INTUIT IVE. FOCUSED. SIMPLIF IED.
HELP TAKE the GUESSWORK OUT of GLUCOSE PATTERN MANAGEMENT
DEXCOM STUDIO™
Introducing
Continuous Glucose Monitoring Software
Glucose Pattern ManagementA Guide to Interpreting CGM Data Reports
Assess Patterns ofOvernight GlucoseControl
STEP 2
•Considerincreasetoovernightbasalinsulinorbolusinsulinat dinnerinabovecase.
*Note:DexcomCGMUsersshouldconsulttheirHealthCareProviderbeforemakinganyadjustmentstotheirinsulintherapy.
STEP 1Assess Patterns ofHypoglycemia Determinewhenhypoglycemiaoccursandprioritize:•Hypoglycemiaovernight(1st)•Hypoglcyemiathroughoutday/night(2nd)
Dinnerbolusinsulinoreveningexercisemaycontributetoovernighthypoglcyemia.Ifhypoglycemiaoccursafterbolusinsulin,mayconsideradjustmenttomealbolusorcorrectiondose.
•Adjustmenttoovernightbasalinsulinmaybeconsideredinthecase above.Interviewpatienttodetermineifsmallcorrectiondosewas givenatbedtime.
•Nopatterneddaytimehypoglycemia.
Basalinsulinshouldkeepglucosevaluesinastabletargetglucoserangethroughoutthenight.
Assessifdinnermealmaycontributetoovernighthyperglycemia.
Ofteninsufficientdinnerbolusinsulinmaycontributetoovernighthyperglcyemia.
Determineifthereisovernighthyperglycemiabasedonpatient’sindividualtargetrange.
Assess Pre-PrandialGlucose Control
STEP 3
Determineifthereispre-mealhyperglycemiabasedonpatient’sindividualtargetglucoserange.
Assessifpreviousmealcompositionand/ormealboluscontributestopatternedpre-mealhyperglycemia.
Basalinsulinadjustmentmaybeconsiderediftimedifferencebetweenmealsis4+hoursandanormalmixedmealisconsumed.(1)
Assess Post-PrandialGlucose Control
STEP 4
Determineifthereispost-mealhyperglycemiabasedonpatient’sindividualtargetglucoserange.
Assessifbolusinsulinissufficientand/orpatient’sabilitytocarbohydratecount.
Oftenthetimingofbolusinsulinadministrationisthekeytopost-mealglucosecontrol.
Ifthepre-mealhyperglycemiaiscorrected,thepost-mealhyperglycemiamayalsoberesolved.
Pre-mealglucose
•Pre-lunchandpre-dinnerhyperglycemiaseenintheabovecase.
•Adjustmenttobolusinsulinforbreakfastandlunchand/orincreasein basalinsulinmaybeconsideredintheabovecase.
•Furtherinterviewingwiththepatienttoidentifythepotentialsolutionsto thepre-mealhyperglycemia.
Pre-mealglucose
•Adjustmenttothetimingofbolusinsulin,amountofbolusinsulingiven and/orcarbohydratecountingeducationmaybeconsideredinthe caseabove.
Post-mealglucose
GLUCOSE PATTERN MANAGEMENTPreandPostPrandialGlucoseControl
ClinicalBlindingTool–UseDexcomCGM*inBlindedorReal-TimeDisplays:
Initial Set up:
In the Tools Option, choose to use the Dexcom receiver in blinded
(Blind Attached Receiver) OR real-time (Unblind Attached
Receiver) display.
ClickonToolsOptionandselect“ActivateClinicalFeatures”
ContactDexcomTechnicalSupport([email protected])withthe
“ActivationRequestKey”code.
Dexcomwillcontactyouwiththe“ActivationCode”.
Onceyoureceivethecode,enteritintothe“EnterActivationCode”field.Press“OK”.
REMINDER: Makesurethe“Display Blinded Data”isselectedinorderforblindedreceiverdatatobeviewedautomatically.
CLINICAL FEATURE
DOWNLOADING DATA AND PRINTING
A. ConfigureYour PreferredReports:
1. UnderOptionsTab,click“QuickPrint Configuration”2. SetupyourpreferredQuickPrint reports–weekly,monthly,quarterly3. Click“OK”
B. PrintYour PreferredReports:
1.UnderFiletab,click“Print”and yourpreferredreportsand settingsprintoutautomatically
2. Printlastweek,monthor quarterofreceiverdata
DownloadingyourDexcomG4™PLATINUMreceiverdataisquickandeasy.Connecttothedownloadcableanddataisdownloadedinseconds!
Quick Print™ feature allows you to print your customized reports with just one click!
DownloadingDataandPrintingCLINICAL FEATURE
Dexcom PORTRAIT™
Introducing
the SUMMARY REPORTthat SAYS IT ALL
4 significant clinical
patterns &frequency ofoccurence
Some possible clinical considerations
to help resolve glycemic issue. Check box if it
applies to patienttreatment plan
Clinical assesment notes to supplement chart notes and can be used as documentation for
CGM interpretation code 95251
Summary statistics of overallglucose control
Dexcom,DataonFile
Frequency+
Duration+
Intensity
Clinical Significance
NEW
MORE CGM REPORTS
from DEXCOM STUDIO
Hourly StatsAll-in-onereporttoeasilyassessglycemicpatternsandvariabilityatthesametime.
Daily TrendsOverlappingdaystoassessglycemicpatterns.
CGM REPORTSHourlyStats-DailyTrends
10:48 PM Insulin 2.5 units9:15 PM Carbs 25 grams
GlucoseDistributionShowspercenttimehigh,lowandintargetglucoserangesandoverallglucosedistribution.
Assesspre-andpost-prandialcontrolbycomparingpiechartdistribution.
GlucoseTrendsReporttoreviewdailyglucosetrends,eventmarkersandcorrelationbetweenSMBGandCGM.
Carbs 26 gramsInsulin 2.6 unitsCarbs 13 gramsCarbs 52 gramsInsulin 4 unitsInsulin 1 units
7:59 AM 7:59 AM 10:10 AM 12:07 PM 12:07 PM 6:24 PM
DailyStripPrint™featureprintsglucosetrendswithatouchofabutton.
CGM REPORTSGlucoseTrends-GlucoseDistribution
Daily StatsReviewpercenttimespenthigh,lowandintargetglucoserangesbyday.
SuccessReportComparesglycemiccontrolweekly,monthlyorquarterly.
CGM REPORTSDailyStats-SuccessReport
MakeDexcomStudioAllAboutYouwith4CustomizableFeatures:CUSTOMIZABLE FEATURES
1. Professional Use:
•SelectifyouwanttheDexcomreceiver toresetitsmemoryaftereachdownload
•Setsystem-widetargetglucoseranges
3. Set Default Chart Display 4. Set Time of Day
•Selectyourfavorite DexcomStudioreportto launchautomatically.
•Setsystem-widetimerangesfor: 1)Nighttime 2)EarlyMorning 3)BeforeBreakfast 4)AfterBreakfast 5)BeforeLunch
2. Set Glucose Ranges •Setsystem-wide customizedtarget glucoserangesfor yourpractice
•Hypoglycemia,Low, Target,Highand Hyperglycemia
•Setsystem-wide customized targetglucose rangesfor Fasting,Pre-Meal, Post-Meal
A
B
A
B
6)AfterLunch 7)BeforeDinner 8)AfterDinner 9)LateEvening
•Setsystem-wide customizedtarget glucoserangesfor yourpractice
•Hypoglycemia,Low, Target,Highand Hyperglycemia
6)AfterLunch 7)BeforeDinner 8)AfterDinner 9)LateEvening
FortroubleshootingquestionswithDexcomStudio,contactDexcomTechnicalSupportat1-877-339-2664ortechsupport@dexcom.com
Insomecases,sendingtheDexcomCGMreceiverdatatoDexcomwillbenecessaryforappropriateproducttroubleshooting.
Ifnecessary,followthesesteps:
1. ContactDexcomTechnicalSupporttorequestreceiverdatatransferauthorization
2. Onceauthorized,viatheDexcomStudioSoftware:
a)ClickonPatientTab
b)ClickonPatientName(datawillbede-identifiedwhensenttoDexcom)
c)ClickonSendPatientFileToProductSupportbutton
3. DexcomTechnicalSupportwillcontactyouwiththeoutcomeofthedataassessment
REMINDER:•SendthereceiverdatatoDexcomTechnicalSupportwithin7daysofreceivingdata transferauthorization.
ContactDexcomTechnicalSupportPRODUCT TROUBLESHOOTING
Visitusonlineformoreinformationatwww.dexcom.com
www.dexcom.comOutsideUS:Contactyourlocaldistributor
Dexcom,Inc.6340SequenceDrive,SanDiego,CA92121USA1.858.200.0200/1.877.339.2664
Note:•DexcomStudioisanoptionalsoftware.
• Dexcom Studio Data Manager software is backward compatible with the Dexcom Seven® Plus Continuous GlucoseMonitoringSystem.
•AllCGMdatapresentedinthisbrochureisonfileatDexcom,Inc.*TheDexcomG4™PLATINUMsystemisintendedforsinglepatientuseandrequiresaprescription.
References:1.Walsh,Roberts.PumpingInsulin,FourthEdition.2006.
INDICATIONS FOR USE:TheDexcomStudioDataManagersoftwareisanaccessorysoftwareprogramintendedtoallowthetransferofglucosedatastoredbytheDexcomContinuousGlucoseMonitoringSystemintoapersonalcomputer(PC).Thesoftwarecanbeusedbyeitheraclinicianoranenduser.
©2012Dexcom,Inc.All rightsreserved.Thisproduct iscoveredbyU.S.patent.DEXCOM,THEGLUCOSESENSORCOMPANY,DEXCOMG4,DEXCOMSTUDIO,DEXCOMPORTRAIT,TOUCHOFABUTTON,DESIGNEDFOREXCEPTIONALSENSING,SMART.SIMPLE.SENSE.,SEVEN,STS,BETWEENTHELINES,STAYBETWEENTHELINES,TAKECONTROL—LIVEUNINTERRUPTED,LIVEUNINTERRUPTED,DEXCOMDM,DEXCOMDATAMANAGER,OpenChoice,andSenSyncaretrademarksandregisteredtrademarksofDexcom,Inc.Allothertrademarksandregisteredtrademarksarethepropertyoftheirrespectiveowners.
LBL011701Rev01MT21964
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