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Advisor FAQ’s

How do I know if a new recommendation is ready for a patient?

You can check if a new recommendation is ready by clicking the Advisor tab while logged into your patient information screen of the DMS, from which you will be transferred to the Advisor Main Screen. There, look for the active recommendations under the Current Advisor Recommendation section, where you can see a list of all recommendations that have not been approved and shared with the patient. Each qualified DMS may have its own additional indications that a new recommendation is available for your patient. Please refer to the relevant user manual for additional information.

Can I change or edit the recommendation provided by the DreaMed Advisor Pro?

Yes, you can edit each of the Advisor Pro recommendations by clicking the edit button in each pump setting window (basal rate/CR/ CF). You can also add comments to each of these settings recommendations by typing inside the comments box that is found at the bottom of each pump settings recommendation window.

Can I remove data from the uploaded data that is transferring to DreaMed Advisor Pro?

No, you cannot edit, change, replace, or flag out any data from the analysis.

Can I change the parameters that the DreaMed Advisor Pro is using for providing recommendations (such as the hypo and hyper threshold etc.)?

No, these parameters are no configurable by the user.

What are the pump settings that the DreaMed Advisor Pro is recommended to change?

The DreaMed Advisor Pro recommendation may include the following pump settings:
1. Basal rate plan
2. CR plan
3. CF plan
Note that the system will not recommend changing the bolus calculator glucose target plan or the active insulin time.

What is the maximum change that DreaMed Advisor Pro may advise?

These are the maximum changes that DreaMed Advisor Pro can advise in each of the pump settings:

  • Basal rate plan:
    • -20% of the current CR value based on the patient’s current insulin pump settings minus 0.05 [𝑈𝐻𝑜𝑢𝑟] and,
    • +20% of the current CR value based on the patient’s current insulin pump settings plus 0.05 [𝑈𝐻𝑜𝑢𝑟]
  • CR plan:
    • -30% of the current CR value based on the patient’s current insulin pump settings minus 1 gr/Units and,
    • +30% of the current CR value based on the patient’s current insulin pump settings plus 1 gr/Units.
  • CF plan:
    • -30% of the current CF value based on the patient’s current insulin pump settings minus 1 mg/dl/U and,
    • +30% of the current CF value based on the patient’s current insulin pump settings plus 1 mg/dl/U.
What happens when my patient changes pump settings during the 21 day period?

The DreaMed Advisor Pro system always uses the actual amount of insulin that was delivered (basal and bolus) and, if this data is available, the actual values of CR & CF at the time of each bolus for its analysis over the 21 day period. However, the recommended changes in pump settings are always calculated as a percentage of the most recent settings that were in the pump at the upload time.

How can I view the patient pump’s bolus calculator glucose target and active insulin plans?

You can view the patient pump’s bolus calculator glucose target and active insulin plans by clicking on the View BG Target and View Active Insulin Time links respectively which are found below the Recommended Basal Rate table in the Review and Share Recommendations window.

How can I send the patient additional instructions?

You can use the comments boxes that are found in each pump setting window to add any additional instructions to the patient.

Can I add a comment for specific plan (basal or CR, or CF)?

Yes, you can add a comment for each of the pump setting recommendations by selecting Edit and then entering text in the Comments box at the bottom of each of the DreaMed Advisor Recommendation windows.

What are the personalized diabetes management tips that DreaMed Advisor Pro advises?

The personal diabetes management tips are textual messages that DreaMed Advisor pro generates that may help the patient avoid hypo and hyperglycemia events. These messages are based on DreaMed Advisor Pro analysis and may include one or more of the following messages:

  • I noticed that many of your highs may be avoided. Entering your glucose level (in addition to your carbs) into the bolus calculator may help you improve.
  • I noticed that many of your highs may be avoided. Remember to bolus before you start eating.
  • You are overtreating your lows. Eat moderately when treating your lows.
  • Many of your highs may be avoided. Trusting the bolus calculator’s recommendation may lead to better results.
  • I noticed that many of your highs may be avoided. Replacing your pump tubing every 2-3 days may help you get better results.
  • I noticed that many of your highs are a result of suspending your pump or using temporary basal. Watching your glucose when using suspend / temporary basal may lead to better results.
  • When you have high episode, remember to use the bolus calculator to give a correction bolus.
  • I noticed that many of your highs may be avoided. Delivering an insulin bolus for every meal and snack may help you get better outcomes.
  • I noticed that many of your lows may be avoided. Entering your glucose level (in addition to your carbs) into the bolus calculator may help you improve.
  • I noticed you sometimes deliver boluses too close together. Waiting at least 1.5-2 hours before delivering an additional bolus may help you avoid a low episode.
  • Many of your lows may be avoided. Trusting the bolus calculator’s recommendation may lead to better results.
  • I noticed that many of your lows may be avoided. Entering your current glucose level into the pump’s bolus calculator, may help you improve.
  • I noticed that many of your lows are a result of delivering extra temporary basal. Watching your glucose when using temporary basal may help you improve.
  • I noticed that many of your lows may be avoided. Remember to check your glucose level and bolus before you start eating.
  • I noticed that many of your lows come after a manual bolus. Using your bolus calculator may help you improve.

Note:
1. Every recommendation can be adjusted to one of the following parts of the day: early morning, morning, late morning, noon, after noon, evening and all day (as presented above). See Appendix A for the full list including parts of the day.
2. DreaMed Advisor Pro decides on which message to present based on its relevance to the hypo and hyper events and its priority.

How does the patient know that a new recommendation is waiting?

The patient will receive a notification on his/her device where the DMS app is installed. This notification alerts him/her about a new recommendation that is waiting for review. Once the patient acknowledges the recommendation it will be automatically updated in the Advisor Recommendation History display, there you will be able to see the time that the patient confirmed the recommendation.

How do I know that the patient received my recommendation?

You can know that your patient received and acknowledged the recommendation by looking in the Advisor recommendation history display. There, you can check if the patient confirmed (Yes/ No) that he received the recommendation along with the date of confirmation.
However, please note that you cannot know if the patient implemented the shared recommendation.

How do I know if the patient implemented my recommendations?

You cannot know if your patient implemented the recommendations that were shared with him/her. However, you can know that the patient received and acknowledged it by looking in the Advisor recommendation history display.