DEXCOM G6 SENSOR  (3 EACH)

Brand Name: Dexcom G6 Continuous Glucose Monitoring (CGM) System
Drug Class: Glucose Monitor

Most people with diabetes should test their blood glucose levels regularly in order to avoid future complications, such as heart disease, stroke, high blood pressure, high cholesterol, blindness, kidney disease, or skin problems.

The Dexcom G6 sensor and transmitter are parts of a continuous glucose monitoring system called The Dexcom G6 Continuous Glucose Monitoring (CGM) System, which allow users to continuously monitor their blood sugar levels. Those who are recommended to be on this system include:

• Type 1 diabetics

• Type 2 diabetics on intensive insulin therapy

• Experience severe hypoglycemia

• Experience hypoglycemia unawareness

How do I apply the Dexcom G6 Sensor?

1. Choose a site on the back of your upper arm, where your triceps muscle is (this is where the product is licensed to be used). Clean the area with the alcohol wipe provided and allow to dry. 

2. Peel off the lid of the sensor and unscrew the cap from the applicator.

3. Place the applicator into the open sensor pack and line up the dark mark on the applicator with the dark mark on the sensor pack. 

4. Press the applicator down firmly until it comes to a stop.

5. Lift the applicator with the attached sensor out.

6. Holding the applicator in your hand, place it over the cleaned site on your arm. 

7. Push down firmly to apply the sensor.

8. Remove the applicator gently.

Monitoring Blood Glucose Levels
How often people living with diabetes should test their blood glucose levels will depend on factors like the medications that they take and their overall blood glucose level control. Diabetes Canada recommends that people with diabetes who are using insulin once a day should check their blood glucose levels at least once daily at different times throughout the week. People who use insulin more than once a day should check their blood glucose levels at least 3 times per day, and include a mix of readings taken both before and after eating. Depending on their blood glucose level control, those who are not taking insulin might be asked to check their blood glucose levels every 1 to 3 months, when they're feeling sick, or in situations where their blood glucose levels may rise, such as if they're taking steroid medications. It's best to clarify with your doctor or primary health care provider if you're not sure how often you should be checking your blood glucose levels.

A blood glucose monitor, flash glucose monitor, or continuous glucose monitor can be used to test blood glucose at home and to determine whether blood glucose levels are in the target range. Many types of glucose meters and monitors can be obtained at pharmacies. Testing glucose levels helps put the person with diabetes in control and be more active in managing their condition. Using glucose monitors to determine the effects of certain foods on blood glucose levels can also help a person with diabetes to choose appropriate foods more carefully.

A person with diabetes should talk with their diabetes educator or pharmacist about which model of glucose meter is appropriate for them. Anyone using a glucose meter should receive proper training so that they can test their blood glucose levels properly.

If a person with diabetes experiences symptoms of hypoglycemia (i.e., low blood glucose), they should check their blood glucose immediately. Common symptoms of low blood sugar include trembling, sweating, confusion, anxiety, and nausea. If a meter is not immediately available, the symptoms should still be treated with the following guidelines:

• Eat or drink a fast-acting carbohydrate (15 g):

  • 3 to 5 glucose tablets (the exact amount will depend on the glucose content per tablet of the brand you have; check to make sure you are aware of this amount and take enough to make up 15 g of glucose)

  • 2/3 cup (150 mL) of juice or regular soft drink

  • 1 tablespoonful (15 mL) honey

  • 15 g fast acting sugar (e.g., 6 Life Savers® or 2 rolls Rocket Candy)

  • 3 teaspoons (15 mL) or 3 packets of table sugar dissolved in water

• Wait 15 minutes, then check blood glucose again. If it is still low (below 4.0 mmol/L), treat with additional carbohydrates (repeat step 1), wait 15 minutes and check again.

• Once the blood sugar reading is above 4.0 mmol/L and hypoglycemia has been reversed, if the next meal is more than one hour away, or if the person is going to be active, they should eat a snack containing starch and protein, such as a slice of bread with a piece of cheese or crackers with 2 tablespoons of peanut butter. If an individual is planning on driving after treating a low, ensure that they wait until their blood sugar is above 5.0 mmol/L before they start driving. The brain requires up to 40 minutes to recover before it is considered safe to drive.

• Certain people at risk of severe hypoglycemia may be advised by their doctor to carry a prefilled 1 mg glucagon injection and make it readily available for emergency situations. Symptoms of severe hypoglycemia include difficulty speaking and unconsciousness. Glucagon is used to increase blood glucose levels rapidly.

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