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Page 0 of 26 Version: 3/19/15 D:\2nd Opinion\BCMCtutor\Diabetes\Docs\A1c Starter Kit Book\StarterKitBookletV5andCover.docx
Managing A1c
with
Getting Started…
For
Elite Users
Printing donation SVP
™
Page 1 of 26 Version: 3/19/15 D:\2nd Opinion\BCMCtutor\Diabetes\Docs\A1c Starter Kit Book\StarterKitBookletV5andCover.docx
Table of Contents
Table of Contents ....................................................... 1 Overview of A1cManager™ ........................................ 1
A1cManager™ is in the Cloud… just for Elite Users ........................................ 2
Self-Monitoring Blood Glucose (aka SMBG) ................................................... 2
Focus on Health .......................................................... 3 What is Optimal Diabetes Control? ............................ 4
How Can You Achieve Optimal Diabetes Control? .......................................... 4
What is a Meal Period Profile? ................................... 5 What You do at Home ..................................................................................... 6
Step 1. Starting an MPP at Home .............................. 7 Examples ......................................................................................................... 8
Meal Period Profile (MPP) Data Collection Sheet ........................................... 8
Step 2. Preparing to Access A1cManager™.............. 10 Step 3. Logging in to A1cManager™ ........................ 10 Step 4. Agreement to Share Data: User’s Copy ....... 11 Step 5. Join a Clinic or Support Group ..................... 11 Step 6. Login to Access the Cloud ............................ 12
6.1 If you use a PC ........................................................................................ 12
6.2 If you use a Mac ..................................................................................... 12
Step 7. Entering your SMBG on the Cloud ............... 14 Appendices ............................................................... 16
1. A1c Manager™ Cost Recovery Options .................................................... 16
2. Using a Flash Drive to Place the ICON on your Desktop .......................... 17
3. Locally Saving & Printing your MPP from the Cloud ................................ 18
4. Locally printing your MPP Data saved on your Computer ....................... 21
5. Filling in the eMail Form........................................................................... 22
6. Some Abbreviations used with A1cManger™ .......................................... 23
7. Notes ........................................................................................................ 24
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Overview of A1cManager™
A1cManager™ is for diabetes caregivers and for an elite subgroup of their patients
with diabetes. A1cManager™ includes supporting algorithms and unique
animation to guide Elite Users to achieve and maintain Optimal Diabetes Control
(ODC). To do this, A1cManager™ integrates User data (blood glucose, body
weight, prescribed medications, diet, exercise, and stress) into a virtualized
resource to close the circle of care that targets blood glucose and A1c levels.
Using A1cManager™ Elite Users who do achieve and maintain ODC can expect to
prevent, slow, or in some cases reverse the eye, nerve, heart, and kidney damage
of long standing, poorly controlled diabetes.
A1cManager™ is in the Cloud… just for Elite Users
Target
Levels(SMBG, BW, A1c)
VirtualGUI
&Database
TreatmentOptions
Physician
Filter
T2DMT1DM
Follow Up
Measurements(SMBG, A1c, BW, Meds, hypos)
DrugsA1c Manager™
MPP
Animation
We do all this!
Self-Monitoring Blood Glucose (aka SMBG)
You do only this!
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Focus on Health
Remember, healthy people eat 3 well balanced meals at about the same times each day.
With diabetes, a healthy Breakfast, Lunch, and Dinner are best taken between 7-9AM, 12-2PM, and 5-7PM.
Portion control is crucial and Snacks are usually not necessary.
It is generally best to take diabetes medications 5-15 minutes before eating.
Don’t Forget the Mission!
The Mission is simple. Use the
A1cManager™
1. To achieve & maintain Optimal Diabetes Control,
2. To prevent, slow, or possibly reverse the tissue damage of poorly controlled diabetes.
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What is Optimal Diabetes Control?
Optimal Diabetes Control means you achieve:
SMBG - in target
A1c - in target
Body Weight - in control
Medications - minimized
Hypoglycemia – none
Make this your pentagon for success …
SMBG is average Self
Monitored Blood Glucose
BW is Body Weight
How Can You Achieve Optimal Diabetes Control?
You do structured SMBG (Self-Monitored Blood Glucose)
You do SMBG before and 1hour after starting to eat
You do this for each meal and before sleep
You repeat this at least twice in a week
In this way, you do SMBG only 14-16+ times week
You use A1cManager™ to create a Meal Period Profile (MPP)
• -
• -
• -
• -
• -
file:///D:/BCMC/PDC/GlucoseManagerPerfectDiabetesControl.ppt#257,1,Perfect Diabetes Control
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What is a Meal Period Profile?
A Meal Period Profile (MPP) is a snapshot of your
current diabetes status. It is created from your
last week’s structured SMBGs.
The white circles and surrounding shaded areas are the averages and the scatter of your blood glucose readings. Reading from Left to Right:
1. overnight (gray rectangle to the left),
2. pre Breakfast
3. post Breakfast’
4. pre Lunch,
5. post Lunch,
6. pre Dinner,
7. post Dinner,
8. pre Sleep.
A1cManager™ will support you to first achieve & then
maintain optimal diabetes control.
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What You do at Home
At least two times on different days and during the week before returning to the support group or clinic, do the following 7 steps:
1. On first rising, measure your Body Weight (BW) and your Blood Glucose (BG).
2. Before breakfast, take your medications if any. Eat Breakfast. Then, looking for the peak, measure your BG again 1 to 1½ hour after the first bite of breakfast. Be precise: use a timer.
3. Not necessarily on the same day, take the medications (if any) and make the BG measurements before and after Lunch.
4. Again, not necessarily on the same day, take the medications (if any) and make the BG measurements before and after Dinner.
5. Again, not necessarily on the same day, take the medications (if any) and make the BG measurements on two typical days before going to Sleep.
6. Measure your BG at least once overnight, especially if you fear night time hypoglycemia.
7. Record the results on the MPP Data Collection sheet.
Though more may be better, you should have at least 12 BGs counting before and after meals and at least 2 before sleep, for a total of just 14 SMBGs in the week before your next support group or clinic visit.
You start an MPP at home.
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Step 1. Starting an MPP at Home
Measure your BG.
Be Precise. Your Data are precious! Wash your hands! Warm your fingers!
Use a Meal Period MPP Data Collection Sheet as a
Notebook or Diary.
Always record Date, BW, time, BG, medications taken,
and other data as shown below.
You need a minimum of 14 SMBGs / Week:
Before Breakfast, on 2 days
After Breakfast (at ~1 to 1½ hr) on 2 days
Same for Lunch and Dinner
Before Sleep on 2 days
Optionally, Over night (~3AM) on 1-2 days
Note unusual BGs, diet carbs(CHO), exercise (EX), Stress, etc.
Record additional readings. Use both sides of this MPP form
Especially note hypoglycemia.
Collect & record data in the week before returning
to your support group or doctor’s clinic.
See examples of Meal Period Profile (MPP) Data Collection
Sheets on next 2 pages
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Examples Meal Period Profile (MPP) Data Collection Sheet
Example 1: Maintaining ODC– ~16 SMBGs/month
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Example 2: Achieving ODC– ~14 SMBGs/week
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Step 2. Preparing to Access A1cManager™
You will need to,
1) read the
i. Agreement to Share Outcome Data,
2) carefully complete the
i. New User Registration Demographics, and
3) carefully fill in the table to
i. List your Diabetes Medications
On the next page over, initial, date and keep the extra User’s
Copy for your records.
You will need to register in the Cloud.
Registration provides credentials that allow both
o you to access your own data, and
o your health care professionals to access your data.
Registration places an Icon on your Desktop. The Icon provides
a link to the Cloud
To register, see Marianne or Bev at the Support Group
Step 3. Logging in to A1cManager™
You will need to Double Click the BCMCtutor.rdp or the
A1cManager.rdp Icon on your Desktop to Login and access
A1cManager™ on the cloud.
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Step 4. Agreement to Share Data: User’s Copy
Initial & Date Copy for your records…
Step 5. Join a Clinic or Support Group Diabetes, Optimal Control. Mentor: Professor Michael Albisser
1. Agreement to Share Outcomes Data
I, _________________________ perform home glucose management
according to instructions I have received from my health care professionals. To guide me in
so doing I use the BCMC A1cManager™ Service on the Cloud.. It helps me understand my
current status and my drug prescription as it relates to my diabetes. My status is indicated
both by the home measurements I do (body weight & capillary blood glucose) and the results
from the medical procedures or laboratory measurements done as part of my medical care.
The BCMC Service is designed to guide me to achieve optimal diabetes control and help my
caregivers prescribe the best medications and doses for me. My active participation is
required. I understand that correcting any errors in my treatment and making any adjustments
in my prescriptions are best done in consultation with my health care professionals who
themselves use A1cManager™and support my active participation in the global A1cManager
Initiative.
Accordingly, I wish to share my diabetes and related metabolic outcomes with the Support
Group (Diabetes, Optimal Control) and the Company (BCMC, Inc) that provides the Cloud
Services. There may be disclosure of confidential information. Typically, the information
shared will be my glucose values, my diabetes treatment, and certain of my life-style events,
including diet and exercise behaviors. My personal information, including my name and
demographics will not be disclosed. Even when results will be used for publication, my
demographics and specific results will be disassociated so that they cannot identify me. My
outcomes may be used in the teaching and instruction of tutors, including other health
professionals.
I have the right to refuse to sign this Agreement and it will not affect my ability to participate in
the Support Group Sessions here in The Villages.
___________________ _________ Signature Date
____________________ _________ Name of Recruiter Date
_______________________ Name of Provider
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Location: The Villages Sea Breeze Recreation Center – Weekly Sessions
Step 6. Login to Access the Cloud
6.1 If you use a PC
1. Using your Desktop ICON
Double Click the BCMCtutor.rdp ICON on your Desktop
Enter your Credentials into the Windows
Security or RemoteApp Dialog box
Use the following Credentials:
User name: IDC Or, if IDC is not accepted then
User name: IRDPNEW\IDC
Password: **** (ask BCMC)
6.2 If you use a Mac
See Apple User Supplement for RDP Client Installation Instructions
If the User ID is not IDC,
then Click Use another
account
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The A1cManager™ window will appear on your Desktop.
Click Start.
Elite User Authentication requires
1. Your PIN is your home phone number, eg, 416 233 3996
2. Your Password will be provided.
You are now accessing your database and the A1cManager™ APP on the Cloud…
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Step 7. Entering your SMBG on the Cloud
Click My SMBG Your Data set includes:
1. Date
2. Body Weight
3. Time (hhmm) & SMBG (Self-Monitored Blood Glucose)
4. Meds – Rx/Taken (Rx stands for Prescribed). You insert what was taken
5. Comments about Life-style carbs(CHO), exercise(EX), Stress
When a new screen appears, be sure to check the Date that is inserted automatically.
Type to correct, if necessary
Key in the date like this: month-day, eg, 4.16
Press Enter 4-16-2014 Note the computer inserts the Year.
Cursor goes to weight.
Key in your weight.
Press Enter The next screen will appear. See below.
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Key in the time of your meal. Use 8 or 8p; or 915 or 915p. It will be converted to military time: 0800 or 2000; or 0915 0r 2115
Press Enter Cursor will go to SMBG
Key in your before Breakfast SMBG. Press Enter Cursor will move to the medication field
Key in the med doses you took before the meal. Press Enter Cursor will go to the after Breakfast time field
Key in the 1 to 1½ hour after Breakfast time reading.
Press Enter Cursor will go to the after breakfast BG field.
Key in your after Breakfast BG.
Press Enter The cursor will go to the before lunch time field.
Repeat the process.
When you have entered all your readings for the day,
click Done to save the data. A new blank screen will appear.
If you click Esc instead the data will not be saved.
If you have no other days to report just click Esc.
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Appendices
1. A1c Manager™ Cost Recovery Options
Optimal Diabetes Control
Insight sessions
1 Diabetes Lectures & Support Group Sessions AlwaysWeekly diabetes insight lectures & discussions at
Diabetes: Optimal Control Support Group Sessions Free
Costs Recovery
Service ItemsOne
Time
per
Month
1 Getting Started Kit. $5 Donation please…
2 Registration and First MonthMicrosoft Server 2008 and SQL Server 2008 Licenses included
Creation of your Personal Diabetes Database and included
Registration with User Instructions (& Home visits, if needed). $50
Remainder of First Month's Web Access included
Total - first month $50
3 Web Services for you, monthly charge $25
Including,
Secure Cloud Access to a shared personal desktop on the web included
Access to your Personal Diabetes Database 24/7 included
Unlimited Mini Assessments done on the web. included
Reports, analysis & treatment suggestions sent to your doctor. included
Oh yes, you will not be charged if you don't use the web services!
4 A1cManager™ $10/month, but for Villagers only free
Including, for you AND your doctor,
Full Access to A1cManager™ and Algorithms included
Guidance to Achieve & Maintain Optimal Diabetes Control included
Oh yes, you will not be charged if you don't use the web!
5 Private Tutoring Ask usPrivate tutoring to achieve or maintain optimal diabetes control
Locally at Weekly Support Group Sessions
Remotely using Skype, eg, for Snow Birds
5 User License for Full Pro A1cManager™ Resource Ask us
Including the full, personal versions of the BCMCtutor™ software on the cloud (Web access needed)on a flash drive (Web access NOT needed)group or personal tutoring, locally or remotelyfull access for your health care professionals
… A new service for Villagers
Recommended by leading practitioners…
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2. Using a Flash Drive to Place the ICON on your Desktop
Insert your A1cManager™ flash drive into any USB port.
Wait until this window appears.
Double Click on
Open folder to view files using
Windows Explorer
If window to the right does not
appear, go to MY COMPUTER
Click on the Flash Drive
Double Click on : CopyIcon.bat.
Some computers hide the .bat extension.
You can also Drag-and-Drop the BCMCtutor.rdp file from the folder
to your Desktop.
With Outlook, you can also Drag-and-Drop the BCMCtutor.rdp file
from an Email to your Desktop.
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3. Locally Saving & Printing your MPP from the Cloud
Click Print Preview on the MPP window.
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Click Print or Click eMail
Select the CutePDF Writer. It’s on the Cloud.
Click Print again
The image is formatted for printing by the
CutePDF writer on the Cloud.
The screen below will appear.
You must choose a place to save the PDF file on
your computer.
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As shown in the drop-down menu under Network, your
Computer is called tsclient and \\tsclient\C is your C-
Drive
The Apr5_14.PDF file will be saved on your computer as
C:\Diabetes_Data\Apr5-14.pdf.
You can print it on your local printer or send it as an
email attachment to your caregivers.
Click to Drop
down the drive
selection list
This is on your
computer’s C
drive.
The Diabetes_Data
folder will also be
on your C-Drive.
Select the
Diabetes_Data
folder
Give your new file
a name . The date
of the Print-out is a
good name
Click on Save
file://tsclient/C
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4. Locally printing your MPP Data saved on your Computer
Go to My Computer
Click on the C-Drive(C:\)
Double click the Diabetes_Data Folder
Double click the PDF file you wish to print, for example,
the one Apr5_14.pdf that you have just saved.
You can also email the file as an attachment to your
caregivers.
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5. Filling in the eMail Form
Please complete the Email address
Fill in the to Email field and to Name
Edit the Message
Click Send
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6. Some Abbreviations used with A1cManger™
A1c Glycated hemoglobin A1c
ac, pc before eating, after eating
B, L, D, S Breakfast, Lunch, Dinner, Sleep
BCMC Better Control Medical Computers, Inc.
BG Blood Glucose
CHO, EX Carbs, Exercise
MPP Meal-Period Profile
ODC Optimal Diabetes Control
Rx, Hx Prescription, History
RXN, Hypo Hypoglycemia
SMBG Self-Monitored Blood Glucose
T A L B Tummy, Arms, Legs, Buttocks
T2DM Type 2 Diabetes Mellitus
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7. Notes
Recommended