Sample Dexcom CGM

Dexcom Sample Experience

Say hello to Dexcom Continuous Glucose Monitoring (CGM) Systems—and goodbye to fingersticks* for your insulin-using patients with type 1 or type 2 diabetes. The Dexcom Sample Experience is a no-cost sampling program that helps introduce healthcare professionals and their patients to the features and benefits of Dexcom CGM, while offering actionable insights that can inform your treatment decisions. Request a Dexcom sample kit to get patients started with continuous glucose monitoring.

*If your glucose alerts and readings from the Dexcom G6 or G7 CGM System do not match symptoms or expectations,
use a blood glucose meter to make diabetes treatment decisions.

Sample Dexcom G6 Continuous Glucose Monitoring System

Prescribe Dexcom G6

Sample Dexcom G7 Continuous Glucose Monitoring System

can I only extend the Dexcom sample experience option to certain patients?

The Dexcom sample experience may be provided to your patients with diabetes who have compatible smart devices,† but it may be more applicable to some of your patients than to others. Here are a few patient considerations to keep in mind:

Struggles to meet glycemic goals

Needs insulin therapy optimization

Experiences hyper- and/or hypoglycemic events

Has type 1 or type 2 diabetes on mealtime insulin

Performs fingersticks less frequently than recommended

Has impaired awareness of hypoglycemia

New to CGM or hesitant to use CGM

Uses an insulin pump system

Learn more about pump integrations and compatibility with Dexcom G6

Not currently using Dexcom CGM

film reel

what is included

Here are the Dexcom G7 and G6 components included as part of the Dexcom sample experience:

Dexcom G7

Dexcom G7 applicator

Auto-Applicator

The easy-to-use sensor applicator is painless, smaller, and uses less plastic than the Dexcom G6.

Dexcom G7 sensor

Sensor

60% smaller than the Dexcom G6, the new sensor warms up in as little as 30 minutes (10-day lifespan).

Patient Instructions

The activation card provides guidance for patients to start on the Dexcom G7 including a set-up guide and instructions for use.

Dexcom G6

Dexcom G6 applicator

Auto-Applicator

Auto-applicator allows for simple sensor insertion at the push of a button.

Dexcom G6 sensor

Sensor

Sensor monitors interstitial glucose levels through a small wire inserted just underneath the skin, sending a signal to the transmitter (10-day lifespan).

Dexcom G6 transmitter

Transmitter

Fastened on top of the sensor, the transmitter sends data wirelessly to the wearer’s compatible smart device^† (3-month lifespan).

patient instructions

Patient Instructions

The activation card provides guidance for patients to start the 10-day digital journey; it complements the Dexcom G6 set-up guide and instructions for use.

additional digital journey for your patients

Dexcom sample experience is the only CGM sampling program that offers a complimentary, 10-day digital journey that guides your patients along their first Dexcom G6 or Dexcom G7 (coming soon) experience.

register account

1

Patient Registration

follow activation instructions

2

Follow Activation Instructions

explore their 10-day digital journey

3

Start Their 10-day Digital Journey

access support and faqs

4

Access Support and FAQs

request a dexcom g6 prescription

5

Join the Dexcom Family

Patients must have a compatible iOS or Android smart device as part of this experience, as no receiver is included. Smart devices sold separately. To view a list of compatible devices, visit dexcom.com/compatibility.

What does my patient need to know to successfully begin and complete the Dexcom sample experience?

For the best and most engaging experience, remind your patient to visit dexcom.com/hello to get started with their first Dexcom G6. This will initiate their digital experience and help guide them along their 10-day journey. In addition, a patient instruction card will be available to provide more information and helpful tips.

Which insulin pump systems are compatible with Dexcom G6?

Dexcom G6 is the only integrated CGM system (iCGM) with an FDA clearance for interoperability with automated insulin delivery (AID) systems. For more information on Dexcom integrations, visit dexcom.com/g6/integrations-and-compatibility

Is a prescription required when providing a Dexcom sample to a patient?

A prescription is required for the Dexcom G6 CGM System, as part of the Dexcom sample experience. Simply ePrescribe to ASPN.

Is the Dexcom G6 sensor inserted in the office or at home?

The Dexcom sample experience does not require any in-office training; a patient can apply the Dexcom G6 sensor on their own by following the instructions for use.

need support?

If you or your patients have any questions or concerns about product use, please call the Dexcom CARE line at 1-877-339-2664. During business hours, you will be able to choose the Education and Training option to speak with a diabetes educator who can answer questions regarding product use. A technical support option is available 24/7 at this same number.

Patient must have a Dexcom CGM prescription as part of this 10-day experience. Patient must also have a compatible smart device (sold separately); to view list of compatible smart devices, visit: dexcom.com/compatibility. Dexcom CGM can be provided at no cost for the sole purpose of allowing a healthcare provider and/or patient to evaluate if Dexcom CGM is right for the patient. This offer is void where prohibited by law. Dexcom may modify or rescind this offer at any time without notice.

Contact Us

If you are a healthcare provider and want to learn more about Dexcom, please fill out the form and a representative will contact you. If you are a Dexcom User or Patient, please contact Dexcom here.

Request a Visit from a Dexcom Representative

Request for Patient Materials on Dexcom CGM

More Information on Dexcom

Request a Sample

Other

PLEASE NOTE: THE WEB SAMPLE REQUEST PROGRAM IS CURRENTLY DOWN FOR MAINTENANCE AND NOT PROCESSING REQUESTS. THE PROGRAM WILL RETURN IN MAY. WE APOLOGIZE FOR THE INCONVENIENCE.

Do not include prefix (Mr., Mrs., Dr.)

As listed on Provider's medical license (no MD, Jr., Sr.)

Please use the Provider's NPI

Is your patient on a connected pump device?

Yes

No

By submitting the above form, I certify that I am a licensed practitioner, authorized to receive and dispense samples of the Dexcom G6 Continuous Glucose Monitoring System and/or Dexcom‘s next generation product, Dexcom G7 (the "Samples"). I represent that I am requesting the Samples for evaluation purposes and that I will not (i) sell, resell, barter, return for credit or seek reimbursement for the use of the Samples, or (ii) for professional services for dispensing or evaluating the Samples, I also agree to inform my patients that they should not submit claims for reimbursement to any third party for any Samples.

The Samples are FDA cleared for use with a compatible smart device or separate piece of durable medical equipment called a receiver. Neither devices nor receivers are included in the Samples. Accordingly, and in light of the applicable G6 or G7 Dexcom Instructions for Use, you should dispense Samples only to a patient who (or whose authorized caregiver), in the exercise of your clinical judgment, (i) has reliable access to a compatible smart device and/or automated insulin delivery system, and (ii) is capable of safely using the Samples with their smart device, without the need for a separate dedicated receiver.

Please note that Medicare will reimburse for sensors only if the beneficiary also uses a receiver covered by Medicare. Accordingly, it is appropriate to give Samples to Medicare patients only if they have (in the case of the G6 Samples) or would be eligible to obtain (in the case of the G7 Samples), a Medicare-covered receiver.

You agree that you will not provide the Samples to any patients that are beneficiaries under the Maine or Colorado state Medicaid programs. I understand that Dexcom will be tracking, and if necessary, reporting and may be subject to disclosure requirements with respect to the provision of these Samples. I agree not to reuse any Samples. I acknowledge that Dexcom provides no warranties for the Samples other than the warranties outlined in the applicable Dexcom Instructions for Use. I will comply with all applicable federal, state and local laws in receiving and dispensing these Samples, and I agree to store and use these Samples in a manner consistent with the applicable Dexcom Instructions for Use. Dexcom is a registered trademark of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved.

LBL-1004145 Rev001

By submitting the above form, I certify that I am a licensed practitioner, authorized to receive and dispense these Dexcom G6 Continuous Glucose Monitoring Systems and/or Dexcom‘s next generation product, Dexcom G7 (the "Dexcom Education Devices") which are provided in the quantities listed above.

The Dexcom Education Devices are FDA cleared for use with a compatible smart device or separate piece of durable medical equipment called a receiver. Neither smart devices nor receivers are included with the Dexcom Education Devices. I understand that these Dexcom Education Devices are being requested for me and other healthcare professionals ("HCPs") for evaluation purposes to learn more about the Dexcom Education Devices and experience the benefits of the Dexcom Education Devices through a product demonstration, and that each HCP will need a compatible smart device for the product demonstration.

I acknowledge that Dexcom provides no warranties for the Dexcom Education Devices other than the warranties outlined in the applicable Dexcom Instructions for Use. I will comply with all applicable federal, state and local laws in receiving and dispensing these Dexcom Education Devices in a manner consistent with the applicable Dexcom Instructions for Use, and agree not to reuse any Dexcom Education Devices. I agree to receive, store, distribute, and/or use these Dexcom Education Devices in a manner consistent with the applicable Dexcom Instructions for Use and device labeling. I understand that Dexcom will be tracking, and if necessary, reporting and may be subject to disclosure requirements with respect to the provision of these Dexcom Education Devices. I understand and agree to properly dispose of the Dexcom Education Devices immediately following the completion of the product demonstration. The Dexcom Education Devices are being provided at no cost, without any expectation of remuneration, HCPs have no obligations under the federal supply schedule contract for participating in the product demonstration, and Dexcom waives any rights under this contract or applicable law to pursue a claim for the costs associated with the Dexcom Education Devices.

Dexcom is a registered trademark of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved.

By choosing to request info, you are granting Dexcom, Inc. permission to process your personal information to send you additional information and promotional communications related to Dexcom products. You may opt-out of these communications at any time. Dexcom respects the privacy and confidentiality of your personal information. The information you provide will be sent securely and subject to the Dexcom Terms of Use and Privacy Policy.