Dexcom G4 Professional User's Guide Page 1

Dexcom G4 PLATINUM Professional System User’s Guide | 1USER’S GUIDEDEXCOM G4® PLATINUM PROFESSIONAL CONTINUOUS GLUCOSE MONITORING SYSTEMIMPORTANT CON

10 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemGLOSSARY (continued from page before)Square Seal Square-shaped tape that is

100 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System8WARNINGDo not ignore symptoms of high and low glucose. If your sensor glu

Dexcom G4 PLATINUM Professional System User’s Guide | 101Status Symbols (continued from page before)Glucose Reading ErrorThis symbol means the receiv

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Dexcom G4 PLATINUM Professional System User’s Guide | 1039chapter nineALERTS, ALARM & PROFILES

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Dexcom G4 PLATINUM Professional System User’s Guide | 105CHAPTER 9: ALERTS, ALARM & PROFILESThis chapter teaches you about the Dexcom G4 PLATINU

106 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System9Default Alert/Alarm Settings in Real-Time ModeWhat will I see on the rece

Dexcom G4 PLATINUM Professional System User’s Guide | 107Default Alert/Alarm Settings (continued from page before)What will I see on the receiver scr

108 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System9This table describes the receiver alerts and alarm and explains how the r

Dexcom G4 PLATINUM Professional System User’s Guide | 109sensor glucose readings drop below the high glucose alert level. You can have the receiver r

Dexcom G4 PLATINUM Professional System User’s Guide | 111chapter oneDEXCOM G4 PLATINUM PROFESSIONAL CONTINUOUS GLUCOSE MONITORING (CGM) SYSTEM DESCRI

110 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System9•Thereceiverdisplaysthelowglucosealarmscreen.•Re-alarm:There

Dexcom G4 PLATINUM Professional System User’s Guide | 1113. From the Main Menu, press the UP or DOWN button to scroll to “Alerts,” and press the SEL

112 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System9NOTE: Changing the high and low glucose alert is not necessary in blinded

Dexcom G4 PLATINUM Professional System User’s Guide | 1134. Press the DOWN button to highlight “Level.” The number that shows is the current high gl

114 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System94. From the Alerts menu, press the UP or DOWN button to select “Advanced

Dexcom G4 PLATINUM Professional System User’s Guide | 1159.2.2 RISE AND FALL GLUCOSE RATE ALERTS IN REAL-TIME MODERate alerts tell you when the glu

116 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System92. Highlight “On/Off” and then press the SELECT button.3. Press the UP

Dexcom G4 PLATINUM Professional System User’s Guide | 1176. Press the LEFTbuttontoreturntothealertsmenuwhenyounish.9.2.3 SETTING THE OUT

118 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System93. Press the UP or DOWN button to choose “Time,” and press the SELECT bu

Dexcom G4 PLATINUM Professional System User’s Guide | 119Regardlessofwhichalertproleyouchoose,ifyouconrmtherstvibrate alert, you will

12 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System1

120 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System9The“TryIt”featureisfoundundertheProlesmenuandletsyouhearan

Dexcom G4 PLATINUM Professional System User’s Guide | 121ALERT PROFILE DETAILS (continued from page before)PROFILE TYPEVIBRATE SOFT NORMAL ATTENTIVE

122 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System9ALERT PROFILE DETAILS (continued from page before)PROFILE TYPEVIBRATE SOF

Dexcom G4 PLATINUM Professional System User’s Guide | 123Trend graph in real-time modeTrend graph in blinded mode2. Press the SELECT button to see t

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Dexcom G4 PLATINUM Professional System User’s Guide | 12510chapter tenEVENTS, DEXCOM STUDIO SOFTWARE AND BLINDED MODE

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Dexcom G4 PLATINUM Professional System User’s Guide | 127CHAPTER 10: EVENTS, DEXCOM STUDIO SOFTWARE AND BLINDED MODEThe Events feature lets you reco

128 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System3. Press the UP or DOWN button to scroll to “Events,” and press the SELEC

Dexcom G4 PLATINUM Professional System User’s Guide | 1291. Press the RIGHT button to highlight each value in the date and time. 2. Press the UP or

Dexcom G4 PLATINUM Professional System User’s Guide | 13CHAPTER 1: DEXCOM G4® PLATINUM PROFESSIONAL CONTINUOUS GLUCOSE MONITORING (CGM) SYSTEM DESCR

130 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System2. Press the UP or DOWN button to enter the carb amount (0-250 grams), an

Dexcom G4 PLATINUM Professional System User’s Guide | 1312. Press the UP or DOWN button to enter the insulin amount (0-250 units), and press the SEL

132 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System2. Press the UP or DOWN button to choose the exercise intensity level, an

Dexcom G4 PLATINUM Professional System User’s Guide | 1331. From the Events menu press the UP or DOWN button to choose “Health,” and press the SELEC

134 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System10Youcanusedatafromdownloadsandsaveorprintlesforusersandhea

Dexcom G4 PLATINUM Professional System User’s Guide | 135see the Dexcom website (www.dexcom.com) or the Dexcom STUDIO Software User’s Guide.Once the

136 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System10The Tools drop down menu now includes an option to Blind/Unblind Attache

Dexcom G4 PLATINUM Professional System User’s Guide | 137NOTE: The choice of blinding/unblinding the receiver does not impact the data that is downlo

138 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System10STUDIO software must be open to reset the receiver.Customize what happen

Dexcom G4 PLATINUM Professional System User’s Guide | 13911chapter elevenENDING A SENSOR SESSION

14 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemPRECAUTIONThe Dexcom G4 PLATINUM Sensor, Transmitter, and Receiver are not

140 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System11

Dexcom G4 PLATINUM Professional System User’s Guide | 141CHAPTER 11: ENDING A SENSOR SESSIONThe sensor gives you sensor glucose readings for up to s

142 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System11Youcansetthesealertswiththeprolessetting(seeChapter9,Sectio

Dexcom G4 PLATINUM Professional System User’s Guide | 14311.2 REMOVING A SENSORWhen you remove the sensor, make sure to pull out the sensor pod whil

144 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System1111.3 TRANSMITTER REMOVALDo not remove the transmitter while the sensor

Dexcom G4 PLATINUM Professional System User’s Guide | 145Safety lockTransmitter with safety lock snapped inMethod 2Usethengerstospreado

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Dexcom G4 PLATINUM Professional System User’s Guide | 14712chapter twelveTAKING CARE OF THE DEXCOM G4 PLATINUM PROFESSIONAL SYSTEM

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Dexcom G4 PLATINUM Professional System User’s Guide | 149CHAPTER 12: TAKING CARE OF THE DEXCOM G4 PLATINUM PROFESSIONAL SYSTEM12.1 RECEIVING THE TR

Dexcom G4 PLATINUM Professional System User’s Guide | 15spread of contamination between multiple patient use.Please read this user’s guide closely. I

150 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System4. Remove and discard the triangle seal that is over the t-shaped slot in

Dexcom G4 PLATINUM Professional System User’s Guide | 1519. Squeeze the receiver out of the shield (like squeezing toothpaste from a tube) until the

152 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System12.3 CLEANING AND DISINFECTION OF THE TRANSMITTERDexcom validated 52 clea

Dexcom G4 PLATINUM Professional System User’s Guide | 153Cleaning the Transmitter1. Wear clean gloves and goggles.2. Prepare a soaking container by

154 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System125. Flip the transmitter over to expose the contacts (metal circles).6.

Dexcom G4 PLATINUM Professional System User’s Guide | 155DisinfectionDisinfection removes and destroys microorganisms and pathogens from the transmit

156 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System122. Prepare a soaking container by adding enough Clorox Healthcare Bleac

Dexcom G4 PLATINUM Professional System User’s Guide | 15711. Place the transmitter on a clean non-porous surface and allow the disinfectant to conta

158 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System12(EPA registration number 56392-8) may be purchased from medical ofcesu

Dexcom G4 PLATINUM Professional System User’s Guide | 15912.4 USING THE RECEIVER SHIELDHealthcare professionals must apply a shield and its componen

16 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System1.4 TRANSMITTER OVERVIEWThe transmitter is the gray, plastic “chip” that s

160 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System123. Peel triangle seal from paper backing and secure seal over opening o

Dexcom G4 PLATINUM Professional System User’s Guide | 161 •Insertcablesonlyasdirected.Donotforcecablesinplace. •Lookatcablesforsig

162 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System •Storeathumiditylevelsbetween10%-95%relativehumidity.12.7 PR

Dexcom G4 PLATINUM Professional System User’s Guide | 16313chapter thirteenTROUBLESHOOTING

164 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13

Dexcom G4 PLATINUM Professional System User’s Guide | 165CHAPTER 13: TROUBLESHOOTINGThischapterprovideshelpfultipsandinstructionstoxissues

166 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13• I am not able to remove the transmitter latch: - Hold the sensor pod

Dexcom G4 PLATINUM Professional System User’s Guide | 167 •SeeChapter7,CalibratingtheDexcomG4PLATINUMProfessionalSystem, for further info

168 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System1313.2.2 WHAT TO DO FOR CALIBRATION PROMPTS1. When you see a calibration

Dexcom G4 PLATINUM Professional System User’s Guide | 169SELECT button to clear the screen, this symbol shows in the status area.If you see this sc

Dexcom G4 PLATINUM Professional System User’s Guide | 171.5 RECEIVER OVERVIEWThe receiver is the small hand-held device that looks like a cell phone

170 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13Often, the system can correct the problem and continue providing or reco

Dexcom G4 PLATINUM Professional System User’s Guide | 171uid.Therefore,thereadingsfromthebloodglucosemeterreadingsandsensor may not match

172 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13 •Makesurethesensorisnotexpired. •Makesureyoudonotcalibra

Dexcom G4 PLATINUM Professional System User’s Guide | 17313.6.1 EARLY SENSOR SHUT-OFF – SENSOR FAILUREThe receiver may detect issues with the sensor

174 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13 •LifestyleneedsWhen you are in an active sensor session, you will se

Dexcom G4 PLATINUM Professional System User’s Guide | 17513.7 BATTERY AND CHARGER TROUBLESHOOTINGOnly use the Dexcom cable and battery charger to ch

176 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13Press the SELECT button to clear this display, and continue the sensor s

Dexcom G4 PLATINUM Professional System User’s Guide | 17713.8.4 TRANSMITTER FAILED ERROR CODEThis screen means that the transmitter is not working.

178 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13This screen means the receiver and transmitter are not communicating and

Dexcom G4 PLATINUM Professional System User’s Guide | 17913.10 ALERTS ARE NOT WORKING1. Make sure you have not turned off the sound and/or vibratio

18 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemReal-Time Receiver Mode:1EXAMPLE: 3-Hour Trend Graph ScreenStatus areaHigh

180 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System to work properly when the shield is in place. If the spacer moves and th

Dexcom G4 PLATINUM Professional System User’s Guide | 18114chapter fourteenTECHNICAL INFORMATION

182 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14

Dexcom G4 PLATINUM Professional System User’s Guide | 183CHAPTER 14: TECHNICAL INFORMATION14.1 DEVICE PERFORMANCE CHARACTERISTICSNOTE: We recommend

184 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemParticipants used the System for seven days. Thirty-six participants each

Dexcom G4 PLATINUM Professional System User’s Guide | 185The total number of data pairs considered in this analysis was 9152. Of these,eighty-twope

186 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14in the range of 81-180 mg/dL (4.5-10.0 mmol/L). You may expect your CGM

Dexcom G4 PLATINUM Professional System User’s Guide | 187level. For example if you feel normal and your blood glucose level is at 100 mg/dL (5.6 mmol

188 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14mmol/L),and96%(238outof248)oftheYSIvaluesweregreaterthan28

Dexcom G4 PLATINUM Professional System User’s Guide | 189glucose ranges above and below the paired CGM readings. Table 3. Concurrence of CGM Reading

Dexcom G4 PLATINUM Professional System User’s Guide | 19Blinded Receiver Mode:Therearevereceiverbuttonstomoveyouthroughthescreens.When in

190 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14readingis90mg/dL(5.0mmol/L),a10%differencebetweentheSysteman

Dexcom G4 PLATINUM Professional System User’s Guide | 191Table 4-A. System Difference to YSI within CGM Glucose RangesCGMGlucose Ranges mg/dL (mmol/

192 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14the reference at CGM reading within 351-400 mg/dL (Mean Absolute Percent

Dexcom G4 PLATINUM Professional System User’s Guide | 193on average, CGM reads 7.3 mg/dL (0.4 mmol/L) higher than the reference at YSI glucose levels

194 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14Hypoglycemia Alert RateThe Alert Rate shows how often the alert is right

Dexcom G4 PLATINUM Professional System User’s Guide | 195Table 6. Hyperglycemic Alert EvaluationHyperglycemic Alert Level mg/dL (mmol/L)True Alert R

196 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14event.TheHyperglycemiaDetectionRateisthe%oftimethebloodgluco

Dexcom G4 PLATINUM Professional System User’s Guide | 197Table 7. Percentage of System Readings within YSI Values with Data Stratied in 2-Hour Incr

198 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14Table 8. Sensor Stability (Accuracy over Time)Day of WearNumber of pair

Dexcom G4 PLATINUM Professional System User’s Guide | 199the System over the entire 7-day period after calibration. For example, 93.5%ofSystemspro

2 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemDEXCOM G4 PLATINUM PROFESSIONAL CONTINUOUS GLUCOSE MONITORING SYSTEMtable of

20 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System1Receiver buttons:•PresstheUP and DOWN buttons to scroll through trend

200 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14their daily diabetes management when comparing the system readings to th

Dexcom G4 PLATINUM Professional System User’s Guide | 201orgreaterthan40mg/dL(2.2mmol/L)or40%werethencalculated.For example, if the CGM r

202 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemPercentDifferenceshowsthathalfofthetimetheSystemreads-1.4%or l

Dexcom G4 PLATINUM Professional System User’s Guide | 203Transmitter Product Specications (continued from page before)Power Supply Silver oxide batt

204 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14The Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System

Dexcom G4 PLATINUM Professional System User’s Guide | 205Transmitter Electromagnetic Immunity Specications (continued from page before)Immunity Test

206 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14Transmitter Electromagnetic Immunity Specications (continued from page

Dexcom G4 PLATINUM Professional System User’s Guide | 207Receiver Product Specications (continued from page before)Charging Time3 hours wall outlet,

208 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14Receiver Electromagnetic Immunity Specications (continued from page bef

Dexcom G4 PLATINUM Professional System User’s Guide | 209Receiver Electromagnetic Immunity Specications (continued from page before)Immunity Test IE

Dexcom G4 PLATINUM Professional System User’s Guide | 21The receiver shield and components are disposable and must be replaced with each individual p

210 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14System Electromagnetic Immunity SpecicationsImmunity Test IEC 60601 Tes

Dexcom G4 PLATINUM Professional System User’s Guide | 211System Electromagnetic Immunity Specications (continued from page before)Immunity Test IEC

212 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14a.Fieldstrengthsfromxedtransmitters,suchasbasestationsfor ra

Dexcom G4 PLATINUM Professional System User’s Guide | 213Electromagnetic Emissions Specications (continued from page before)Emissions Test Complianc

214 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14Minimum Recommended Distance Between Transmitter and ReceiverRated maxi

Dexcom G4 PLATINUM Professional System User’s Guide | 215Power Supply/Charger SpecicationsDexcom P/N MT21255Class IIInput: AC Input 100-240 Vac, 5

216 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System14in accordance with the instructions, may cause harmful interference to r

Dexcom G4 PLATINUM Professional System User’s Guide | 21715chapter fteenUSER ASSISTANCE

218 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System15

Dexcom G4 PLATINUM Professional System User’s Guide | 219CHAPTER 15: USER ASSISTANCE Dexcom Website: www.dexcom.com Dexcom Address: 6340 Sequence

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220 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System15SALES SUPPORTForhelpwithrst-timeorders,re-orders,trackingshipmen

Dexcom G4 PLATINUM Professional System User’s Guide | 22116chapter sixteenWARRANTY

222 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System16

Dexcom G4 PLATINUM Professional System User’s Guide | 223CHAPTER 16: WARRANTYDexcom G4 PLATINUM Professional System Limited Warranty1. What is Cover

224 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System16operation, maintenance, installation or adjustment; (f) installation, ma

Dexcom G4 PLATINUM Professional System User’s Guide | 225AND DISCLAIMS ALL SUCH OTHER WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTY OF MERCH

226 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring Systemthe original purchaser that the Dexcom G4 PLATINUM Transmitter is free fro

Dexcom G4 PLATINUM Professional System User’s Guide | 227Dexcom G4 PLATINUM Professional CGM System User’s Guide, a copy of which was included with t

228 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemINCLUDING WITHOUT LIMITATION, ANY WARRANTY OF MERCHANTABILITY, FITNESS FOR

Dexcom G4 PLATINUM Professional System User’s Guide | 229PLATINUM RECEIVER DUE TO MISUSE, AND IMPROPER INSTALLATION, CARE OR MAINTENANCE OF THE SHIEL

Dexcom G4 PLATINUM Professional System User’s Guide | 232chapter twoINDICATIONS FOR USE AND SAFETY STATEMENT

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Dexcom G4 PLATINUM Professional System User’s Guide | 23117chapter seventeenTRAVEL INFORMATION

232 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System17

Dexcom G4 PLATINUM Professional System User’s Guide | 233CHAPTER 17: TRAVEL INFORMATIONIt is safe for you to go through the metal detector or be “ha

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Dexcom G4 PLATINUM Professional System User’s Guide | 23518chapter eighteenAPPENDIX

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Dexcom G4 PLATINUM Professional System User’s Guide | 237CHAPTER 18: APPENDIXAPPENDIX I, RECEIVER ALERTS, ALARM AND PROMPTSThe following tables desc

238 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will

Dexcom G4 PLATINUM Professional System User’s Guide | 239Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiv

24 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System2

240 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will

Dexcom G4 PLATINUM Professional System User’s Guide | 241Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiv

242 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will

Dexcom G4 PLATINUM Professional System User’s Guide | 243Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiv

244 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will

Dexcom G4 PLATINUM Professional System User’s Guide | 245Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiv

246 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will

Dexcom G4 PLATINUM Professional System User’s Guide | 247Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiv

248 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will

Dexcom G4 PLATINUM Professional System User’s Guide | 249Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiv

Dexcom G4 PLATINUM Professional System User’s Guide | 25CHAPTER 2: INDICATIONS FOR USE AND SAFETY STATEMENT2.1 INDICATIONS FOR USEThe Dexcom G4 PLA

250 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will

Dexcom G4 PLATINUM Professional System User’s Guide | 251APPENDIX II, INDEXAAlarm, Low Glucose ... 109Alerts ...

252 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System Calibration Update ... 88 How to Calibrate...

Dexcom G4 PLATINUM Professional System User’s Guide | 253Menu Options...47R Radio-Frequency (RF) ...

254 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18 Pod ...9, 15 Removing from Packa

Dexcom G4 PLATINUM Professional System User’s Guide | 255 Removal ...144 Safety Lock . . . . . . . . . . . . . .

256 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System18APPENDIX III, SYMBOLS USED IN LABELINGThe following symbols may be found

Dexcom G4 PLATINUM Professional System User’s Guide | 257Symbols (continued from page before)ManufacturerEC REPAuthorized Representative in the Euro

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26 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System2manage your diabetes. Your product instructions contain important informat

Dexcom G4 PLATINUM Professional System User’s Guide | 27•DonotusetheDexcomG4PLATINUMProfessionalSystem for treatment decisions, such as how

28 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System2manufacturer’s cleaning and disinfection procedures are followed.•Replac

Dexcom G4 PLATINUM Professional System User’s Guide | 29blood glucose) events.•Ifyourtransmitterorreceivercaseisdamaged/cracked,donot use

Dexcom G4 PLATINUM Professional System User’s Guide | 3CHAPTER 5: DEXCOM G4 PLATINUM PROFESSIONAL SYSTEM INITIAL SETUP 495.1 Setting Up the Receive

30 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System2insertion, if the system is used multiple times. Using the same site too o

Dexcom G4 PLATINUM Professional System User’s Guide | 31screen is showing the falling single arrow or double arrow, which indicates that your blood g

32 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System2•Donotdiscardyourtransmitter.Itisreusable.Thesametransmitter i

Dexcom G4 PLATINUM Professional System User’s Guide | 33after giving to the patient, the patient should return the receiver to the healthcare profess

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Dexcom G4 PLATINUM Professional System User’s Guide | 353chapter threeRISKS AND BENEFITS

36 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System13

Dexcom G4 PLATINUM Professional System User’s Guide | 37CHAPTER 3: RISKS AND BENEFITS3.1 RISKSThere are some known risks with using real-time or bl

38 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System3or low glucose alerts in blinded mode since these alerts are deactivated.

Dexcom G4 PLATINUM Professional System User’s Guide | 39professional to adjust your diabetes management therapy or techniques.Alerts and the low alar

4 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System8.2 Rate of Change Arrows in Real-Time Mode... 978.3 Glucos

40 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System31 Garg S, Zisser H, Schwartz S, Bailey T, Kaplan R, Ellis S, Jovanovic L.

Dexcom G4 PLATINUM Professional System User’s Guide | 414chapter fourCHARGING THE RECEIVER AND THE RECEIVER MAIN MENU

42 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System4

Dexcom G4 PLATINUM Professional System User’s Guide | 43CHAPTER 4: CHARGING THE RECEIVER AND THE RECEIVER MAIN MENU4.1 CHARGING THE RECEIVER BATTER

44 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemCharge the receiver battery before each sensor insertion. Periodically chec

Dexcom G4 PLATINUM Professional System User’s Guide | 455. Plug the micro USB end of the cable into the receiver USB port.Keep the USB port cover on

46 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System42. Plug the included USB cable into the computer.3. Plug the other end o

Dexcom G4 PLATINUM Professional System User’s Guide | 471. Disconnect the cable and power adapter. 2. Do not move the USB port cover; leave it open.3

48 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemReceiver Main Menu OptionsMenu PurposeUser’s Guide ReferenceTrend GraphTo s

Dexcom G4 PLATINUM Professional System User’s Guide | 495chapter veDEXCOM G4 PLATINUM PROFESSIONAL SYSTEM INITIAL SETUP

Dexcom G4 PLATINUM Professional System User’s Guide | 5 10.2.4 Resetting the Receiver for Multiple Patient Use ... 137CHAPTER 11: ENDING A SEN

50 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System5

Dexcom G4 PLATINUM Professional System User’s Guide | 51CHAPTER 5: DEXCOM G4 PLATINUM PROFESSIONAL SYSTEM INITIAL SETUPThischapterhelpsyouwheny

52 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System5 (1) Press the UP or DOWN button to enter the transmitter ID. (2) Pres

Dexcom G4 PLATINUM Professional System User’s Guide | 53 (1) Press the UP or DOWN button to select the alert level. The low alert can be changed i

54 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System5graph shows.2. Press the SELECT button to see the Main Menu.3. From the

Dexcom G4 PLATINUM Professional System User’s Guide | 55“AM” or “PM.” You will return to the Settings menu.You might need to reset the receiver’s tim

56 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System5 a. Press the UP or DOWN button to show the correct number or letter. b

Dexcom G4 PLATINUM Professional System User’s Guide | 57 •TransmitterID •SerialNumber •PartNumber •PartRevision •SoftwareNumber •So

58 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System5Press the SELECT, LEFT or RIGHT button to see the trend graph. This antenn

Dexcom G4 PLATINUM Professional System User’s Guide | 595.5 USING THE RECEIVER SHIELD AND PREPARING THE RECEIVER FOR MULTIPLE PATIENT USEPRECAUTIONS

6 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemCHAPTER 14: TECHNICAL INFORMATION 18114.1 Device Performance Characterist

60 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System5The Dexcom G4 PLATINUM Receiver is protected by a receiver shield when use

Dexcom G4 PLATINUM Professional System User’s Guide | 61The receiver shield pack includes:  •Receivershield •1triangleseal(tapetocoverthe

62 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System53. Peel triangle seal from paper backing and secure seal over opening on

Dexcom G4 PLATINUM Professional System User’s Guide | 636chapter sixINSERTING A SENSOR AND STARTING A SENSOR SESSION

64 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System6

Dexcom G4 PLATINUM Professional System User’s Guide | 65CHAPTER 6: INSERTING A SENSOR AND STARTING A SENSOR SESSIONYou need a sensor, a transmitter,

66 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System6.1 BEFORE YOU START•MakesurethecorrecttransmitterIDhasbeenenter

Dexcom G4 PLATINUM Professional System User’s Guide | 67Review the sensor applicator picture before using a new sensor.6.2 REMOVING THE SENSOR FROM

68 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System66.3 CHOOSING AN INSERTION SITEChoose a site on the belly to place the sen

Dexcom G4 PLATINUM Professional System User’s Guide | 696.4 PLACING THE SENSOR1. Clean the skin at the sensor placement site with an alcohol wipe.

Dexcom G4 PLATINUM Professional System User’s Guide | 7GLOSSARYAcoustic SpacerSmall, L-shaped plastic piece to be placed above the receiver speaker t

70 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System63. Place the sensor horizontally, NOT vertically, on the skin. 4.Movey

Dexcom G4 PLATINUM Professional System User’s Guide | 712.Whilestillpinching,usetheotherhandtoplacetwongersabove the collar on the appl

72 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System6 •Makesurethetransmitterlatchisdown(againstthebody)beforesqu

Dexcom G4 PLATINUM Professional System User’s Guide | 73 c. With the other hand, pull the transmitter latch up and forward, over the transmitter, t

74 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System62. From any trend graph, press the SELECT button to see the Main Menu.3.

Dexcom G4 PLATINUM Professional System User’s Guide | 757. If in real-time mode, you will not get sensor glucose readings or high/low glucose alerts

76 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System61. Press SELECT during the startup period to turn the on receiver displ

Dexcom G4 PLATINUM Professional System User’s Guide | 77for even support. Do not tape over the transmitter or any of the plastic parts of the sensor

78 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemTo turn the receiver back on and resume communication with the transmitter,

Dexcom G4 PLATINUM Professional System User’s Guide | 797chapter sevenCALIBRATING THE DEXCOM G4 PLATINUM PROFESSIONAL SYSTEM

8 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring SystemGLOSSARY (continued from page before)Dexcom G4 PLATINUM Professional SystemT

80 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System7

Dexcom G4 PLATINUM Professional System User’s Guide | 81CHAPTER 7: CALIBRATING THE DEXCOM G4 PLATINUM PROFESSIONAL SYSTEMIn both real-time and blind

82 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System7prompted to enter additional blood glucose values as needed.PRECAUTIONDo n

Dexcom G4 PLATINUM Professional System User’s Guide | 837.2 HOW TO CALIBRATEYou must enter the exact blood glucose value from the meter for each cal

84 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System7Only use blood glucose values between 40-400 mg/dL for calibration. If the

Dexcom G4 PLATINUM Professional System User’s Guide | 851. Wash and dry hands, make sure the glucose test strips are not expired and have been store

86 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System77. Conrm that the blood glucose value you entered is correct. Entering i

Dexcom G4 PLATINUM Professional System User’s Guide | 87PRECAUTIONTo calibrate the system, enter the exact blood glucose value that your blood glucos

88 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System a. The startup calibration symbol will stay at the top of the trend grap

Dexcom G4 PLATINUM Professional System User’s Guide | 89The following steps show you how to enter this calibration.1. When you see this screen, pres

Dexcom G4 PLATINUM Professional System User’s Guide | 9GLOSSARY (continued from page before)Proles Sound pattern and volume level settings for the a

90 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System7Wait 15 minutescalibration error screenWait 1 hourcalibration error screen

Dexcom G4 PLATINUM Professional System User’s Guide | 918chapter eight VIEWING SENSOR GLUCOSE READINGS AND TRENDS IN REAL-TIME MODE

92 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System108

Dexcom G4 PLATINUM Professional System User’s Guide | 93CHAPTER 8: VIEWING SENSOR GLUCOSE READINGS AND TRENDS IN REAL-TIME MODEThis chapter teaches

94 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System8WARNINGDo not use the Dexcom G4 PLATINUM Professional System for treatment

Dexcom G4 PLATINUM Professional System User’s Guide | 95•Each“dot”onthetrendgraphisasensorglucosereadingreportedevery 5 minutes.•Thet

96 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System8The sensor glucose reading is in milligrams per deciliter (mg/dL) unitWhic

Dexcom G4 PLATINUM Professional System User’s Guide | 97Which Trend Graph Do You See? (continued from page before)(Scroll down from the 6-hour graph

98 | Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System8The trend arrows show to the right of the current sensor glucose reading.D

Dexcom G4 PLATINUM Professional System User’s Guide | 99Trend Arrows (continued from page before)Falling: The glucose is falling 2-3 mg/dL each minut