Dexcom G4 User's Guide

Dexcom, Inc. 6340 Sequence Drive San Diego, CA 92121 USA 1.858.200.0200 1.877.339.2664 www.dexcom.comLBL012528 Rev 03 MT22690CONTINUOUS GLUCOSE

8 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemGLOSSARY (continued from page before)Proles Sound pattern and volume level settings for

98 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System1. Press the SELECT button to turn on the receiver. The 3-hour trend graph shows.2. Pr

Dexcom G4 PLATINUM User’s Guide | 991. From the alerts menu, press the UP or DOWN button to select “High Alert” or “Low Alert” and press the SELECT

100 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System95. To change this number, press the SELECT button, and then press the UP or DOWN butt

Dexcom G4 PLATINUM User’s Guide | 1019.2.1 SETTING A SNOOZE TIME FOR YOUR HIGH AND LOW GLUCOSE ALERTS The snooze feature lets you delay your high an

102 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemIf you set your fall rate to 2 mg/dL per minute and your sensor glucose readings fall a

Dexcom G4 PLATINUM User’s Guide | 1033. Press the UP or DOWN button to choose “On” or “Off.” Then, press the SELECT button to select “On” or “Off.”4

104 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System9glucose readings. The out of range symbol in the upper right corner of the trend gra

Dexcom G4 PLATINUM User’s Guide | 1054. Press the UP or DOWN button to choose the amount of time out of range after which the receiver will alert. P

106 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System9Thesoft,normal,attentiveandHypoRepeatproleshavethefollowingalert sequence:

Dexcom G4 PLATINUM User’s Guide | 107ALERT PROFILE OPTIONS (continued from page before)“HypoRepeat”prole:verysimilartothenormalprole,butit

Dexcom G4 PLATINUM User’s Guide | 9GLOSSARY (continued from page before)System ReadingA sensor glucose reading shown on your receiver. This reading i

108 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System9ALERT PROFILE DETAILS (continued from page before)PROFILE TYPEVIBRATE SOFT NORMAL ATTE

Dexcom G4 PLATINUM User’s Guide | 1091. Press the SELECT button to turn on the receiver. The 3-hour trend graph will show.2. Press the SELECT butto

110 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 11110chapter tenEVENTS

112 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System10

Dexcom G4 PLATINUM User’s Guide | 113CHAPTER 10: EVENTSThe Events feature lets you record information that may help you and your healthcare professi

114 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System4. Press the UP or DOWN button to choose the event you want: “Carbs,” “Insulin,” “Exer

Dexcom G4 PLATINUM User’s Guide | 1154. Press the SELECTbuttontoconrmthe entry.10.1.3 CARBOHYDRATESThe Carbs event lets you enter the amount o

116 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System4. Press the LEFT or RIGHT button to choose either“OK”toconrmor“Cancel”todisca

Dexcom G4 PLATINUM User’s Guide | 1174. Press the LEFT or RIGHT button to choose either“OK”toconrmthisentryor“Cancel”to discard this entry,

10 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

118 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System3. Press the UP or DOWN button to enter your exercise duration (0-360 minutes), and pr

Dexcom G4 PLATINUM User’s Guide | 1192. Press the UP or DOWN button to choose your health event, and press the SELECT button.3. Check that the da

120 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 12111chapter elevenENDING A SENSOR SESSION

122 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System11

Dexcom G4 PLATINUM User’s Guide | 123CHAPTER 11: ENDING A SENSOR SESSIONYour sensor gives you sensor glucose readings for up to seven days. The perf

124 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System11Youcansetthesealertswiththeprolessetting(seeChapter9,Section9.3.2,Aler

Dexcom G4 PLATINUM User’s Guide | 125When you remove the sensor, make sure to pull out the sensor pod while the transmitter is still attached.1. Gen

126 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System1111.3 TRANSMITTER REMOVALDo not remove the transmitter while the sensor pod is still

Dexcom G4 PLATINUM User’s Guide | 12712chapter twelveTAKING CARE OF YOURDEXCOM G4 PLATINUM SYSTEM

Dexcom G4 PLATINUM User’s Guide | 111chapter oneDEXCOM G4 PLATINUM CONTINUOUS GLUCOSE MONITORING (CGM) SYSTEM DESCRIPTION

128 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System12

Dexcom G4 PLATINUM User’s Guide | 129CHAPTER 12: TAKING CARE OF YOUR DEXCOM G4 PLATINUM SYSTEM12.1 MAINTENANCETransmitter • Wipe the outside of t

130 | Dexcom G4 PLATINUM Continuous Glucose Monitoring Systemformat is YYYY-MM-DD. Insert sensors on or before the end of the calendar day printed o

Dexcom G4 PLATINUM User’s Guide | 13113chapter thirteenTROUBLESHOOTING

132 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System13

Dexcom G4 PLATINUM User’s Guide | 133CHAPTER 13: TROUBLESHOOTINGThischapterprovideshelpfultipsandinstructionstoxissuesyoumayhave while

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

Dexcom G4 PLATINUM User’s Guide | 135 • See Chapter 7, Calibrating Your Dexcom G4 PLATINUM System, for further information.13.2.1 TYPES OF CALIBRA

136 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System1313.2.2 WHAT TO DO FOR CALIBRATION PROMPTS1. When you see a calibration prompt, pres

Dexcom G4 PLATINUM User’s Guide | 137SELECT button to clear the screen, this symbol shows in the status area.If you see this screen, wait at least

12 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System1

138 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System13 • Make sure your sensor pod is not dislodged or peeling up. • Make sure your tran

Dexcom G4 PLATINUM User’s Guide | 139If the difference between your sensor glucose reading and blood glucose value is greater than 20% of the blood g

140 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System13glucose to calibrate. Do not switch your meter in the middle of a sensor session. Blo

Dexcom G4 PLATINUM User’s Guide | 141 • Make sure your transmitter is snapped in. • Make sure your sensor pod is not dislodged or peeling up. •

142 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System132. Press the SELECT button with “OK” highlightedtoconrm.3. The Stop Sensor “thin

Dexcom G4 PLATINUM User’s Guide | 143This screen means you recently turned Share “On,” and your receiver is having trouble connecting with your iPhon

144 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System133. Charge your receiver.4. You may need to reset the time and date (see Chapter 4, S

Dexcom G4 PLATINUM User’s Guide | 14513.9.3 TRANSMITTER LOW BATTERYThis screen shows when the transmitter nears the end of its battery life (see Cha

146 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System13This screen means your receiver and transmitter are not communicating and you are not

Dexcom G4 PLATINUM User’s Guide | 14713.11 ALERTS ARE NOT WORKING1. Make sure you have not turned off the sound and/or vibrations for the alerts. C

Dexcom G4 PLATINUM User’s Guide | 13CHAPTER 1: DEXCOM G4® PLATINUM CONTINUOUS GLUCOSE MONITORING (CGM) SYSTEM DESCRIPTION1.1 SYSTEM CONTENTS: • sen

148 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 14914chapter fourteenTECHNICAL INFORMATION

150 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14

Dexcom G4 PLATINUM User’s Guide | 15116CHAPTER 14: TECHNICAL INFORMATION14.1 DEVICE PERFORMANCE CHARACTERISTICSNOTE: We recommend that you review t

152 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14and required insulin or oral medication to manage their diabetes. In the Original Stu

Dexcom G4 PLATINUM User’s Guide | 15316SW10586 SW10505 SW10050Includes Software 505 Incudes Software 505Does not include Software 505; includes Origi

154 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Table 1. System Agreement to YSI within CGM Glucose RangesCGM Glucose Range1 (mg/dL)

Dexcom G4 PLATINUM User’s Guide | 15516Agreement Relative to YSIAgreement between the System and blood glucose values is characterized using paired S

156 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14(SW10050) or Software 505 (SW10505).Agreement When CGM Reads “LOW” or “HIGH”The Syste

Dexcom G4 PLATINUM User’s Guide | 157System does not display glucose values below 40 mg/dL or above 400 mg/dL, the comparisons to the actual blood gl

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

158 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Table 3-A. Concurrence of CGM Readings and YSI Values (Original Study)CGM (mg/dL)YSI

Dexcom G4 PLATINUM User’s Guide | 159Table 3-B. Concurrence of CGM Readings and YSI Values (Software 505 Study)CGM (mg/dL)YSI (mg/dL)Row percentage

160 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Another estimate used to show the accuracy of the System is the absolute percent diff

Dexcom G4 PLATINUM User’s Guide | 16116Table 4. System Difference to YSI within CGM Glucose RangesCGMGlucose Ranges1 (mg/dL)Study2 Number of Paired

162 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Low and High Glucose AlertsThe ability of the System to detect high and low glucose l

Dexcom G4 PLATINUM User’s Guide | 16316Table 5. Hypoglycemic Alert EvaluationHypoglycemicAlert Level(mg/dL)Study1True Alert RateFalse Alert RateHypo

164 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Table 6. Hyperglycemic Alert EvaluationHyperglycemicAlert Level(mg/dL)Study1True Ale

Dexcom G4 PLATINUM User’s Guide | 165Hyperglycemia Alert RateThe Alert Rate shows how often the alert is right or wrong. The True Alert Rate is the %

166 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14your alarm to sound 98% of the time and not to sound approximately 2% of time within

Dexcom G4 PLATINUM User’s Guide | 167Table 7. Percentage of System Readings within YSI Values with Data Stratied in 2-Hour Increments after Calibra

Dexcom G4 PLATINUM User’s Guide | 151.3 SENSOR OVERVIEWThe sensor is the piece that comes in a sterile, sealed sensor pouch. The sensor is made up o

168 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Table 8. Sensor Stability (Accuracy over Time)Day of Wear1Study2Number of paired CGM

Dexcom G4 PLATINUM User’s Guide | 169Precision of System ReadingsIn the Original Study, 36 subjects wore two Systems. This was to look at how similar

170 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemTable 9. Number of Readings Provided by Each Sensor Over 7-Days% of Total Possible Rea

Dexcom G4 PLATINUM User’s Guide | 17114Table 10. System Readings Within Wear DaysStatistic Study1Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7All Days2M

172 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Table 11. System Agreement to SMBG Within CGM Glucose RangesCGM Glucose Ranges1(mg/d

Dexcom G4 PLATINUM User’s Guide | 173Agreement and Accuracy Relative to SMBGDuring the study, agreement between the System and blood glucose values i

174 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Table 12. CGM System Difference to SMBG within CGM Glucose RangesCGM Glucose Ranges1

Dexcom G4 PLATINUM User’s Guide | 175Table 12 is categorized within CGM glucose ranges. Overall, the System in the Original Study reads, on average,

176 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System1414.2 PRODUCT SPECIFICATIONSSensor Product SpecicationsGlucose Range 40 - 400 mg/dLS

Dexcom G4 PLATINUM User’s Guide | 177Moisture ProtectionIP28: temporary submersionProtection Against Electrical ShockType BF applied partTransmitter

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

178 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14device can withstand exposure to common electrostatic (ESD) and electromagnetic inter

Dexcom G4 PLATINUM User’s Guide | 179Transmitter Electromagnetic Immunity Specications (continued from page before)Immunity Test IEC 60601 Test Leve

180 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Receiver Product SpecicationsPart Number MT22495Reading Frequency Every 5 minutesDim

Dexcom G4 PLATINUM User’s Guide | 181Guidance and Manufacturer’s Declaration – Electromagnetic ImmunityThe receiver (P/N MT22495) is intended for use

182 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Receiver Electromagnetic Immunity Specications(continued from page before)Immunity T

Dexcom G4 PLATINUM User’s Guide | 183System Electromagnetic Immunity SpecicationsImmunity Test IEC 60601 Test LevelReceiver Compliance LevelElectrom

184 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14System Electromagnetic Immunity Specications (continued from page before)Immunity Te

Dexcom G4 PLATINUM User’s Guide | 185a.Fieldstrengthsfromxedtransmitters,suchasbasestationsforradio (cellular/cordless) telephones and l

186 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Electromagnetic Emissions Specications (continued from page before)Emissions Test Co

Dexcom G4 PLATINUM User’s Guide | 187Minimum Recommended Distance Between Transmitter and ReceiverRated MaximumOutput Power of Transmitter (W)Separa

Dexcom G4 PLATINUM User’s Guide | 171.5 RECEIVER OVERVIEWThe receiver is the small hand-held device that looks like a cell phone. It is about 4 inc

188 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14Power Supply/Charger SpecicationsDexcom P/N MT21255Class IIInput: AC Input 100-240

Dexcom G4 PLATINUM User’s Guide | 18914interference in a residential installation. This equipment generates uses and can radiate radio frequency ener

190 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System14PAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 19115chapter fteenUSER ASSISTANCE

192 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System15

Dexcom G4 PLATINUM User’s Guide | 19317CHAPTER 15: USER ASSISTANCE Dexcom Website: www.dexcom.com Dexcom Address: 6340 Sequence Drive San Diego,

194 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 19516chapter sixteenWARRANTY

196 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System16

Dexcom G4 PLATINUM User’s Guide | 197CHAPTER 16: WARRANTYDexcom G4 PLATINUM System Limited Warranty1. What is Covered and for How Long?Dexcom, Inc.

18 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemYour receiver and transmitter wirelessly pair together to communicate securely and only

198 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System16operation, maintenance, installation or adjustment; (f) installation, maintenance, an

Dexcom G4 PLATINUM User’s Guide | 199AND DISCLAIMS ALL SUCH OTHER WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTY OF MERCHANTABILITY, FITNESS

200 | Dexcom G4 PLATINUM Continuous Glucose Monitoring Systemthe original purchaser that the Dexcom G4 PLATINUM Transmitter is free from defects in

Dexcom G4 PLATINUM User’s Guide | 201of which was included with your Dexcom G4 PLATINUM CGM System and may be found at www.dexcom.com.3. What Are Dex

202 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPURPOSE, OR NON-INFRINGEMENT. EXCEPT TO THE EXTENT PROHIBITED BY APPLICABLE LAW, DEXCOM

Dexcom G4 PLATINUM User’s Guide | 20317chapter seventeenTRAVEL INFORMATION

204 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System17

Dexcom G4 PLATINUM User’s Guide | 205CHAPTER 17: TRAVEL INFORMATIONIt is safe for you to go through the metal detector or be “handwanded” while wear

206 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 20718chapter eighteenAPPENDIX

Dexcom G4 PLATINUM User’s Guide | 192chapter twoINDICATIONS FOR USE AND SAFETY STATEMENT

208 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System18

Dexcom G4 PLATINUM User’s Guide | 209CHAPTER 18: APPENDIXAPPENDIX I, RECEIVER ALERTS, ALARM AND PROMPTSThe following tables describe the alarm, aler

210 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the

Dexcom G4 PLATINUM User’s Guide | 211Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiver screen?Prompt, al

212 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the

Dexcom G4 PLATINUM User’s Guide | 213Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiver screen?Prompt, al

214 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the

Dexcom G4 PLATINUM User’s Guide | 21520Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiver screen?Prompt,

216 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the

Dexcom G4 PLATINUM User’s Guide | 217Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiver screen?Prompt, al

20 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System2

218 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemReceiver Alerts, Alarm and Prompts (continued from page before)What will I see on the r

Dexcom G4 PLATINUM User’s Guide | 219Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiver screen?Prompt, al

220 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System18Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the

Dexcom G4 PLATINUM User’s Guide | 221Receiver Alerts, Alarm and Prompts (continued from page before)What will I see on the receiver screen?Prompt, al

222 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemAPPENDIX II, INDEXAAlarm, Low Glucose ...97Alerts ...

Dexcom G4 PLATINUM User’s Guide | 223C Calibration ...71 Calibration Update ...78 How

224 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemM Maintenance, System...129Menu Options...

Dexcom G4 PLATINUM User’s Guide | 225 Insertion Site ... 58 Overview ...15 Pod ...

226 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemLatch ... 9, 63 Overview ...

Dexcom G4 PLATINUM User’s Guide | 227APPENDIX III, SYMBOLS USED IN LABELINGThe following symbols may be found on the sensor, transmitter, and receive

Dexcom G4 PLATINUM User’s Guide | 21CHAPTER 2: INDICATIONS FOR USE AND SAFETY STATEMENT2.1 INDICATIONS FOR USEThe Dexcom G4 PLATINUM Continuous Glu

228 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemSymbols (continued from page before)ManufacturerEC REPAuthorized Representative in the

Dexcom, Inc. 6340 Sequence Drive San Diego, CA 92121 USA 1.858.200.0200 1.877.339.2664 www.dexcom.comLBL012528 Rev 03 MT22690CONTINUOUS GLUCOSE

22 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System22.3 CONTRAINDICATIONS• Remove the Dexcom G4 PLATINUM Sensor, Transmitter, and Receive

Dexcom G4 PLATINUM User’s Guide | 23values may differ from sensor glucose readings. Using the sensor glucose readings for treatment decisions could l

24 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System2• Sensor placement and insertion is not approved for sites other than the belly (abdom

Dexcom G4 PLATINUM User’s Guide | 25to measure glucose. Insertion in those areas might affect sensor performance, and you might miss a low or high bl

26 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System2ischangingatasignicantrate(e.g.,2-3mg/dL/minormore than 3 mg/dL each minute)

Dexcom G4 PLATINUM User’s Guide | 27• The Dexcom G4 PLATINUM Sensor, Transmitter, and Receiver are not compatible with the SEVEN/SEVEN PLUS Transmit

Dexcom G4 PLATINUM User’s Guide | 1USER’S GUIDEDEXCOM G4® PLATINUMCONTINUOUS GLUCOSE MONITORING SYSTEMRECEIVER WITH ShareTMIMPORTANT CONTACTS AND NU

28 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 293chapter threeRISKS AND BENEFITS

30 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System13

Dexcom G4 PLATINUM User’s Guide | 31CHAPTER 3: RISKS AND BENEFITS3.1 RISKSThere are some known risks with using real-time CGM. You will not get sen

32 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System3events happen, you might feel discomfort in the area the sensor is inserted.There is a

Dexcom G4 PLATINUM User’s Guide | 33A1c values, reducing glycemic variability and time spent in low and high blood glucose ranges)1, 2 , 3 which can

34 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 354chapter fourCHARGING YOUR RECEIVER AND THE RECEIVER MAIN MENU

36 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System4

Dexcom G4 PLATINUM User’s Guide | 37CHAPTER 4: CHARGING YOUR RECEIVER AND THE RECEIVER MAIN MENU4.1 CHARGING YOUR RECEIVER BATTERYThe receiver batt

2 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemDEXCOM G4 PLATINUM CONTINUOUS GLUCOSE MONITORING SYSTEMtable of contentsGLOSSARY ...

38 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemCharge your receiver battery before each sensor insertion. Periodically check your batte

Dexcom G4 PLATINUM User’s Guide | 395. The battery charging screen will show on the receiver.6. After a few seconds the trend graph will show with

40 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System44. After a few seconds, the trend graph screen will show the battery charging symbol i

Dexcom G4 PLATINUM User’s Guide | 412Receiver Main Menu Options (continued from page before)Menu PurposeUser’s Guide ReferenceStart SensorTo start a

42 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 435chapter veDEXCOM G4 PLATINUM SYSTEM SETUP

44 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System5

Dexcom G4 PLATINUM User’s Guide | 45CHAPTER 5: DEXCOM G4 PLATINUM SYSTEM SETUPThischapterhelpsyouwhenyourstsetupyourContinuousGlucoseMo

46 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System5 (3) Press the SELECT button after you enter the last number or lettertoconrm

Dexcom G4 PLATINUM User’s Guide | 475.2 THE SETTINGS MENUThe Settings menu lets you change the time, date or transmitter ID. The SetupWizardonlyw

Dexcom G4 PLATINUM User’s Guide | 3CHAPTER 5: DEXCOM G4 PLATINUM SYSTEM SETUP 435.1 Setting Up the Receiver and Pairing with Your Transmitter ...

48 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System52. Press the RIGHT or SELECT button to highlight each value in the date and time.3.

Dexcom G4 PLATINUM User’s Guide | 491. From the Settings menu, press the UP or DOWN button to scroll to “Transmitter ID” and press the SELECT button

50 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System55.3 CHECKING INFORMATION ABOUT YOUR DEXCOM G4 PLATINUM SYSTEMYou can check your receiv

Dexcom G4 PLATINUM User’s Guide | 51PRECAUTIONThe transmission range from the transmitter to the receiver is up to 20 feet without obstruction. Wirel

52 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System5Press the SELECT, LEFT or RIGHT button to see the trend graph. This antenna symbol show

Dexcom G4 PLATINUM User’s Guide | 536chapter sixINSERTING A SENSOR AND STARTING A SENSOR SESSION

54 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System6

Dexcom G4 PLATINUM User’s Guide | 55CHAPTER 6: INSERTING A SENSOR AND STARTING A SENSOR SESSIONYou need a sensor, a transmitter, and a receiver to u

56 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System6.1 BEFORE YOU START• Make sure the correct transmitter ID has been entered into your

Dexcom G4 PLATINUM User’s Guide | 576.2 REMOVING THE SENSOR FROM ITS PACKAGING• Wash your hands thoroughly, and dry them.• Carefully remove the sen

4 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System8.3 Glucose Status Area Symbols ...89CHAPTER 9: ALERTS, ALARM

58 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System66.3 CHOOSING AN INSERTION SITEReview the tutorial disc for more help to learn how to i

Dexcom G4 PLATINUM User’s Guide | 596.4 PLACING THE SENSOR1. Clean your skin at the sensor placement site with an alcohol wipe. Make sure the area

60 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System63. Place the sensor horizontally, NOT vertically, on your skin. 4.Moveyourngersa

Dexcom G4 PLATINUM User’s Guide | 612.Whilestillpinching,useyourotherhandtoplacetwongersabove the collar on the applicator barrel so th

62 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System6 • Make sure the transmitter latch is down (against your body) before squeezing the t

Dexcom G4 PLATINUM User’s Guide | 63 c. With your other hand, pull the transmitter latch up and forward, over the transmitter, to snap it into plac

64 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System63. Press the DOWN button to highlight “Start Sensor.” • The “Start Sensor” menu opti

Dexcom G4 PLATINUM User’s Guide | 656.8 SENSOR STARTUP PERIODThe sensor needs a 2-hour startup period to adjust to being under the skin.Your trend g

66 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System6time to calibrate your sensor. Chapter 7, Calibrating Your Dexcom G4 PLATINUM System, t

Dexcom G4 PLATINUM User’s Guide | 672.Conrmthatyouwanttoshutdownyour receiver. a. If you want to shut down, press the LEFT button to high

Dexcom G4 PLATINUM User’s Guide | 512.2 Storage . ... 12912.3 Product Disposal . ...

68 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 697chapter sevenCALIBRATING YOUR DEXCOM G4 PLATINUM SYSTEM

70 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System7

Dexcom G4 PLATINUM User’s Guide | 71CHAPTER 7: CALIBRATING YOUR DEXCOM G4 PLATINUM SYSTEMYou must calibrate Dexcom G4 PLATINUM System sensor glucose

72 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System7Example Minimum Calibration Schedule During Seven-Day Sensor SessionPRECAUTIONDo not us

Dexcom G4 PLATINUM User’s Guide | 737.2 HOW TO CALIBRATEYou must enter the exact blood glucose value from your meter for each calibration. Blood glu

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

Dexcom G4 PLATINUM User’s Guide | 751. Wash and dry your hands, make sure your glucose test strips are not expired and have been stored properly, an

76 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System77. Conrm that the blood glucose value you entered is correct. Entering incorrect valu

Dexcom G4 PLATINUM User’s Guide | 777.3 STARTUP CALIBRATIONTwo hours after you start the sensor session (see Chapter 6, Section 6.7, Starting a Sens

6 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemGLOSSARYAlternative Site BG TestingThis is when you take a blood glucose value on your me

78 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System7.4 12-HOUR CALIBRATION UPDATE Calibrateyoursystematleastevery12hoursafteryour

Dexcom G4 PLATINUM User’s Guide | 79When you see this calibration prompt it means it is time to calibrate with a single blood glucose value.Take 1 bl

80 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemPAGE INTENTIONALLY LEFT BLANK

Dexcom G4 PLATINUM User’s Guide | 818chapter eightSENSOR GLUCOSE READINGS AND TRENDS

82 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System1038

Dexcom G4 PLATINUM User’s Guide | 83CHAPTER 8: SENSOR GLUCOSE READINGS AND TRENDS This chapter teaches you how to view your sensor glucose readings

84 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System8WARNINGDo not use the Dexcom G4 PLATINUM System for treatment decisions, such as how mu

Dexcom G4 PLATINUM User’s Guide | 85 • Each “dot” on the trend graph is a sensor glucose reading reported every 5 minutes. • The trend graph shows

86 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System8Which Trend Graph Do You See?(Scroll up from the 3-hour graph to reach the 1-hour graph

Dexcom G4 PLATINUM User’s Guide | 87The receiver displays “LOW” when the most recent sensor glucose reading is less than 40 mg/dL and “HIGH” when the

Dexcom G4 PLATINUM User’s Guide | 7GLOSSARY (continued from page before)Dexcom Share™ SystemSecondary notication system to the Dexcom G4 PLATINUM Sy

88 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System8Trend Arrows (continued from page before)Slowly rising: Your glucose is rising 1-2 mg/d

Dexcom G4 PLATINUM User’s Guide | 89top of the trend graph, the trend arrows will not show. If the trend arrow is missing, but you are concerned that

90 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System8Status Symbols (continued from page before)Glucose Reading ErrorThis symbol means the r

Dexcom G4 PLATINUM User’s Guide | 919chapter nineALERTS, ALARM & PROFILES

92 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System9

Dexcom G4 PLATINUM User’s Guide | 93CHAPTER 9: ALERTS, ALARM & PROFILESThis chapter teaches you about your Dexcom G4 PLATINUM CGM System’s many

94 | Dexcom G4 PLATINUM Continuous Glucose Monitoring System9Default Alert/Alarm Settings (continued from page before)What will I see on the receive

Dexcom G4 PLATINUM User’s Guide | 95Default Alert/Alarm Settings (continued from page before)What will I see on the receiver screen?What does this me

96 | Dexcom G4 PLATINUM Continuous Glucose Monitoring SystemWhen you have both your high and low alerts turned on, a gray zone on your trend graph s

Dexcom G4 PLATINUM User’s Guide | 97the alert (to change your snooze settings see Chapter 9, Section 9.2, Advanced Alerts).9.1.2.3 LOW GLUCOSE ALARM