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(techsupport@dexcom.com)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