Dexcom G6 User Manual

Dexcom G6 User Manual

Continuous glucose monitoring system
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Continuous Glucose
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User Guide

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Summary of Contents for Dexcom G6

  • Page 1 Continuous Glucose Monitoring System User Guide...
  • Page 3 If your glucose alerts and readings from G6 do not match your symptoms or expectations, use a fingerstick blood glucose value from your blood glucose meter to make diabetes treatment decisions. Seek medical attention when appropriate.
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  • Page 5: Table Of Contents

    4.1 Introduction ..... . 43 4.2 G6 CGM System ....43 8.1 Introduction .
  • Page 6 Your G6 . . . . . . . . . . . . . . . . . . . .
  • Page 7 Index . . . . . . . . . . . . . . . . . . . . . . . . . 355 Dexcom G6 System User Guide ®...
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  • Page 9: Part 1: Get Started

    Get Started • Get Started • Indications for Use and Safety Statement • Risks and Benefits...
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  • Page 11: Chapter 1 | Begin Your Dexcom G6

    1.1 Introduction Welcome to the G6 continuous glucose monitoring (CGM) family! This User Guide supports you in getting to know your G6. We also have numerous other resources available to help you to get the most out of your G6.
  • Page 12 • Start Here guides you through setting up your display devices, inserting your sensor, and starting your first sensor session • Using Your G6 helps you during your first week (for example, how to read the home screen) and beyond User Guide This User Guide is your encyclopedia.
  • Page 13 The G6 User Guide is grouped into four parts: Part 1: Get Started • Chapter 1: Begin Your Dexcom G6 Continuous Glucose Monitoring System (G6) Journey • Chapter 2: Indications for Use and Safety Statements • Chapter 3: Risks and Benefits Part 2: Let’s G6! The Basics...
  • Page 14: Your Dexcom Account

    Symbols may be found on the sensor, transmitter, and receiver package labels. These symbols tell you about the proper and safe use of the G6. For a listing of what they mean, see the Symbols Glossary in Appendix G and at dexcom.com/symbols.
  • Page 15: Glossary

    Blood glucose value is the amount of glucose in the blood (BG) Value measured by a meter. A technology that allows devices to wirelessly communicate with Bluetooth each other. Dexcom G6 ® System User Guide Chapter 1: Begin Your Dexcom G6 Continuous Glucose Monitoring System (G6) Journey...
  • Page 16 It’s important to treat hyperglycemia. If left untreated, Hyperglycemia hyperglycemia can lead to serious complications. The default High Alert in the G6 is set to 200 mg/dL. Consult your HCP (healthcare professional) to determine the appropriate hyperglycemia setting for you.
  • Page 17 It’s important to treat hypoglycemia. If left untreated, Hypoglycemia hypoglycemia can lead to serious complications. The default Low Alert in the G6 is set to 80 mg/dL. Consult your HCP to determine the appropriate hypoglycemia setting for you. How, for what purposes, and under what circumstances you Indications should use the G6.
  • Page 18 Bluetooth headset, Apple watch, or other smart watch. A safety statement regarding any special care to be exercised by Precaution you or your HCP for the safe and effective use of the G6. Safety A statement of the intended uses of G6 and relevant warnings, Statement precautions, and contraindications.
  • Page 19: What Was Covered And What's Coming

    • Locate different training resources • Explain why you need a Dexcom account What’s Next? Next you’ll learn when and how to use the G6 safely. Dexcom G6 ® System User Guide Chapter 1: Begin Your Dexcom G6 Continuous Glucose Monitoring System (G6) Journey...
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  • Page 21: Chapter 2 | Indications For Use And Safety Statements

    In this chapter, you will learn about some key areas that might prevent you from having the best CGM experience or if you are not careful might even harm you or the G6. 2.2 Important User Information...
  • Page 22: Dexcom G6 Safety Statements

    The Dexcom G6 System is also intended to autonomously communicate with digitally connected devices, including automated insulin dosing (AID) systems. The Dexcom G6 System can be used alone or in conjunction with these digitally connected medical devices for the purpose of managing diabetes.
  • Page 23 No number, no arrow, no treatment decision. When in doubt, get your meter out. • Don’t Use If… Do not use the G6 if you are pregnant, on dialysis, or critically ill. It is not known how different conditions or medications common to theses populations may affect performance of the system.
  • Page 24 Use your meter to make treatment decisions during the 2-hour sensor warmup period. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Precautions • Use Correct Sensor Code When you start a new sensor, you must enter a code into your display device to use the G6 without fingerstick calibrations.
  • Page 25 Use fingertips to calibrate from your BG meter. Blood from other places may be less accurate and not as timely. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Precautions • Be Accurate, Be Quick.
  • Page 26 You can store your sensors at room temperature or in your refrigerator – as long as it’s between 36° F and 86° F. Don’t store sensors in the freezer. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Precautions •...
  • Page 27 • Where to Insert: Things to Check Keep the safety guard on until you put the G6 applicator against your skin. If you remove the safety guard first, you may hurt yourself by accidentally pushing the button that inserts the sensor before you mean to.
  • Page 28 Never share your transmitter. The G6 is a prescription-only medical device and is meant for your use only. The transmitter is tied to the G6 readings. If used by more than one person, the G6 readings, reports, alarm/alerts, etc., may be wrong.
  • Page 29 However, with the G6, you can take a standard or maximum acetaminophen dose of 1 gram (1,000 mg) every 6 hours and still use the G6 readings to make treatment decisions. Taking higher than the maximum dose of acetaminophen (e.g. > 1 gram every 6 hours in adults) may affect the G6 readings and make them look higher than they really are.
  • Page 30 • Fall Rate • No Readings Alert • System Alerts: • Calibration Required (after 2-hour sensor warmup, only appears when a sensor code is not active) Dexcom G6 ® System User Guide Chapter 2: Indications for Use and Safety Statements...
  • Page 31 Don’t manually change your smart device time, because it can make the time on the trend screen wrong and the app may stop displaying data. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Dexcom G6 ®...
  • Page 32 After connecting any peripheral devices, make sure that your smart device settings allow you to continue receiving alarms or alerts. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Receiver Safety Statements Warnings •...
  • Page 33 Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Caution • Requires Prescription U.S. law restricts the sale of the G6 Mobile to sale by, or on the order of, a physician. Dexcom Share Safety Statements...
  • Page 34 • Take HCP Advice Has your HCP given you self-monitoring tasks? Keep doing them. Having Followers doesn’t replace them. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Share Setup and Settings Safety Statements Warning •...
  • Page 35 • Check Your Smart Device App on: Whenever you power on your smart device, tap the G6 app to open it. If the app isn’t open, Share won’t work. • Check Followers’ Smart Devices • Sounds on: Followers must keep their smart device volume on, or at least the keep vibration on, so they can hear and/or feel alarm/alerts.
  • Page 36: What Was Covered And What's Coming

    • Can explain how safety statements keep you safe • Can explain how to interpret safety statements • Have an overview of safety statements What’s Next? In the next chapter, you’ll learn the risks and benefits of using the G6. Dexcom G6 ® System User Guide...
  • Page 37: Chapter 3 | Risks And Benefits

    If you aren’t getting your alarm/alerts, you could have severe low or high glucose without knowing it. Check your display device: • Battery charged: If the display device battery is dead, you won’t get G6 readings or alarm/alerts. • App on: Keep the app on so you get G6 readings or alarm/alerts.
  • Page 38 (Appendix H) for more information. Using G6 for Treatment Decisions You can use your G6 to treat for a low or dose for a high in all but these few situations . See table below for details.
  • Page 39: Benefits

    However, with the G6, you can take a standard or maximum acetaminophen dose of 1 gram (1,000 mg) every 6 hours and still use the G6 readings to make treatment decisions. Taking higher than the maximum dose of acetaminophen (e.g.
  • Page 40 Knowing Your Trends The G6 sends you a reading every 5 minutes. It also provides reports and views of your information so you can detect and reflect on trends, patterns, and how your body responds to different things, like exercise or pizza. This provides you with a more complete picture of your glucose and lets you see how your daily habits impact your glucose trends.
  • Page 41 Group. 2017. “The impact of continuous glucose monitoring on markers of quality of life in adults with type 1 diabetes: further findings from the DIAMOND randomized clinical trial.” Diabetes Care. 40(6):736-741. doi: 10.2337/dc17-0133. Dexcom G6 ® System User Guide Chapter 3: Risks and Benefits...
  • Page 42: What Was Covered And What's Coming

    3.3 What Was Covered and What’s Coming Now You Can: • List the risks and benefits of using the G6 What’s Next: Now let’s take a look at the G6! Dexcom G6 ® System User Guide Chapter 3: Risks and Benefits...
  • Page 43: Part 2: Let's G6

    Let’s G6–The Basics • What is the G6? • Set up Display Devices • Start Your Sensor • Calibrate...
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  • Page 45: What Is The G6

    • Alarm/alerts warn you when you need to take action; for example, when your BG is too high or too low. • Trend graphs show the last 1, 3, 6, 12, and 24 hours of your G6 readings. • Share/Follow App allows you to share your G6 readings and trends with your support team.
  • Page 46: What's New For G6

    • Streamlined transmitter and transmitter holder No Fingerstick Calibrations With the G6, there’s no need to calibrate! The G6 was designed as a no calibration system. After entering the sensor code (See Chapter 5), you won’t receive any calibration prompts.
  • Page 47 However, with the G6, you can take a standard or maximum acetaminophen dose of 1 gram (1,000 mg) every 6 hours and still use the G6 readings to make treatment decisions. Taking higher than the maximum dose of acetaminophen (e.g.
  • Page 48 For more information on how to attach the transmitter, go to Chapter 6. After a sensor session has ended, see Chapter 13 about transmitter removal. Dexcom G6 ® System User Guide Chapter 4: What is the G6?
  • Page 49: G6 Components

    4.4 G6 Components The G6 has three key parts. See the table below for details. What you see What it's called What it does Applicator Applicator helps you insert the sensor wire under your skin. Applicator with built-in sensor Sensor...
  • Page 50 Once you’ve set up your G6, it sends G6 readings to your display device every five minutes for up to 10 days. G6 and Previous Dexcom System Components The G6 isn't compatible with previous generations such as the Dexcom G4 PLATINUM CGM System or the Dexcom G5 Mobile system.
  • Page 51: What Was Covered And What's Coming

    4.5 What Was Covered and What’s Coming Now You Can: • Explain what G6 does • List what’s new in G6 • Explain each component’s function Next Steps Your next step is setting up your display device(s). Dexcom G6 ®...
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  • Page 53: Introduction

    5.2 Choose the App, the Receiver, or Both Use the receiver, the app, or both. The receiver is a required component of the G6. You can choose to use the display device that’s best for you. Always keep the receiver nearby as a back-up in case the smart device is not working.
  • Page 54: App

    PRECAUTION Is It On? If the receiver or smart device is turned off (shut down), it will not show G6 readings or alarm/alerts. Make sure your display device is turned on. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event.
  • Page 55 • Notifications on: • Enable Dexcom app notifications so you get alarm/alerts. • Make sure you allow Dexcom app notifications to show on your locked screen. • Battery charged: The app must always be running in the background and may drain your battery.
  • Page 56 • Calibration Required (after 2-hour sensor warmup, only appears when a sensor code is not used) • Calibration Error (only appears when a user enters a calibration; calibration is not required) • Sensor Expired Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 57 Don’t manually change your smart device time, because it can make the time on the trend screen wrong and the app may stop displaying data. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Dexcom G6 ®...
  • Page 58 Is this your first Dexcom CGM app? If so, the app will walk you through setting it up. If you’ve used the app before, for your convenience, the G6 imports your existing settings.
  • Page 59: Step App: Setup Of

    STEP App: Setup Enter existing username and password. Or, if you need a Dexcom username and password, follow the onscreen instructions                       STEP App: Setup Tap Let’s Get Started.  ...
  • Page 60 App: Setup Existing users only: If you’ve used the Dexcom CGM app before, the system imports your settings and shows the new G6 features, including your Urgent Low Soon Alert. After reading each screen, tap the appropriate answer to move forward.
  • Page 61 Set your High Alert. You get an alert if your glucose rises above the number you set. Default is 200 mg/dL. Scroll to select your level. Tap Save.           Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 62 Tap the appropriate answers to move forward or get more information. STEP App: Setup Android: To use Bluetooth, the app may ask for access to your device location. Tap Allow.       Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 63 Enter the code from the applicator you’ll use to insert your sensor. If you enter the sensor code from another applicator, your G6 readings may be off. Enter the code by manually typing it into the app or take a picture of the 2D barcode.
  • Page 64 Find your transmitter SN on the transmitter box or the back of the transmitter. Confirm correct SN. Tap Save.                         Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 65: Receiver

    If you want, after completing your app setup, set up your receiver. Before setting up your receiver, make sure you have started the sensor session (Chapter 6). Problems setting up G6 app? Contact Technical Support (available 24/7) at: • Email: TechSupport@dexcom.com •...
  • Page 66 Press and hold power button for 2 seconds to turn receiver on. Wait for loading screen to appear.         STEP Receiver: Setup Wait.     STEP Receiver: Setup Welcome! Tap Next. Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 67: Step Receiver: Setup Of

    Tap up/down arrows to change value in box. Use this method throughout to enter information. When done, tap Save. If battery is ever completely drained, you’ll need to reset date and time. Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 68: Step

    HCP. The Low Alert default is 80 mg/dL; High is 200 mg/dL. Tap the up/down arrows to change the level. Tap Save.         STEP Receiver: Setup Enter your transmitter serial number. Tap Next. Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 69 STEP Receiver: Setup Enter sensor code. If you don’t enter the sensor code, the G6 requires you to calibrate on a daily basis. The sensor code is on the applicator’s adhesive label and is unique to that specific sensor. Enter the code from the applicator you’ll use to insert your sensor.
  • Page 70 Go to Chapter 6, for step-by-step instructions on inserting your sensor and attaching, your transmitter, pairing your transmitter to your display device, and starting your sensor. Finished! Dexcom G6 ® System User Guide Chapter 5: Set Up Your Display Devices...
  • Page 71: What Was Covered And What's Coming

    5.5 What Was Covered and What’s Coming Now You Can: • Create a Dexcom username and password • Download the Dexcom G6 app • Set up the app with the recommended settings • Set up your receiver What’s Next? • No matter which display device you use, next, you’ll insert your sensor.
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  • Page 73: Start Your Sensor

    • Check expiration date on sensor tray. Don’t use if expired. • Don’t open the sensor tray until you’re ready to insert the sensor. • Transmitter box Your Items: • Alcohol wipes • Your meter Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 74 Check Package Don’t use sensor if its sterile package has been damaged or opened, because it might cause an infection. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. PRECAUTION Don’t Use if Expired Don’t use expired sensors, because they may give incorrect results.
  • Page 75: Choose Sensor Site

    • Don't use bony sites, such as over your ribs • Don't use sites where sensor can be rubbed – by your belt, waist band, seat belt strap – or where you lay when you sleep Dexcom G6 ® System User Guide...
  • Page 76 PRECAUTION Where to Insert: Things to Check Keep the safety guard on until you put the G6 applicator against your skin. If you remove the safety guard first, you may hurt yourself by accidentally pushing the button that inserts the sensor before you mean to.
  • Page 77: Insert Sensor

    Remove when ready to insert sensor Button Inserts sensor under your skin Sensor Sensor inserts through this hole Adhesive Keeps sensor and transmitter holder on skin Transmitter Holder Transmitter snaps in Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 78 Insert Sensor Thoroughly wash and dry your hands.              STEP Insert Sensor Clean insertion site with alcohol. Let dry.           Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 79 Make sure you use the same applicator Peel off cover. Keep sensor packaging until sensor session is complete. Check sensor for damage. Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 80 Don’t touch adhesive.           STEP Insert Sensor Place applicator horizontally, not vertically, on skin. Firmly press down, sticking adhesive to your skin.       Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 81 Fold and break safety guard and throw it away.               STEP Insert Sensor Push and release button to insert sensor.           Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 82               STEP Insert Sensor What’s left on you? • Sensor wire • Transmitter holder   You've successfully inserted the sensor! Finished! Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 83: Attach Transmitter

    Contact your HCP. Also seek professional medical help if you have symptoms of infection or inflammation – redness, swelling, or pain – at the insertion site. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Dexcom G6 ®...
  • Page 84 • Scratch it – that may harm the waterproof seal STEP Attach Transmitter Slide transmitter tab into the slot at the narrow end of the holder.         Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 85: Step 5 Of

    If it peels up, or you want to prevent that, use either the overpatch or another adhesive, such as medical tape (brand names include Blenderm™, Tegaderm™, Smith & Nephew IV3000 , 3M™ tape) for extra support. Order ® overpatches at dexcom.com/order. Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 86 • Don’t put overpatch or tape over or under the transmitter or its plastic holder STEP Attach Transmitter: Optional Step Put overpatch or medical tape over the patch. Overpatch Medical tape Finished! Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 87: Pair And Start Your Sensor

    ® Follow G6 instructions. If you don’t, you could miss a severe low or high glucose event. We’ll go over pairing and starting a sensor for the app, then for the receiver. Dexcom G6 ®...
  • Page 88 App: Pair and Start Sensor STEP App: Pair and Start Sensor Wait up to 30 minutes while app and transmitter pair. Wait for pairing confirmation.   Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 89 STEP App: Pair and Start Sensor Tap Start Sensor to start your 2-hour sensor warmup. You won’t get alarm/alerts or G6 readings during sensor warmup. Use your meter when making a treatment decision during warmup. STEP App: Pair and Start Sensor Wait.
  • Page 90 App: Pair and Start Sensor Sensor warmup is complete! Finished! Receiver: Pair and Start Sensor STEP Receiver: Pair and Start Sensor If needed, press power button briefly to wake up receiver.     Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 91 If so, tap 1, then 2.           STEP Receiver: Pair and Start Sensor Tap Start Sensor. This starts the 2-hour sensor warmup. Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 92: Step 6 Of

    Wait. Keep your receiver within 20 feet during the warmup period. Ring darkens to track progress. You won’t get alarm/alerts or G6 readings during sensor warmup. Use your meter when making a treatment decision during warmup. After sensor starts, Start Sensor option disappears from Menu, and Stop Sensor appears.
  • Page 93: Pairing Tips

    • Make sure your transmitter and display device are within 20 feet of each other • Remove barriers between them If these errors display, your transmitter and display device are not communicating. App Notification Receiver Dexcom G6 ® System User Guide Chapter 6: Start Your Sensor...
  • Page 94: What Was Covered And What's Coming

    More than 30 minutes? Contact Technical Support (available 24/7) at: • TechSupport@dexcom.com • Toll free: 1.888.738.3646 • Toll: 1.858.200.0200 You won’t get alarm/alerts or G6 readings until error is fixed. 6.8 What Was Covered and What’s Coming Now You Can: • Prepare for sensor insertion •...
  • Page 95: Chapter 7 | Calibrate

    You calibrate when you enter a meter value into your display device. It aligns your sensor to your meter. By calibrating when the system notifies you, the G6 uses your meter value to make sure the G6 readings remain accurate throughout your session.
  • Page 96 If you entered the sensor code during set-up, there’s no need to calibrate. You can calibrate if you want, but the system doesn’t require it. If you didn’t enter a sensor code during setup, you must calibrate your G6. After sensor warmup, you're prompted to calibrate twice. Then you start getting your G6 readings.
  • Page 97: Prepare To Calibrate

    • Same meter: Always use the same meter during your sensor session. Meter and strip accuracy vary between meter brands. Switching within a session might cause G6 readings to be less accurate. Also make sure meter date and time match your display device date and time.
  • Page 98: Calibrating

    Use fingertips to calibrate from your BG meter. Blood from other places may be less accurate and not as timely. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. 7.4 Calibrating Calibration Schedule If you didn’t enter a sensor code, you’ll need to do daily calibrations after completing...
  • Page 99 Thoroughly wash and dry your hands with soap and water, not gel cleaners.           STEP App: Calibration Use meter to measure the BG from your fingertip.         Dexcom G6 ® System User Guide Chapter 7: Calibrate...
  • Page 100 STEP App: Calibration Tap Calibrate. The red circle shows when the G6 needs you to calibrate. What it means: • Sensor warmup is complete • Ready for first calibration • Tap icon to enter your blood glucose value or go to Menu >...
  • Page 101: Step App: Calibration Of

    Follow steps 1-5 and enter second value. What it means: Calibrate • Sensor accepted first calibration • Ready for second meter value STEP App: Calibration Calibration accepted: Calibrate icon has no red circle.     Calibrate   Dexcom G6 ® System User Guide Chapter 7: Calibrate...
  • Page 102 STEP App: Calibration You get your first G6 readings after you enter your initial calibrations. Look for the number in the circle above the graph and dots on your trend graph. Each dot represents a single G6 reading taken every 5 minutes.
  • Page 103: Dexcom G6 ® System User Guide

    If you entered a sensor code, there is no Calibration icon. If you choose to calibrate, go to Menu > Calibration to calibrate. STEP Receiver: Calibration Thoroughly wash and dry your hands with soap and water, not gel cleaners.           Dexcom G6 ® System User Guide Chapter 7: Calibrate...
  • Page 104 Press power button briefly to wake up receiver screen. You won’t see calibration notifications when screen is black. Tap OK. What it means: • Sensor warmup is done • Ready for first calibration   Dexcom G6 ® System User Guide Chapter 7: Calibrate...
  • Page 105 Receiver: Calibration Tap up/down arrows to enter meter value. This example uses 128 mg/dL. Tap Save. Sensor default value for calibration is dashes (– – –) (or the most recent G6 reading).     STEP Receiver: Calibration Verify BG value is correct.
  • Page 106 1-6 to enter second value.           STEP Receiver: Calibration The calibrate icon doesn’t have a red circle, so your calibration was accepted and no more are needed for now.   Dexcom G6 ® System User Guide Chapter 7: Calibrate...
  • Page 107 Each dot represents a single G6 reading taken every 5 minutes.       If you didn’t enter a sensor code during your sensor setup, G6 will prompt you to calibrate in another 24 hours. When prompted, repeat steps 1-5.    ...
  • Page 108: Calibrate Without Prompts

    First, a little background information: Jake is an adult. He manages his diabetes on his own, using his G6 and pens. Kelly, on the other hand, is a child. She and her parents work together to manage her diabetes using her G6 and a pump. Do either of these situations sound like yours? Let’s check in with Jake and Kelly to see what they do when their symptoms don’t...
  • Page 109 He was right – I was really only 90 once my hands were clean! Takeaways When Jake’s and Kelly’s numbers didn’t match how they felt, they figured out why so they could treat the real number. Calibrating? Remember to wash your hands well! Dexcom G6 ® System User Guide Chapter 7: Calibrate...
  • Page 110: What Was Covered And What's Coming

    • Recognize how to get accurate meter values • Enter calibrations into the G6 • Understand precautions for when not to calibrate What’s Next? Part 3: Next Steps will show you how to get the most out of your G6. Dexcom G6 ® System User Guide...
  • Page 111: Part 3: Next Steps

    Next Steps – Getting the Most Out of Your Dexcom • Home Screen • Events • Alarm and Alerts • Treatment Decisions • Sharing Information with Your Support Team • End Sensor and Transmitter Sessions • Troubleshooting...
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  • Page 113: Chapter 8 | Home Screen

    Chapter 8 Home Screen 8.1 Introduction In this chapter, you’ll learn how to read your home screen, identify G6 readings and trends, and understand what they mean. After this chapter, you’ll be able to: • Navigate the home screen • Locate your G6 reading •...
  • Page 114 History/Add Event are. If you entered a sensor code during setup, you won’t have the Calibration icon on the home screen.. Calibrate Icon Trend Arrow Sensor Reading Trend Graph High Alert Level Current Reading Low Alert Level Settings Menu Event History Dexcom G6 ® System User Guide Chapter 8: Home Screen...
  • Page 115: Glucose Information

    8.3 Glucose Information This section shows you how to interpret your G6 reading, trend arrow, and graph. Trend Arrow Sensor Glucose Reading Trend Graph High Alert Level Current Reading Low Alert Level G6 Readings Starting at the top, the number shows where your sensor glucose is now in milligrams per deciliter (mg/dL).
  • Page 116 The graph shows where your G6 readings have been for the past 3 hours. It plots your G6 readings every 5 minutes. • The most recent G6 reading is the white dot on the right. Black dots are past G6 readings.
  • Page 117 (for landscape view). Touch and hold a dot to see the time for a past G6 reading, or slide your finger across the screen to view G6 readings from other times. To switch between 1-, 3-, 6-, 12-, and 24-hour views on your receiver, tap the graph.
  • Page 118: Navigation And Status Bar

    Remember, if you entered a sensor code, you don’t need to calibrate so there isn’t a Calibrate icon on the home screen. Calibrate via Menu > Calibrate. Apple App  Calibrate Icon Glucose Information Settings Menu Event History Dexcom G6 ® System User Guide Chapter 8: Home Screen...
  • Page 119 Android App  Calibrate Icon Settings Menu Event History Dexcom G6 ® System User Guide Chapter 8: Home Screen...
  • Page 120 Events/Add Event: Lets you record insulin, carbs, exercise, or health-related events. See Chapter 9 for more information. Settings/Menu: Edit alerts, find help, change settings, customize sounds, and use Share (app only). Dexcom G6 ® System User Guide Chapter 8: Home Screen...
  • Page 121 Trend Arrows Trend arrows show the speed and direction of your glucose trends based on your recent G6 readings. Use the arrows to know when to take action before you’re too high or too low. Trend Arrow: Steady Changing: • Less than 1 mg/dL each minute •...
  • Page 122 • More than 45 mg/dL in 15 minutes Trend Arrow: None System can’t calculate the speed and direction of your glucose change. See Chapter 11 for information on using trend arrows to make treatment decisions. Dexcom G6 ® System User Guide Chapter 8: Home Screen...
  • Page 123: What Was Covered And What's Coming

    8.5 What Was Covered and What’s Coming Now You Can: • Navigate using home screen icons • Locate your G6 reading • Explain your glucose target range • Recognize the importance of gray, yellow, and red colors • Identify Low and High Alert levels on your graph •...
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  • Page 125: Chapter 9 | Events

    These are all events that can change your blood sugar. An event is an action or situation that affects your glucose levels. With the G6, you can track your daily events so you can reflect on their effect on your glucose trends.
  • Page 126: Enter Insulin Event

    STEP App: Enter Long-acting Insulin From the Home screen, tap Events.   STEP App: Enter Long-acting Insulin Then, tap Add Event.   STEP App: Enter Long-acting Insulin Tap Long-Acting Insulin.   Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 127 STEP App: Enter Long-acting Insulin How much insulin did you give? You can’t enter the type of insulin, only dosage. Enter insulin units for each dose, up to 100 units. Finished! Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 128 STEP Receiver: Entering Insulin Tap arrows to enter Units, up to 100. When you tap the arrow, number starts at last number entered. This example uses 10.35 Units.       Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 129 Receiver: Entering Insulin Tap each box to enter the date and time. Use the arrows to select the correct information.           STEP Receiver: Entering Insulin Tap Save.   Finished! Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 130: Other Events

    For your convenience, there’s no need to stop everything and enter your events as they’re happening. When you have a moment, you can enter past events. Events are meant to be entered as individual occurrences: Don’t enter daily totals; enter each event separately. Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 131: App: Edit Or Delete An Event

    Android: Tap the pencil icon. After tapping your edit icon (differs based on your device), to delete an added event, use the red icon. Follow your smart device’s prompts to delete an event. Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 132 Apple (shown left): Red icon is a circle on the left. Android: Red icon is a trash can on the right.                   Apple (shown left): Delete appears on the right. Tap Delete. Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 133: App: View Events

    At the bottom of the screen are the insulin doses you recorded. Touch and hold a spot on the screen to see detailed information for that time. Tap labels along top to change time scale. Touch and hold on graph to see details for that time. Dexcom G6 ® System User Guide Chapter 9: Events...
  • Page 134: What Was Covered And What's Coming

    Events entered into your receiver can only be viewed on a Dexcom report after uploading the information into CLARITY. There are no markers on your receiver screen and they do not transfer to your app. 9.7 What Was Covered and What’s Coming Now You Can: •...
  • Page 135: Chapter 10 | Alarm And Alerts

    10.2 Alarm and Alerts Overview G6 alarm/alerts can keep you safe from severe lows or highs. When your G6 reading goes from your target range to your alarm/alerts level, your display device tells you with a visual notification, and vibrations or sound, depending on the alarm/alert and your display device.
  • Page 136 Keep these things in mind if you use the app: • Vibrations: The app vibrations can feel the same as other notifications you get from other apps on your smart device. The only way to know if it’s from your G6 is to look at it.
  • Page 137 Likewise, your app won’t get the alarm/ alerts you set on your receiver. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. Dexcom G6 ®...
  • Page 138 Alarm/Alerts When You’re Low Urgent Low Alarm The alarm lets you know when your G6 reading drops to or below 55 mg/dL. Think of it as a safety net: Your glucose level is dangerously low – take action now! What you hear, feel, and see •...
  • Page 139 Receiver Notification Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 140 55 mg/dL within 20 minutes. The default for update notifications is 30 minutes, however, you can set them to 15 minutes. App Notification Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 141 Receiver Notification Receiver Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 142 Low Alert When your G6 reading is below the level you set, you get your Low Alert. What you hear, feel, and see • Initial alert: Vibrates 3 times. • Until confirmed: Vibrates and beeps 3 times every 5 minutes.
  • Page 143 • Not that fast? You get the Low Alert. If you get one, you won’t get the other for 30 minutes. High Alert This notifies you when your G6 readings are above your target glucose range. What you hear, feel, and see • Initial alert: Vibrates 2 times.
  • Page 144 Receiver Notification Receiver Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 145 • Until confirmed: Vibrates and beeps 2 times every 5 minutes. Fall Rate Alert • Initial alert: Vibrates 3 times. • Until confirmed: Vibrates and beeps 3 times every 5 minutes. App Notification Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 146 Receiver Notification Receiver Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 147 Signal Loss Alert This tells you when you’re not getting G6 readings. Your display device may be too far from your transmitter or there may be something, such as a wall or water, between your transmitter and your display device. You can fix this by moving your display device closer to your transmitter.
  • Page 148 Receiver Notification Receiver There are many more alerts that you can’t customize. See Appendix H. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 149: Check In With Kelly

    It’s so much healthier for Kelly and so much less stressful for all of us. Takeaway Your alerts help you get back into your target range. Respond to them. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 150: Confirming Alarm/Alerts

    Due to its medical importance, the alarm is more persistent. Even after the alarm is confirmed, if your G6 readings remain at or below 55 mg/dL, the Urgent Low Alarm will sound every 30 minutes until G6 readings are above 55 mg/dL. During this 30 minutes, you won’t get Low or Urgent Low Soon Alerts.
  • Page 151 Receiver Notification Receiver Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 152: Customizing Your Alerts

    Thank goodness, I spoke with my doctor before doing anything. He asked me if I ever changed my alerts after first setting up my G6. I hadn’t. We took a look at where my alert settings were and made some changes. I understand it’s important to try and spend time in my target range.
  • Page 153 Repeat option in the alert. The default for repeat is off. Use Repeat with the High Alert to remind you to check your G6 reading later. This is your tool for watching and waiting – and avoiding insulin stacking – when your G6 reading is high.
  • Page 154 App: Customizing Alerts Check High Alert is on: • On – colored • Off – gray STEP App: Customizing Alerts Tap Notify Me Above to set the High Alert level.   Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 155 • Android: Tap Save. STEP App: Customizing Alerts Tap Repeat to change how often your High Alert repeats after confirming. Repeats only if you stay above your high glucose level. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 156 Save your new repeat time. Apple (shown left): Tap Back. Android: Tap Save. Repeat shows how often you’ll get notified. STEP App: Customizing Alerts Tap Sound to customize alert sound.   Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 157 App: Customizing Alerts Save your new alert sound. Apple (shown left): Tap Back. Android: Tap Save. STEP App: Customizing Alerts Tap the back arrow until you see your home screen. Finished! Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 158 STEP Receiver: Customizing Alerts Tap Menu.   STEP Receiver: Customizing Alerts Tap Settings.   STEP Receiver: Customizing Alerts Tap Alerts.   STEP Receiver: Customizing Alerts Tap High.   Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 159 Tap Level to set the High Alert level.   STEP Receiver: Customizing Alerts Tap arrows – in this example, the down arrow, to 190 mg/dL – to change the High Alert.         Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 160 Tap arrows – in this example, the up arrow to 120 minutes, or 2 hours. Repeat range is 15 minutes to 4 hours.         STEP Receiver: Customizing Alerts Tap Save.   Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 161: Step Receiver: Customizing Alerts Of

    Exceptions: Urgent Low Glucose Alarm, Urgent Low Soon Alert, Sensor Failure, and Transmitter Failure always beep and vibrate. Receiver Sound: Soft Quiet beeps.   Receiver Sound: Normal Medium volume beeps. Default sound. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 162: Tap Menu

    Dropping melody for Low and Falling Alerts. Receiver Sound: Hypo Repeat Repeats Urgent Low Alarm and Urgent Low Soon Alert every 5 seconds until confirmed or G6 reading improves. Medium volume beeps. Receiver: Test Sound Sample sound setting before selecting.
  • Page 163 Receiver: Customizing Alerts Selected sound has checkmark. Default is Normal. Tap your choice.           STEP Receiver: Customizing Alerts Tap Test Sound to hear selected Sound.   Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 164: Why Customize Alerts

    Are you worried you go high too often? Or, you don’t always feel your lows, so you want the G6 to let you know. Perhaps you want to set different alert levels during the night. Maybe you want to bring your average blood glucose down. Talk to your HCP about how to use your G6 alerts to reach your diabetes management goals.
  • Page 165: Check In With Jake And Kelly

    I went on a lot of walks! Seriously, I should get a dog. But it paid of – at my last appointment, my endo told me my average blood glucose was down to 225! Dexcom G6 ® System User Guide...
  • Page 166 Takeaway How you set up your alerts can help you reach your diabetes management goals. Work with your HCP to come up with the best alert customization for you and your goals. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 167: App: Control When Alarm/Alerts Sound

    You may want to hear only critical G6 alarm/alerts and no other sounds from your phone, like calls or texts. Other times, like at night, you may want to hear all G6 alarm/ alerts but again, no other sounds from your phone. And still other times, you may want to hear all your phone sounds and your G6 alarm/alerts.
  • Page 168: App: Alert Schedule

    CGM alarm/alerts. Your smart device may have different calendars, time, etc. and look different than the instructions below. Follow your device steps for choosing time and days. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 169 STEP App: Set Up Alert Schedule Tap Alert Schedule switch to turn it on.   STEP App: Set Up Alert Schedule Tap Schedule Name. For this example, type Nights. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 170 Android: Selecting a time looks different.     STEP App: Set Up Alert Schedule Select Every Sunday through Every Saturday so the schedule covers all days. Tap Next.           Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 171 Select 70 as your low glucose alert level for this schedule. At night, when this schedule is in effect, you will get your Low Alert when your G6 reading reaches 70 mg/ Tap Next. STEP App: Set Up Alert Schedule Select 200 as your high glucose alert level for this schedule.
  • Page 172: Tap High

    Scheduled shows any alerts you changed from your default settings The default settings are copied into your schedule. Verify that your scheduled High Alert will make a sound. Tap High. Dexcom G6 ® System User Guide Chapter 10: Alarm and Alerts...
  • Page 173: What's Coming

    • Customize your alerts on your app and receiver • Adjust your alert sounds • Use Repeat to avoid insulin stacking What’s Next? • Next we’ll talk about how to use your G6 to make treatment decisions. Dexcom G6 ® System User Guide...
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  • Page 175: Chapter 11 | Treatment Decisions

    G6 readings. If your symptoms don’t match your G6 readings, use your BG meter when making treatment decisions. If your G6 readings don’t consistently match your symptoms or BG meter values, then talk to your healthcare professional about how you should be using the Dexcom G6 to help manage your diabetes.
  • Page 176: Your Hcp Is Your Partner

    Working with your HCP, define your target glucose range and your alert settings. Discuss how to stay within your target using the G6. Let your HCP guide you through the system features, including adjusting your alert settings to match your needs and goals, working with G6 readings and trend arrows for treatment decisions, and managing your diabetes with the system.
  • Page 177: When To Use Your Meter

    • How can you improve? 11.4 When to Use Your Meter There are times when you need to rely on your meter instead of your G6. When in Doubt, Get Your Meter Out Anytime you look at your home screen and think, “Oh! That isn't the number I thought I would see,” use your meter to determine your BG value before making treatment...
  • Page 178 When in doubt, get your meter out. Follow G6 instructions. If you don’t, you could have a severe low or high glucose event. When that happens, treat if you need to. Then if you want, calibrate to align your sensor with your meter.
  • Page 179: Watch And Wait

    Don’t worry – If you take insulin to cover what you eat, you aren't stacking insulin. And you do want to respond to a high G6 reading between meals; just be careful not to overcorrect. Talk with your HCP about what you should do if you’re high between meals.
  • Page 180 Trend Arrows Arrows show the speed and direction of your G6 readings so you can see where you’re heading. Work with your HCP and use them to guide how much insulin to take. In general, with a down arrow, consider using less insulin, and with an up arrow, more.
  • Page 181: Check In With Jake And Kelly

    Hey – Jake here! My G6 reading is 330 with an up arrow right now. That’s high for me. I’m trying to figure out what to do. An hour ago, I ate lunch and took insulin for it.
  • Page 182 “Mom! I need some OJ!” Takeaway Your trend arrows point the way your number is heading. Use your trend arrow with your number to fine-tune your diabetes management decisions, like Jake and Kelly. Dexcom G6 ® System User Guide Chapter 11: Treatment Decisions...
  • Page 183: You Decide

    Discuss any questions you have with your HCP. In Target Range, But Going Down Fast An hour ago, you drank orange juice to treat a low G6 reading. Although you’re within your target range, as you sit down for dinner, you look at your G6 and see your trend arrow pointing down.
  • Page 184 High and Getting Higher Right before lunch you look at your display device. The home screen shows your G6 reading is 150 mg/dL with a single arrow pointing up, so you know it is rising. After taking your normal insulin dose, you eat lunch.
  • Page 185: What's Coming

    • Identify when you can use your G6 in treatment decisions • Describe the importance of alarm/alerts in treatment decisions • Tell when you shouldn’t make a treatment decision using the G6 • Recognize when you should watch and wait before treating What’s Next?
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  • Page 187: Chapter 12 | App: Sharing Information With Your Support Team

    Chapter 12 App: Sharing Information With Your Support Team With the Share app, up to five people can follow you current G6 readings and trends. Your loved ones will have more peace of mind, and so will you! 12.1 Introduction After this chapter, you’ll be able to:...
  • Page 188 Always depend on your G6 app to manage your diabetes, not your Followers’. For example, a Follower contacted you saying you need to treat – they saw you were trending low. Always confirm your glucose information on your app, receiver, or blood glucose meter, before making any treatment decision.
  • Page 189 Set Up Share Tap Share icon to start.   STEP Set Up Share Tap Let’s Get Started.                     Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 190 STEP Set Up Share Tap Next.                     Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 191 Android: In the next two screens, you give permission for the app to run in the background. Tap I Understand, then Yes.                         Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 192 STEP Set Up Share Tap Next.                     Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 193 STEP Set Up Share Tap Let’s Get Started.                   Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 194   STEP Set Up Share Enter the Follower’s nickname, email address, and confirm email address. They must open your email and install the Dexcom Follow app on the device they’ll use to follow you. Tap Next.     Dexcom G6 ®...
  • Page 195 STEP Set Up Share Do you want your Follower to see your past G6 readings on a graph? If not, tap switch to turn off. Tap Next.       Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 196 STEP Set Up Share Your Follower gets your Urgent Low Alarm when your G6 reading is at or below 55 mg/dL. Don’t want to share this? Tap Urgent Low switch to off. All other alerts are off by default. If you want your Follower to get notified, turn the alerts on in the Follower’s Settings menu.
  • Page 197 STEP Set Up Share Review Follower’s settings. Tap Send Invitation.                     Finished! Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 198 Follower Didn’t Accept Invitation Yet Follower Didn’t Accept Invitation Within 7 Days. To re-invite, tap Add Follower. Follower Gets Notification(s) Follower Sees Trend Graph Follower Stopped Following You Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 199 Tap a Follower to remove them, edit their nickname, or stop or start sharing your graph. Remove a Follower by tapping Remove Follower. Once removed, they won’t get glucose information or notifications. Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 200 Start or Stop Sharing Turn off the Sharing switch to temporarily stop sharing with your Followers. While Sharing is off, they won’t get G6 readings or notifications. Their dashboard shows you stopped sharing. To restart sharing, tap the On switch.
  • Page 201 Follow Setup Follower gets and opens your email invitation on the smart device they’ll use to follow you. They install and set up the Dexcom Follow app on their smart device. Now your Follower sees your sensor information! They will also see when you turn off Share, if they have been deleted, or if sharing stops for any another reason.
  • Page 202 Trend Graph Sharer’s Name Home Icon Settings Icon Last Updated Sharer’s Picture Trend Arrow Sensor Reading History Shown High Alert Level Trend Graph Low Alert Level Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 203 Readings Below 20 mg/dL and Above-600 mg/dL Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
  • Page 204 70 mg/dL for more than 30 minutes. They can also change it to get notified every 2 hours if you stay under 70. Follower Notification Settings Dexcom G6 ® System User Guide...
  • Page 205: Check In With Jake And Kelly

    I checked and they were right – Oops. My bad. I’d dropped. I popped a couple of glucose tabs, excused myself from my friend and the blackjack table, went straight to the casino’s store, and texted everyone back once I’d bought a snack. Dexcom G6 ® System User Guide...
  • Page 206 (although, I did ask the principal to help confirm my Follow information matched her current G6 reading since it may have changed). It was so great to be able to just be her mom, not her diabetes care police.
  • Page 207: What's Coming

    • Tell Followers how to set up Follow What’s Next? In the next chapter, you’ll learn how to end a typical 10-day sensor session, along with removing the sensor and transmitter. Dexcom G6 ® System User Guide Chapter 12: Share Information with Your Support Team...
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  • Page 209: Chapter 13 | End Sensor And Transmitter Sessions

    6 hours before (shown below), 2 hours before, and 30 minutes before • Clock counts down until session ends • Continue to get alarm/alerts and G6 readings • You can end session early or wait Dexcom G6 ®...
  • Page 210 App Notification Receiver Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 211 Sensor Session Over App: Open app to confirm. Receiver: Tap OK to confirm. What it means: • Sensor session is over • You won’t get alarm/alerts or G6 readings until you replace sensor App Notification Dexcom G6 ® System User Guide...
  • Page 212: Remove Sensor And Transmitter

    You receive notifications as it nears the end of its battery life. PRECAUTION Reuse – Don’t Throw Away When ending a session, don’t throw away the transmitter. The transmitter is reusable until the G6 notifies you that the transmitter battery is about to expire. Dexcom G6 ® System User Guide...
  • Page 213 Grasp the wide rounded edge of the holder. Bend holder edge down to break it and release the transmitter.       Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 214     STEP Remove Sensor and Transmitter Throw away patch, with the holder and sensor attached, following your local guidelines for disposal of blood-contacting components.   Finished! Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 215 You’ll need to enter a new sensor code because the code is specific to each sensor. What it means: • Insert new sensor and start new sensor • You won’t get alarm/alerts or G6 readings until your sensor warmup is done App and Receiver Dexcom G6 ®...
  • Page 216: End Of Transmitter Battery

    3. Start your new sensor session Remember, if you use both display devices, make sure you start the sensor session in one before pairing the transmitter in the other. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 217 App: Pair New Transmitter STEP App: Pair New Transmitter Tap OK. Or go to Settings > Transmitter. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 218 STEP App: Pair New Transmitter Tap Pair.   Or Pair New.   Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 219 STEP App: Pair New Transmitter Enter Sensor Code just like you have in earlier sensor sessions. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 220 Photo instructions: a. Get your transmitter box. Tap Take Photo. b. Turn transmitter box so barcodes face up. c. Checkmark confirms you entered the SN correctly. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 221 Use keyboard to enter transmitter SN. Find your transmitter SN on the transmitter box or the back of the transmitter. c. Confirm correct SN. Tap Save. d. Checkmark confirms you entered SN correctly. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 222 Insert sensor, attach transmitter, wait for your pairing confirmation, then start your new sensor session. If you want to, you’re now ready to pair the transmitter to you receiver. See Chapter 6 for more information. Finished! Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 223 Receiver: Pairing New Transmitter Tap OK. Or Menu > Settings > Transmitter. STEP Receiver: Pairing New Transmitter Tap Pair. Or Menu > Settings > Transmitter > Pair New. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 224 Receiver: Pairing New Transmitter Enter Sensor Code just like you have in earlier sensor sessions.   STEP Receiver: Pairing New Transmitter After entering your sensor code, enter transmitter SN. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 225 Receiver: Pairing New Transmitter Find transmitter SN on back of box or transmitter.     STEP Receiver: Pairing New Transmitter Enter your transmitter SN. Tap Save.         Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 226: What's Coming

    • Remove your sensor and save your transmitter if needed • Replace and pair transmitter What’s Next? In the next chapter, we’ll talk about solutions to common issues. Dexcom G6 ® System User Guide Chapter 13: End Sensor and Transmitter Sessions...
  • Page 227: Chapter 14 | Troubleshooting

    Soon Alert, Not Both Problem • Getting Low Alert, then not getting Urgent Low Soon Alert when nearing 55 mg/dL • Getting Urgent Low Soon Alert, then not getting Low Alert when your G6 reading reaches Urgent Low level Dexcom G6 ®...
  • Page 228 If you cannot hear your alarm/alerts on your receiver, change your alarm/alerts sounds in Menu > Sounds. Use Menu > Sounds > Test Now to try out the selected sound to make sure you can hear it easily. Dexcom G6 ® System User Guide...
  • Page 229 Problem • Not getting G6 readings for the last 20 minutes Solution • No glucose alarm/alerts or G6 readings until fixed. Use meter. • Tap alert to get more information. • Check transmitter: Is it snapped into the holder? • Wait up to 3 hours while the system fixes itself. If not corrected after 3 hours, contact Technical Support (available 24/7) at: •...
  • Page 230 • Not getting G6 readings Solution • No glucose alarm/alerts or G6 readings until fixed. Use meter. • Tap alert to get more information. • Wait up to 30 minutes while the system fixes itself. If not corrected after 30 minutes, you’ll see Sensor Failed.
  • Page 231 No G6 Readings: Sensor Failed Alert Problem • Not getting G6 readings Solution • No glucose alarm/alerts or G6 readings. Use meter. • Tap alert to get more information. • If your sensor doesn’t work, contact Technical Support (available 24/7) at: • TechSupport@dexcom.com •...
  • Page 232 Receiver Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 233 • Open device Bluetooth settings. • Delete all Dexcom entries. • Pair transmitter. • Wait up to 30 minutes. System may correct problem itself and continue to show G6 readings. More than 30 minutes? Contact Technical Support (available 24/7) at: • TechSupport@dexcom.com •...
  • Page 234 – keep them closer to each other. The range is reduced because Bluetooth doesn’t work as well through water. ® Follow G6 instructions. If you don’t, you could miss a severe low or high glucose event. Dexcom G6 ® System User Guide...
  • Page 235 Solution • System is working as it should. Use your meter and treat your high or low. When your G6 reading is between 40 and 400 mg/dL your G6 will display your G6 reading instead of Low or High. Below 40 mg/dL...
  • Page 236 • Tap 1 then 2 to unlock the lock screen. • If you don’t tap quickly, or you tap several times outside the buttons, the screen goes to sleep. Receiver Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 237: Applicator

    14.3 Applicator Orange Button Stuck Problem • Can’t push the applicator orange button in Solution • Fold and break off safety guard before pushing orange button • See Chapter 6 Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 238 Adhesive Backing Won’t Come Off Problem • Backing won’t come off the patch Solution • Lift the backing by the tab Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 239 • Before applying sensor: Use an optional skin adhesive (such as Mastisol or SkinTac) • After applying sensor: Put overpatch or tape over patch • Order overpatches at dexcom.com/order • Tape brand names include Blenderm, Tegaderm, Smith & Nephew IV3000, and 3M •...
  • Page 240 • Remove applicator and adhesive patch: 1. Gently pull applicator up until you see adhesive patch 2. Using your finger or thumb, hold front edge of patch and peel from skin Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 241 4. Check insertion site to make sure the sensor isn’t left on the skin 5. Don’t try to reuse applicator 6. Contact Sales Support: • Email: CustomerService@dexcom.com • Toll free: 1.888.738.3646 • Toll: 1.858.200.0200 Dexcom G6 ®...
  • Page 242: App

    • You got a new smart device and can’t download the Dexcom app Solution • Check dexcom.com/compatibility for a list of smart devices that work with the G6 app. • If it's a compatible device, and you’re not using your receiver, stop your sensor session on your current smart device.
  • Page 243 • Press and hold power button for 10 seconds • Release power button • Press and hold power button for 2 seconds to turn back on • Connect receiver to charger – this turns it on Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 244 • If receiver speaker/vibrations don’t work, you won’t hear alarm/alerts. Use app until issue is fixed. • Contact Technical Support (available 24/7) at: • TechSupport@dexcom.com • Toll free: 1.888.738.3646 • Toll: 1.858.200.0200 Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 245 3. Receiver will beep and vibrate. Listen for the beeps and feel for the vibrations. Is your receiver Sound set to Vibrate or Soft? If your speaker and vibrations work, this test makes your receiver beep and vibrate anyway. Dexcom G6 ® System User Guide...
  • Page 246 • No? Tap No and go to Step 6. 5. Congratulations! You tested your speaker and vibrations and determined they work! You’ll hear your alarm/alerts. You’re done. Don’t go on to the next step. Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 247 But if it doesn’t beep and vibrate – perhaps it got wet or was dropped – contact Technical Support and use your app until the receiver is fixed. Follow G6 instructions. If you don’t, you could miss a severe low or high glucose event. Dexcom G6 ®...
  • Page 248 • When the receiver and transmitter reconnect after a temporary shutdown, Signal Loss, or similar issue, up to 3 hours of missed G6 readings can fill in on the graph. • Shutting down the receiver does not extend your sensor session past the 10 days.
  • Page 249 Problem • Dexcom stripe screen displays for no reason Solution • Wait a few seconds • If Dexcom stripe screen (see below) displays for more than 3 minutes, contact Technical Support (available 24/7) at: • TechSupport@dexcom.com • Toll free: 1.888.738.3646 •...
  • Page 250 System Check Passed Screen Problem • System check results Solution • Do nothing. Receiver recovered from an error and continues to work. Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 251 Call Tech Support Screen Problem • Screen is locked Solution • Use your meter. No alarm/alerts or G6 readings until fixed. • If same code displays again, write it down and contact Technical Support (available 24/7) at: • TechSupport@dexcom.com • Toll free: 1.888.738.3646 •...
  • Page 252: Recalibration Alert

    • If you calibrate again and still get this error, enter one more meter value. • Wait 15 minutes. • If no G6 readings appear on the display, the sensor needs to be replaced. Contact Technical Support (available 24/7) at: •...
  • Page 253 Receiver Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 254: Transmitter

    Problem • Transmitter didn’t pair with display device Solution • Use your meter. No alarm/alerts or G6 readings until fixed. • Make sure Transmitter SN in Settings matches the Transmitter SN on the transmitter box. • Make sure transmitter is snapped into holder.
  • Page 255 Receiver Dexcom G6 ® System User Guide Chapter 14: Troubleshooting...
  • Page 256: Sensor

    Once stopped, you can’t restart the current sensor session. • After you’ve stopped your sensor, you can remove it. See Chapter 13 for detailed instructions. • To get G6 readings, alarm and alerts, insert a new sensor and start a new sensor session. Dexcom G6 ®...
  • Page 257: Share

    Dexcom Share is not working. See below for troubleshooting tips for the Share status bar. Whether or not Dexcom Share is working and your Followers are getting glucose alarm/ alerts, always use your G6 display device for your G6 readings, alarm, alerts, and treatment decisions. Dexcom G6 ®...
  • Page 258 If the invitation expired, re-invite them by tapping Add Follower (see Chapter 12). If they stopped following you, their status shows Removed. If you turn off sharing for a Follower, their status shows Paused. Dexcom G6 ® System User Guide...
  • Page 259: Accuracy

    Server Unavailable Status Problem • Share isn’t sharing because Dexcom server is offline Solution • Wait. Dexcom will fix the issue as soon as possible. For more information, contact your local Dexcom representative. Share App 14.10 Accuracy G6 Reading ≠ Meter Value Problem •...
  • Page 260: Calibration Prompts

    • Wash your hands with soap and water. Dry them. Then take a fingerstick with your meter. If your meter value matches your symptoms, use it to take treatment decisions. • Calibrating may help align your G6 readings to your meter values. See Chapter 7. 14.11 Calibration Prompts Calibration Error/Recalibration Alert Problem •...
  • Page 261: What's Coming

    Congratulations! Great job working your way through this guide! Make sure to check out the appendices for additional information that may be useful to you. And remember, you can always refer back to this guide as you get used to your G6 or if you have any questions in the future.
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  • Page 263: Part 4: Everything Else G6

    Everything Else G6 • Need Help? You're Not Alone • Security and Air Travel • Accessories • Care of G6 • Warranty • Technical Information • Label Symbols • Alarm/Alert Sounds and Vibrations • Index...
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  • Page 265: You're Not Alone

    Appendix A Need Help? You’re Not Alone! Dexcom has three support teams to help you, each with their own specialty: • Dexcom Technical Support Team • Dexcom Patient Care Team • Dexcom Sales Support Team A.1 Dexcom Technical Support Team This team helps you with all CGM system-related issues as well as software-related issues.
  • Page 266 A.2 Dexcom Patient Care Team The Dexcom Patient Care Team is a group of Certified Diabetes Educators (CDE) and Registered Nurses (RNs) offering you customer care and individualized education services around Dexcom CGM, including: • Product training – both initial and ongoing (for example, how to use a specific feature) •...
  • Page 267 A.3 Dexcom Sales Support Team The Dexcom Inside Sales Support Team helps with: • First-time orders and re-orders • Tracking shipments • Locating a local Dexcom representative Contact Information • Internet: dexcom.com/order • Email: CustomerService@dexcom.com • Phone: • Toll Free: 1.888.738.3646 •...
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  • Page 269: Appendix B | Security And Air Travel

    Appendix B Security and Air Travel The G6 can be a great travel companion – you can go through metal detectors and hand-wanding and even keep your receiver on during your flight. B.1 Security Going through security often means you and your belongings go through a metal detector, x-ray machine, or even a body scanner.
  • Page 270 When wearing your G6, ask for hand-wanding or full-body pat-down and visual inspection instead of going through the Advanced Imaging Technology (AIT) body scanner (also called a millimeter wave scanner) or putting any part of the G6 in the baggage x-ray machine.
  • Page 271: Appendix C | Extend Your App

    Appendix C Extend Your App With your G6 app, you see notifications from your lock screen or smart watch. Not seeing any data? Open your app. C.1 Today View (Apple) Check your CGM information in the Today view, even when your smart device is locked.
  • Page 272 Tap Show More to show your graph. Sensor Reading Trend Arrow Shows Past 3 hours High Alert Level Current Reading Low Alert Level Trend Graph Dexcom G6 ® System User Guide Appendix C: Extend Your App...
  • Page 273 C.2 Quick Glance (Android) Check your G6 on your lock screen or swipe down from the top. Quick Glance Drag down on the lower edge of Quick Glance to show your graph. Trend Arrow Sensor Reading Trend Graph High Alert Level...
  • Page 274 Using a smart watch with your system may change how you get alarm/alerts. • Your smart watch only communicates with your smart device, not the transmitter. • You won’t get alarm/alerts or G6 readings on your watch unless it’s connected to your smart device.
  • Page 275 Android Wear Setup Using the Dexcom G6 watch face, check your G6 information. See your watch instructions for details. Android Wear Trend Arrow Sensor Reading Current Time Shown Past 3 hours Trend Graph High Alert Level Current Reading Low Alert Level Dexcom G6 ®...
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  • Page 277: Appendix D | Take Care Of

    • When not in use: • Protect transmitter by returning to its packaging or another safe place. • Store between 32° F and 113° F. Dexcom G6 ® System User Guide Appendix D: Take Care of Your G6...
  • Page 278 The battery icon on the receiver status bar shows how much charge is left and notifies you when the battery is getting low. While the receiver is being charged, you continue to get your G6 readings if the transmitter and receiver are within 20 feet of each other. Dexcom G6 ®...
  • Page 279 Receiver: Charging Battery Plug Micro USB cable into Micro USB port and wall charger. Plug wall charger into electrical outlet.               Dexcom G6 ® System User Guide Appendix D: Take Care of Your G6...
  • Page 280       STEP Receiver: Charging Battery Unplug wall charger from outlet when fully charged. Home screen displays battery icon filled in when battery is charged. Finished! Dexcom G6 ® System User Guide Appendix D: Take Care of Your G6...
  • Page 281 Dexcom-supplied parts may affect safety and performance. • Charging: Charge battery before each new sensor session. • Battery can only be charged using the Dexcom adapter/wall charger – don’t use a computer port or an external USB hub. • Only use the Dexcom cable and charger to charge the Dexcom receiver.
  • Page 282 You can check your app or receiver for information about your CGM system any time. App: Check CGM Settings STEP App: Check CGM Settings Tap Settings.   Dexcom G6 ® System User Guide Appendix D: Take Care of Your G6...
  • Page 283 • Software versions: Transmitter and receiver • Support: Online help, account, and contact information                         Finished! Dexcom G6 ® System User Guide Appendix D: Take Care of Your G6...
  • Page 284 Different places have different requirements for disposing of electronics (receiver and transmitter) and parts that have come in contact with blood or other bodily fluids (sensor). Follow your area’s local waste management requirements. Dexcom G6 ® System User Guide Appendix D: Take Care of Your G6...
  • Page 285: Appendix E | Warranty

    What’s Covered and for How Long? Dexcom, Inc. (“Dexcom”) provides a limited warranty to the original purchaser (“you” or “Purchaser”) that the Dexcom receiver (the “receiver”) is free from defects in material and workmanship under normal use (“Limited Warranty”) for the period starting from the date of shipment to you and continuing for a year following the shipment date (“Warranty Period”).
  • Page 286 • Installation, maintenance, and service of products or services other than the CGM system (which may be subject to a separate limited warranty), whether provided by Dexcom or any other party; this includes your cell phone or smart device and your connection to the Internet.
  • Page 287 Dexcom G6 or any feature or service provided by Dexcom for use with the Dexcom G6.
  • Page 288 What’s Covered and for How Long? Dexcom, Inc. (“Dexcom”) provides a limited warranty to the original purchaser (“you” or “Purchaser”) that the Dexcom G6 transmitter (the “transmitter”) is free from defects in material and workmanship under normal use (“Limited Warranty”) for the period commencing on the date of first use by the original purchaser (the “Date of First Use”)
  • Page 289 • Installation, maintenance, and service of products or services other than the CGM system (which may be subject to a separate limited warranty), whether provided by Dexcom or any other party; this includes your cell phone or smart device and your connection to the Internet.
  • Page 290 Dexcom G6 or any feature or service provided by Dexcom for use with the Dexcom G6.
  • Page 291: Appendix F | Technical

    Clinic session(s) took place at the beginning (Day 1, 2), middle (Day 4, 5), and end (Day 7, 10) of the G6 lifecycle. Depending on the participant’s age, they participated in either 1, 2 or 3 clinic sessions of varying duration.
  • Page 292 • Pediatric subjects 2-5 years of age: one (1) 4-hour clinic session (compared to fingerstick blood glucose meter measurements only). While using the G6 in the clinic, subjects had their blood glucose measured every 15 minutes with a laboratory reference method, the Yellow Springs Instrument 2300 STAT Plus™...
  • Page 293 For example, the total number of data pairs considered in the analysis was 25,101. Of these, 91.7% of the G6 readings fall within ± 20 mg/dL of the YSI blood glucose values < 70 mg/dL and within ± 20% of YSI blood glucose values ≥ 70 mg/dL.
  • Page 294 Table 1-B. G6 Accuracy to YSI within CGM Glucose Ranges (Adults; n=159) Percent Percent Percent Percent Percent Percent Number Mean Glucose within within within within within within MARD of paired bias Range 15 mg/dL 20 mg/dL 40 mg/dL CGM-YSI (mg/dL) (mg/dL) <54...
  • Page 295 Table 1-D. G6 Accuracy to YSI within CGM Glucose Ranges (Pediatrics*, Abdomen; n=99) Percent Percent Percent Percent Percent Percent Number Mean Glucose within within within within within within MARD of paired bias Range 15 mg/dL 20 mg/dL 40 mg/dL CGM-YSI...
  • Page 296 Table 1-F. G6 Accuracy to YSI within YSI Glucose Ranges (Adults; n=159) Percent Percent Percent Percent Percent Percent Number Mean Glucose within within within within within within MARD of paired bias Range 15 mg/dL 20 mg/dL 40 mg/dL CGM-YSI (mg/dL) (mg/dL) <54...
  • Page 297 Table 1-H. G6 Accuracy to YSI within YSI Glucose Ranges (Pediatrics*, Abdomen; n=99) Percent Percent Percent Percent Percent Percent Number Mean Glucose within within within within within within MARD of paired bias Range 15 mg/dL 20 mg/dL 40 mg/dL CGM-YSI...
  • Page 298 For example, when the G6 displayed “LOW” (139 occasions), 84% (117 out of 139) of the YSI values were less than 80 mg/dL. When the G6 displayed “HIGH” (54 occasions), 100% (54 out of 54) of the YSI values were greater than 280 mg/dL.
  • Page 299 Concurrence of G6 and Laboratory Reference Tables 3-A to 3-D categorize concurrence by CGM reading and YSI values. Tables 3-A and 3-B describe, (row percent), for each range of CGM glucose readings, what percentage of paired YSI values was in the same glucose range (shaded) or in glucose ranges above and below the paired CGM readings.
  • Page 300 Table 3-A. Concurrence of G6 CGM Readings and YSI Values by CGM Glucose Range (Adults; n=159) YSI (mg/dL) Glucose Range 121- 161- 201- 251- 301- 351- > (mg/dL) < 40 Total <40 13.5% 56.7% 24.0% 3.8% 1.9% 40- 60 1.2% 67.8% 27.9% 2.7% 0.2% 0.1% 61- 80 0.1% 21.3% 61.4% 16.9% 0.3% 0.1%...
  • Page 301 Table 3-B. Concurrence of G6 CGM Readings and YSI Values by CGM Glucose Range (Pediatrics*; n=165) YSI (mg/dL) Glucose Range 121- 161- 201- 251- 301- 351- > (mg/dL) < 40 Total <40 2.9% 22.9% 28.6% 42.9% 2.9% 40- 60 0.6% 37.9% 43.5% 13.7% 3.7% 0.6% 61- 80 11.5% 65.8% 20.4% 1.9% 0.4%...
  • Page 302 Table 3-C. Concurrence of G6 CGM Readings and YSI Values by YSI Glucose Range (Adults, n=159) YSI glucose range (mg/dL) Glucose Range 121- 161- 201- 251- 301- 351- > (mg/dL) < 40 <40 51.9% 5.0% 1.1% 0.1% 0.1% 40- 60 40.7% 52.7% 11.7% 0.7%...
  • Page 303 Table 3-D. Concurrence of G6 CGM Readings and YSI Values by YSI Glucose Range (Pediatrics*; n=165) YSI glucose range (mg/dL) Glucose Range 121- 161- 201- 251- 301- 351- > (mg/dL) < 40 <40 50.0% 6.3% 1.8% 1.2% 0.1% 40- 60 50.0% 48.0% 12.5% 1.8%...
  • Page 304 The answer is 71.3% of the time for adults and 67.1% for pediatrics. 2. When the G6 CGM rate of change is rapidly falling (≤ 2 mg/dL/ min), how often is reference glucose also falling? The answer is 98.0% of the time.
  • Page 305 35.9% 48.0% 11.4% >2 0.0% 0.5% 1.7% 7.1% 23.6% 67.1% * Includes pediatric subjects 6-17 years of age; no YSI measurements were taken for pediatric subjects 2-5 years of age. Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 306 Hypoglycemia and Hyperglycemia Alerts Low and High Glucose Alerts The ability of the G6 to detect high and low glucose levels is assessed by comparing G6 results to YSI results at low and high blood glucose levels and determining if the alert may have sounded.
  • Page 307 70 mg/dL? Based on results for pediatrics in the G6 Study (Table 5-B), when your blood sugar goes below 70 mg/dL, you can expect your alarm to sound 81.6% of the time and not to sound approximately 18.4% of time within the 15 minute period before or after your blood sugar goes below 70 mg/dL.
  • Page 308 * Includes pediatric subjects 6-17 years of age; no YSI measurements were taken for pediatric subjects 2-5 years of age. All subjects were considered in the analysis; however, not all subjects experienced hypo event Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 309 Based on results for adults in the G6 Study (Table 5-C), when your alarm sounds, you can expect your blood sugar to be at or above 200 mg/dL approximately 96% of the time and not be above 200 mg/dL approximately 4% of the time within the 15 minute period before or after your alarm sounds.
  • Page 310 97.5 12,664 97.6 32,148 97.2 11,175 96.8 23,424 96.6 8,455 95.2 19,586 96.0 7,265 93.6 15,689 95.6 6,143 91.2 12,279 94.6 5,007 88.7 11.3 4,211 85.9 14.1 2,095 74.8 25.2 Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 311 3,068 86.9 13.1 1,093 90.2 1,010 77.2 22.8 84.8 15.2 * Includes pediatric subjects 6-17 years of age; no YSI measurements were taken for pediatric subjects 2-5 years of age. Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 312 (20/20%), and 40 mg/dL or 40% (40/40%), of the YSI values at the beginning (Day 1, 2), middle (Day 4, 5) and end (Day 7, 10) of the G6 lifecycle. For blood glucose values less than or equal to 70 mg/dL, the absolute difference in mg/dL between the two glucose results was calculated.
  • Page 313 1-B). Among the 210 sensors evaluated, 28 sensors (13.3%) had “early sensor shut- off” where the sensor algorithm would have detected sensors that did not function as intended and shut them off. Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 314 Number of Sensors Survival Rate (%) 99.4% 98.8% 98.8% 98.8% 98.1% 98.1% 96.8% 96.2% 94.9% 139* 93.5% * Includes sensors that survived more than 9.5 days (228 hours) of wear. Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 315 Figure 1-A. Kaplan Meier Curve of Sensor Life (Adults; N = 164) Note: “# of Censored” refers to sensors excluded from the survival analysis due to reasons not related to the device (e.g., subject dropped out of study) Dexcom G6 ® System User Guide...
  • Page 316 Number of Sensors Survival Rate (%) 99.0% 99.0% 97.1% 95.6% 91.1% 88.6% 85.5% 83.4% 79.2% 142* 76.8% * Includes sensors that survived more than 9.5 days (228 hours) of wear. Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 317 Figure 1-B. Kaplan Meier Curve of Sensor Life (Pediatrics; N = 210) Note: “# of Censored” refers to sensors excluded from the survival analysis due to reasons not related to the device (e.g., subject dropped out of study) Dexcom G6 ® System User Guide...
  • Page 318 Number of Readings Provided The G6 is capable of providing a reading every 5 minutes, or up to 288 readings per day. For a variety of reasons, the G6 may not display a glucose reading and readings are “skipped.” The percentage of readings you can expect to receive from the G6 over the sensor life is 98.6%.
  • Page 319 Upper Abdomen Abdomen Buttocks Buttocks CGM-CGM 23,019 1,255 12,230 2,638 Matched Pairs (n) Paired Absolute 14.0 14.5 16.4 Difference (mg/dL) Paired Absolute Relative 10.7 Difference (%) Coefficient of Variation (%) Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 320 Accuracy of the G6 is characterized by assessing its readings against blood glucose values from YSI. Accuracy of the G6 was assessed with paired G6 readings to YSI blood glucose values. For glucose value less than or equal to 70 mg/dL, the absolute difference in mg/dL between the two glucose results was calculated.
  • Page 321 Enrolled patients were asked to complete questionnaires on comfort and ease of use of the G6 with automatic applicator. The questionnaires were completed by the subjects or their parents/guardians. Subjects were asked to focus on ease or difficulty with their initial experience of sensor insertion and transmitter attachment.
  • Page 322 Commercially available meter Calibration Range 20 – 600 mg/dL Temperature: 36° F – 86° F Storage and Transport Conditions Store sensors in a cool, dry place Sterilization Sterile by radiation Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 323 IP28: Protection against insertion of large objects and immersion in water for up to 8 feet for 24 hours Moisture Protection Protection against submersion in water Protection Against Type BF applied part Electrical Shock Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 324 5-minute intervals. If connection is lost between the transmitter and display device, upon re-connection any missed packets (up to 3 hours) will be transmitted from the transmitter to the display device. The G6 CGM System is designed to only accept radio frequency (RF) communications from recognized and paired display devices.
  • Page 325 Security Measures The G6 System is designed to transmit data between the transmitter and designated display devices in accordance to the industry standard BLE protocols. It will not accept radio frequency (RF) communications using any other protocol, including Bluetooth classic communication protocols.
  • Page 326 Every 5 minutes Length: >4.2 inches Dimensions Width: >2.5 inches Thickness: >0.55 inches TX/RX Frequencies 2.402 – 2.480 GHz Bandwidth 1.39 MHz Maximum Output Power 2.4 mW EIRP Modulation Gaussian Frequency-Shift Keying Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 327 50 dB at 1 meter Audible Output IP22: Vertically falling drops Moisture Protection Protection against insertion of large objects and dripping water Limited Warranty 1 year Safety Classification Class II equipment Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 328 Main power quality ± 1 kV line(s) to Surge line(s) should be that of a line(s) typical commercial or IEC 61000-4-5 ± 2 kV line(s) to Not applicable hospital environment. earth Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 329 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity The G6 is intended for use in the electromagnetic environment specified in the next table. The customer or the user of the G6 should ensure that it is used in such an environment. Dexcom G6 ®...
  • Page 330 Interference may occur in the vicinity of equipment marked with the following symbol:   Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 331 Guidance and Manufacturer’s Declaration – Electromagnetic Emissions The G6 is intended for use in the electromagnetic environment specified in the next table. The customer or the user of the G6 should ensure that it is used in such an environment. Electromagnetic Emissions Specifications...
  • Page 332 NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Dexcom G6 ® System User Guide Appendix F: Technical Information...
  • Page 333 However, there is no guarantee that interference will not occur during device use. An interference event can be recognized by gaps in G6 readings or gross inaccuracies. The user is encouraged to try to mitigate these effects by one of the following measures: •...
  • Page 334 F.3 FCC Requirements The transmitter and receiver covered by this user guide have been certified under FCC ID: • G6 transmitter: PH29588 • G6 receiver: PH29949 Although the transmitter and receiver have been approved by the Federal Communications Commission (FCC), there is no guarantee that they will not receive interference or that any particular transmission from either device will be free from interference.
  • Page 335 • Consult the dealer or an experienced radio/TV technician for help This portable transmitter with its antenna complies with FCC/IC RF exposure limits for general population/uncontrolled exposure. Dexcom G6 ® System User Guide Appendix F: Technical Information...
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  • Page 337: Appendix G | Label Symbols

    Symbols may be found on the sensor, transmitter, and receiver package labels. These symbols tell you about the proper and safe use of the Dexcom G6. For a listing of what they mean, see the table below. You may also reference the Symbols Glossary at dexcom.com/symbols.
  • Page 338 IP22: Protection Against Insertion of Large Objects and Dripping Water IP28: Protection Against Insertion of Large Objects and Immersion in Water Keep Away from Heat Keep Dry Manufacturer MR Unsafe Dexcom G6 ® System User Guide Appendix G: Label Symbols...
  • Page 339 Non-Ionizing Radiation Part Number Prescription Required Refer to Instruction Manual/Booklet Serial Number Ship-By Date Sterile by Radiation STERILE R Temperature Limitation Type BF Applied Part Use By Date Dexcom G6 ® System User Guide Appendix G: Label Symbols...
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  • Page 341: Vibrations And Sounds

    H.1 App: System Alerts Default Default Default Change Override Screen Sound Vibration Settings Mute Fixed Alert Beep Fixed Alert Beep Fixed Alert Beep Silent Alert Fixed Alert Beep Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 342 Default Default Default Change Override Screen Sound Vibration Settings Mute Fixed Alert Beep Silent Alert Silent Alert Fixed Alert Beep Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 343 Default Default Default Change Override Screen Sound Vibration Settings Mute Fixed Alert Beep Fixed Alert Beep Fixed Alert Beep Fixed Alert Beep Silent Alert Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 344 Default Default Default Change Override Screen Sound Vibration Settings Mute Silent Alert Fixed Alert Beep Fixed Alert Beep Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 345 (default is 55 mg/dL) Urgent Repeat (default is 30 minutes) Sound (default is Urgent Low) Enable/Disable (default is disabled) Urgent Repeat (default is 30 minutes) Sound (default is Urgent Low) Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 346 Alert Repeat (default is Never) Sound (default is High Alert) Enable/Disable (default is disabled) Rise Notify Above Rate (default is 3 mg/dL/min) Sound (default is Rise Rate) Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 347 Fall Rate) Enable/Disable Android Signal Sound (default Loss is Signal Loss Apple Alert Alert) Enable/Disable (default is Signal disabled) Loss Sound (default Alert is Signal Loss Alert)   Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 348 Sensor warmup is 1 – 1 second done. 1 – 1 second medium tone vibe No need to calibrate beep to get G6 readings. Silent Silent Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 349 1 – 1 second 1 – 1 second medium tone vibe beep 1 – 1 second 1 – 1 second medium tone vibe beep Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 350 1 – 1 second 1 – 1 second medium tone • Urgent Low Soon vibe beep Alert • Sensor Failed Alert • Transmitter Alert Silent Sensor Silent Silent Shutoff Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 351 1 – 1 second 1 – 1 second medium tone vibe beep Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 352 1 – 1 second 1 – 1 second medium tone • Urgent Low Soon vibe beep Alert • Sensor Failed Alert • Transmitter Alert Silent Silent Recoverable error Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 353 Can be turned on/off 2 – 1/2 2 – 1/2 second by the user second high tone vibes, 1/2 beeps, 1/2 EGV >= High alarm second apart second apart level value Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 354 6 vibes, 6 beeps, • Urgent Low Alarm progressively progressively shorter in shorter in • Urgent Low Soon length length Alert • Sensor Failed Alert • Transmitter Alert Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 355 1/3 by the user seconds seconds apart apart 1 – 1 second 1 – 1 second Can be turned on/off medium tone vibe by the user beep Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 356 • Urgent Low Alarm 4 – 200 ms low tone • Urgent Low Soon vibes beeps, 1/4 Alert seconds apart • Sensor Failed Alert • Transmitter alert   Dexcom G6 ® System User Guide Appendix H: Alarm/Alerts Vibrations and Sounds...
  • Page 357: Index

    Receiver, 133 Overview, 43 Rise Rate/Fall Rate, 143 Storage, 279 Rise Rate/Fall Rate/Repeat, 150 Error messages, 339 Signal Loss, 145 Event What are, 133 Categories, 123 Definition, 123 Entering, 124, 128 Viewing, 131 Dexcom G6 System User Guide ® Index...
  • Page 358 Starting with app, 86 Indications, 20 Warmup, 85 Warnings, 21 Share Sensor Insertion Followers, 185 Choosing site, 73 Settings, 186 Sensor Session Setup, 187 Troubleshooting, 255 What is, 185 Signal Loss Alert, 145 Dexcom G6 System User Guide ® Index...
  • Page 359 Covered by patents dexcom.com/patents. Dexcom, Dexcom Follow, Dexcom G4 PLATINUM, Dexcom G5, Dexcom G6, Dexcom Share, G6, are either registered trademarks or trademarks of Dexcom, Inc. in the United States and/or other countries. Bluetooth is a registered trademark owned by Bluetooth SIG. Apple is a registered trademark owned by Apple Inc. Android is a registered trademark owned by Alphabet Inc.
  • Page 360 Dexcom, Inc. 6340 Sequence Drive San Diego, CA 92121 USA Phone: 1.858.200.0200 Tech Support: 1.888.738.3646 Web: dexcom.com LBL014003 Rev 008 MT23976 © 2018 Dexcom, Inc. All rights reserved.

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