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  • Quick Start Guide - Dexcom...a. From any trend graph, press the SELECT button to get to the Main Menu. b. Press the DOWN button to highlight “Start Sensor.” Press the SELECT button
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Inserting the Sensor (continued) h. Place the fingers of one hand at the edge of the white adhesive (at the opposite side of the sensor from the transmitter latch). You may pinch up on your skin using this hand. i. While still pinching, use your other 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. j. Move your 2 fingers from above the collar to below the collar. Keep your thumb lightly on top of the white plunger and pull the collar back towards your thumb until you hear 2 clicks or cannot pull back any more. You might feel pressure as you pull back the collar, but continue to pull it back completely, as shown in the picture. k. Make sure the transmitter latch is down (against your body). Squeeze the center of the ribbed tabs on the sides of the sensor pod. Rock the applicator barrel forward and out away from your body. Attaching Your Transmitter: a. Clean the back of your transmitter with an alcohol wipe. Let dry. b. Place the transmitter in the sensor pod (with the flat side down, and thinner side away from the transmitter latch). c. Place one finger on the transmitter to keep it in place. With your other hand, pull the transmitter latch up and forward until you hear 2 clicks. Inserting the Sensor (continued) a. Choose a site for the sensor 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. Insert in the belly (front of body, option A) or the upper buttocks (back of body, option B). b. Clean your skin at the sensor placement site with an alcohol wipe. Let dry. c. If you use an optional skin preparation or adhesive product, place it on the skin in a “doughnut” shape where you will place the sensor adhesive patch. Insert the sensor through the clean skin at the center of the doughnut where it is free of skin preparation or adhesive products. Let dry (skin may feel slightly tacky). d. Remove the sensor from its packaging. e. Remove the adhesive backing from the sensor pod one half at a time. f. Place the sensor horizontally, NOT vertically, on your skin. Move your fingers around the adhesive patch to secure the tape to your skin. g. Hold the applicator, and pull the safety lock straight out away from the applicator, in the direction of the arrows in the picture. Save the safety lock to help you remove the transmitter at the end of your sensor session. Inserting the Sensor (continued) d. Hold the sides of your sensor pod with one hand. Remove the transmitter latch with the other hand by quickly twisting off the latch away from your body. Step 5 Starting Your Sensor Session Once you have inserted the sensor and attached the transmitter, you need to start the sensor session on your receiver. a. From any trend graph, press the SELECT button to get to the Main Menu. b. Press the DOWN button to highlight “Start Sensor.” Press the SELECT button. The Start Sensor “thinking” screen will let you know your sensor 2-hour startup period has begun. c. This screen will appear each time you start a new sensor session. Press the SELECT button to clear the screen. d. Check your receiver 10 minutes after starting your sensor session to make sure your receiver and transmitter are communicating. The antenna symbol ( ) should be in the upper left corner of the trend graph. If the out of range symbol ( ) shows in the upper right corner of the trend graph instead, see the Dexcom G4 PLATINUM (Pediatric) System User’s Guide for more information. Starting Your Sensor Session continued on back Setting Up Your Device (continued) Setting Your Low/High Glucose Alert Levels: The low and high alert level defaults are 80 mg/dL and 200 mg/dL but can be changed or turned off. a. Press the UP or DOWN button to change your low alert level between 60-100 mg/dL. b. Press the SELECT button to accept your level. c. Repeat steps a and b to set your high alert level between 120-400 mg/dL. NOTE: There is also a non-adjustable 55 mg/dL low alarm. Your receiver will show the 3-hour trend graph (home screen) after you finish the Setup Wizard. Step 3 Setting Your Alert Profile You can choose receiver “alert profiles” with different sounds and volumes to fit your needs. Your alert profile options are: “Vibrate” can be used when you want to silence the receiver and be alerted by vibration. Under this profile the fixed low alarm at 55 mg/dL will make a sound. It will alert you as a vibration first, followed by audible beeps 5 minutes later if not confirmed. “Soft” can be used when you want your alert to be discreet. This sets all the alerts and alarms to lower volume beeps. “Normal” is the default. This sets all the alerts and alarms to higher volume beeps. Setting Up Your Device (continued) Setup Wizard: Press the SELECT button to turn the receiver on. The Setup Wizard will walk you through the steps to set your Time/Date, Transmitter ID and Low/High Alerts. The Setup Wizard will only start when you set up your Dexcom G4 PLATINUM (Pediatric) Receiver with Share for the first time. Setting the Time/Date: a. Press the UP or DOWN button to enter each number or value. b. Press the RIGHT or SELECT button to move to the next section. c. After setting the AM/PM, press the SELECT button to accept changes. Setting Your Transmitter ID: Your transmitter ID makes it possible for your transmitter and receiver to communicate with each other. a. Find the transmitter ID on the back of your transmitter. b. Press the UP or DOWN button to enter the letter or number in each space. c. Press the RIGHT or SELECT button to move to the next space. d. After entering the last space, press the SELECT button to accept changes. NOTE: You can only enter your transmitter ID when you are not in an active sensor session. Getting to Know the CGM Device (continued) Dexcom G4 PLATINUM Transmitter (DO NOT THROW AWAY!) The transmitter is the grey “chip” that snaps into your sensor pod. Keep your transmitter within 20 feet of your receiver without obstruction even during the 2-hour startup period. The transmitter battery will last at least 6 months. The Transmitter Low Battery screen will first show when there is about 1 week of battery life left. Replace your transmitter as soon as possible after you see this screen. Dexcom G4 PLATINUM Sensor Applicator (Disposable) Quick Start Guide Congratulations on making the Dexcom G4 ® PLATINUM (Pediatric) Continuous Glucose Monitoring (CGM) System a part of your life! When you use the Dexcom G4 PLATINUM (Pediatric) CGM System, you will see real-time continuous sensor glucose readings every 5 minutes for up to 7 days. These readings can help you find trends and patterns in your glucose levels, allowing you to see where your glucose levels have been, which direction they are headed, and how fast they are rising or falling. Before you begin and anytime you have questions, review the Dexcom G4 PLATINUM (Pediatric) System User’s Guide and Tutorial Disc from your Dexcom G4 PLATINUM (Pediatric) Receiver with Share Kit. This guide has seven simple steps to set up and use your Dexcom G4 PLATINUM (Pediatric) CGM System. If you need help with your system, call 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 (Pediatric) System User’s Guide prior to using your Dexcom G4 PLATINUM (Pediatric) Continuous Glucose Monitoring System. Step 1 Getting to Know Your CGM Device Your Dexcom G4 PLATINUM (Pediatric) Continuous Glucose Monitoring System is made up of 3 components: the receiver, the transmitter, and the sensor. Dexcom G4 PLATINUM (Pediatric) Receiver with Share You will see this screen when you turn on your receiver during a sensor session. NOTE: Sensor glucose readings above your High Alert setting are yellow. Sensor glucose readings below your 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. Press the UP and DOWN buttons to scroll through trend screens, highlight menu items, or set values. Press the SELECT button to turn the receiver on or select the highlighted option. Press the LEFT button to go back to the last item or screen. Press the RIGHT button to highlight the next item. • A red line across the trend screen shows the low alert level • A yellow line across the trend screen shows the high alert level Plunger Applicator barrel (contains small introducer needle and sensor) Transmitter latch Safety lock Collar Sensor pod Release tab The sensor is the piece that is inserted and worn on your skin for the whole session (up to 7 days). If you have a problem with a sensor session, keep the sensor until you speak with Dexcom ® Technical Support. Step 2 Setting Up Your Device Activating Your Transmitter: Take the transmitter out of its tray and wait 10 minutes for it to “turn on.” Charging Your Receiver: Charge the Dexcom G4 PLATINUM (Pediatric) Receiver with Share fully before you begin. A full charge can take up to 5 hours and will last about 3 days. Open the USB port cover to charge your receiver. Keep the USB port cover closed when receiver is not being charged. There are two ways you can charge your receiver: a. 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 your receiver. OR b. Plug the USB cable into your computer, and plug the other end of the cable into your receiver. You must install Dexcom STUDIO ™ software first. The battery charging screen will appear first. After a few seconds, the battery charging symbol will show in the upper left corner of the 3-hour trend graph (home screen). When the receiver is fully charged, the battery charging symbol will be completely gray. NOTE: You will keep getting sensor glucose readings while the receiver is charging during a sensor session. A Low Battery warning on the receiver will alert you when it needs to be charged. The information on the back of your transmitter may not exactly match the picture above. Setting Your Alert Profile (continued) “Attentive” can be used when you want your alert to be noticeable. This sets all the alerts and alarms to loud and with distinctive melodies. “HypoRepeat” can be used when you want extra alerts for severe low sensor glucose readings. This profile is like the normal profile, but it will keep repeating the fixed low alarm every 5 seconds until confirmed or until your sensor glucose reading rises above 55 mg/dL. Use the “Try It” feature under the Profiles option in the Main Menu to hear an example of each alert profile. Follow these steps to set your alert profile: a. From any trend graph, press the SELECT button to get to the Main Menu. 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 your transmitter, receiver, sensor, and alcohol wipes. Skin preparation or adhesive products (Mastisol ® , Skin Tac ™ ) are optional. Wash your hands thoroughly, and dry them. Step e Step f Step i “2 CLICKS” Step j “ 2 CLICKS” Step k Transmitter installed Transmitter latch Twist transmitter latch up or down Transmitter Low Battery screen Sensor Transmitter in box Receiver USB port cover USB cable plugged into receiver Setting Time/Date screen Setting Transmitter ID screen Setting Low Alert screen Setting High Alert screen Profiles menu, Try It highlighted UP button DOWN button SELECT button LEFT button High alert Low alert Status area Plot of most recent sensor glucose reading Trend arrow Most recent 5-minute glucose reading Battery Trend graph hours Antenna Glucose target range Current time RIGHT button Speaker Glucose values Step a: Front of body Back of body Install transmitter in sensor pod Side view of transmitter in sensor pod Start Sensor “thinking” screen Step g Sensor Started warning screen CONTINUOUS GLUCOSE MONITORING SYSTEM Receiver with Share TM

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Page 1: Quick Start Guide - Dexcom...a. From any trend graph, press the SELECT button to get to the Main Menu. b. Press the DOWN button to highlight “Start Sensor.” Press the SELECT button

Inserting the Sensor (continued)h. Placethefingersofonehandattheedgeofthewhiteadhesive(atthe

oppositesideofthesensorfromthetransmitterlatch).Youmaypinchuponyourskinusingthishand.

i. Whilestillpinching,useyourotherhandtoplacetwofingersabovethecollar(seepicture).Placeyourthumbonthewhiteplungerandpushdowncompletely.Youshouldhear2 clicks.

j. Moveyour2fingersfromabovethecollartobelowthecollar.Keepyourthumblightlyontopofthewhiteplungerandpullthecollarbacktowardsyourthumbuntilyouhear2 clicksorcannotpullbackanymore.Youmightfeelpressureasyoupullbackthecollar,butcontinuetopullitbackcompletely,asshowninthepicture.

k. Makesurethetransmitterlatchisdown(againstyourbody).Squeezethecenteroftheribbedtabsonthesidesofthesensorpod.Rocktheapplicatorbarrelforwardandoutawayfromyourbody.

Attaching Your Transmitter:a. Cleanthebackofyourtransmitterwithanalcoholwipe.Letdry.b. Placethetransmitterinthesensorpod(with

theflatsidedown,andthinnersideawayfromthetransmitterlatch).

c. Placeonefingeronthetransmittertokeepitinplace.Withyourotherhand,pullthetransmitterlatchupandforwarduntilyouhear2 clicks.

Inserting the Sensor (continued)a. Chooseasiteforthesensorthatisatleast3inchesfromyourinsulin

pumpinfusionsetorinjectionsiteandoutofthewayofyourwaistband.Avoidareasthatarelikelytobebumpedorpushedorareasofyourskinwithscarring,tattoosorirritation.Insertinthebelly(frontofbody,optionA)ortheupperbuttocks(backofbody,optionB).

b. Cleanyourskinatthesensorplacementsitewithanalcoholwipe.Letdry.c. Ifyouuseanoptionalskinpreparationoradhesiveproduct,placeiton

theskinina“doughnut”shapewhereyouwillplacethesensoradhesivepatch.Insertthesensorthroughthecleanskinatthecenterofthedoughnutwhereitisfreeofskinpreparationoradhesiveproducts.Letdry(skinmayfeelslightlytacky).

d.Removethesensorfromitspackaging.e. Removetheadhesivebackingfromthesensorpodone

halfatatime.

f. Placethesensorhorizontally,NOTvertically,onyourskin.Moveyourfingersaroundtheadhesivepatchtosecurethetapetoyourskin.

g. Holdtheapplicator,andpullthesafetylockstraightoutawayfromtheapplicator,inthedirectionofthearrowsinthepicture.Savethesafetylocktohelpyouremovethetransmitterattheendofyoursensorsession.

Inserting the Sensor (continued) d. Holdthesidesofyoursensorpodwithonehand.

Removethetransmitterlatchwiththeotherhandbyquicklytwistingoffthelatchawayfromyourbody.

Step 5Starting Your Sensor SessionOnceyouhaveinsertedthesensorandattachedthetransmitter,youneedtostartthesensorsessiononyourreceiver.a. Fromanytrendgraph,presstheSELECTbuttontogettotheMainMenu.b. PresstheDOWNbuttontohighlight“StartSensor.”

PresstheSELECTbutton.TheStartSensor“thinking”screenwillletyouknowyoursensor2-hourstartupperiodhasbegun.

c. Thisscreenwillappeareachtimeyoustartanewsensorsession.PresstheSELECTbuttontoclearthescreen.

d. Checkyourreceiver10minutesafterstartingyoursensorsessiontomakesureyourreceiverandtransmitterarecommunicating.Theantennasymbol( )shouldbeintheupperleftcornerofthetrendgraph.Iftheoutofrangesymbol( )showsintheupperrightcornerofthetrendgraphinstead,seetheDexcomG4PLATINUM(Pediatric)SystemUser’sGuideformoreinformation.

Starting Your Sensor Session continued on back

Setting Up Your Device (continued)

Setting Your Low/High Glucose Alert Levels:Thelowandhighalertleveldefaultsare80mg/dLand200mg/dLbutcanbechangedorturnedoff.a. PresstheUPorDOWNbuttontochangeyourlowalert

levelbetween60-100mg/dL.b.PresstheSELECTbuttontoacceptyourlevel.

c. Repeatstepsaandbtosetyourhighalertlevelbetween120-400mg/dL.

NOTE: Thereisalsoanon-adjustable55mg/dLlowalarm.

Yourreceiverwillshowthe3-hourtrendgraph(homescreen)afteryoufinishtheSetupWizard.

Step 3Setting Your Alert ProfileYoucanchoosereceiver“alertprofiles”withdifferentsoundsandvolumestofityourneeds.Youralertprofileoptionsare:

“Vibrate”canbeusedwhenyouwanttosilencethereceiverandbealertedbyvibration.Underthisprofilethefixedlowalarmat55mg/dLwillmakeasound.Itwillalertyouasavibrationfirst,followedbyaudiblebeeps5minuteslaterifnotconfirmed.

“Soft”canbeusedwhenyouwantyouralerttobediscreet.Thissetsallthealertsandalarmstolowervolumebeeps.

“Normal”isthedefault.Thissetsallthealertsandalarmstohighervolumebeeps.

Setting Up Your Device (continued)

Setup Wizard: PresstheSELECTbuttontoturnthereceiveron.TheSetupWizardwillwalkyouthroughthestepstosetyourTime/Date,TransmitterIDandLow/HighAlerts.The Setup Wizard will only start when you set up your Dexcom G4 PLATINUM (Pediatric) Receiver with Share for the first time.

Setting the Time/Date:a. PresstheUPorDOWNbuttontoentereachnumber

orvalue.b. PresstheRIGHTorSELECTbuttontomovetothe

nextsection.c. AftersettingtheAM/PM,presstheSELECTbuttonto

acceptchanges.

Setting Your Transmitter ID:YourtransmitterIDmakesitpossibleforyourtransmitterandreceivertocommunicatewitheachother.a. FindthetransmitterIDonthebackof

yourtransmitter.

b. Pressthe UPorDOWNbuttontoentertheletterornumberineachspace.

c. PresstheRIGHTorSELECTbuttontomovetothenextspace.

d. Afterenteringthelastspace,presstheSELECT buttontoacceptchanges.

NOTE: YoucanonlyenteryourtransmitterIDwhenyouarenotinanactivesensorsession.

Getting to Know the CGM Device (continued)

Dexcom G4 PLATINUM Transmitter (DO NOT THROW AWAY!)

Thetransmitteristhegrey“chip”thatsnapsintoyoursensorpod.Keepyourtransmitterwithin20feetofyourreceiverwithoutobstructionevenduringthe2-hourstartupperiod.Thetransmitterbatterywilllastatleast6months.TheTransmitter Low Battery screenwillfirstshowwhenthereisabout1weekofbatterylifeleft.Replaceyourtransmitterassoonaspossibleafteryouseethisscreen.

Dexcom G4 PLATINUM Sensor Applicator (Disposable)Quick Start GuideCongratulationsonmakingtheDexcomG4®PLATINUM(Pediatric)ContinuousGlucoseMonitoring(CGM)Systemapartofyourlife!WhenyouusetheDexcomG4PLATINUM(Pediatric)CGMSystem,youwillseereal-timecontinuoussensorglucosereadingsevery5minutesforupto7days.Thesereadingscanhelpyoufindtrendsandpatternsinyourglucoselevels,allowingyoutoseewhereyourglucoselevelshavebeen,whichdirectiontheyareheaded,andhowfasttheyarerisingorfalling.Beforeyoubeginandanytimeyouhavequestions,reviewtheDexcomG4PLATINUM(Pediatric)SystemUser’sGuideandTutorialDiscfromyourDexcomG4PLATINUM(Pediatric)ReceiverwithShareKit.ThisguidehassevensimplestepstosetupanduseyourDexcomG4PLATINUM(Pediatric)CGMSystem.If you need help with your system, call 1.877.339.2664 or 1.858.200.0200 24 hours a day, 7 days a week.WARNING:Reviewallindications,contraindications,warnings,precautionsanddetailedproceduresintheDexcomG4PLATINUM(Pediatric)SystemUser’sGuidepriortousingyourDexcomG4PLATINUM(Pediatric)ContinuousGlucoseMonitoringSystem.

Step 1Getting to Know Your CGM DeviceYourDexcomG4PLATINUM(Pediatric)ContinuousGlucoseMonitoringSystemismadeupof3components:thereceiver,thetransmitter,andthesensor.

Dexcom G4 PLATINUM (Pediatric) Receiver with ShareYouwillseethisscreenwhenyouturnonyourreceiverduringasensorsession.

NOTE: SensorglucosereadingsaboveyourHighAlertsettingareyellow.SensorglucosereadingsbelowyourLowAlertsettingarered.Sensorglucosereadingsintargetarewhite.Thereceiveristhesmallhand-helddevicethatlookslikeacellphone.Itshowsyoursensorglucosereadings,trendgraph,directionandrateofchangearrow.PresstheUPandDOWNbuttonstoscrollthroughtrendscreens,highlightmenuitems,orsetvalues.PresstheSELECTbuttontoturnthereceiveronorselectthehighlightedoption.PresstheLEFTbuttontogobacktothelastitemorscreen.PresstheRIGHTbuttontohighlightthenextitem.•Aredlineacrossthetrendscreenshowsthelowalertlevel•Ayellowlineacrossthetrendscreenshowsthehighalertlevel

Plunger

Applicatorbarrel (containssmall introducerneedle andsensor)

Transmitterlatch

Safetylock

Collar

Sensorpod

Releasetab

Thesensoristhepiecethatisinsertedandwornonyourskinforthewholesession(upto7days).Ifyouhaveaproblemwithasensorsession,keepthesensoruntilyouspeakwithDexcom®TechnicalSupport.

Step 2Setting Up Your DeviceActivating Your Transmitter:Takethetransmitteroutofitstrayandwait10minutesforitto“turnon.”

Charging Your Receiver:ChargetheDexcomG4PLATINUM(Pediatric)ReceiverwithSharefullybeforeyoubegin.Afullchargecantakeupto5hoursandwilllastabout3days.OpentheUSBportcovertochargeyourreceiver.Keep the USB port cover closed when receiver is not being charged. Therearetwowaysyoucanchargeyourreceiver:a. PlugtheUSBcableintotheACpoweradapter.Thenplug

thisadapterintoanACpoweroutlet(suchasawalloutlet),andplugtheotherendofthecableintoyourreceiver.

OR b.PlugtheUSBcableintoyourcomputer,and

plugtheotherendofthecableintoyourreceiver.YoumustinstallDexcomSTUDIO™

softwarefirst.Thebatterychargingscreenwillappearfirst.Afterafewseconds,thebatterychargingsymbolwillshowintheupperleftcornerofthe3-hour

trendgraph(homescreen).Whenthereceiverisfullycharged,thebatterychargingsymbolwillbecompletelygray.NOTE: Youwillkeepgettingsensorglucosereadingswhilethereceiverischargingduringasensorsession.ALowBatterywarningonthereceiverwillalertyouwhenitneedstobecharged.

The information on the back of your transmitter may not exactly match

the picture above.

Setting Your Alert Profile (continued)“Attentive”canbeusedwhenyouwantyouralerttobenoticeable.Thissetsallthealertsandalarmstoloudandwithdistinctivemelodies.

“HypoRepeat”canbeusedwhenyouwantextraalertsforseverelowsensorglucosereadings.Thisprofileislikethenormalprofile,butitwillkeeprepeatingthefixedlowalarmevery5secondsuntilconfirmedoruntilyoursensorglucosereadingrisesabove55mg/dL.

Usethe“TryIt”featureundertheProfilesoptionintheMainMenutohearanexampleofeachalertprofile.Followthesestepstosetyouralertprofile:a. Fromanytrendgraph,presstheSELECTbuttontoget

totheMainMenu.b. PresstheDOWNbuttontohighlight“Profiles.”Pressthe

SELECTbutton.c. PresstheUPorDOWNbuttontohighlightthealertprofileyouwant

touse.

d. PresstheSELECTbutton.A willappeartotherightoftheprofileyouchose.

NOTE: Nomatterwhatprofileyouset,allalertsandalarmswillnotifyyoubyvibratingfirst.Therewillbenobeepifyouconfirmthealertoralarmafterthefirstvibration.

Step 4Inserting the SensorBeforeyoubegin,makesureyouhaveyourtransmitter,receiver,sensor,andalcoholwipes.Skinpreparationoradhesiveproducts(Mastisol®,SkinTac™)areoptional.Washyourhandsthoroughly,anddrythem.

Step e

Step f

Step i

“2 CLICKS”

Step j

“ 2 CLICKS”

Step k

TransmitterinstalledTransmitterlatch

Twisttransmitterlatchupordown

Transmitter Low Battery screen

Sensor

Transmitter in box

Receiver USB port cover

USB cable plugged into receiver

Setting Time/Date screen

Setting Transmitter ID screen

Setting Low Alert screen

Setting High Alert screen

Profiles menu, Try It highlighted

UPbutton

DOWNbutton

SELECTbutton

LEFTbutton

Highalert

Lowalert

Statusarea

Plotofmostrecentsensorglucosereading

TrendarrowMostrecent5-minuteglucosereadingBattery

Trendgraphhours

Antenna

Glucosetargetrange

Currenttime

RIGHTbutton

Speaker

Glucosevalues

Step a: Front of body Back of body

Install transmitter in sensor pod

Side view of transmitter in sensor pod

Start Sensor “thinking” screen

Step g

Sensor Started warning screen

CONTINUOUS GLUCOSE MONITORING SYSTEM Receiver with ShareTM

Page 2: Quick Start Guide - Dexcom...a. From any trend graph, press the SELECT button to get to the Main Menu. b. Press the DOWN button to highlight “Start Sensor.” Press the SELECT button

WARNING: DonotexpectalertsfromtheDexcomG4PLATINUM(Pediatric)Systemuntilafterthe2-hourstartup.YouwillNOTgetanysensorglucosereadingsoralertsuntilafterthe2-hourstartupendsANDyoucompletethestartupcalibration.Duringthistimeyoumightmissseverehypoglycemia(lowbloodglucose)orhyperglycemia(highbloodglucose)events.

Step 6

CalibratingYouneedtouseyourbloodglucosemetertocalibrateyourDexcomG4PLATINUM(Pediatric)System.Attheendofthe2-hourstartupperiod,youmustentertwocalibrationsbeforeanysensorglucosereadingswillshow.Calibrationbloodglucosevaluesneedtobeenteredintothereceiverwithin5minutesoftestingwithyourbloodglucosemeter.

Startup Calibration:a. Afterthe2-hourstartupperiod,adoubleblooddrop

promptwillshowonthereceiverscreen.PresstheSELECT buttontoclearthisalert.

b.Washanddryyourhands.c. Takeafingerstickbloodglucosemeasurementusing

yourbloodglucosemeter.d. Fromanytrendgraph,presstheSELECT buttontoget

totheMainMenu.e. PresstheDOWNbuttontohighlight“EnterBG.”Pressthe

SELECT button.

Ending Your Sensor Session (continued) •Useyourfingerstospreadthebacktabsofthesensorpod.The

transmitterwillpopout OR •Usethesafetylock(fromthesensor

applicator).Insertthejaggededgesofthesafetylocksothey“hug”thewideendofthetransmitterinthesensorpod.Pressthesafetylockdownuntilyoucannotpressanymore,andthenpullup.Thetransmitterwillpopout

c. Keepthetransmitter.Disposeofthesensorfollowingyourlocalguidelinesfordisposalofblood-contactingcomponents.

Startup calibration prompt

Step 7Ending Your Sensor SessionThesensorautomaticallyshutsoffafter7days.Thereceiverwillalertyouat6hours,2hoursand30minutesbeforethesensorsessionends.TheReplaceSensorNowscreenwillshowwhenitistimetoremoveyoursensor.

Removing Your Sensor Pod and Transmitter:NOTE:Keepthesensorandtransmittertogetherwhenremovingfromyourskin.a. PeelthesensorpodoffyourbodylikeaBand-Aid®.Donotremovethe

transmitterfromthesensorpoduntiltheentiresensorhasbeenremovedfromyourbody.

b. Placethesensorpod/transmitteronahardsurface.Therearetwowaysyoucanremovethetransmitter:

Replace Sensor Now screen

Advanced Features of the Dexcom G4 PLATINUM (Pediatric) CGM System (continued)

Advanced Feature #1: Trend ArrowsAtrendarrowmayshownexttothesensorglucosereadingonyourreceivertrendscreens.Trendarrowsshowyouthedirectionandspeedyourglucoseischanging.SeetheDexcomG4PLATINUM(Pediatric)SystemUser’sGuideformoreinformation.

Advanced Feature #2: Event MarkersEventmarkersletyourecordinformationthatmayhelpyouandyourhealthcareteambetterunderstandyourglucosepatternsandtrends.Eventsincludecarbohydrates(grams),insulin(units),exercise(intensityandduration),andhealth(illness,stress,high/lowsymptoms,menstrualcycle,alcohol).EventmarkersdonotshowonthereceiverbutcanbedownloadedtotheDexcomSTUDIOsoftware.SeetheDexcomG4PLATINUM(Pediatric)SystemUser’sGuideformoreinformation.

Advanced Feature #3: Advanced AlertsToturnonanyoftheadvancedalerts,followthesesteps:a. Fromanytrendgraph,presstheSELECTbuttontogettotheMainMenu.b. PresstheDOWNbuttontohighlight“Alerts.”Press

the SELECTbutton.

Main Menu,Alerts highlighted

Advanced menu, Rise Rate highlighted

Rise Rate screen, On/Off highlighted

Rise Rate screen, On highlighted

Main Menu,Alerts highlighted

Sensor TroubleshootingRefertoyourDexcomG4PLATINUM(Pediatric)SystemUser’sGuideorcontactDexcomTechnicalSupportat1.877.339.2664 or 1.858.200.0200 foranyunresolvedquestions/troubleshootingissues.TheDexcomG4PLATINUM(Pediatric)Systemonlinetutorialisalsoavailableatwww.dexcom.com.

Blood Drop in Status Area

Calibration needed.• Enter a calibration as described in Step 6 of this quick

start guide

Wait 15 Minutes Calibration Error

Sensor is not calibrating correctly.• Press the SELECT button. will show in status bar• Wait 15 minutes, then enter 1 calibration• If error continues, enter 1 more calibration, and wait

15 minutes• If no sensor glucose readings show, contact Dexcom

Technical Support

Wait 1 Hour Calibration Error

Sensor is not calibrating correctly.• Press the SELECT button. will show in

status bar• Wait about 1 hour, then enter 1 calibration• Wait 15 minutes. If no sensor glucose readings show,

contact Dexcom Technical Support

Glucose Reading Error

in Status Area

Wait. usually clears up by itself within minutes or hours. If this continues after 3 hours, contact Dexcom Technical Support.• Do not calibrate • Make sure the sensor pod is sticking well to your body

and nothing is rubbing against it• Check that the transmitter is snapped in on both sides

Sensor Failed

Sensor shuts off before end of 7-day session.• Press the SELECT button to clear the alert/screen • Contact Dexcom Technical Support• Remove failed sensor and insert a new sensor

Low Glucose AlarmTheDexcomG4PLATINUM(Pediatric)Systemhasanautomaticlowglucosealarmsetat55mg/dL.Youcannotchangeorturnoffthisalarmoritsre-alertsettings.Ifyougetthisalarm:•PressSELECTtoclear•Youwillgetthisalarmagainin30minutesifyoursensorglucosereadingisstillatorbelow55mg/dL

Low glucose alarm

Advanced Features of the Dexcom G4 PLATINUM (Pediatric) CGM SystemTheDexcomG4PLATINUM(Pediatric)Systemhasadvancedfeaturesandalertstotakeyourglucosesensingtothenextlevel.ExceptfortheTrendArrowsandEventMarkers,theseadvancedalertsareturned‘off’whenyoufirstreceiveyourDexcomG4PLATINUM(Pediatric)Systembutcanbeturnedonandcustomized.

Dexcom,DexcomG4,DexcomG4PLATINUMandDexcomSTUDIOareeitherregisteredtrademarksortrademarksofDexcom,Inc.intheUnitedStatesand/orothercountries.Allotherproductorcompanynamesthatmaybementionedinthispublicationaretradenames,trademarksorregisteredtrademarksoftheirrespectiveowners.

©2015Dexcom,Inc.Allrightsreserved. LBL012570Rev02MT22716

Dexcom, Inc. I 6340 Sequence Drive I San Diego, CA 92121 Technical Support: 1.877.339.2664 / 1.858.200.0200 I www.dexcom.com

Rate of change arrow appears in upper right of trend graph

No arrow

Constant

0-1mg/dL/min

0-30mg/dLupordownin1/2hour

Slowly Rising

1-2mg/dL/min

30-60mg/dLupin1/2hour

Rising

2-3mg/dL/min

60-90mg/dLupin1/2hour

Rapidly Rising

3ormoremg/dL/min

90ormoremg/dLupin1/2hour

Slowly Falling

1-2mg/dL/min

30-60mg/dLdownin1/2hour

Falling

2-3mg/dL/min

60-90mg/dLdownin1/2hour

Rapidly Falling

3ormoremg/dL/min

90ormoremg/dLdownin1/2hour

No Rate of Change

Information

[0-24minutes]

[24-48minutes]

[72-96minutes]

Ready for calibration

[48-72minutes]

Start

Countdown symbol fills in during sensor startup. When you see any of these symbols, you will get NO sensor glucose readings or alerts.

Starting Your Sensor Session (continued from front)e. A2-hourcountdownsymbolwillshowonthereceivertrendscreenand

willfillinduringthe2-hourstartupperiod.

Calibrating (continued)f. Forthestartupcalibration,thedefaultbloodglucosevalueonthereceiver

is120mg/dL.PresstheUPorDOWNbuttontoentertheexactbloodglucosevaluefromyourbloodglucosemeter.PresstheSELECTbutton.

g.PresstheSELECTbuttonagaintoacceptthecalibration.h.Repeatstepsc-gtoenterasecondbloodglucosevalue.

Calibration Update:Thecalibrationsingleblooddroppromptwillappearonthereceiverscreentoletyouknowacalibrationupdateisneeded.Toconfirmthisprompt,pressSELECT. Afteryourstartupcalibration,calibrationupdatesmustbeenteredonceevery12hoursataminimum.NOTE: Calibratinglessthantherecommendedamountmayresultininaccuratesensorglucosereadings.Youcanentermorecalibrationseachdayifyouwant.SeetheDexcomG4PLATINUM(Pediatric)SystemUser’sGuideformoredetailsoncalibrating.

Calibration prompt

Safetylock

Transmitter with safety lock snapped in

Calibration “Do’s”•Usethesamebloodglucosemeterforallcalibrationsduringasensorsession

•Makesureyourbloodglucoseteststripsarecodedcorrectlyandnotexpired

•Washanddryyourhandsbeforetestingyourbloodglucose•Useonlyfingerstickbloodglucosevaluesforcalibration

Calibration “Don’ts”•Don’tcalibratewhenyousee or inthestatusbar•Don’tcalibrateifyourbloodglucosevalueishigherthan400mg/dLorlowerthan40mg/dL

•Don’tcalibratewhenacetaminophen(suchasTylenol®)isactiveinyourbody

Frequently Asked QuestionsWhat are the contraindications for the Dexcom G4 PLATINUM Sensor?

•RemovetheDexcomG4PLATINUMSensor,Transmitter,andReceiverbeforeMagneticResonanceImaging(MRI),ComputedTomography(CT)scan,ordiathermytreatment.ThedeviceisMR

Unsafe.DonotbringanyportionofthedeviceintotheMRenvironment.TheDexcomG4PLATINUM(Pediatric)SystemhasnotbeentestedduringMRIorCTscansorwithdiathermytreatment.Themagneticfieldsandheatcoulddamagethedevicesothatitmightnotdisplaysensorglucosereadingsorprovidealerts,andyoumightmissaloworhighbloodglucosevalue.

•Takingmedicationswithacetaminophen(suchasTylenol)whilewearingthesensormayfalselyraiseyoursensorglucosereadings.Thelevelofinaccuracydependsontheamountofacetaminophenactiveinyourbodyandmaybedifferentforeachperson.

Should I make treatment decisions based on the results from my Dexcom G4 PLATINUM (Pediatric) CGM System?No.Treatmentorinsulindosingdecisionsshouldbebasedonthebloodglucosevaluefromyourbloodglucosemeter.Thedirection,rateofglucosechange,andtrendgraphonyourDexcomG4PLATINUM(Pediatric)Systemprovideadditionalinformationtohelpwiththesedecisions.

Is it okay if my Dexcom G4 PLATINUM (Pediatric) CGM System sensor glucose readings and fingerstick blood glucose values don’t match exactly?

Advanced menu, Out of Range highlighted

Out of Range alert screen

(2) Rise/Fall Glucose Rate Alerts Theratealertscanbesettoalertyouwhenyoursensorglucosereadings

arerising(risealert)orfalling(fallalert)at2mg/dLormoreperminuteor3mg/dLormoreperminute.SeetheDexcomG4PLATINUM(Pediatric)SystemUser’sGuideformoreinformation.

c. PresstheDOWNbuttontohighlight“LowAlert.”Pressthe SELECTbutton.

d.Youmaydecidetochangethelowglucosealertsetting.ThisscreenappearswhenyousetthelowalerttoremindyouthatCGMmaynotdetectalllowglucoseevents.PresstheSELECTbuttontoconfirmyouhavereadandunderstandthismessage.

e. PresstheDOWNbuttontohighlightalert“Level.”Pressthe SELECTbutton.

f. PresstheUPor DOWNbuttontochangethelevel.g.PresstheSELECTbuttontoconfirmchanges.

h.TochangetheHighAlertfollowstepsaandb.

i. Makesure“HighAlert”ishighlighted.PresstheSELECTbutton.

j. Followstepse-g.

How long is the warranty on the Dexcom G4 PLATINUM Transmitter?Thewarrantyforthetransmitteris6months.

How long is the warranty for the Dexcom G4 PLATINUM (Pediatric) Receiver with Share?Thewarrantyforthereceiveris12months.

Alerts menu, Low Alert highlighted

Low Alertwarning screen

Alerts menu,High Alert highlighted

High Alert screen,Level highlighted

Main Menu,Alerts highlighted

Low Alert screen,Level highlighted

Advanced Features of the Dexcom G4 PLATINUM (Pediatric) CGM System (continued)c. PresstheDOWNbuttontohighlight“Advanced.”

PresstheSELECTbutton.

d. PresstheUPorDOWNbuttontohighlighttheadvancedfeatureyouwanttoset.PresstheSELECTbutton.

(1) High/Low Snooze Alerts Thehigh/lowsnoozealertscanbesettore-alertyouwhenyoursensor

glucosereadingstaysoutsidehighorlowalertlevel.Snoozealertscanbesettore-alertevery15minutesupto5hours.SeetheDexcomG4PLATINUMSystem(Pediatric)User’sGuideformoreinformation.

Advanced menu, High Snooze highlighted

High Alert setting screen, 15 minutes selected

Alerts menu,Advanced highlighted

(3) Out of Range Alert Theoutofrangealertcanbesettoalertyouwhenthetransmitter

andreceiverarenotcommunicatingforanamountoftimebetween20-200minutes.Theoutofrangesymbol( )willbeintheupperrightcornerofthetrendgraph,andtheOutofRangealertscreenwillshow.SeetheDexcomG4PLATINUM(Pediatric)SystemUser’sGuideformoreinformation.

Frequently Asked Questions (continued)Yes.Yoursensorglucosereadingsaremeanttobeusedfortrendingonly.Yourbloodglucosemeterandsensormeasureyourglucosefromtwodifferenttypesofbodyfluids:bloodandinterstitialfluid.Therefore,thevaluesfromyourbloodglucosemeterandsensormaynotmatchexactly.

Why can’t I take any acetaminophen containing medication while I am using the Dexcom G4 PLATINUM (Pediatric) System?AcetaminophenisacontraindicationoftheDexcomG4PLATINUM(Pediatric)Systemandshouldnotbetakenwhileyoursensorisinserted.TheDexcomG4PLATINUM(Pediatric)Systemmayreadinaccuratelyhighwhenyoutakeacetaminophen-containingdrugs.Thelevelanddurationofinaccuracymaybedifferentforeachperson.Tounderstandhowlongacetaminophen-containingmedicinesmayaffectyourbody,consultyourhealthcareprovider.How do I change my high/low glucose alert levels?Followthesesteps:a. Fromanytrendgraph,presstheSELECTbuttontogettotheMainMenu.b. PresstheDOWNbuttontohighlight“Alerts.”Pressthe

SELECTbutton.

MR


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