Continuous Glucose Monitoring System. Receiver Setup

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1 Continuous Glucose Monitoring System Receiver Setup

2 Overview Your Dexcom G5 Continuous Glucose Monitoring (CGM) System is made up of: Receiver What do I do with it? Review your readings. Set and receive Alarm/Alerts. Keep within 20 feet of transmitter. Transmitter (Sensor under skin) Receiver Sensor What is it? Applicator inserts sensor. Sensor measures glucose levels below skin. What do I do with it? Wear sensor for seven days. Transmitter What is it? Sends glucose information to receiver What do I do with it? Attach to sensor. Reuse for 3 months. Only day 1 of receiver setup is covered here. Before you begin and anytime you have questions, review the Getting Started Guide and tutorial in your Dexcom G5 receiver box. All images are representational. To get the full user guide: Download or view: dexcom.com/guides Online request form to receive a free printed copy: dexcom.com/guides Request a free copy from Technical Support by phone: NOTE: The beneficiary may NOT use their phone for display of Continuous Glucose Monitoring (CGM) data and still be eligible for reimbursement by Medicare for Therapeutic CGM.

3 For a video on receiver setup visit dexcom.com/medicare Step 1 Set Up Receiver Select: Turn receiver on, select the highlighted option, or go to main menu. Up: Scroll through trend screens, highlight menu items, or set values. Right: Highlight the next item. Down: Scroll through trend screens, highlight menu items, or set values. Left: Go back to the last item or screen or to the trend screen from the main menu. 1 To turn on receiver, press and hold select until receiver vibrates Enter Time/Date. Date: Year / Month / Day Time: Hour / Minute / AM or PM Enter Transmitter SN. Found on: SN SN 4002B9 4002B9 transmitter back transmitter box Set Low Alert. Receiver alerts you when you are below this setting. Set High Alert. Receiver alerts you when you are above this setting.

4 Step 2 Insert Sensor and Attach Transmitter Before you begin, wash and dry your hands. Choose an insertion site on the belly: At least 3 inches from your insulin pump infusion set or injection site Out of the way of your waistband Avoid areas with scarring, tattoos, or irritation Clean site with alcohol. Peel off both backings. Place horizontally. Pull safety lock out Collar Place two fingers ABOVE the collar and push plunger down. Move fingers below collar and pull back. Squeeze ribbed tabs on the sides of the sensor. While squeezing tabs, rock the applicator forward and out Clean transmitter with alcohol. Let dry. Tuck narrow end into front of pod. Hold transmitter. Pull latch up and forward. Listen for two clicks. Hold the sides and twist latch off.

5 Step 3 Start Sensor Blinking: looking for transmitter. Solid: found transmitter. Wait about 10 minutes until Bluetooth symbol stops blinking. Press select for main menu. Select Start Sensor. The Start Sensor screen shows the 2-hour sensor warmup has begun. Countdown symbol appears during warmup. No readings during 2-hour warmup. Step 4 Calibrate After the 2-hour warmup, enter two separate blood glucose (BG) meter values before readings begin. Your receiver alerts you when you need to enter your two BG meter values Wash and dry hands. Never use gel cleaners. Test your BG using your BG meter. Use fingertips only. Press select for main menu. Select Enter BG. Enter the exact value from your BG meter. Press select. Repeat steps to enter the second BG meter value. Entering two separate values ensures accuracy. Calibrate Every 12 Hours A blood drop appears when a BG meter value is needed. See your user guide for more details. WARNING: Calibrate the Dexcom G5 at least once every 12 hours. The Dexcom G5 needs to be calibrated in order to provide accurate readings.

6 Trend Screen and Trend Arrow Your trend screen shows your reading, trend graph, and trend arrow. Your trend arrow shows the direction you are headed and how fast you will be there. Bluetooth Current Reading Trend Arrow Status Area Battery High Glucose Alert Level Low Glucose Alert Level Trend Graph Current Time Not increasing/decreasing more than 1 mg/dl each minute. Glucose could increase/decrease mg/dl in 30 minutes. Glucose could increase/decrease mg/dl in 30 minutes. Glucose could increase/decrease more than 90 mg/dl in 30 minutes. BRIEF SAFETY STATEMENT: The Dexcom G5 Continuous Glucose Monitoring (CGM) System ( G5 ) is a glucose monitoring system indicated for the management of diabetes in persons age 2 years and older. The G5 is designed to replace fingerstick blood glucose testing for diabetes treatment decisions. The G5 also aids in the detection of episodes of hyperglycemia and hypoglycemia. The G5 is intended for single patient use and requires a prescription. CONTRAINDICATIONS: Do not rely on the G5 CGM data if you have recently taken acetaminophen. Remove the G5 (sensor, transmitter, and receiver) before Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scan, or high-frequency electrical heat (diathermy) treatment. The G5 is MR Unsafe. Do not bring any portion of the G5 into the MRI environment. WARNING : CGM-based diabetes treatment decisions are only approved with the G5, not previous generations of Dexcom CGM systems. Calibrate at least once every 12 hours using a fingerstick. If your G5 does not display a sensor glucose reading and an arrow, or if you are getting inaccurate or inconsistent readings, take a fingerstick. If your glucose readings and alerts do not match your symptoms or expectations, take a fingerstick to confirm. Failure to do so may lead to hyperglycemia or hypoglycemia. The G5 is not approved for use in pregnant women, persons on dialysis or critically ill persons. If a sensor breaks and no portion of it is visible above the skin, do not attempt to remove it. Seek professional medical help if you have infection or inflammation on or near the sensor insertion point. Report broken sensors to Dexcom Technical Support. Sensor placement is not approved for sites other than under the skin of the belly (ages 2 years and older) or upper buttocks (ages 2-17 years). To share data, you need an internet connection and a separate compatible smart device running the Dexcom Follow App. Contact Dexcom Toll Free at or for detailed indications for use and safety information. LBL Rev 002 MT24710

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