Dexcom G4 Platinum Quick Start Manual

CONTINUOUS GLUCOSE MONITORING SYSTEM
Quick Start Guide
Using the Dexcom G4 PLATINUM
®
Professional System in Real-Time
Your healthcare professional has recommended you use the Dexcom G4 PLATINUM
Professional CGM System.
When you use the Dexcom G4 PLATINUM Professional System, you will see real-time
continuous sensor glucose readings every 5 minutes during the sensor session. These
readings can help you and your healthcare professional find trends and patterns in your
glucose levels and show you more than a glucose number as with your blood glucose meter.
These readings show where your glucose levels have been, the direction they are headed (up
or down) and how fast they are changing (rising or falling). Seeing real-time glucose trends
and patterns allows you to see the cause and effect your daily activities have on your glucose
so you may be able to learn to adjust your behavior to help improve your glucose control.
Your healthcare professional will train you on the basic use of the Dexcom G4 PLATINUM
Professional System. Anytime you have questions, review the Dexcom G4 PLATINUM
Professional System User's Guide, this quick start guide or call Dexcom ® Technical Support at
1.877.339.2664 or 1.858.200.0200 24 hours a day, 7 days a week.
WARNING: Review all indications, contraindications, warnings, precautions and detailed
procedures in the Dexcom G4 PLATINUM Professional System User's Guide prior to using
the Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System.
Step 1
Getting to Know the CGM Device
The Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring
System is made up of 4 components: the receiver, the transmitter, the sensor
and the receiver shield pack.
Dexcom G4 PLATINUM Receiver
You will see this screen when you turn on the receiver during a sensor session.
Most recent 5-minute glucose reading Trend arrow UP button
Battery Status area
Speaker
Antenna
RIGHT button
High
alert
Glucose
target
SELECT
range
button
Low
alert
Plot of most recent Current LEFT
sensor glucose reading
time button DOWN button
Trend graph hours
NOTE: Sensor glucose readings above the High Alert setting are yellow.
Sensor glucose readings below the Low Alert setting are red. Sensor glucose
readings in target are white.
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. The receiver can be downloaded at your healthcare
professional's office to review glucose patterns.
Press the UP and DOWN buttons to scroll through the 1-hour, 3-hour, 6-hour,
12-hour and 24-hour 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 trend arrow may show next to the sensor glucose reading on the receiver
trend screens. Trend arrows show you the direction and speed your glucose
is changing
• See the Dexcom G4 PLATINUM Professional System User's Guide for
more information
Getting to Know the CGM Device (continued)
Dexcom G4 PLATINUM Transmitter
The transmitter is the grey "chip" that snaps into the sensor pod on your
body. The transmitter has a unique ID that makes it possible for the
transmitter and receiver to communicate to each other.
Keep the transmitter within 20 feet of the receiver without obstruction
throughout the entire 7 day sensor session in order to capture your sensor
glucose readings every 5 minutes.
The transmitter has an internal battery. When the battery
is low, the Transmitter Low Battery screen appears.
This means there is about 1 week of battery life left.
Contact your healthcare professional immediately if
you see the Transmitter Low Battery screen so a new
Transmitter Low Battery
transmitter can be ordered.
screen
Dexcom G4 PLATINUM Sensor Applicator
Plunger
Safety lock
Applicator barrel
(contains small
Collar
introducer needle
and sensor)
Transmitter latch Sensor pod
Release tab
The sensor is the piece that is inserted and worn on
your belly for the whole session (up to 7 days). If you
have a problem with a sensor session, keep the sensor
until you speak with Dexcom Technical Support.
Sensor
Step 2
Preparing the Device for Patients
NOTE: For multiple patient use, it is important that each user's data is
erased from the receiver data memory after each use. This will ensure
patient privacy with subsequent users. See the Dexcom G4 PLATINUM
Professional System User's Guide for instructions on erasing patient
data from the receiver after each use.
Charge Receiver:
A full charge can take up to 5 hours and will last
about 3 days. Keep the USB port cover open
after charging.
To charge the receiver, plug the USB cable into
the AC power adapter. Then plug this adapter into
an AC power outlet (such as a wall outlet), and
plug the other end of the cable into the receiver.
Receiver USB port cover
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.
USB cable plugged into receiver
Confirm Time/Date and Transmitter ID is Correct:
a. Press the SELECT button to get to the Main Menu.
b. Press the DOWN button to scroll down to the "Settings" menu.
c. Press the SELECT button to enter the Settings menu.
d. The "Time/Date" option will be highlighted. Press the SELECT button.
e. Press the UP or DOWN button to enter each number or value.
f. Press the RIGHT or SELECT button to move to the next section.
Preparing the Device for Patients (continued)
g. After setting the "AM/PM," press the SELECT
button to accept changes.
Setting Time/Date screen
h. Scroll down to the "Transmitter ID" menu option.
i. Press the SELECT button to enter the Transmitter ID menu.
j. Find the transmitter ID on the back of the
transmitter.
The information on the
back of the transmitter
may not exactly match
the picture above.
k. Press the UP or DOWN button to enter the letter or
number in each space.
l. Press the RIGHT or SELECT button to move to the
next space.
m. After entering the last space, press the SELECT
Setting Transmitter ID
button to accept changes.
screen
NOTE: You can only enter the transmitter ID when you
are not in an active sensor session.
Setting High/Low Glucose Alert Levels Appropriate for the
Patient:
The high and low alert level defaults are 200 mg/dL and 80 mg/dL but can be
changed or turned off. Change the high and low glucose alerts based on the
recommendations of the healthcare professional.
To change the high and low alerts:
a. Press SELECT button to get to the Main Menu.
Preparing the Device for Patients (continued)
b. Press the DOWN button to highlight "Alerts." Press
the SELECT button.
Main Menu,
Alerts highlighted
c. Press the SELECT button to select "High Alert."
Or press the DOWN button and then the SELECT
button to select "Low Alert."
Alerts menu,
High Alert highlighted
d. Press the DOWN button to highlight "Level." Press the
SELECT button.
High Alert screen,
Level highlighted
e. Use the UP or DOWN button to change the high
alert level between 120-400 mg/dL or low alert level
between 60-100 mg/dL.
Setting High Alert
screen
f. Press the SELECT button to confirm changes.
NOTE: There is also a non-adjustable 55 mg/dL
low alarm.
Setting Low Alert
screen
Preparing the Device for Patients (continued)
Placing the Receiver in the Receiver Shield:
The receiver shield is necessary to help ensure
the receiver is clear of contamination.
Receiver shield pack
a. Wash hands and put on sterile gloves. Peel the acoustic
spacer from the paper backing and secure on the upper
speaker edge.
Step a
b. Note the location of the USB opening on the receiver
shield. Stretch the receiver shield over the receiver.
Step b
c. Peel the triangle seal from the paper backing and secure
the seal over the opening on the back of the receiver.
Step c
d. Peel 1 square seal from the paper backing and secure
the seal over the USB door on the side of the receiver.
Save the additional USB seals for recharging.
Step d
Step 3
Setting the Alert Profile
You can choose receiver "alert profiles" with different sounds and volumes to
fit your needs.
The 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 the 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 the 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 the alert profile:
a. From any trend graph, press the SELECT button to get
to the Main Menu.
Profiles menu,
Try It highlighted
b. Press the DOWN button to highlight "Profiles." Press 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 the transmitter, receiver, a sensor and
alcohol wipes. Wash your hands thoroughly, and dry them.
a. Choose a site on your belly that is at least 3 inches 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.
b. Remove the sensor from its packaging.
c. Clean your skin at the sensor placement site with an alcohol wipe. Let dry.
d. Remove the adhesive backing from the sensor pod one
half at a time.
Step d
e. Place the sensor horizontally, NOT vertically, on your
skin. Move your fingers around the adhesive patch to
secure the tape to your skin.
Step e
f. Hold the applicator, and pull the
safety lock straight out away from
the applicator, in the direction of the
arrows in the picture. Give the safety
lock to the patient to help remove the
Step f
transmitter at the end of the sensor
session if appropriate.
g. 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.
h. 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 h
Inserting the Sensor (continued)
i. Move your 2 fingers from above the collar to below
the collar. Keep your thumb lightly on top of the white " 2 CLICKS"
plunger and pull the collar back towards your thumb until
you hear 2 clicks or cannot pull back any more.
Step i
j. 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 j
Attaching the Transmitter:
a. Clean the back of the 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
c. Place one finger on the transmitter to
Transmitter Latch
Transmitter Installed
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 the sensor pod with one hand.
Remove the transmitter latch with the other hand by
quickly twisting off the latch away from your body.
Twist transmitter
latch up or down