Patient background

claudia

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%

Scenario

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.

Why Dexcom G7 was prescribed

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

How Dexcom CGM helped

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.

How does my patient know which Dexcom receiver they have? 

The two receivers have different hardware.*  Please refer to the user guides for information about the hardware.   

dexcom g6 cgm receiver

 

 

dexcom g7 cgm receiver

Current Dexcom G6 Touchscreen Receiver New Dexcom G6/G7 Receiver

 * Please note that images are not to scale.  

The Current Dexcom G6 Touchscreen Receiver can not be upgraded to G7.  

The New Dexcom G6 Touchscreen Receiver can be upgraded from G6 to G7.  

Please reference Current Dexcom G6 Touchscreen Receiver user-guide here. 

Please reference New Dexcom G6 Receiver user guide here. 

Please reference New Dexcom G7 Receiver user guide here.  

Does my patient need to use his receiver?

Medicare requires the use of the receiver for all patients.  For all other payers, patients have the choice of what device to view their numbers. Users can also view their numbers on both their phone* and receiver if they choose. 

How does my patient know which Dexcom receiver they have? 

The two receivers have different hardware.*  Please refer to the user guides for information about the hardware.   

 

dexcom g6 cgm receiverdexcom g7 cgm receiver

Current Dexcom G6 Touchscreen Receiver & New Dexcom G6/G7 Receiver

* Please note that images are not to scale.  

The Current Dexcom G6 Touchscreen Receiver can not be upgraded to G7.  

The New Dexcom G6 Touchscreen Receiver can be upgraded from G6 to G7.  

Please reference Current Dexcom G6 Touchscreen Receiver user-guide here. 

Please reference New Dexcom G6 Receiver user guide here. 

Please reference New Dexcom G7 Receiver user guide here.  

Can my patient use his/her new Dexcom G6 receiver with Dexcom G7? 

Yes, the new Dexcom G6 receiver can be upgraded from the G6 to the G7 CGM system once your patient has a G7 prescription and has received the product. To upgrade, please instruct your patient to first use a secure internet connection to upload his/her G6 data to clarity.dexcom.com by logging in with his/her Dexcom account information and clicking Upload. Then, Clarity will ask if he/she wants to upgrade the receiver from G6 to G7. Just click the boxes to confirm that all the requirements are met. Please note that by upgrading the receiver from G6 to G7 your patient will no longer be able to use Dexcom G6 sensors or transmitters with the new Dexcom G6 receiver and your patient will not be able to revert the receiver back to G6. Your patient may opt to update from G6 to G7 any time he/she chooses, just return to Clarity and upload to be asked again. 

How do new Medicare customers get a Dexcom CGM System?

Dexcom G6 and Dexcom G7 are available to Medicare patients through a medical distributor (see distributor list below).

Your patients may call a distributor from the list below to start the ordering process.

If your patient uses a connected insulin pump or pen,|| we recommend they continue using Dexcom G6 until our insulin delivery partners integrate with Dexcom G7.

 

Distributor Phone  Fax
Advanced Diabetes Supply 877-838-3026 760-444-8771
Byram Healthcare 800-775-4372 888-457-1277
CCS Medical 800-949-6481 866-823-4482
Diabetes Management & Supplies 888-738-7929 504-734-7165
Edgepark 866-400-5183 866-510-6583
Edwards Healthcare 888-344-3434 502-657-0237
Solara Medical Supplies 800-423-0896 option 2 800-999-7021
US Medical 877-659-9875 888-659-9112

 

Does Medicare cover Dexcom G6 and Dexcom G7?

Medicare beneficiaries with diabetes mellitus who are using any kind of insulin will be eligible for CGMs. Frequent adjustment of insulin on the basis of CGM results is no longer required. The beneficiary must simply be insulin-treated.       

 

For a full description of coverage criteria, Click HERE 

Dexcom healthcare provider

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