CONTINUOUS GLUCOSE MONITORING SYSTEM User Guide
IMPORTANT CONTACTS AND NUMBERS Emergency Phone Number:_______________________________________________ Your Healthcare Professional:______________________________________________ Your Receiver Serial Number:______________________________________________ Your Transmitter Serial Number:____________________________________________ ___________________________________________________________________ 1.877.339.2664 Dexcom® Technical Support/Patient Care Team:________________________________ dexcom.
Table of Contents Part 1: Getting Started Glossary 5 Chapter 1 - Beginning Your Dexcom G5® Mobile Continuous Glucose Monitoring (CGM) System Journey 9 1.1 Introduction. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 9 1.2 Self-Paced Resources. . . .. . . . . . . . . . . . . . . . 10 1.3 Your Dexcom Account.. . . .. . . . . . . . . . . . . . . . 12 Chapter 2 - Indications for Use and Safety Statement 15 2.1 Introduction. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 15 2.
9.1 9.2 9.3 9.4 9.5 Introduction to Home Screens. . . . . . . . . . Safety Statements. . . . . . . .. . . . . . . . . . . . . . Overview of Home Screen.. . . . . . . . . . . . . Rate of Change Arrows.. . . . . . . . . . . . . . . . Error Messages. . . . . . . . . . .. . . . . . . . . . . . . . 133 133 134 146 147 Chapter 10 - Daily Events Affect Your Glucose Trends and Patterns 10.1 Introduction. . . . . . . . . . . . . . .. . . . . . . . . . . . . . 10.2 What Is an Event?.. . . . . . . . . . . . . . . .
GETTING STARTED • Glossary • Getting Started • Indications for Use and Safety Statement • Risks and Benefits
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Glossary A1C Blood test used to diagnose type 1 or 2 diabetes and to gauge how well you’re managing your diabetes. The A1C test result reflects your average blood sugar level for the past two to three months. Accessory Device A device that connects with and extends a smart device. Such a device requires the smart device connection for full functionality. Examples are a smart watch or a Bluetooth headset. Also see the Apple Watch and Smart Watch entries in this glossary.
(Continued on next page) Calibration Calibration is a comparison or measurement between your meter’s fingerstick BG values, and the sensor’s interstitial fluid glucose readings. Although blood and interstitial fluids are similar, glucose concentration is higher in your blood. Calibration allows alignment between your sensor and meter readings. When you calibrate, you take a fingerstick measurement from your meter then enter the value into your receiver or smart device.
(Continued from previous page) Hypoglycemia Low blood glucose. Same as “low” or low blood sugar. Hypoglycemia is characterized by a low level of glucose in the bloodstream. It’s important to treat hypoglycemia. If left untreated, hypoglycemia can lead to serious complications. The default low alert in the Dexcom G5 Mobile CGM System is set to 80 mg/dL. Consult your healthcare professional to determine the appropriate hypoglycemic setting for you.
(Continued from previous page) mg/dL Milligrams per deciliter. The standard unit of measure for glucose readings in the United States. Portrait If your smart device is oriented vertically. Precaution A safety statement regarding any special care to be exercised by you or your healthcare professional for the safe and effective use of the Dexcom G5 Mobile CGM System. RF Radio-frequency transmission used to send glucose information from the transmitter to the receiver or smart device.
Chapter 1 Getting Started: Beginning Your Dexcom G5 Mobile Continuous Glucose Monitoring (CGM) System Journey 1.1 Introduction Welcome to the Dexcom G5 Mobile family! We are excited you chose us to partner with you in your journey to manage your diabetes. As a continuous glucose monitoring (CGM) device, the Dexcom G5 Mobile CGM System allows you to break free from constant fingersticks.
1. Tutorials 2. Quick Start Guide 3. User Guide No matter which resource you select, make sure you review them prior to using your new CGM system. 1.2 Self-Paced Resources Tutorials Along with step-by-step instructions, our tutorials illustrate how real-time CGM can assist in your daily diabetes management. The following is a list of tutorials and how to access them. Online Tutorials First Steps With Your Dexcom CGM Designed for those who have never used a Dexcom CGM.
Written Mobile Resources Quick Start Guide (QSG) The Dexcom G5 Mobile Quick Start Guide compliments the tutorials by proving the same step-by-step instructions in a booklet form or within the app. One of the great things about the QSG is you can use it in conjunction with the videos, taking notes as you go! Accessing the QSG: Booklet in the receiver package. Both the tutorial and the QSG give you brief look at the Dexcom G5 Mobile CGM System.
Part 3: Next Steps - Getting the Most out of Your Dexcom CGM Once you are up and running, how you can maximize the Dexcom G5 Mobile features: 1. Reading Trend Graph Screens and Recognizing Trends 2. Events 3. Alarm and Alerts 4. Sounds for Alarm, Alerts and System Messages Part 4: Everything Else G5 1. Warranty 2. Dexcom G5 Mobile CGM System Maintenance 3. Travel Tips 4. Customer Service Contacts 5. Technical Information 6. Troubleshooting 7.
If you haven’t already done so, go to dexcom.com and set up your own account. Or, if you prefer, the Dexcom G5 Mobile App walks you through creating your log in credentials as part of your initial app set up.
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Chapter 2 Getting Started: Indications for Use and Safety Statement 2.1 Introduction We want the Dexcom G5 Mobile CGM System to be a valuable tool in your diabetes management. Like any system, there are steps to take to get the most out of it.
Statements are meant to keep you and the system safe while using the Dexcom G5 Mobile CGM System: 1) Indications How, for what purposes, and under what circumstances you should use the Dexcom G5 Mobile CGM System. Indications let you know who should use the Dexcom G5 Mobile CGM System and when. Indications are the who, what, and why of the Dexcom G5 Mobile CGM System. 2) Contraindications Contraindications let you know when not to use the Dexcom G5 Mobile CGM System.
Within chapters, each color coded Safety Statement is in a box, broken down into four sections: 1. Type of statement a. Bold and color-coded ▪▪ WARNING-Red ▪▪ PRECAUTION-Blue ▪▪ INDICATION-Green ▪▪ CONTRAINDICATION-Purple 2. Do’s/Don’ts a. An action you should or should not take b. Italicized 3. Why a. A statement of the potential harm 4. Consequences a. What could happen if you don’t follow the instructions The following is an example of a chapter’s Safety Statement and how to read it.
and contraindications are and what to do to keep you safe and the system in proper working order. Safety Statements are broken down into two major categories. First, general CGM system Warnings—reviews warnings and precautions you take with most CGM systems—and second, Hardware/Software Warnings and Precautions list warnings and precautions specific to the Dexcom G5 Mobile CGM System components.
Why The CGM system’s trend and pattern information, its glucose Alarm/Alerts, combined with your meter’s actual BG value, can help you manage your diabetes. By identifying low and high glucose level periods, the Dexcom G5 Mobile CGM System allows you to take action when needed and create long-term management strategies with your healthcare professional. Using trend information to see your highs and lows helps you stay inside your target range.
2.5 General CGM System Warnings Warnings Warnings outline important hazard information, describing any serious and/or life threatening situations, their consequences, how to avoid danger while using the system and how to protect the Dexcom G5 Mobile CGM System from harm. Review Training Materials Thoroughly review the training materials included with your Dexcom G5 Mobile CGM System before using.
2.6 Calibration Warning and Precautions Calibration is the process of making sure your sensor continues to be accurate. Your sensor doesn’t automatically know what your glucose levels are—you have to teach your system what a given BG value is by entering in a KNOWN glucose value from your BG meter. Warning Calibrate on Schedule Calibrate at least once every 12 hours.
Alternative site BG values from your arms, palm of your hand, etc., may be different and less accurate than your fingerstick BG values. Using alternative for calibration might affect sensor performance, resulting in you missing a severe low or high glucose event. Prior to Initial Calibration: Data/Alarm/Alert After starting a new sensor session, until completing your initial calibrations you won’t receive any sensor information such as readings, Alarm or Alerts.
Storage During a sensor’s shelf life, store it between 36° F-77° F. While you don’t need to keep your sensor in a refrigerator, you can as long as the refrigerator is between 36° F-77° F. Never store sensors and/or sensor packages in a freezer. Storing the sensor incorrectly might cause the sensor glucose readings to be incorrect, resulting in you missing a severe low or high glucose event. Precautions Expiration Date Don’t use expired sensors.
Avoid injecting insulin or placing an insulin pump infusion set within three inches of the sensor. The insulin might affect sensor performance, resulting in you missing a severe low or high glucose event. Transmitter Warnings and Precautions Warnings Inspect Transmitter If your transmitter is damaged or cracked in any way, don’t use it. Damaged components could create an electrical safety hazard or malfunction, which might cause electrical shocks.
You can use a Dexcom G4® PLATINUM Sensor with the Dexcom G5 Mobile CGM System. Before using the sensor, make sure the sensor label says “Dexcom G5 Mobile/G4 PLATINUM Sensor,” or “Dexcom G4 PLATINUM Sensor.” System Accuracy System accuracy may be affected when your glucose is changing at a significant rate such as during exercise or after a meal.
After connecting any accessories, make sure that the smart device settings allow you to continue receiving Alarms or Alerts on the smart device. Is It On? If the receiver or smart device is turned off (Shut Down), it will not display sensor data, information, Alarm or Alerts. Make sure they are turned on; otherwise you won’t get sensor glucose readings or Alarm or Alerts, causing you to miss a severe low or high glucose event. Smart Device Warnings Next are warnings for just your smart device.
Receiver Warning and Precaution Warning Don’t Use Damaged Goods If your receiver is damaged or cracked, don’t use it. This could create an electrical safety hazard or malfunction, causing possible electrical shocks. Precaution Keep Receiver Dry Keep the USB port cover on the receiver closed whenever the USB cable is not attached and do not submerge in water.
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Chapter 3 Getting Started: Risks and Benefits When using any medical device, there are risks and benefits. In this chapter, you’ll learn what they are, helping you decide if Dexcom’s G5 Mobile CGM System is right for you. First, let’s review some possible risks. 3.1 Risks There are some risks with using real-time CGM. Not Receiving Alarm/Alerts If you aren’t getting your CGM Alarm/Alerts, you run the risk of not knowing you are having a severe glucose low or high.
If you’re not receiving an Alarm/Alert, and not taking fingerstick measurements, you may be unaware of low or high glucose levels. Sensor Insertion Risks Inserting the sensor and wearing the adhesive patch might cause infection, bleeding, pain or skin irritations (e.g., redness, swelling, bruising, itching, scarring or skin discoloration). The chance of this happening is low. The Dexcom G5 Mobile CGM System uses the same sensor as the previous CGM system—the Dexcom G4 PLATINUM.
Helps in Your Diabetes Management The Alarm/Alerts features (see Chapter 11) keep you aware of your glucose levels. Alerts notify you when your glucose goes outside your target range or is rapidly falling or rising, letting you to take action before you get too low or too high. The Urgent Low Alarm lets you know when you are dangerously or urgently low, going below 55 mg/dL. By taking corrective measures, you lessen the time spent in your low/high range, while increasing time in your targeted range (Garg S.
Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group. (2009). Sustained Benefit of Continuous Glucose Monitoring on A1C, Glucose Profiles, and Hypoglycemia in Adults With Type 1 Diabetes. Diabetes Care, 32(11), 2047-2049. Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group (2010). Quality-of-Life Measures in Children and Adults with Type 1 Diabetes. Diabetes Care, 33(10), 2175-2177. Ohkubo, Y., Kishikawa, H., Araki, E., Miyata, T., Isami, S.
LET’S G5! THE BASICS • Introduction to the Dexcom G5 Mobile CGM System • Initial Set-Up • Starting a Sensor Session: Inserting the Sensor & Transmitter • Calibration • Ending a Sensor Session
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Chapter 4 Let’s G5! The Basics: What Is the Dexcom G5 Mobile CGM System? 4.1 System Description Now it’s time to get an overview of the Dexcom’s G5 Mobile CGM System. After this chapter, you’ll be able to: • • • • • Explain the Dexcom G5 Mobile CGM System Describe options to view trends Locate your historical readings Recognize system components Explain each part’s function 4.2 Safety Statement If you’ve used the Dexcom G4 PLATINUM CGM System, you might still have its transmitter or receiver.
PRECAUTION Don’t: Never mix Dexcom G5 Mobile’s Transmitter or Receiver with Dexcom G4 PLATINUM’s Transmitter or Receiver. Why: The Dexcom G5 Mobile CGM System’s Transmitter and Receiver are not compatible with the Dexcom G4 PLATINUM CGM System’s Transmitter and Receiver. The Dexcom G5 Mobile CGM System won’t work if you mix Receiver and Transmitter components from different generations. Consequences: Missing a severe low (hypoglycemia) or high (hyperglycemia) event. 4.
Chapter 5 covers how to set up your smart device with the Dexcom G5 Mobile App. The primary difference between the receiver and app is not the information they give you, but how that information is presented. The following are some of the shared CGM data and system information features. Tracking Real Time CGM Data The receiver and app give you the ability to track your glucose trends in a number of different ways. Each device’s home screen opens to your glucose trend screen.
The Dexcom G5 Mobile CGM System allows you to see your last 1-3-6-12-24 hours of your sensor glucose readings. On the receiver, from the home screen, press Up/Down Arrows to view. On a smart device, hold upright in portrait mode, and see the most recent three hours, turn sideways to landscape to view your glucose levels over the last 1-3-6-12-24 hours. Go to Chapter 9 to learn more about viewing your glucose trends. 4.
Share by tapping on the app’s Share icon, follow a few simple steps, then invite up to five people to connect with you. After downloading the Dexcom Follow™ App, they become your Follower. As a Follower, they can watch your sensor glucose readings, trends, and receive Alarm/Alerts when your glucose is low or high. You determine what your Follower can see. Based on what you allow, your Followers can receive your Alarm or Alerts, and view your trends.
Sensor Sensor package Single use sensor(s) Insert Transmitter Transmitter package Reusable transmitter (Continued on next page) Dexcom G5 Mobile System User Guide What Is the Dexcom G5 Mobile CGM System? 40
(Continued from previous page) Receiver Receiver package Receiver Receiver’s USB charging and download cable AC power adapter (Continued on next page) Dexcom G5 Mobile System User Guide What Is the Dexcom G5 Mobile CGM System? 41
(Continued from previous page) Receiver Getting Started with Your Dexcom CGM Dexcom CARE is committed to making your CGM experience a positive one. We are here to ensure that you experience CGM the way it was designed to help you manage your diabetes. Refer to your enclosed Quick Start Guide or Tutorial. Get Started* Call us at 877-339-2664 Ext. 4900 and speak with a Certified Diabetes Educator. Register for a live, no-charge training webinar at www.dexcom.
The Dexcom G5 Mobile CGM System is comprised of four key parts: 1. Single use sensor 2. Reusable transmitter 3. Rechargeable receiver 4. Dexcom G5 Mobile App a. Downloaded to your smart device Dexcom G5 Mobile CGM System optional: Dexcom Share Sensor Overview For your safety, the sensor is packaged in a sterile sealed pouch, containing an applicator, sensor pod, and sensor wire.
Applicator and Sensor Pod What it’s called What it does Applicator Contains small insertion needle and sensor wire. Applicator Barrel Inserts sensor wire under the skin. Disposable, for single use only. Removed after insertion. Keeps all moving parts in place before insertion. Safety Lock Prevents accidental sensor insertion. Tool to remove transmitter after sensor session. Put in transmitter box after removal to use later. Collar Collar removes insertion needle.
Transmitter Overview Figure 2. Dexcom G5 Mobile Transmitter Front and Back Snapping into the sensor pod, the gray plastic transmitter wirelessly sends your glucose Snapping into the sensor pod, the gray plastic transmitter wirelessly sends your glucose information to your display devices—receiver and/or smart device. If you have a new transmitter, open the package when you are ready to use it. The transmitter is: 1. Reusable a. Do not discard after sensor session. b. Only for you, don’t share transmitter.
If you want to use the receiver along with a smart device, you need to set them up separately. Remember, you can’t use a combination of smart devices during a sensor session; select just one. Receiver Overview What you see What it’s called What it does Receiver Provides data about your glucose trends via screen display, sounds and vibration. Micro USB Port Plug USB cable into port for recharging. USB Port Door Close USB port door after removing USB cable to keep receiver clean and dry.
(Continued from previous page) What you see What it’s called What it does Plug USB cable into adapter/wall charger. Wall Charger Plug wall charger into an electrical outlet to charge receiver’s battery. Don’t block access to the charger. Display Screen Shows sensor glucose readings, trend graphs and arrows, Alarm/Alerts, sensor session status. Change settings on Menu screen. Speaker Allows you to hear your Alarm/Alerts sounds.
(Continued from previous page What you see What it’s called What it does Press to scroll up or down to select menu items or set values. Up/Down Arrows Press to scroll back and forth beyond from the 3 hour trend graph to the 1-6-12-24 views. 4.7 Smart Device Overview The Dexcom G5 Mobile App was created to work with your smart device, giving you even more options in monitoring your glucose trends and patterns. The app is similar to all other apps.
Chapter 5 Let’s G5! The Basics: Set up Your Display Devices 5.1 Introduction In the previous chapter, you received a high level overview of the Dexcom G5 Mobile CGM System and learned you can monitor your glucose levels with different display devices. Now it’s time to set up your Dexcom G5 Mobile App and your receiver.
5.3 Why Different Monitoring Methods? Your convenience! By offering two separate monitoring systems, the app or receiver, you can choose to monitor your glucose levels in the handiest method at that moment. Smart device ran out of memory.
• Make sure your smart device settings allow your Dexcom Alarm/Alerts to always show on your lock screen • For information on how to set the above settings, see your smart device’s user guide. Once you have verified your smart device’s settings are right, the next step is installing the Dexcom G5 Mobile App • The app needs to be open and running in the background.
Initial App Setup Step What you see What you do Introductory Screens 1 Tap Dexcom G5 Mobile App icon to open app. 2 Swipe through introductory screens or tap Log In.
(Continued from previous page) Introductory Screens Enter existing username and password OR 3 Need a Dexcom username and password? Tap Sign Up. Complete Username/Password fields. Tap Login once. 4 Tap Let’s Get Started.
(Continued from previous page) Introductory Screens The next screens are the Terms of Use, safety warnings, contraindications, and the recommended settings. 5 Once each screen is read, tap the appropriate answer to move forward. Tap Full Safety Statement or, when applicable, I don’t understand to get more information.
(Continued from previous page) Setting up Your App Alarm/Alerts and Basic Settings Set your Low Glucose Alert. Default is 80 mg/dL. 6 Scroll to select another amount. Tap Save to move forward. Once set, you’ll receive an Alert notification if your glucose dips below your set amount. Set your High Glucose Alert. Default is 200 mg/dL. 7 Scroll to select another amount. Tap Save to move forward. Once set, you’ll receive an Alert notification if your glucose rises above your set amount.
(Continued from previous page) Setting up Your App Alarm/Alerts and Basic Settings Make sure you get your Alarm/Alerts notifications. 8a Tap the appropriate response to move forward and set your notifications. 8b Tap OK to receive Alarm/Alerts notifications.
(Continued from previous page) Setting up Your App Alarm/Alerts and Basic Settings 9 The next screens provide suggestions for device volume, Do Not Disturb, and other basic settings. Tap appropriate answer to move forward.
(Continued from previous page) Connecting/Pairing Transmitter With App 10 Tap Next. Verify Bluetooth is on. 11 The app will check to see if Bluetooth is turned “on.
(Continued from previous page) Connecting/Pairing Transmitter With App 12a 12b Get your Transmitter box. Tap Take Photo. Turn transmitter box upside down on a flat surface with barcodes facing up. Center longest barcode within green brackets.
(Continued from previous page) Connecting/Pairing Transmitter With App 12c 13a Check mark confirms successful transmitter SN scan. If unable to use app’s scanning device: Tap Enter transmitter SN by hand.
(Continued from previous page) Connecting/Pairing Transmitter With App Use keyboard to enter transmitter SN. 13b Confirm correct SN . Tap Save. 14 Insert sensor and attach transmitter following video’s instructions. See Chapter 6 for more information.
(Continued from previous page) Connecting/Pairing Transmitter with App 15 Wait up to 30 minutes for smart device and transmitter to connect. 16 At prompt, Tap Pair to pair app with smart device.
(Continued from previous page) Connecting/Pairing Transmitter with App Tap the Sensor warmup circle to start your two hour sensor warmup. 17 When you see the sensor warmup timer, your initial set up is complete. Congratulations! If you have any issues setting up the Dexcom G5 Mobile App, call Technical Support toll free at 1.877.339.2664 or toll at 1.858.200.0200. We are here 24/7 to assist you. If you are having problems with your smart device, contact your smart device’s support line.
▪▪ Center button does not say “Select” ○○ Press to ▪▪ Turn on receiver ▪▪ Select options/features ▪▪ Accept changes ▪▪ Move forward through menus/features • Up/Down ○○ Scroll through trend screens ○○ Highlight menu items ○○ Change values • Left ○○ Go back to last item or screen • Right ○○ Go to next item or screen Initial Setup of the Dexcom G5 Mobile Receiver Press Select to turn receiver on. The first screen you see is the startup screen with ascending green bars.
Initial Receiver Set up Step What you see What you do Initial Screens 1 Press Select to turn receiver on. 2 Wait. Time/Date Press Up/Down Arrow to change year. Press Right Arrow to move forward. 3a Press Up/Down Arrow to change month. Press Right Arrow. Press Up/Down Arrow to change day. Press Right Arrow to move to time.
(Continued from previous page) Time/Date Press Up/Down Arrow to change hour. Press Right Arrow. Press Up/Down Arrow to change minutes. 3b Press Right Arrow. Press Up/Down Arrow to select AM/PM. Press Select to save and close. NOTE: After initial set up, if battery is drained, receiver will vibrate once and you will need to reset date and time. Transmitter 4a 4b 4c Turn transmitter box upside down to locate SN number.
(Continued from previous page) Setting Low Alert 5a System default is at 80 mg/dL. Press Select to save at present levels and close. To change value: 5b Press Up/Down Arrows to change value at 5 mg/dL increments. Press Select to save and close. Setting High Alert 6a System default is at 200 mg/dL. Press Select to save at present levels and close. To change value: 6b Press Up/Down Arrows to change value at 10 mg/dL increments. Press Select to save and close.
• Set app up with the recommended settings • Successfully set up your Dexcom G5 Mobile Receiver What’s Next? Now you have completed setting up your app and/or the receiver, your next step is starting a sensor session. No matter what monitoring method you choose, starting a sensor session is the same: 1. Inserting the sensor. 2. Inserting the transmitter. 3. Pairing the transmitter to your device. 4. Two hour sensor warmup. 5. Initial calibrations.
Chapter 6 Let’s G5! The Basics: Starting a Sensor Session: Inserting Sensor, Transmitter, and Starting Your Session 6.1 Overview Now that your display devices are set up, you’re ready to begin a sensor session. If this is your first time inserting a sensor, you may want to watch the Dexcom G5 Mobile sensor insertion video to get a better understanding of the process. The Dexcom G5 Mobile sensor insertion video is available by three ways: 1. Through the App 2.
• • • • • • • • Identify sensor applicator features Properly prepare for sensor insertion Choose the best location to insert your sensor Correctly insert your sensor Prepare transmitter for placement Correctly attach transmitter to sensor Outline what happens during the sensor warmup Identify countdown icon 6.2 Safety Statements Following are some important Precautions and Warnings to review; we want to make sure you and the system are safe before starting a sensor session.
WARNING Do: Store sensor between 36° F-77° F during its shelf life. Why: Storing the sensor incorrectly might cause the sensor glucose readings to be inaccurate. Never store sensors in the freezer. Consequences: If stored outside of 36° F-77° F, your sensor glucose readings may not be accurate, resulting in you missing a severe low or high glucose event. WARNING Don’t: Never use the Dexcom G5 Mobile CGM System sensor glucose readings for treatment decisions.
PRECAUTION Do: Check sensor package before opening. Why: Make sure the sterilized package has not been damaged or previously opened. If opened or damaged, sensor may be unsterile. Consequences: Using an unsterile sensor may cause an infection. 6.3 Prepping for Sensor Insertion Before inserting a sensor, make sure you have everything you need. Some items are included in the Dexcom G5 Mobile CGM System’s packages, others are not.
4. Plunger 3. Safety Lock 5. Applicator Barrel (contains small introducer needle and sensor) 6. Collar 8. Transmitter Latch 7. Sensor Pod 9. Release Tab 2. Adhesive Patch Figure 3. Dexcom G5 Mobile Sensor Applicator and Pod The following table reviews the sensor applicator components in order of use. Order of Use Name What it does Sterilized for your protection. 1 Sensor Pouch 2 Adhesive Patch Holds the sensor/transmitter in place on your skin.
(Continued from previous page) Order of Use Name What it does Holds sensor wire in place under skin. 7 Sensor Pod 8 Transmitter Latch Locks transmitter into sensor pod. 9 Release Tab Allows you to remove applicator barrel from sensor pod. Holds transmitter. Transmitter Transmitter Box What you see What it is Bottom of box with important label information. Keep box until transmitter battery dies. Reusable transmitter.
Before removing the sensor applicator out of its sterile pouch, determine the best place to insert your sensor. 6.4 Choosing Your Insertion Site Choose a place on your belly (or if user is between the ages of 2 and 17, upper buttocks) to insert the sensor; the site should be either above or below your belt line. The best areas are usually flat, “pinchable,” and free from where rubbing can occur (along the waist band, seat belt strap or where you lay when sleeping).
• If needed, shave the area so adhesive patch sticks securely • Make sure area is clean and free of lotions, perfumes, medications Don’t: • Never use same site repeatedly for sensor insertion • Never use same site for 2 sensor sessions in a row If you have concerns about the sensor pod not sticking, before inserting your sensor, you can make the sensor site stickier to help ensure the sensor pod does not peel.
(Continued from previous page) Preparation 2 Clean insertion site with alcohol wipe. Let dry. Optional Step: Skin Adhesive Create an oval on the skin 3 • Do not get any skin adhesive inside the circle • Let skin adhesive dry • Insert sensor on clean skin at the center of the circle Check pouch: Is it damaged or already opened? Remove sensor applicator from sterile pouch. 4 Closely inspect sensor, check it hasn’t been damaged. Keep sensor packaging until sensor session is complete.
(Continued from previous page) Inserting Sensor Wire Place sensor horizontally, not vertically, on skin. 6 7 8 Move fingers around adhesive patch’s top several times to secure tape. Hold applicator barrel. Pull safety lock out. Place fingers of one hand on edges of adhesive patch. Pinch up your skin at the tips of the white adhesive. Place two fingers directly above collar to steady applicator barrel. Place thumb on the white plunger. 9 Push plunger completely down the applicator barrel.
(Continued from previous page) Removing Applicator Barrel and Collar Move two fingers from above collar to below collar. Keeping your thumb as a base on the white plunger. 10 Pull collar all the way back towards your thumb. You should hear 2 clicks. NOTE: Finger placement is important for correct needle removal. Hold transmitter latch down against your body. 11 12a Squeeze ribbed release tabs on the sides of sensor pod. Move applicator barrel forward and out, away from your body.
• Toll free: 1.877.339.2664 • Toll call: 1.858.200.0200 The next step is attaching your transmitter to the sensor pod. 6.6 Attaching Your Transmitter Now that you have inserted your sensor, you need to attach your transmitter. Since the transmitter is reusable, you don’t need a new one every time you start a sensor session. Keep your current session’s transmitter box. The bottom label has important information you may need after you’ve inserted the transmitter.
(Continued from previous page) Step Picture What you do Keep finger on transmitter holding it in place. 4 Push transmitter latch up and forward over the transmitter’s wide end with your other hand. You should hear 2 clicks. Is transmitter secure? Before removing transmitter latch, verify transmitter is securely in place. 5 Make sure none of the transmitters sides popped out of the sensor pod. If not completely snapped in, you may have a bad connection and it won’t be water tight.
If the patch peels up, use medical tape (such as Blenderm™, Tegaderm™, Smith & Nephew IV3000®, 3M™ tape) for extra support. • • • • Tape over white adhesive patch on all sides for even support Don’t tape over the transmitter or any plastic parts of the sensor pod Don’t tape under sensor pod Don’t leave any substance on the skin where you insert the sensor Figure 4. The Right Way to Use Tape for Extra Support 6.
Dexcom App: Starting a Session Step What you see 1 What you do Wait for Successful Pairing notification. Tap green checkmark in black square. Tap Sensor Warmup circle to start your two hour sensor warmup. 2 NOTE: You will NOT get any sensor glucose readings, Alarm/Alerts during your two hour sensor warmup period. Wait. 3 Screen provides countdown to sensor warmup. The orange dashes darken as the countdown moves forward. Keep smart device within 20 feet of transmitter during the sensor warmup period.
(Continued from previous page) Step What you see What you do Locked screen. Initial calibration prompt tells you when warmup is complete. 4 Chapter 7 covers calibrating. Initial calibration prompt tells you when warmup is complete. 5 Sensor warmup is complete. You’re ready to calibrate! Receiver: Starting a Session Step What you see 1 What you do Press Select to turn on receiver.
(Continued from previous page) Step What you see 2 What you do From Trend Graph. Press Select to go to Main Menu. Press Down Arrow to highlight Start Sensor. 3 4 5 Press Select to start new sensor session. NOTE: After sensor starts, Start Sensor option disappears. “Start Sensor” progress bar confirms two hour sensor warmup. Keep your receiver within 20 feet during the warmup period. Receiver returns to the trend graph screen. Make sure receiver and transmitter are communicating.
(Continued from previous page) Step What you see What you do Wait. 7 8 Screen provides countdown of the two hour sensor warmup. Sensor warmup is complete. You’re ready to calibrate! 6.9 Receiver Bluetooth Tips Your transmitter and receiver begin communicating once you start a sensor session. After approximately 30 minutes, if the Bluetooth symbol is solid, and not blinking, your transmitter and receiver are talking to each other.
No Communication Between Transmitter and Receiver Step What you see What you do Check correct transmitter SN is in receiver. 1 • SN is on the label on bottom of transmitter box Press Select to go to Main Menu. 2 3 4 Press Down Arrow to Settings. Press Select. Press Down Arrow to Transmitter. Press Select. Press Select.
(Continued from previous page) Step What you see What you do Check correct transmitter SN is in receiver. • SN is on the label on bottom of transmitter box Compare SN in receiver to SN on transmitter box. 5 If correct, call our 24/7 Technical Support department, toll free at 1.877.339.2664 or toll at 1.858.200.0200 for help. Press Select to exit screen. Press Left Arrow twice to go to Main Menu. If Wrong SN Entered 6 7 Press Left Arrow twice to go to Main Menu.
(Continued from previous page) If Wrong SN Entered 9 Wait for sensor session to end. From Main Menu: 10 Press Down Arrow to Settings. Press Select. 11 12 Press Down Arrow to Transmitter. Press Select. Highlight Transmitter SN. Press Select. Enter correct SN using Up/Down Arrow. 13 Press Up/Down Arrow to select and enter transmitter SN. Press Right Arrow to move to next digit. Press Select to save and close. Press Left Arrow twice to return to Main Menu.
(Continued from previous page) If Wrong SN Entered Start Sensor Session. 14 Press Up/Down Arrow to highlight Start Sensor. Press Select on Start Sensor. 6.10 Sensor Session Warmup The sensor takes about two hours to adjust to your body. While you are in the sensor warmup period, you can customize your settings. Chapter 12, steps you through how to personalize your Dexcom G5 Mobile CGM System’s display devices.
Chapter 7 Let’s G5! The Basics: Calibration 7.1 Introduction In the previous chapter, you learned how to insert your sensor, transmitter, and start a new sensor session. You’re now ready to begin your last step before getting your sensor glucose readings: Calibration. This chapter reviews not just your initial calibration, but also update calibrations required throughout your sensor session.
7.2 Calibration Overview What Is a Calibration? As you learned earlier, the sensor glucose readings come from measuring the glucose fluids found between your cells (interstitial fluids). Although blood and interstitial fluids are similar, sensor glucose readings can be different between your fingerstick and your CGM. Calibration provides a comparison, or measurement, between your meter’s fingerstick measurement and the sensor’s glucose readings, allowing alignment between the sensor and meter.
If you receive a calibration prompt outside of your scheduled calibration schedule, the system doesn’t accept your most recent calibration or your meter’s BG value is very different from the sensor’s glucose reading. Don’t worry about keeping track of the time between calibrations, the system will prompt you when you are ready for another. Now you have an overview of calibration, let’s review some contraindications, warnings, and precautions you need to know and follow before you calibrate. 7.
WARNING Do: Calibrate at least once every 12 hours. Why: Calibrating less often than every 12 hours might cause inaccurate sensor glucose readings. Consequences: Missing severe low (hypoglycemia ) or high (hyperglycemia) Alarm or Alerts. PRECAUTION Do: Look at trend arrows before calibrating. Trend arrows help you determine if you can calibrate now or should wait. Don’t: Never calibrate if your blood glucose is changing at a significant rate, typically more than 2 mg/dL per minute.
PRECAUTION Do: Only use fingerstick measurements from your BG meter for calibration. Don’t: Never use alternative site blood glucose values such as blood from palms, forearms, etc. Why: Alternative site BG values are different from a fingerstick blood glucose value and may not reflect most recent blood glucose value. Consequences: You may miss a severe low or high glucose event. 7.4 When to Calibrate Calibrating on a regular schedule aligns your sensor glucose readings with your meter’s BG values.
1. Enter one fingerstick measurement at least every 12 hours. 2. Display devices provides calibration prompts. 3. You may be prompted to enter additional fingerstick measurements as needed. Figure 5. Example Minimum Calibration Schedule During Seven-Day Sensor Session 7.5 Calibration Prompts Sensor Session Start-Up Calibration Prompts Once your two hour sensor start-up is complete, your display device tells you it’s time to enter the first of your two back-to-back start-up calibrations.
Start-Up Calibration Prompts Device What you see What it means What you do First Calibration Smart Device: Lock Screen Smart Device: In App Sensor warmup is complete. Ready for first of two initial calibrations. Follow steps in Section 7.6 and 7.7. Immediately prepare for next calibration.
(Continued from previous page) Device What you see What it means What you do Sensor accepted first calibration. Follow steps in Section 7.6 and 7.7. Ready for second BG meter value. Next calibration in 12 hours. Second Calibration Smart Device: Lock Screen Smart Device: In App Receiver Your sensor glucose readings begin in approximately five minutes once the device(s) accepts your calibrations.
The steps to enter your update calibrations are the same as your initial calibration, including only entering values in one display device. The only difference is, with update calibrations, enter your BG meter value just once. Like the reminders you received with your initial calibration, if you don’t enter your BG meter values right away, the system prompts you every 15 minutes.
Receiver The receiver alerts you with an initial vibration for calibration prompts. If not cleared, you receive a vibrate/beep every five minutes until confirmed. 7.6 Preparing for Calibration Your sensor depends on you to help make its sensor glucose readings accurate. If you don’t prepare properly for the calibration, your sensor may not provide you with the most accurate sensor glucose readings. Eight Steps to Successful Calibration: Do: 1.
Remember: You don’t have to take a fingerstick measurement for each display device when calibrating, once you enter the reading into one, data is pushed to the other within five minutes. Next are steps to enter your calibrations using the app, followed by the steps for entering your calibrations into the receiver. Calibrate With Your Dexcom G5 Mobile App Step What you see 1 What you do Tap circle. Additional info Initial calibration: Enter two back-to-back meter BG value.
(Continued from previous page) Step What you see 2 What you do Enter meter’s BG value using number pad. Tap Save. Additional Info Double check your numbers. Entering wrong values can affect the sensor’s accuracy. Verify value is correct. Tap Save. 3 If not correct: Tap Cancel. Reenter correct value.
(Continued from previous page) Step What you see 4 5 What you do Additional Info Tap circle to enter your second BG value. Follow steps 2-3 and enter second reading. Meter icon has no calibration prompt. Calibration accepted. Your calibration was successful.
(Continued from previous page) Step What you see What you do Wait for next calibration prompt in 12 hours. 6 Additional Info Default Home Trend screen. Calibration accepted. Calibrate With Your Dexcom G5 Mobile Receiver Step What you see 1 What you do Press Select to turn on receiver. Press Select again for Main Menu. Additional Info You won’t see calibration prompts when receiver screen is black.
(Continued from previous page) Step What you see What you do Additional Info Press Up/Down Arrow. 2 Highlight Enter BG. Press Select. Press Up/Down Arrow to change numbers. 3 Stop at meter’s BG value. Press Select. 4a Verify BG value is correct. If correct: Press Select. Verify BG value is correct. 4b If incorrect: Press Right Arrow to Cancel. Press Select. Reenter BG value. Sensor default reading is 120 mg/dL.
(Continued from previous page) Step What you see What you do 5 Wait. 6 Immediately take another meter reading. Enter meter’s BG Value. 7 Wait for next calibration prompt in 12 hours. Additional Info “Thinking” screen. BG value is accepted. First calibration accepted. Time for second calibration. Default Trend screen. Calibration(s) accepted. 7.8 Calibration Errors Before or during your calibration process, your display device may show error prompts.
Device What you see What it means Smart Device: In App Wait 10-15 minutes. Sensor can’t calibrate now. Retake fingerstick measurement at prompt. Enter BG value. Receiver Smart Device: In App System didn’t accept recent calibration. Receiver What you do Additional calibration needed immediately. Calibrate. No sensor glucose readings. Approximately five minutes after entering your second BG meter value, your display device(s) will start providing sensor glucose readings and glucose level trends.
Summary Now You Can: • Calibration Overview ○○ Define calibration ○○ Explain the importance of calibration ○○ Identify steps to ensure a successful calibration • Recognize the steps required to take an accurate blood glucose levels ○○ Identify the best blood glucose site for calibrations ○○ Prepare finger for fingerstick measurement • Determine if you should/should not calibrate ○○ Recognize when you can enter BG meter values ○○ Recognize when should not enter the BG meter values ○○ Determine if you need to
Chapter 8 Let’s G5! The Basics: Ending Your Sensor Session and Transmitter Session 8.1 Introduction Dexcom G5 Mobile Sensor Sessions last seven days. This chapter reviews what you should expect when your session is about to expire, removing the sensor and transmitter. It also covers how to determine if you need to end your session early.
8.2 Safety Statements WARNING Don’t: If a sensor breaks under the skin with no portion visible above the skin, don’t remove it. Don’t ignore sensor fractures. Do: Seek professional medical help if you have symptoms of infection or inflammation (e.g., redness, swelling or pain) at the insertion site. Always report a broken sensor to our Technical Support, 24/7, team as soon as possible: Toll free: 1.877.339.2664 Toll call: 1.858.200.0200 Why: Sensors may fracture on rare occasions.
or on rare occasions, the receiver or app detects sensor issues and prompts you to end the session. Let’s review ending a normal session first, later in this chapter we’ll review the prompts for ending the session early.
End of Seven Day Sensor Session Prompts Ending Sensor Session Prompts Device What you see What it means At Six Hours Smart Device: Lock Screen Prompts begin when sensor session has only six hours left. Smart Device: In App Clock will countdown until session has ended. Continue to get sensor glucose readings.
(Continued from previous page) Device What you see What it means At Two Hours Smart Device: Lock Screen Two hours remain on your current sensor session. Smart Device: In App Continue to get sensor glucose readings.
(Continued from previous page) Device What you see What it means At Thirty Minutes Smart Device: Lock Screen Thirty minutes remain. Smart Device: In App Continue to get sensor glucose readings.
(Continued from previous page) Device What you see What it means Session Ended Smart Device: Lock Screen Session has ended. App Tap screen’s “?” for steps to: Smart Device: In App • Remove sensor • Insert new sensor Receiver Press Select to clear.
(Continued from previous page) Device What you see What it means Session Stopped Smart Device: Lock Screen N/A Sensor session has stopped.
Ending Your Sensor Session Early For personal reasons, you may want to force quit a sensor session early (e.g., you’re getting an MRI and need to remove sensor pod). Or, occasionally, the app or receiver may detect something is wrong with your sensor and let you know it’s stopping the current session. This may be caused by a number of reasons: 1. Unresolved calibration issues. 2. Error symbol does not go away. 3. Wait symbol does not go away. 4.
Prompts to End Sensor Session Early System Prompts Device What you see What it means Smart Device: Lock Screen Sensor issues detected. Smart Device: In App Session ends automatically. No: • Sensor Glucose Readings • Alarm/Alerts Replace sensor.
(Continued from previous page) Device What you see What it means Smart Device: Lock Screen Wait up to three hours while the system autocorrects. Smart Device: In App Check transmitter—is it properly inserted into sensor pod? Make sure you haven’t taken acetaminophen. If not corrected after 3 hours: Receiver • Contact Dexcom Technical Support Smart Device: Lock Screen Wait up to three hours while the system autocorrects.
The Dexcom G5 Mobile CGM System knows when a typical seven day sensor session is over, automatically ending the session in each display device. However, if you need to end the session early, you need to let the system know by manually stopping the sensor session. While the end result is the same (ending a sensor session), the steps differ between the app and receiver. If you’re using both, no need to stop the sensor session in each: the other display will see the session has stopped.
(Continued from previous page) Step What you see 3 What it means What you do Blue “?” icons provide additional information. Tap Stop Sensor. Confirms sensor session has ended. 4 Ready for new session. Remove sensor. Insert new sensor. Tap green circle when ready for new session. Receiver: Ending a Sensor Session Early Step What you see 1 What it means What you do Go to Main Menu. Press Select.
(Continued from previous page) Step What you see 2 What it means What you do Ends sensor session. Press Down Arrow to Stop Sensor. During session, Stop Sensor option appears. Press Select. 3 Thinking screen. Wait. 4 Confirms you want to stop sensor. Press Select. Return to Main Menu. 5 Ready to start a new session. Remove sensor. Not in active session, Start Sensor option appears. Press Start Sensor when ready for new session. Insert new sensor.
Step What you see What it means What you do 1 Go to Main Menu. Press Select. 2 Shutdown confirmation screen appears. 3 Confirms you want to shut down. Press Down Arrow to Shutdown. Press Select. Press Select. Shuts down receiver. Press Select to turn the receiver back on. It may take up to 20 seconds for the receiver to turn on. Preventing Sensor Failures Sensor failures can happen when your display device doesn’t receive your sensor’s glucose readings.
The app and receiver are ready for a new session! However before you can start a new sensor session, you need to end the current sensor session, and remove the old sensor and transmitter. 8.4 Remove Sensor Pod and Transmitter Remove Sensor Pod Think of the transmitter as being part of the sensor pod. Do not remove the transmitter before removing the sensor pod from your body. To remove the sensor pod: 1. Gently peel sensor pod adhesive patch from skin. a. Sensor wire comes out with sensor pod. 2.
With Safety Lock Step Picture What you do Grasp end of adhesive patch. 1 Peel adhesive patch up and away from your body to remove sensor pod and transmitter. 2 Put sensor pod on flat surface. Place safety latch’s jagged edge: 3 4 • Over transmitters wide edge • In between open slots on sensor pods sides Lift up safety latch. If you no longer have the safety lock, don’t worry! You can use your fingers to remove the transmitter from the old sensor pod.
Without Safety Lock Step Picture What you do Grasp end of adhesive patch. 1 Peel adhesive patch up and away from your body to remove sensor pod and transmitter. 2 Put sensor pod on flat surface. 3 Grasp sensor pod’s wide end with two hands and place fingers in side’s open slots. 4 Pull tabs away from transmitter. 8.
Transmitter Battery Messages Device What you see What it means Smart Device: Lock Screen Smart Device: In App Battery will expire in three weeks. Order a new transmitter.
(Continued from previous page) Device What you see What it means Smart Device: Lock Screen Smart Device: In App Battery will expire in two weeks. Order a new transmitter.
(Continued from previous page) Device What you see What it means Smart Device: Lock Screen Smart Device: In App Battery will expire in one week. Order a new transmitter. Receiver To make sure you have a transmitter that’s ready for a new sensor session, you may want to reorder a new one at store.dexcom.com, by calling Customer Service (see Section 16.1), or through the channels you used before, at your first low battery prompt.
Smart Device Your smart device prompts you with a triple beep. If not cleared, you receive the triple beep twice, five minutes apart. Receiver The receiver alerts you with an initial vibration prompts. If not cleared, you receive a vibrate/beep twice, five minutes apart.
NEXT STEPS - GETTING THE MOST OUT OF YOUR DEXCOM CGM • Reading Trend Graph Screens and Recognizing Trends • Events • Alarm and Alerts • Sounds for Alarm, Alerts and System Messages
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Chapter 9 Next Steps: Home Screen, Rate of Change Arrows, and Errors 9.1 Introduction to Home Screens In the previous chapter, you learned about calibrations: why they are important and how to do complete them. Within five minutes of your final calibration your sensor glucose readings begin! In this chapter, you’ll learn three things.
CONTRAINDICATION Don’t: Never take any medications containing acetaminophen during your sensor session. Why: Taking medications with acetaminophen (such as Tylenol or Excedrin Extra Strength) while wearing sensor may falsely raise sensor glucose readings. Level of inaccuracy depends on: 1. Amount of acetaminophen active in your body. 2. May be different for each person. Consequences: Without correct readings you might miss a severe low event.
No matter how you hold it the receiver’s view does not change; the Dexcom G5 Mobile App has two ways to view data based on how you hold your smart device: 1. Vertically in portrait: 3-hour trend information with task bar. 2. Horizontally in landscape: 1, 3, 6, 12 or 24 hour trend information without task bar. This section first familiarizes you with the app’s home screen, then with the receiver’s home screen.
Task Bar App Name What it means What you do Task Bar: Complete Tasks Tap Main Menu icon to access: Main Menu Goes to other options. • • • • Alerts Settings Help Start/Stop Sensor BG Meter with red circle Calibration Prompt. and number Tap icon and enter fingerstick BG value (see Chapter 7). BG Meter without red circle Do nothing. Event No need to calibrate. Enter different events capturing activities affecting your glucose.
Glucose Information App: Portrait App: Landscape What it means Home Screen In Landscape mode, tap on the trend view you want to see at the top of the screen: 1, 3, 6, 12, or 24 historical trend views. Number: Most recent sensor glucose reading. Shown in milligrams per deciliter(mg/dL). 1. Yellow: At or above target 2. Gray: Within range 3.
(Continued from previous page) App: Portrait App: Landscape What it means Historical Readings Turn smart device to Landscape mode. Tap time, shows timeframe’s sensor glucose reading. N/A Slide finger across screen to view rest of day’s sensor glucose readings. N/A Rate of Change Arrow Direction and number of arrows show sensor glucose change rate.
(Continued from previous page) App: Portrait App: Landscape What it means Sensor Glucose Reading Range Shows between 40-400 mg/dL. Within Glucose Range and Alert Levels 1. Yellow Bar: High Alert level 2. Gray Background: Within range 3.
(Continued from previous page) App: Portrait App: Landscape What it means Trend Graph Timeframe Default is most recent 3 hours. Turn smart device to Landscape mode for most recent 1, 3, 6, 12, and 24 hour readings. Additional Ways to View Your App’s CGM Information The Dexcom G5 Mobile App offers more ways to check on your CGM information apart from opening the app.
The Dexcom G5 Mobile Widget in the Apple Today View Check your CGM information on your smart device without needing to open the app, even when the device is locked. Your Dexcom G5 Mobile App provides a widget for your Today view that’s accessed by swiping down from the top edge of the screen. Sensor Glucose Reading Trend Arrow Trend Graph Figure 7. The Dexcom G5 Mobile App widget in the Today view. You can edit your widgets by clicking on the Edit button at the bottom of the Today view.
To set up Dexcom G5 Mobile on your Apple Watch you’ll need to use the Watch app located on your smart device. See your Apple Watch instructions for more detail on setting up an app on the watch. Your Apple Watch will only communicate with your smart device, not the Dexcom G5 Transmitter. You will not receive alerts, alarms, and other notifications on the watch unless it is connected with your smart device.
Status Bar Glucose Information Figure 9. Home Screen on Receiver Status Bar Receiver Name What it does Status Bar Provides at a glance information about the receiver, system, or you. Icons will change based on current data. Battery Shows battery level. Bluetooth Shows Bluetooth connection is working. What you do Review and take appropriate action. When low, plug micro USB cable into receiver. Plug USB into the adapter and then into electrical outlet. Do nothing.
(Continued from previous page) Receiver Name What it does What you do Shows most recent sensor glucose reading. Color of status bar changes: Sensor Glucose Reading Trend Arrow • Yellow: At or above target • Gray: Normal range • Red: At or below target Shows direction and speed your glucose is changing. Take appropriate action. Review and take appropriate action based on fingerstick BG value. Far right. Status Area Error icons and calibration prompts. Take appropriate action.
Glucose Information Receiver What it does Home screen. Number: Most recent sensor glucose reading. Shown in milligrams per deciliter (mg/dL). Color of status bar changes: • Yellow: At or above target • Gray: Normal Within range • Red: At or below target Historical Readings Default is most recent 3 hours. Press Up/Down Arrows to access 1, 3, 6, 12, or 24 hour trend views. Rate of Change Arrow Direction and speed of your glucose changes. Sensor Glucose Reading Range Shows between 40-400 mg/dL.
(Continued from previous page) Receiver What it does Glucose target range Alert settings. • Yellow Bar: High Alert setting • Gray Fill: Normal range • Red Bar: Low Alert setting Now you’re familiar with the basic layout of the trend graph screen, can locate readings, identify color coding, and view time frames. Let’s take a closer look at the rate of change arrows. 9.
(Continued from previous page) App Receiver What your glucose is doing Glucose rising 2-3 mg/dL each minute or up to 45 mg/dL in 15 minutes. Glucose rapidly rising more than 3 mg/dL each minute or more than 45 mg/dL in 15 minutes. Glucose is slowly falling 1-2 mg/dL each minute or up to 30 mg/dL in 15 minutes. Glucose is falling 2-3 mg/dL each minute or up to 45 mg/dL in 15 minutes. Glucose is rapidly falling more than 3 mg/dL each minute or more than 45 mg/dL in 15 minutes.
App 1. If screen is locked: a. Swipe message to go to app. 2. Within app: a. Read message. i. Tap Question Marks for more information and follow steps as appropriate. Receiver 1. Press Select to clear message. You will not get any sensor glucose readings or rate of change arrows on either display device until the error is resolved. Check with your BG meter to monitor your glucose during these error periods.
(Continued from previous page) Bluetooth Off Smart Device: Lock Screen Smart device: 1. Exit app. 2. Tap Settings. 3. Tap Bluetooth. 4. Turn Bluetooth on. Smart Device: In App Receiver N/A; Bluetooth is always on.
(Continued from previous page) System Found Temporary Sensor Issue Smart Device: Lock Screen N/A Don’t calibrate. Smart Device: In App System may correct problem on its own and display sensor glucose readings again. If prompt stays for three hours: Contact Technical Support (see Section 16.1). Receiver Transmitter and Sensor not Communicating Smart Device: Lock Screen N/A Wait three hours while the transmitter tries to fix the error. Do not enter calibrations during this time.
(Continued from previous page) Calibration Required Smart Device: Lock Screen Smart Device: In App Error in calibrating. Enter another BG meter value. Receiver Calibration Error Smart Device: Lock Screen N/A Smart Device: In App Wait 15 minutes. Enter a BG meter value.
(Continued from previous page) Display Devices and Transmitter not Communicating Smart Device: Lock Screen Wait 10 minutes. Smart Device: In App Move display device and transmitter within 20 feet of each other without obstruction (walls or water). Wait up to 30 minutes. Receiver In app (if not resolved): 1. Tap Settings. 2. Tap Bluetooth. 3. Turn Bluetooth Off and On.
Chapter 10 Next Steps: Daily Events Affect Your Glucose Trends and Patterns 10.1 Introduction Your daily activities can impact your glucose trends and patterns. In the previous chapter, you learned how to read your glucose trend screens; in this chapter, you learn how to enter situations, or “Events”. By tracking Events, you can determine how certain actions or circumstances affect your glucose levels.
You can use the reports with your healthcare professional to create a game plan in managing your diabetes. Even though they differ on how to enter an Event and time, the app and receiver have the same Event categories and subcategories. Later in this chapter, you’ll learn how to enter Events in each device. Event Categories There are four main Event categories: 1. Carbs 2. Insulin 3. Exercise 4.
Events Menu Device What you see What it means What you do Carbs Smart Device: In App How many grams did you just eat? Receiver’s screen reflects last number entered. Enter Carb grams per snack or meal, up to 250 grams.
(Continued from previous page) Device What you see What it means What you do Insulin Smart Device: In App Receiver’s screen reflects last number entered. Enter insulin units for each dose, up to 250 units. Can’t enter type of insulin, only dosage.
(Continued from previous page) Device What you see What it means What you do Exercise Smart Device: In App Defaulted at 30 minutes. Select each exercise’s intensity level and duration. Enter intensity and duration. Type of exercise isn’t an option.
(Continued from previous page) Device What you see What it means What you do General well being. Enter different health Events (see following Health Events Menu table).
(Continued from previous page) Device What you see What it means What you do Event time. For each separate Event, enter date/time Event began. Event Time Smart Device: In App Receiver As mentioned in the last table, Health has a series of Events. Tell the system how you are feeling, if you had a drink, if you’re having low or high BG symptoms, etc. You select the Event: no amounts are entered, just date and time.
Health Events Menu Device What you see What it means Health Main Menu Smart Device: In App Use Health Main Menu to access selections.
(Continued from previous page) Device What you see What it means Health Events Smart Device: In App Illness Have a cold, flu, or any other temporary illness affecting your well-being? Stress Are you under stress? Feeling anxious? High Symptoms Feel high BG symptoms? Low Symptoms Feel low BG symptoms? Cycle Have you started your menstrual cycle? Alcohol Had a glass of wine, beer, or cocktail? Receiver You can have multiple Events in a single day, or even during the same time frame and enter them all
For your convenience (and safety!), no need to stop everything and enter your Events as they are happening. When you have a moment, you can enter your Events retroactively in your app or receiver. Events are meant to be entered as individual occurrences: don’t enter daily totals, enter each Event separately. In the next section, you will learn how to enter Events, first in your smart device, then into the receiver. 10.
(Continued from previous page) Enter Carb Event Tap Carbs. 2 Add up all carb grams from lunch. Enter “85” using keypad. 3 Tap Done.
(Continued from previous page) Enter Carb Event Tap Event Time. 4 Scroll and select date and time. 5 Tap Done.
(Continued from previous page) Enter Carb Event Tap Save or Cancel. 6 Enter Stress Event 7 Tap Running Man. 8 Tap Health.
(Continued from previous page) Enter Stress Event Tap Stress. 9 Tap Done. Tap Event Time.
(Continued from previous page) Enter Stress Event Scroll and select date and time. 11 Tap Done. Tap Save or Cancel.
