Rebecca’s primary care provider (PCP) recognizes her desire to better manage her diabetes and wants to provide a tool that shows her glucose patterns and trends. Her PCP believes Rebecca can use that information to adjust her medications and improve overall glycemic management. In addition, expanded Medicare coverage criteria* includes anyone with diabetes treated with any type of insulin.

Glucose patterns and trends shown on Dexcom Clarity reports allowed Rebecca’s PCP to see what areas to improve and made medication adjustments to address her persistent evening and overnight hyperglycemia.# Her new medication plan included changing glimepiride to dapagliflozin (SGLT-2i), changing sitagliptin to semaglutide (GLP-1 RA) 0.25 mg titrated up to 1 mg weekly, continue on Dexcom G7, and follow up in 3 months.

At 3-month office visit, Rebecca’s A1C had decreased to 7.2% with improved postprandial hyperglycemia. Her Dexcom Clarity reports showed overnight hypoglycemia and glycemic variability. Her PCP recommended reducing her basal insulin to 18 units QPM and continuing with lifestyle modifications. Rebecca is now using Dexcom G7 to guide meal choices and thanks to Dexcom G7 alerts, she can intervene earlier to prevent or minimize hypoglycemia episodes.

Steve, a 68-year-old male who is very active. Despite being prescribed basal and mealtime insulin, he doesn’t take it due to fear of hypoglycemia.

Current treatment: Metformin, basal insulin (degludec), and meal-time insulin (lispro)

Current A1C: 8.9%

Steve is competitive in tennis and teaches tennis lessons. He would run his glucose levels “really high” by not taking meal-time insulin due to fear of hypoglycemia while competing. Steve’s doctor asked him to check his glucose prior to tennis competitions and note what his numbers generally were. He was consistently over 300 mg/dL and comfortable with this because he knew he didn’t have to worry about having a low.  

His doctor prescribed Dexcom G7, so Steve then had what he referred to as a “safety net” with the Urgent Low Soon and Falling Rate alerts. His first goal was for his glucose number to be less than 200 mg/dL prior to his competitions.

Expanded Medicare coverage criteria* includes anyone with diabetes treated with any insulin.

Steve was able to better manage his glucose levels prior to exercise and increase his time in range because he was ok starting tennis at a lower glucose level. He also has less frequent lows, because now he knows he can eat carbs when he gets an Urgent Low Soon alert. Dexcom G7 alerts help him worry less and feel better out on the court knowing he’ll get an alert if he is going too low.

This was a gradual process of adjusting his alerts and glucose goals. Once he started competing in a glucose range that wasn’t so high, Steve reported that he felt better and his performance improved. He also made other changes to food choices that he noticed were giving him high glucose after eating. Looking at trends and patterns on Dexcom Clarity reports¶ helps Steve see how much time he is spending in target range as well as where he could improve.

Claudia, a 72-year-old female who lives alone and loves to garden. She has a history of level 3 hypoglycemia that required assistance.

Current treatment: Glipizide and metformin

Current A1C: 7.4%

Claudia was planting flowers in her yard when she felt shaky and decided to sit down. A neighbor saw her sitting and looking disoriented and went over to see if she was ok. Claudia said she needed juice or the sugar tablets, which her neighbor quickly retrieved from her kitchen. She drank 4 ounces of juice and ate 2 glucose tabs. Once she felt a bit better, she realized she took her sulfonylurea at lunchtime but got sidetracked planting before she ate. She knew she had experienced very low glucose and decided to call her doctor to discuss.

She went in for an appointment the next day and told her doctor she’s had similar episodes before, and thinks she might have also been low those other times. Her doctor documented in the office visit note that Claudia has had level 3 hypoglycemia that required assistance, then prescribed Dexcom G7. She started on Dexcom G7 as soon as her shipment arrived.

Expanded Medicare coverage criteria* includes level 3 hypoglycemic events that require assistance and are documented in the office note.

Claudia now uses Dexcom G7 consistently and gets alerts if her glucose drops quickly or will be urgently low soon, so she can take action to avoid hypoglycemia. She also gets a low alert that she set to go off when she drops to 85 mg/dL.

Another feature of Dexcom G7 that Claudia says eases her mind and gives her comfort is that the Dexcom G7 mobile app allows her to share her CGM data with up to 10 followers.|| At this time, her neighbor and daughter follow her and get alerted if she is low so they can check in on her.