2. Today we are going to cover….

3. Real time continuous sensor readings every 5 minutes
10 day sensor wear
Can help you identify trends and patterns in your glucose levels
Allows you to see where your glucose has been, which direction it is going and how fast it is rising or falling
Understanding your glucose trends may help you take action to help avoid high or low glucose values
No fingersticks needed to make diabetes treatment decisions

4. Two different types of body fluids: interstitial fluid (Dexcom G6) and blood (meter)
Readings can be different and still be considered accurate
80 mg/dL or less, plus or minus 20 points
80 mg/dL or more, plus or minus 20%

5. Make sure you have a compatible smart device
Make sure you have a compatible smart device. Not every Apple and Android device is supported. If you do not have a compatible smart device you will not be able to download the app.

6. Download the app from your app store
Download the app from your app store. Remember if you do not have a compatible smart device you will not be able to download the app. For a list of compatible devices see: dexcom.com/compatibility
If you have the Dexcom G5 Mobile app installed you should delete it before installing the Dexcom G6 app.

7. Login using existing Dexcom account (same as store) or create a new account.

8. The app walks you through the entire setup process step by step
The app walks you through the entire setup process step by step. Just follow along in the app and you will have a successful setup.
The first few screens provide informational screens and videos. Watch these videos and read the information screens.
Next we will walk through a few of the important steps you will see during your app setup.

9. The Urgent Low Glucose Alarm (Alarm) is set at 55 mg/dL and cannot be changed or turned off.
The Alarm will repeat every five minutes until you clear the Alarm. If you clear the Alarm and your readings do not go over 55 mg/dL in the next 30 minutes, you will get another Alarm.
The Urgent Low Soon Alert sounds when you will be 55 in less than 20 minutes. This alert can be turned off in settings.
Depending on how quickly the patient will be at 55 mg/dL, they either get their Urgent Low Soon Alert or their Low Alert:
Within 20 minutes = Urgent Low Soon Alert
Not that fast = Low Alert

10. During setup you will be asked to set your low and high alert
During setup you will be asked to set your low and high alert. You should work with your healthcare professional to determine which low and high alert would be best for you.
Low Alert (Set between mg/dL) You receive your low alert when your glucose level falls below the level you set.
High Alert (Set between mg/dL) You receive your high alert when your glucose level rises above the level you set.
It is important to understand that by default both your low and high alert will vibrate only on the first alert. If you do not tap OK on the alert, in 5 minutes you will be alerted again. This time with a vibration and a sound.

11. Sensor Code
Your sensor code is on the sensor applicator. Only enter the sensor code from the sensor you are going to insert. Without a sensor code, daily calibrations are required. You can enter the sensor code by taking a photo of the code or by entering the numbers manually. The app alerts you for calibrations. See your User Guide for calibration information.

12. Transmitter SN
Entering the transmitter SN makes it possible for the transmitter and app to talk to each other and share glucose information.
The transmitter SN can be found on the back of the transmitter box or on the back of the transmitter. You can enter the sensor code by taking a photo of the code or by entering the numbers manually

13. The app provides you with a video on how to insert your sensor and attach your transmitter. We will go over these steps on the next few screens.

14. Choose an insertion site on the belly (age 2 years and older) or the upper buttocks (ages 2-17 years). Avoid scars, hair, tattoos, irritation, boney areas, areas where the sensor can be rubbed (waist band, seat belt), and insulin injection sites. Wash your hands and clean your insertion site with alcohol and let dry.
Optional Step: Skin Adhesive
Create an empty oval on the skin with the skin adhesive, such as Mastisol or SkinTac.
Let skin adhesive dry.
Insert sensor on clean skin in center of oval.

16. Once the transmitter is snapped in you can shower or swim like normal

17. Once you attach your transmitter it will need to be paired
Once you attach your transmitter it will need to be paired. Pairing happens automatically on Android devices. You will need to hit Pair on the Bluetooth Pairing Request on Apple devices.

18. Once pairing has occurred the sensor can be started
Once pairing has occurred the sensor can be started. Tap Start Sensor to begin 2-hour sensor warmup. There will not be any glucose readings or alerts until the 2-hour warmup period has ended. Keep smart device within 20 feet of the transmitter during the sensor warmup.

19. After the 2 hour warmup the beginning of a trend graph will appear
After the 2 hour warmup the beginning of a trend graph will appear. The app must be within 20 feet of the transmitter to receive glucose information.

21. Trend Arrows show the direction and speed of glucose change
Trend Arrows show the direction and speed of glucose change. Trend arrows can help you catch highs and lows before they happen.

22. After the 2-hour warmup you will start receiving Alarm and Alerts
After the 2-hour warmup you will start receiving Alarm and Alerts. The Urgent Low Glucose Alarm (Alarm) is set at 55 mg/dL and cannot be changed or turned off.
The Alarm will repeat every five minutes until you clear the Alarm. If you clear the Alarm and your readings do not go over 55 mg/dL in the next 30 minutes, you will get another Alarm.
The Urgent Low Soon Alert sounds when you will be 55 in less than 20 minutes. This alert can be turned off in settings.
Depending on how quickly you will be at 55 mg/dL, you either get their Urgent Low Soon Alert or their Low Alert:
Within 20 minutes = Urgent Low Soon Alert
Not that fast = Low Alert

23. Low and high glucose alerts tell the patient when their readings are outside their target ranges.
Alerts can be customized or turned off in settings. During initial set up, patients will be prompted to establish low and high alert levels.

24. Always Sound ensures Alerts will sound when the patients device is on silenced or on Do Not Disturb*.
For example, they want to silence their phone during school, but still hear their Low Alert. To do this, they would turn on Do Not Disturb in phone settings, and turn on Always Sound in the Dexcom app.
* On Android, all Alarm/Alerts are silenced when using the most restrictive Do Not Disturb setting. On Apple, Signal Loss Alert can’t sound in Silent or Do Not Disturb.
Always Sound can be turned on or off here: Menu > Alerts > Always Sound.   
For safety, turning off Always Sound won't silence:
• Urgent Low Alarm
• Transmitter Failure Alert
• Sensor Failure Alert

25. If an error screen appears, you can tap the Help button in the app to get more information about the issue or error.

26. Your sensor automatically shuts off after 10 days
Your sensor automatically shuts off after 10 days. Your G6 app alerts you when you have 6 hours left in your session, then 2 hours, and finally, 30 minutes. You can end your session anytime during this period or wait for your final alert letting you know your session has ended.

27. Once your sensor session has ended you need to peel the sensor and transmitter off the body together. Bend and break the lip of the transmitter holder to release the transmitter. Remove the transmitter from transmitter holder. Remember to keep your transmitter for use with your next sensor. You use each transmitter for 3 months.
To start getting readings again:
enter in your new sensor code
insert a new sensor and attach your transmitter
start your new sensor session

28. Use a meter any time a number and arrow are not seen.
Always use your meter if symptoms don’t match readings. You know your body, listen to it. For example, you don’t feel right but your readings show your in target. Use your meter.

29. Go through walk-in metal detectors or be hand-wanded without worrying about damaging your transmitter or sensor. If you’re uncomfortable walking through the metal detector, the Transportation Security Administration (TSA) requests you tell the Security Officer you’re wearing a continuous glucose monitor and want a full-body pat-down with a visual inspection. Let the Security Officer know the sensor can’t be removed because it’s inserted under the skin.
Don’t use full body scanners (also called AIT or millimeter wave scanners). These have not been tested and may affect the system.
Don’t put Dexcom G6 components (extra transmitters or sensors) through baggage x-ray machines.
Ask the TSA Officer to perform a visual inspection. Place all components in a separate bag before handing over.
The Dexcom G6 is safe for use on U.S. commercial airlines. You can keep your app on before take-off and in flight. Put your smart device in airplane mode but keep Bluetooth on to receive glucose information.

30. Dexcom CLARITY® software is another important part of your Dexcom experience. CLARITY highlights your glucose patterns, trends and statistics. Share with your clinic and monitor improvements between visits.
Your app automatically sends your glucose information to Dexcom Clarity.

31. Additional webinars – check website for updated
Additional support – Team available