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Questions and Answers
What does a flat arrow on the device indicate about glucose levels?
What does a flat arrow on the device indicate about glucose levels?
What is the maximum depth the sensor can withstand for water exposure?
What is the maximum depth the sensor can withstand for water exposure?
Who can glucose data be shared with according to the provided information?
Who can glucose data be shared with according to the provided information?
Which program provides patient support to assist with diabetes management?
Which program provides patient support to assist with diabetes management?
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How often does the sensor need to be replaced?
How often does the sensor need to be replaced?
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What is the accuracy percentage of the DEXCOM G7?
What is the accuracy percentage of the DEXCOM G7?
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What is the warm-up time for the DEXCOM G7 sensor?
What is the warm-up time for the DEXCOM G7 sensor?
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Which feature is unique to the DEXCOM G7 compared to the G6?
Which feature is unique to the DEXCOM G7 compared to the G6?
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Where is the sensor typically placed on children?
Where is the sensor typically placed on children?
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What is the wear duration of the DEXCOM G7 sensor?
What is the wear duration of the DEXCOM G7 sensor?
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What protective feature does the DEXCOM G7 sensor have?
What protective feature does the DEXCOM G7 sensor have?
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Which alert feature does the DEXCOM G7 provide?
Which alert feature does the DEXCOM G7 provide?
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What is the extension period provided by the DEXCOM G7 for sensor replacement?
What is the extension period provided by the DEXCOM G7 for sensor replacement?
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What is a key benefit of the Contour Next Gen glucose meter?
What is a key benefit of the Contour Next Gen glucose meter?
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What does the green light indicator on the Contour Next Gen signify?
What does the green light indicator on the Contour Next Gen signify?
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What action should a patient take if they have insufficient blood on the test strip?
What action should a patient take if they have insufficient blood on the test strip?
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How does washing hands or using alcohol wipes before testing help?
How does washing hands or using alcohol wipes before testing help?
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Why might certain substances, such as citrus, affect glucose readings?
Why might certain substances, such as citrus, affect glucose readings?
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What is the measurement accuracy of the Contour Next Gen glucose meter?
What is the measurement accuracy of the Contour Next Gen glucose meter?
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Which situation requires extra care for patients managing diabetes?
Which situation requires extra care for patients managing diabetes?
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What is one suggested maintenance action for diabetes devices?
What is one suggested maintenance action for diabetes devices?
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What is a significant limitation of Hydroxyurea regarding glucose monitoring?
What is a significant limitation of Hydroxyurea regarding glucose monitoring?
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What is the approximate annual cost for insulin pump supplies?
What is the approximate annual cost for insulin pump supplies?
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Which insulin pump is known for being tubeless and waterproof?
Which insulin pump is known for being tubeless and waterproof?
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How often does the reservoir of an insulin pump need to be refilled?
How often does the reservoir of an insulin pump need to be refilled?
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What type of insulin do insulin pumps deliver?
What type of insulin do insulin pumps deliver?
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What is the approximate cost of a new insulin pump?
What is the approximate cost of a new insulin pump?
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Which infusion set material is commonly used in insulin pumps?
Which infusion set material is commonly used in insulin pumps?
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Which insulin pump is integrated with the Dexcom G6 for glucose monitoring?
Which insulin pump is integrated with the Dexcom G6 for glucose monitoring?
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What feature of the One Touch Verio Reflect helps users to manage their diabetes effectively?
What feature of the One Touch Verio Reflect helps users to manage their diabetes effectively?
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What is the significance of the 'Guide me light' feature in the Accu-Chek device?
What is the significance of the 'Guide me light' feature in the Accu-Chek device?
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Where should the sensor for the FreeStyle Libre 2 be placed on the body?
Where should the sensor for the FreeStyle Libre 2 be placed on the body?
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What should be done before applying the FreeStyle Libre 2 sensor?
What should be done before applying the FreeStyle Libre 2 sensor?
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What is a key feature of the FreeStyle Libre 2 reader device?
What is a key feature of the FreeStyle Libre 2 reader device?
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What does the Accu-Chek lancing device allow users to do with the lancet?
What does the Accu-Chek lancing device allow users to do with the lancet?
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What frequent scanning interval is recommended for the FreeStyle Libre 2 sensor?
What frequent scanning interval is recommended for the FreeStyle Libre 2 sensor?
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How does the One Touch Verio Reflect assist users in tracking blood glucose levels over time?
How does the One Touch Verio Reflect assist users in tracking blood glucose levels over time?
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Study Notes
DEXCOM G7 Continuous Glucose Monitor
- Designed for real-time glucose monitoring, offering faster readings, improved accuracy, and enhanced features compared to earlier versions like the G6.
- Offers predictive alerts, allowing patients to make timely insulin adjustments.
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Model Comparisons:
- G7: 8.2% accuracy (lower percentage is better), 30-minute sensor warm-up time, usable with pregnancy, smaller and more discreet.
- G6: 9.8% accuracy, 2-hour warm-up time, not usable with pregnancy, no grace period.
Sensory Placements
- Adults: Upper arm or abdomen.
- Children: Typically placed on the back of the upper buttocks due to less fat.
Avoid Areas
- Areas patients lie on while sleeping.
- 3 inches from infusion/injection sites.
- Areas near waistbands, irritated skin (e.g., wounds, tattoos), or highly muscular areas (may cause inaccurate readings).
Improved Size and Functionality
- Wear Duration: 10-day sensor lifespan with a 12-hour grace period for replacement.
- Faster Alerts & Alarms: Predicts low glucose levels 15-20 minutes in advance for timely intervention.
Unique Canadian Approvals
- Only CGM approved in Canada for pregnancy.
- Only CGM that integrates with insulin pumps.
Glucose Sharing
- Data is shareable with up to 10 people via internet connection.
- G7 is waterproof for up to 24 hours.
Prescription Information
- Dexcom provides prescription pads to doctors, simplifying the process.
- Auto applicator for ease of use.
- Only available through pharmacies in Canada.
- Does not have coverage under the Ontario Drug Benefit (ODB) or Assistive Devices Program (ADP).
- Private insurance coverage is possible; check with plans.
Medication Interactions
- Hydroxyurea (used for cancer and blood disorders) can interfere with Dexcom G7 sensor readings.
Clinical Use
- Particularly beneficial for Type 1 or Type 2 Diabetes patients needing consistent real-time glucose monitoring.
- Predictive alerts and pump integration make it a valuable tool for proactive glucose management.
INSULIN PUMPS
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Cost: Approximately $7,000 for a new pump, with government funding available for every five years.
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Annual supplies cost around $2,400.
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Pump Features:
- Tubing holds 200-300 units of insulin.
- Reservoir filling requires refilling the pod reservoir every 3 days.
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Insulin Delivery:
- Pumps use fast-acting insulin.
- Deliver small doses every few minutes to keep blood sugar within a desired range.
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Insulin Sets: Available in various types for different body types, with alternatives for patients with Teflon allergies.
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Integration: Can integrate with continuous glucose monitors (like Dexcom G6 or G7).
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Insulin Pump BRANDS and features:
- Tandem:
- Originally dual-chamber (insulin and glucagon) but now only for insulin delivery.
- Integrated with Dexcom G6 for glucose monitoring.
- Infusion sets are rechargeable.
- Medronic:
- Manufactures everything in-house (including infusion sets).
- Uses their own sensory monitoring system (Enlite), which is less accurate than Dexcom sensors.
- Tandem:
Key Considerations for Diabetes Devices
- Pregnancy: Managing diabetes during pregnancy requires extra care and monitoring.
- Infusion Sets/Teflon Concern: Ensure alternative infusion sets are available for patients with Teflon allergies.
- Pump Maintenance: Regular checks and replacements (pod or infusion set) are necessary.
- Age 65+ can apply for a grant that covers costs.
CONTOUR NEXT GEN GLUCOSE METER
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Brand: Ascensia.
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Pharmacist Recommendation: #1 recommended blood glucose meter brand.
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Key Features:
- No initial setup required.
- 5.3% accuracy.
- Smart light indicator (color-changing) to guide interpretation of results (green = normal, yellow = high, red = low).
- Reusable test strips within 60 seconds if the blood sample is insufficient.
- Can be affected by certain substances (like citrus).
- Colorful lancets for easy identification.
Usage Tips
- Accuracy with blood sample: Give patients up to 60 seconds to apply more blood if there's insufficient blood on the strip.
- Hygiene: Thoroughly wash hands or use alcohol wipes to avoid interference.
ONE TOUCH VERIO REFLECT
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1-7 depth setting, tips, reminders, and advice to support diabetes management.
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Emoji feature.
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Unique results in under 5 seconds.
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Stores test results.
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Accu-Chek:
- Guide me light feature for improved visibility.
- Automatic lancet ejection.
- Depth adjustment in half-increments.
- Clear visual cue to indicate readiness.
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Placement site: Back of the upper arm only.
FREE STYLE LIBRE 2
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Reader Device: Collects data using a reader that's tapped against the sensor.
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Scanning Frequency: Scan the sensor every 8 hours
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Warm-Up Time: 1 hour
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Trend Arrows: Show the direction of blood glucose levels (up, straight, or flat).
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Data Transmission: Wi-Fi is needed for app download.
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Sharing and Data: Data can be shared with people. LibreView and My Freestyle are available for glucose data sharing and review.
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Insurance Coverage: Private insurance may cover use, check with the provider.
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Lifespan: 14 days.
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Description
Test your knowledge about the DEXCOM G7 sensor and its features. This quiz covers topics such as sensor placement, accuracy, alerts, and management programs for diabetes. Ideal for students and healthcare professionals interested in diabetes technology.