygiene immediately after removal of gloves and before touching other medical supplies intended for use on other persons. Your doctor may order a blood sugar test to see if you have diabetes or prediabetes. These include: 4 When you have just taken insulin During or after exercise What is glucose? Intravenous administration increases the risk of hypoglycemia and hypokalemia. limit aluminum to <4 mcg/kg/day. Chloride, which also helps control the amount of fluid in the body. the cgm group within the working group diabetes technology (agdt) of the german diabetes association (ddg) has defined evidence-based indications for the practical use of cgm in this consensus statement related to hypoglycemia (frequent, severe, or nocturnal) or hypoglycemia unawareness, insufficient metabolic control despite use of all possible "Primary" means this disorder begins in the parathyroid glands, rather than resulting from another health problem such as kidney failure. Before you begin, you should also determine if there are any conditions present that could affect the reading. Sixth International Conference on Emerging Infectious Diseases. MMWR2011;60:182. Change gloves between patient contacts. . Protection from bloodborne viruses and other infections is a basic requirement and expectation anywhere healthcare is provided. After the test. Wash your hands, and put gloves on. Fasting blood glucose level Blood sugar tests provide instant results and let you know the following: your diet or exercise routine needs to change your diabetes medications or treatment is working your blood sugar levels are high or low your overall treatment goals for diabetes are manageable Your doctor may also order a blood sugar test as part of a routine checkup. Anticoagulation therapy with warfarin, heparin and derivatives, direct thrombin inhibitors, or factor X inhibitors; aspirin is not a contraindication for arterial vascular sampling in most cases. And people with diabetes can use this test to manage their condition. Physical activity recommendations and precautions may vary by diabetes type. Type 1 diabetes can run in families. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Therefore, the diabetes team as well as the patients should be well informed about limitations in blood glucose testing. Within several seconds, the level of blood glucose will be shown on the digital display. Similar benefits found in T1D also can be seen for those individuals with T2D. To receive email updates about this page, enter your email address: We take your privacy seriously. Text Size: A symptom, condition, or trait that interferes with a given drug or treatment in a dangerous or counterproductive way. Check Sensor glucose readings by conducting a fingerstick test with a blood glucose meter under the following conditions, when Sensor glucose readings may not be accurate and should not be used to make a diabetes treatment decision: If you suspect that your reading may be inaccurate for any reason When you are experiencing symptoms that may be due to low or high blood glucose When you are experiencing symptoms that do not match the Sensor glucose readings During the first 12 hours The main reason for a lumbar puncture is to help diagnose diseases of the central nervous system, including the brain and spine.Examples of these conditions include meningitis and subarachnoid . Laboratory measurements of glucose use plasma as a sample. Figure 9.8 Homeostatic Regulation of Blood Glucose Levels. The System is intended for single patient use and requires a prescription. Most drugs and medical treatments have contraindications. Anonymous genetic report with no identifiable or unique information that could be used to identify a patient. fasting plasma glucose > 7.0 mmol/L or random plasma glucose > 11.1 mmol/L. Centers for Disease Control and Prevention. Therapy/treatment can be rendered quickly at their homes. Glucose is a sugar that your body uses as a source of . If blood glucose meters must be shared, the device should be cleaned and disinfected after every use, per manufacturers instructions, to prevent carry-over of blood and infectious agents. SMBG has been recommended for people with diabetes and their health care professionals in order to achieve a specific level of glycemic control and to prevent hypoglycemia. Continue reading >>. Cost is greatly reduced for the care and treatment of diabetic patients for all parties involved: the patient, the healthcare facility, insurance providers and the physician. A meal should be consumed within 30 minutes after administering regular insulin Insulin usually is administered by subcutaneous injection into the abdominal wall, thigh, buttocks (gluteal region), or upper arm. Notes from the Field: Deaths from Acute Hepatitis B Virus Infection Associated with Assisted Blood Glucose Monitoring in an Assisted-Living Facility North Carolina, August-October 2010. Rationale 5: To promote involvement and enable partnership in care. Treatments to achieve normoglycemia focus on increasing insulin availability (either through direct insulin administration or through agents that promote insulin secretion), improving sensitivity to insulin, delaying the delivery and absorption of carbohydrate from the gastrointestinal tract, or increasing urinary glucose excretion. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Primary hyperparathyroidism is a disorder of the parathyroid glands, four pea-sized glands located on or near the thyroid gland in the neck. In some cases, hyperglycemia has resolved when the atypical antipsychotic was discontinued; however, some patients required continuation of anti-diabetic treatment despite discontinuation of the suspect drug. The information provided on this Web site should not be construed as Chloride, which also helps control the amount of fluid in the body. Feature Vulnerability Porta Correct interpretation is critical. More and more people with diabetes are choosing to use a flash glucose monitor to check their sugar levels. 4 ounces (1/2 cup) of juice or regular soda (not diet), or. Exercise and Nutrition Benefits of Exercise. 4. Rationale 18: To prevent pain and tissue damage ( Naughten 2005 ). If group 2 license holder and taking non-insulin medications which may cause hypoglycaemia, test blood glucose at least twice daily (including non driving days) and at times relevant to driving. Blood tests for blood sugar (glucose) Random blood glucose level A sample of blood taken at any time can be a useful test if diabetes is suspected. extreme thirst or dry mouth. Outbreaks of hepatitis B virus (HBV) infection associated with blood glucose monitoring have been identified with increasing regularity, particularly in long-term care settings, such as nursing homes and assisted living facilities, where residents often require assistance with monitoring of blood glucose levels and/or insulin administration. Nosocomial hepatitis B virus associated with spring-loaded fingerstick blood sampling devices Ohio and New York City, 1996. Yes. SMBG works by having patients perform a number of glucose tests each day or each week. Continue reading >>, Interferences and Limitations in Blood Glucose Self-Testing 2Institut fr Diabetes-Technologie Forschungs- und Entwicklungsgesellschaft mbH, Ulm, Germany 3Roche Diabetes Care GmbH, Mannheim, Germany 4Research Institute of the Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany 5Diabetes Clinic for Children and Adolescents, Muenster, Germany 7Forschergruppe Diabetes e.V., Munich-Neuherberg, Germany Oliver Schnell, MD, Forschergruppe Diabetes e.V., Ingolstaedter Landstrasse 1, 85764 Munich-Neuherberg, Germany. Whenever possible, blood glucose meters should be assigned to an individual person and not be shared. Eat a small snack containing 15 to 30 grams of carbohydrates, such as fruit juice, fruit, crackers or even glucose tablets before you begin your workout. Prewarming the infant's heel (42 C for 3 to 5 minutes) is important to increase the flow of blood for collection. Guidelines on contraindications for lung function tests have been based on expert opinion from >30 years ago. Glyburide is a white, crystalline compound, formulated as Glynase PresTab Tablets of 1.5 mg, 3 mg, and 6 mg strengths for oral administration. Report to public health authorities any suspected instances of a newly acquired bloodborne infection, such as hepatitis B, in a patient, facility resident, or staff member. Known or suspected severe peripheral vascular disease of the limb involved. Please refer to Medtronic MiniMed REAL-Time Continuous Glucose Monitoring section for important safety information regarding Continuous Glucose Monitoring function of the MiniMed Paradigm REAL-Time pumps or MiniMed Paradigm REAL-Time Revel pumps. Please review the product manual prior to use for detailed instructions and disclosure. It is also important that you determine the patients understanding of the procedure and the purpose for monitoring blood glucose level.