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%

6. Press and hold the power button for two seconds to turn the receiver on. Wait 15 seconds for the loading screen to display. After that the welcome screen will display.
Once you turn the receiver on, it will guide you through the setup process.

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. 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. You should always enter a sensor code. Without a sensor code, daily calibrations are required. The receiver 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 receiver 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.

13. We will go over these steps on the next few screens.

14. Make sure to insert the same sensor as the sensor code you entered.
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.
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.

17. Once you have inserted your sensor and attached your transmitter, start pairing by hitting Yes on the receiver. The transmitter starts the pairing process. Press Next on the Pair Successful screen.

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 warm-up period has ended. Keep receiver within 20 feet of the transmitter during the sensor warmup.

19. The receiver 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 you when your readings are outside your target ranges.
Alerts can be customized or turned off in settings.
By default both the 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.

24. From your main menu you can choose your Alert sounds
From your main menu you can choose your Alert sounds. The sound you choose will apply to all alerts (low and high). The default sound is Normal. The high and low alert will vibrate first. There will be no audible beep if you confirm the alert after the first vibration. The following alerts will always sound:  Urgent Low, Urgent Low Soon, Sensor Failed, Transmitter Error Alerts
To change go to Menu and tap Sounds
Vibrate: Use when you want to be alerted by vibration instead of sound.
Exception: Urgent Low, Urgent Low Soon, Sensor Failed, Transmitter Error Alerts will still make a sound. It will alert you by vibration first, followed by beeps 5 minutes later if not confirmed.
Soft: Can be used when you want your alert to be discreet. This sets all Alarm/Alerts to lower volume beeps.
Normal: This is the default profile and sets all the Alarm/Alerts to higher volume beeps.
Attentive: Can be used when you want your alert to be noticeable. This sets all Alarm/Alerts to loud with distinctive melodies.
HypoRepeat: Can be used when you want extra alerts for severe low sensor glucose readings. This profile will keep repeating the Urgent Low Glucose Alarm every 5 seconds until confirmed or until your reading rises above 55 mg/dL.
Choose Test Sound to hear an example of your selected alert profile.

25. To get more information about an issue or error, tap on the alert
To get more information about an issue or error, tap on the alert. A screen will appear with troubleshooting information.

26. Your sensor automatically shuts off after 10 days
Your sensor automatically shuts off after 10 days. Your G6 receiver 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 (receiver, 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 receiver on before take-off and in flight. If you use a smart device, put the 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.
After signing in the first time at clarity.dexcom.com, you’ll see instructions to install the Dexcom CLARITY Uploader software. You must have the CLARITY Uploader installed on your computer to upload data from your receiver to CLARITY. Connect your Dexcom receiver to your computer using the USB cable supplied with your Dexcom G6.

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