Dexcom G4 PLATINUM Quick Start Manual

CONTINUOUS GLUCOSE MONITORING SYSTEM
7 Simple Steps
to Start
Quick Start Guide
Congratulations on making the Dexcom G4 PLATINUM Continuous Glucose Monitoring
(CGM) System a part of your life!
When you use the Dexcom G4 PLATINUM CGM System, you will see real-time continuous
sensor glucose readings every 5 minutes for up to 7 days. These readings can help you find
trends and patterns in your glucose levels, allowing you to see where your glucose levels
have been, which direction they are headed, and how fast they are rising or falling.
Before you begin, and anytime you have questions, review the Dexcom G4 PLATINUM
System User's Guide and Tutorial Disc from your Dexcom G4 PLATINUM CGM System
Receiver Kit.
This guide has seven simple steps to set up and use your Dexcom G4 PLATINUM CGM
System. If you need help with your system, contact your local distributor.
WARNING: Review all indications, contraindications, warnings, precautions
and detailed procedures in the Dexcom G4 PLATINUM System User's Guide
prior to using your Dexcom G4 PLATINUM Continuous Glucose Monitoring
System.
Step 1
Getting to Know Your CGM Device
Your Dexcom G4 PLATINUM Continuous Glucose Monitoring System is
made up of 3 components: the receiver, the transmitter, and the sensor.
Dexcom G4 PLATINUM Receiver
UP button
Status area
RIGHT
button
High
Alert
SELECT
button
Low
Alert
LEFT
button
DOWN
button
The receiver is the small hand-held device that looks like a cell phone. It
shows your sensor glucose readings, trend graph, direction and rate of
change arrow.
Press the UP and DOWN buttons to scroll through trend screens, highlight
menu items, or set values.
Press the SELECT button to turn the receiver on or select the highlighted
option.
Press the LEFT button to go back to the last item or screen.
Press the RIGHT button to highlight the next item.
• A red line across the trend screen shows the low alert level.
• A yellow line across the trend screen shows the high alert level.
Getting to Know Your CGM Device (continued)
Dexcom G4 PLATINUM Transmitter (DO NOT THROW AWAY!)
The transmitter is the grey "chip" that snaps into your sensor pod.
Keep your transmitter within 6 meters of your receiver without obstruction
even during the 2-hour startup period.
The transmitter battery will last at least 6 months. The
Transmitter Low Battery screen will first show when
there is about 1 week of battery life left. Replace your
transmitter as soon as possible after you see this
screen.
Transmitter Low Battery
screen
Dexcom G4 PLATINUM Sensor Applicator (Disposable)
Plunger
Safety lock
Applicator barrel
(Contains small
introducer needle Collar
and sensor)
Transmitter latch Sensor pod
Release tab
The sensor is the piece that is inserted and worn on
your skin for the whole session (up to 7 days). If you
have a problem with a sensor session, keep the sensor
until you speak with your local distributor.
Sensor
Step 2
Setting Up Your Device
Activating Your Transmitter:
Take the transmitter out of its tray and wait 10 minutes for
it to "turn on."
Transmitter in box
Charging Your Receiver:
Charge the Dexcom G4 PLATINUM Receiver fully before you
begin. A full charge can take up to 5 hours and will last about 3
days. Open the USB port cover to charge your receiver.
Keep the USB port cover closed when receiver is not
being charged.
There are two ways you can charge your receiver:
Receiver USB
a. Plug the USB cable into the AC power adapter.
port cover
Then plug this adapter into an AC power
outlet (such as a wall outlet), and plug the
other end of the cable into your receiver.
OR
b. Plug the USB cable into your computer, and
plug the other end of the cable into your
receiver. You must install the Dexcom Studio USB cable plugged into
software first.
receiver
The battery charging screen will appear first.
After a few seconds, the battery charging symbol will show in the upper
left corner of the 3-hour trend graph (home screen). When the receiver is
fully charged, the battery charging symbol will be completely gray.
NOTE: You will keep getting sensor glucose readings while the receiver is
charging during a sensor session. A Low Battery warning on the receiver will
alert you when it needs to be charged.
Setting Up Your Device (continued)
Setup Wizard:
Press the SELECT button to turn the receiver on. The Setup Wizard will
walk you through the steps to set your Language, Time Format, Time/Date,
Transmitter ID and Low/High Alerts.
NOTE: The units of glucose measure (mg/dL) are set with the device and
cannot be changed.
The Setup Wizard will only start when you set up your Dexcom G4
PLATINUM Receiver for the first time.
Setting Language:
a. Press the UP or DOWN button to scroll to your desired
language.
b. Press the SELECT button to set the highlighted
language.
Language menu,
English highlighted
Setting Time Format:
Time formats available are either 24 hour or 12 hour (AM/PM) settings.
a. Press the UP or DOWN button to choose your desired
time format.
b. Press the SELECT button to set the highlighted time
format.
Time Format menu,
24 Hour highlighted
Setting the Time/Date:
a. Press the UP or DOWN button to enter each number
or value.
b. Press the RIGHT or SELECT button to move to the
next section.
c. After adjusting the time, press the SELECT button to
Setting Time/Date
accept changes.
screen
Setting Up Your Device (continued)
Setting Your Transmitter ID:
Your transmitter ID makes it possible for your transmitter and receiver to
communicate with each other.
a. Find the transmitter ID on the back of your
transmitter.
The information on the back of
your transmitter may not exactly
match the picture above.
b. Press the UP or DOWN button to enter the
letter or number in each space.
c. Press the RIGHT or SELECT button to move
to the next space.
d. After entering the last space, press the
Setting Transmitter
SELECT button to accept changes.
ID screen
NOTE: You can only enter your transmitter ID when
you are not in an active sensor session.
Setting Your Low/High Glucose Alert Levels:
The low and high alert level defaults are 80 mg/dL
and 200 mg/dL but can be changed or turned off.
a. Press the UP or DOWN button to change your
low alert level between 60-100 mg/dL.
b. Press the SELECT button to accept your level.
Setting Low Alert screen
c. Repeat steps a and b to set your high alert level
between 120-400 mg/dL.
NOTE: There is also a non-adjustable 55 mg/dL
low alarm.
Setting High Alert screen
Your receiver will show the 3-hour trend graph (home screen) after you finish
the Setup Wizard.
Step 3
Setting Your Alert Profile
You can choose receiver "alert profiles" with different sounds and volumes to
fit your needs.
Your alert profile options are:
"Vibrate" can be used when you want to silence the receiver and be
alerted by vibration. Under this profile only the fixed low alarm at 55
mg/dL will make a sound. It will alert you as a vibration first, followed
by audible beeps 5 minutes later if not confirmed.
"Soft" can be used when you want your alert to be discreet. This sets
all the alerts and alarms to lower volume beeps.
"Normal" is the default. This sets all the alerts and alarms to higher
volume beeps.
"Attentive" can be used when you want your alert to be noticeable.
This sets all the alerts and alarms to loud and with distinctive
melodies.
"HypoRepeat" can be used when you want extra alerts for severe
low sensor glucose readings. This profile is like the normal profile,
but it will keep repeating the fixed low alarm every 5 seconds until
confirmed or until your sensor glucose reading rises above 55 mg/dL.
Use the "Try It" feature under the Profiles option in the
Main Menu to hear an example of each alert profile.
Follow these steps to set your alert profile:
a. From any trend graph, press the SELECT button to get
to the Main Menu.
Profiles menu,
b. Press the DOWN button to highlight Profiles. Press Try It highlighted
the SELECT button.
c. Press the UP or DOWN button to highlight the alert
profile you want to use.
d. Press the SELECT button. A will appear to the right of the profile you
chose.
NOTE: No matter what profile you set, all alerts and alarms will notify you by
vibrating first. There will be no beep if you confirm the alert or alarm after the
first vibration.
Step 4
Inserting the Sensor
Before you begin, make sure you have your transmitter, receiver, sensor, and
alcohol wipes. Skin preparation or adhesive products (Mastisol, SkinTac) are
optional. Wash your hands thoroughly, and dry them.
a. Choose a site for the sensor that is at least 7.62 cm from your insulin
pump infusion set or injection site and out of the way of your waistband.
Avoid areas that are likely to be bumped or pushed or areas of your skin
with scarring, tattoos or irritation.
• Adults age 18 or older: insert in the belly (front of body, option A).
• Children and adolescents between 2 and 17 years old: insert in the
belly (front of body, option A) or the upper buttocks (back of body, option
B).
Step a: Front of body (ages 2 and older) Back of body (ages 2-17 only)
b. Clean your skin at the sensor placement site with an alcohol wipe. Let dry.
c. If you use an optional skin preparation or adhesive product, place it on
the skin in a "doughnut" shape where you will place the sensor adhesive
patch. Insert the sensor through the clean skin at the center of the
doughnut where it is free of skin preparation or adhesive products. Let dry
(skin may feel tacky).
d. Remove the sensor from its packaging.
e. Remove the adhesive backing from the sensor pod one
half at a time.
Step e
Inserting the Sensor (continued)
f. Place the sensor horizontally, NOT vertically, on your
skin. Move your fingers around the adhesive patch to
secure the tape to your skin.
Step f
g. Hold the applicator, and pull the
safety lock straight out away from the
applicator, in the direction of the arrows
in the picture. Save the Safety Lock to
help you remove the transmitter at the
Step g
end of your sensor session.
h. Place the fingers of one hand at the edge of the white adhesive (at the
opposite side of the sensor from the transmitter latch). You may pinch up
on your skin using this hand.
i. While still pinching, use your other
"2 CLICKS"
hand to place two fingers above the
collar (see picture). Place your thumb
on the white plunger and push down
completely. You should hear 2 clicks.
Step i
j. Move your 2 fingers from above the collar to below the
" 2 CLICKS"
collar. Keep your thumb lightly on top of the white plunger
and pull the collar back towards your thumb until you
hear 2 clicks or cannot pull back any more.
Step j
k. Make sure the transmitter latch is down (against your
body). Squeeze the center of the ribbed tabs on the sides
of the sensor pod. Rock the applicator barrel forward and
out away from your body.
Step k
Attaching Your Transmitter:
a. Clean the back of your transmitter with an alcohol wipe. Let dry.
b. Place the transmitter in the sensor pod (with
the flat side down, and the narrower side
away from the transmitter latch).
Install transmitter in sensor pod
Attaching Your Transmitter (continued)
Transmitter Latch
Transmitter Installed
c. Place one finger on the transmitter to
keep it in place. With your other hand,
pull the transmitter latch up and forward
until you hear 2 clicks.
Side view of transmitter in sensor pod
d. Hold the sides of your sensor pod with one hand.
Remove the transmitter latch with the other hand by
quickly twisting off the latch away from your body.
Step 5
Twist Transmitter
Starting Your Sensor Session
Latch Up or Down
Once you have inserted the sensor and attached the transmitter, you need to
start the sensor session on your receiver.
a. From any trend graph, press the SELECT button to get to the Main Menu.
b. Press the DOWN button to highlight Start Sensor. Press
the SELECT button. The Start Sensor screen will let you
know your sensor 2-hour startup period has begun.
c. Check your receiver 10 minutes after starting your sensor
session to make sure your receiver and transmitter are
communicating. The antenna symbol ( ) should be Start Sensor
in the upper left corner of the trend graph. If the Out of "thinking" screen
Range symbol ( ) shows in the upper right corner of
the trend graph instead, see the Dexcom G4 PLATINUM
System User's Guide for more information.
d. A 2-hour countdown symbol will show on the receiver trend screen and will
fill in during the 2-hour startup period.
Start [0-24 [24-48 [48-72 [72-96 Ready for
minutes] minutes] minutes] minutes] calibration
Countdown symbol fills in during sensor startup. When you see
any of these symbols, you will get NO glucose readings or alerts.
NOTE: You will get NO glucose readings or alerts until after the 2-hour
startup ends AND you complete the startup calibration.