throbber
CONTINUOUS GLUCOSE
`MONITORING SYSTEM
`
`Quick Start Guide
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Quick Start Guide
`
`Congratulations on making the Dexcom G5 Mobile
`Continuous Glucose Monitoring (CGM) System part of your life!
`
`The Dexcom G5 Mobile CGM System allows you to see real-time
`continuous sensor glucose readings every five minutes for up to seven
`days. These readings can help you find trends and patterns in your
`glucose levels, allowing you to see where your glucose levels have
`been, which direction they are headed, and how fast they are rising
`or falling.
`
`Use this guide, along with the Dexcom G5 Mobile Tutorial, to help you
`set up and start using your Dexcom G5 Mobile CGM System. If you
`need help with your system, call your local Dexcom representative.
`
`Before you begin and anytime you have questions, review the
`Dexcom G5 Mobile CGM System User Guide.
`
`WARNING: Review all Contraindications, Warnings,
`Precautions, and detailed procedures in the user guide
`before using the Dexcom G5 Mobile CGM System.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 1
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Using Dexcom G5 Mobile CGM System for
`Treatment Decisions
`
`A BG meter value is only a number.
`
`A Number is Not Enough.
`
`Your trend graph provides information regarding the speed and
`direction of your glucose. It is not all about the number.
`
`If this was your meter reading,
`what would you do?
`
`5.3
`
`If you saw this instead, would
`you have responded differently?
`
`A 5.3 mmol/L value rapidly falling is different
`than a 5.3 mmol/L rapidly rising
`
`2 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
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`

`

`Making Treatment Decisions
`
`Look at the following four items before making a treatment decision:
`
`2
`
`Trend
`Arrow
`
`4
`
`High/
`Low
`Alerts
`
`1
`
`Sensor
`Glucose
`Reading
`
`3
`
`Trend Graph
`
`Sensor
`Glucose
`Reading
`
`Trend Arrow
`
`Trend Graph
`
`High/Low
`Alerts
`
`1
`
`32
`
`4
`
`You need to look at all four items before you make a treatment
`decision based on your Dexcom CGM. If you do not use all four, you
`may make an incorrect treatment decision.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 3
`
`ABBOTT Exhibit 2014
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`
`

`

`Do’s of CGM Treatment Decisions
`
`• Base treatment decisions on the 4 key items - sensor glucose
`readings, trend arrow, trend graph, and Alarm/Alerts
`• Be proactive - look at your CGM often
`• Work with your health care professional to develop a management plan
`• Learn what works best from past treatment decisions
`• Base treatment decisions on a trend. A trend is at least three sensor
`glucose readings within the last 15 minutes (each dot is a 5 min.
`sensor glucose reading).
`
`OK - 3
`readings within
`the last 15 min.
`
`Not OK - Only 1
`reading within
`the last 15 min.
`
`You would not see a trend arrow if
`you only have 1 reading
`
`Do Not’s of CGM Treatment Decisions
`
`+
`
`High Carbs + Meal Spike
`= Normal
`Watch and wait. Do not over-react.
`
`• Do not take multiple
`insulin doses too close
`in time
`
`• Do not over-react to
`sensor information
`
`4 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
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`

`Do Not’s of CGM Treatment Decisions (cont.)
`
`• Do not use CGM for your treatment
`decisions if your sensor glucose
`readings do not match past
`experience --- use your BG meter
`
`• Do not use CGM for your treatment
`decisions if symptoms do not match
`sensor glucose readings --- use your
`BG meter
`
`Not OK -
`No trend arrow
`
`• Do not make treatment
`decisions if there is no
`trend arrow
`
`• Do not use CGM for your treatment decisions if
`you took paracetamol/acetaminophen --- use
`your BG meter
`
`Refer to your user guide for more information on using your
`Dexcom G5 Mobile CGM System for treatment decisions.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 5
`
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`

`System Overview
`
`Your Dexcom G5 Mobile CGM System is made up of the following:
`
`1. Sensor and Applicator
`
`2. Transmitter
`
`3. Display Device(s)
`
`• The sensor is inserted using the applicator
`• Small sensor that measures sensor glucose
`levels just below the skin
`• Worn for up to seven days
`• The sensor and applicator are disposable
`after use
`
`• Placed into the sensor pod
`
`• Wirelessly sends sensor glucose
`information to either your Dexcom G5
`Mobile App, your receiver, or both
`
`• Reusable during three month battery life
`
`The Dexcom G5 Mobile App (app) on your
`smart device* and/or your receiver (optional
`in some countries) can be used as your
`display device.
`• Displays your sensor glucose readings
`
` Allows you to set and receive Alarm/Alerts
`
`• Your display device and transmitter must
`be kept within 6 meters of each other
`
`*The app is not available for all smart devices and countries. Check
`dexcom.com/compatibility for details. Your smart device screens may
`look slightly different than shown.
`
`6 • Dexcom G5 Mobile CGM System Quick Start Guide
`
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`

`Choose Your Display Device
`
`To set up your Dexcom G5 Mobile, first choose the display device(s)
`you want to receive your CGM data and alerts. You have three choices,
`the next pages will help you make your decision.
`
`• Your smart device only
`• Your receiver only (optional in some contries)
`• A combination of both
`
`Smart Device Only
`
`1. Sensor
`(Below the Skin)
`
`2. Transmitter
`
`3. Smart Device
`
`Your transmitter sends
`sensor glucose information
`directly to your smart device
`using Bluetooth® wireless
`technology.
`
`Bluetooth on your smart
`device must be ON in order to
`receive CGM data and alerts.
`
`Things to consider if choosing
`your smart device only:
`• Smart device settings like
`Mute and Do Not Disturb
`may override your app
`settings, blocking alerts from
`making sound
`• If you have headphones
`or other audio accessories
`connected, alerts sounds
`may only be heard on the
`accessory
`
`For app setup see page 10.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 7
`
`ABBOTT Exhibit 2014
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`

`Receiver Only
`
`Your transmitter sends sensor
`glucose information directly to
`your receiver using Bluetooth.
`
`Things to consider if choosing
`your receiver only:
`• Using the receiver as a
`display device may be
`optional in some countries
`• Your receiver is a dedicated
`medical device
`• Use when you cannot take
`your smart device
`• No need to worry about
`phone settings
`• Battery lasts at least three
`days
`• You will not have access to
`Dexcom Share*
`
`1. Sensor
`(Below the Skin)
`
`2. Transmitter
`
`3. Receiver
`
`* Dexcom Share allows you to share your sensor glucose information
`with Followers.
`
`For receiver setup see page 18.
`
`8 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
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`

`Smart Device and Receiver
`
`1. Sensor
`(Below the Skin)
`
`2. Transmitter
`
`3. Smart Device
`or Receiver
`
`Your transmitter sends sensor
`glucose information directly to
`your app and/or your receiver,
`at the same time, using
`Bluetooth.
`
`Your app and receiver do not
`“talk” to each other.
`
`You can choose to use both
`devices at once or switch
`between devices.
`
`Things to consider if choosing
`both devices:
`• Use your app during daily
`activities where you already
`take your smart device
`• Use your receiver during
`activities where your smart
`device may not be allowed
`(work or school)
`• If you carry both devices,
`you will receive alerts and
`must acknowledge alerts on
`both devices
`
`For app setup see page 10.
`
`For receiver setup see page 18.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 9
`
`ABBOTT Exhibit 2014
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`
`

`

`Setting Up Your App
`
`A
`
`B
`
`Install the Dexcom G5 Mobile
`App from your app store.
`
`Log in to the app (with your
`existing Dexcom account) or
`sign up for a new account.
`
`10 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
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`

`Setting Up Your App (cont.)
`
`Once you log in, this screen displays and the app guides you through
`the setup process.
`
`This takes about 20 minutes and includes:
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`•
`
`Setting your high and low alerts
`
`• Adjusting your device settings
`
`• Entering your transmitter serial number
`
`•
`
`Inserting your sensor and attaching your transmitter
`
`• Pairing your transmitter with your app
`
`•
`
`Starting your 2-hour sensor warmup
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 11
`
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`

`Entering Your Initial BG Meter Values
`
`At the end of the 2-hour warmup, you must enter two separate blood
`glucose (BG) meter values before sensor glucose readings begin.
`
`A
`
`B
`
`C
`
`D
`
`E
`
`F
`
`Your app alerts you when you need to enter
`your two BG meter values.
`
`Go to your app to enter values.
`
`Wash and dry your hands.
`
`Take a fingerstick blood glucose
`measurement using your BG meter.
`
`Tap the circle to enter your BG meter value
`within five minutes of obtaining the value.
`
`Enter the exact value from your BG meter.
`Tap SAVE.
`
`Repeat steps above to enter a second BG
`meter value from a second fingerstick.
`Entering two separate BG meter values will
`ensure an accurate reading.
`
`12 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
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`
`

`

`Tips for Entering BG Meter Values
`
`Do enter BG Meter Values:
`• After washing and drying your hands
`• Within 5 minutes of obtaining the value from your BG meter
`• Using the exact number from your BG meter
`• Using only fingerstick blood glucose values
`• Every 12 hours at minimum
`
`Do not enter BG Meter Values:
`• If your value is higher than 22.2 mmol/L or lower than 2.2 mmol/L
`• If you see a ??? (question mark) or signal loss error on the screen
`• After you have taken paracetamol/acetaminophen
`
`Enter Your BG Meter Value Every 12 Hours
`After your initial BG meter values, BG meter values must be entered at
`least once every 12 hours.
`
`The meter icon shows a red
`badge when a BG meter
`value is needed.
`
`WARNING: Calibrate the G5 Mobile
`System at least once every 12 hours.
`The G5 Mobile System needs to
`be calibrated in order to provide
`accurate readings.
`
`See the Dexcom G5 Mobile CGM System User
`Guide for more details.
`
`If you get an error message, click the blue
`question mark and follow the instructions.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 13
`
`ABBOTT Exhibit 2014
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`

`

`Viewing Your Home Screen
`
`Enter BG
`Meter Value
`
`Main Menu
`
`Glucose
`Reading
`
`High Glucose
`Alert Level
`
`Low Glucose
`Alert Level
`
`Events
`
`Dexcom Share
`
`Trend Arrow
`
`Glucose
`Ranges
`
`Current
`Glucose
`Reading
`
`Trend Graph
`
`Where You Are
`To know where you are now, look at the color and number.
`
`Red = Low
`
`Yellow = High
`
`Gray = In Target
`
`Your system can have issues or errors. These show up
`on your home screen as black circles with information
`related to the issue or error. You will not get sensor
`glucose readings or alerts when a black circle is shown.
`Tap the blue question mark for more information.
`
`14 • Dexcom G5 Mobile CGM System Quick Start Guide
`
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`

`

`Where You Are Going
`
`To know where you are going, look at your trend arrows. Remember it
`is not all about the number. Pay attention to the direction and speed of
`your glucose change.
`
`Steady: Not increasing/
`decreasing more than
`0.06 mmol/L each
`minute
`
`Slowly falling: Glucose
`could decrease up to
`1.7 mmol/L in 15
`minutes
`
`Falling: Glucose could
`decrease up to 2.5
`mmol/L in 15 minutes
`
`Rapidly falling: Glucose
`could decrease more
`than 2.5 mmol/L in
`15 minutes
`
`Slowly rising: Glucose
`could increase up to
`1.7 mmol/L in 15
`minutes
`
`Rising: Glucose could
`increase up to 2.5
`mmol/L in 15 minutes
`
`Rapidly rising: Your
`glucose could increase
`more than 2.5 mmol/L
`in 15 minutes
`
`CGM measures the mmol/L per minute, this chart calculates what that could mean per 15 minutes.
`
`Where You Were
`To know where you were, look at your trend graph. Turn your smart
`device sideways for a larger view of your trend screen.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 15
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`

`Ending Your Sensor Session / Removing Your
`Sensor Pod and Transmitter
`
`The sensor automatically shuts off after 7 days. The app alerts you at
`6 hours, 2 hours, and 30 minutes before your sensor session ends.
`
`A
`
`B
`
`The Replace Sensor Now screen will
`appear when it is time to remove
`your sensor.
`
`Peel the adhesive off your body like
`a Band-Aid®. When you peel off the
`adhesive, the sensor, sensor pod, and
`transmitter will all be removed.
`
`NOTE: Do not remove the transmitter from the sensor
`pod until all components are removed from your body.
`
`Use your fingers to spread the back tabs
`of the sensor pod.
`
`Transmitter will pop out.
`
`Keep your transmitter to use again with
`your next sensor.
`
`Keep
`
`Dispose of the sensor following your local guidelines for
`disposal of blood-contacting components.
`
`C
`
`D
`
`E
`
`16 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
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`
`

`

`Smart Device Settings
`
`Even though the app is a medical app, it functions just like any other
`app. Your settings may impact your alerts.
`
`To receive CGM alerts, you must allow Dexcom to send you
`notifications. These notifications include CGM information only. No
`promotional notifications will be sent by the app. Below is an example
`of a CGM notification and an in app alert.
`
`A notification will
`be sent to you.
`Your smart device
`will vibrate and/or
`audibly alert you
`depending on your
`settings.
`
`Once in the
`app, tap OK to
`acknowledge
`the alert.
`
`To receive audible alerts, you must have the following settings:
`• Volume set loud enough for you to hear
`• Bluetooth: ON
`• Do Not Disturb: OFF (If Do Not Disturb is enabled, you may
`not receive audible or vibratory alerts)
`
`For a full list of recommended settings see your user guide. For
`information on how to set the above settings, see your smart device
`user guide.
`
`Headphones will prevent sound from coming through
`the speaker. You may miss a high or low alert.
`
`Your app must always be running in the background to receive alerts.
`
`Apple devices only: If you restart your smart device, your app will
`not be working. You need to re-activate your app by tapping it, after
`restarting your smart device.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 17
`
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`

`Receiver Overview
`
`SELECT
`
`UP
`
`RIGHT
`
`DOWN
`
`LEFT
`
`UP and DOWN: Scroll through trend screens, highlight menu items, or
`set values.
`SELECT: Turns receiver on, selects the highlighted option, or goes to
`the main menu.
`LEFT: Goes back to the last item or screen. This will take you back to
`the trend screen from the main menu.
`RIGHT: Highlights the next item.
`
`Setting Up Your Receiver
`
`Before setting up your receiver, make sure it
`is charged. For more information on charging
`see your user guide.
`
`A full charge will last about 3 days.
`
`Press SELECT to turn your receiver on.
`
`A
`
`B
`
`Press UP and DOWN to change a value.
`Press RIGHT or SELECT to move to the next space.
`Press SELECT to accept changes.
`
`18 • Dexcom G5 Mobile CGM System Quick Start Guide
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`

`Setting Up Your Receiver (cont.)
`
`The setup wizard walks you through entering your language, time/
`date, transmitter SN, and setting up your Low/High Alerts.
`
`C
`
` Language
`
`Select language
`
` Time Format
`
`Select 24 hour or 12 hour (AM/PM)
`
` Time/Date
`
`Year/Month/Day
`
` Transmitter SN
`
`Your transmitter SN makes it possible for
`your transmitter and receiver to share your
`glucose information.
`
`Your transmitter SN can be found on the
`back of your transmitter or on the back of
`your transmitter box.
`
` Low Alert (Set between 3.5-5.5 mmol/L)
`
`When your glucose is at or below your low
`alert setting, your device will alert you.
`
` High Alert (Set between 6.7-22.2 mmol/L)
`
`When your glucose is at or above your high
`alert setting, your device will alert you.
`
`The setup wizard will only start the first time you set up your receiver.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 19
`
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`

`
`
`Inserting Your SensorInserting Your Sensor
`
`Before you begin, make sure you have alcohol wipes, a sensor, and
`a transmitter. Skin preparation or adhesive products (Mastisol®,
`Skin Tac™) are optional. Wash and dry your hands.
`
`Plunger
`
`Applicator barrel
`(Contains small
`introducer needle
`and sensor)
`
`Transmitter Latch
`Release Tab
`
`Safety Lock
`
`Collar
`
`Sensor Pod
`Adhesive
`
`Choose a site at least 8 cm from your insulin pump infusion set or
`injection site and out of the way of your waistband. Avoid areas likely
`to be bumped, pushed, with scarring, tattoos or irritation.
`
`Ages 18 or older:
`Insert in the belly
`
`Ages 2-17:
`Insert in the belly or the upper buttocks
`
`A
`
`B
`
`Clean your skin at the sensor placement
`site with an alcohol wipe.
`
`Let dry.
`
`If you use an optional skin adhesive product,
`place it in a circle shape where you place
`the adhesive patch. Insert the sensor
`through the clean skin in the center.
`
`20 • Dexcom G5 Mobile CGM System Quick Start Guide
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`

`

`C
`
`D
`
`E
`
`F
`
`G
`
`H
`
`I
`
`J
`
`Remove the adhesive backing from the
`sensor pod one half at a time.
`
` Place the sensor pod horizontally on your skin.
`
`Move your fingers around the adhesive patch
`to secure the tape to your skin.
`
`Hold the applicator, and pull the safety lock
`straight out.
`
`Place the fingers of one hand at the edge of
`the white adhesive.
`You may pinch up on your skin using this
`hand.
`
`Place two fingers ABOVE the collar and your
`thumb on the white plunger. Push down the
`plunger. You should hear 2 clicks.
`
`2 “clicks”
`
`Move your two fingers from above the collar
`to below the collar. Pull the collar back
`towards your thumb until you hear 2 clicks or
`cannot pull back any more.
`
`Squeeze the ribbed tabs on the sides of the
`sensor pod.
`
`While squeezing the tabs, rock the applicator
`barrel forward and away from your body.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 21
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`

`Attaching Your Transmitter
`
`Once you have inserted your sensor, you need to attach your
`transmitter to the sensor pod.
`
`Wider Side
`
`Thinner Side
`
`A
`
`B
`
`C
`
`D
`
`Clean the back of your transmitter with an
`alcohol wipe.
`
`Let dry.
`
`Place your transmitter in the sensor pod
`(with the flat side down, and thinner side
`away from the transmitter latch).
`
`2 “clicks”
`
`Place one finger on your transmitter to
`keep it in place. With your other hand, pull
`transmitter latch up and forward until you
`hear 2 clicks.
`
`Hold the sides of your sensor pod with one
`hand. Remove transmitter latch with the
`other hand by quickly twisting off the latch
`away from your body.
`
`22 • Dexcom G5 Mobile CGM System Quick Start Guide
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`

`

`Starting Your Sensor
`
`Once you have inserted your sensor and attached your transmitter,
`you are ready to start your sensor.
`
`A
`
`B
`
`C
`
`From any trend graph, press SELECT to get
`to the Main Menu.
`Choose Start Sensor.
`
`The Start Sensor screen appears on your
`receiver letting you know the 2-hour
`sensor warmup has begun.
`
`A 2-hour countdown symbol will show on your receiver trend
`screen and will fill in during the 2-hour sensor warmup.
`
`Start
`
`[0-24
`minutes]
`
`[24-48
`minutes]
`
`[48-72
`minutes]
`
`[72-96
`minutes]
`
`Ready for
`calibration
`
`Keep your receiver within 6 meters during the 2-hour
`sensor warmup.
`
`WARNING: Do not expect sensor glucose readings or
`alarms/alerts from the G5 Mobile System until after the
`2-hour startup. The G5 Mobile System will NOT provide
`any sensor glucose readings or alarms/alerts until after
`the 2-hour startup ends AND you complete the startup
`calibration. Use fingerstick glucose values from your
`blood glucose meter during the 2-hour startup.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 23
`
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`

`

`Setting Up Your Receiver Alert Sounds
`
`You can choose your receiver alert profiles. The sound you choose will
`apply to all alerts (low and high). The default alert is Normal. See below
`for an overview of the different sound options.
`
`Vibrate: Used when you want to be alerted by
`vibration only.
`
`The fixed low alarm at 3.1 mmol/L will still make a
`sound. It alerts you by vibration first, followed by
`audible beeps 5 minutes later if not confirmed.
`
`Soft: Used when you want your alert to be
`discreet.
`
`All Alarms and Alerts are set to lower volume
`beeps.
`
`Normal: This is the default and sets all the alerts
`and alarms to higher volume beeps.
`
`Attentive: Used when you want your alert to be
`noticeable.
`
`This sets all the alerts and alarms to loud with
`distinctive melodies.
`
`HypoRepeat: Used when you want extra alerts
`for severe low sensor glucose readings.
`
`This profile keeps repeating the fixed low alarm
`every 5 seconds until confirmed or until your
`reading rises above 3.1 mmol/L.
`
`24 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
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`

`

`Setting Up Your Receiver Alert Sounds (cont.)
`
`Follow these steps to choose your sound profile.
`
`A
`
`B
`
`C
`
`From any trend graph, press SELECT to get
`to the Main Menu.
`Choose Profiles.
`
`Highlight the alert profile you want to use.
`Press SELECT.
`A check mark appears to the right of the
`profile you choose.
`
`Choose Try It to hear an example of your
`selected alert profile.
`
`NOTE: No matter what profile you set, all alerts will
`notify you by vibrating first. There will be no audible
`beep if you confirm the alert after the first vibration.
`
`Confirming Your Transmitter and
`Receiver are Communicating
`
`A
`A
`
`Check your receiver 10 minutes after
`attaching your transmitter to make sure your
`receiver and transmitter are communicating.
`The Bluetooth symbol, in the upper left
`corner, blinks while looking for a transmitter
`and turns solid when found.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 25
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Entering Your Initial BG Meter Values
`
`At the end of the 2-hour sensor warmup, you must enter two BG
`meter values before any sensor glucose readings will show.
`
`A
`
`B
`
`C
`
`D
`
`E
`
`F
`
`After the 2-hour warmup, a double blood
`drop prompt will show on your receiver
`screen.
`
`Wash and dry your hands.
`
`Take a fingerstick blood glucose
`measurement using your BG meter.
`
`Choose Enter BG.
`Press SELECT.
`
`Enter the exact blood glucose value from
`your BG meter. Press SELECT.
`Press SELECT again to confirm.
`
`Repeat steps above to enter a second meter value.
`Entering two separate BG meter values will ensure an accurate
`reading.
`
`26 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Tips for Entering BG Meter Values
`
`Do enter BG Meter Values:
`• After washing and drying your hands
`• Within five minutes of testing with your meter
`• Using the exact number from your meter
`• Using only fingerstick blood glucose values
`• Every 12 hours at minimum
`
`Do not enter BG Meter Values:
`• If your value is higher than 22.2 mmol/L or lower than 2.2 mmol/L
`• If you see a ??? (question mark) or signal loss error on the screen
`• After you have taken paracetamol/acetaminophen
`
`Entering Your BG Meter Value Every 12 Hours
`
`After your initial BG meter values, BG meter values must be entered
`once every 12 hours at a minimum.
`
`A single blood drop prompt will
`appear when a BG meter value is
`needed.
`Press SELECT to confirm.
`
`After you press SELECT, you will
`see a single blood drop in the right
`corner of the trend graph screen.
`Go to the Enter BG menu item to
`enter your BG meter value.
`
`WARNING: Calibrate the G5 Mobile System at least
`once every 12 hours. The G5 Mobile System needs to be
`calibrated in order to provide accurate readings.
`
`See the Dexcom G5 Mobile CGM System User Guide for more details.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 27
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Viewing Your Receiver Trend Screen
`
`Bluetooth
`
`Battery
`
`High
`Glucose
`Alert Level
`
`Low
`Glucose
`Alert Level
`
`Glucose
`Reading
`
`Trend
`Arrow
`
`Status
`Area
`
`Trend Graph
`
`Current Time
`
`Where You Are Now
`To know where you are now, look at the color and number on your
`receiver’s top bar.
`
`Red = Low
`
`Yellow = High
`
`Gray = In Target
`
`Your system can have issues or errors. These
`show up as icons in the status area of your top
`bar. When you have an issue or error, your top bar
`will turn black. You will not get sensor glucose
`readings when a black bar is shown. See your
`user guide for more information.
`
`28 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Where You Are Going
`
`To know where you are going, look at your trend arrows. Remember it
`is not all about the number. Pay attention to the direction and speed of
`your glucose change.
`
`Steady: Glucose is steady (not increasing/decreasing more
`than 0-0.06 mmol/L each minute).
`Slowly rising: Your glucose could increase up to
`1.7 mmol/L in 15 minutes.
`
`Rising: Your glucose could increase up to 2.5 mmol/L
`in 15 minutes.
`
`Rapidly rising: Your glucose could increase more than
`2.5 mmol/L in 15 minutes.
`
`Slowly falling: Your glucose could decrease up to
`1.7 mmol/L in 15 minutes.
`
`Falling: Your glucose could decrease up to 2.5 mmol/L
`in 15 minutes.
`
`Rapidly falling: Your glucose could decrease more than
`2.5 mmol/L in 15 minutes.
`
`CGM measures the mmol/L per minute, this chart calculates what that could mean per 15 minutes.
`
`Where You Were
`
`To know where you were, look at your trend graph.
`
`Trend Graph
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 29
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Ending Your Sensor Session / Removing Your
`Sensor Pod and Transmitter
`
`Your sensor automatically shuts off after 7 days. Your receiver will
`alert you at 6 hours, 2 hours, and 30 minutes before your sensor
`session ends.
`
`A
`
`B
`
`The Replace Sensor Now screen shows
`when it is time to remove your sensor.
`
`Peel the adhesive off your body like a
`bandage. The sensor, sensor pod and
`transmitter will all be removed.
`
`NOTE: Do not remove transmitter from sensor pod until
`all components are removed from your body.
`
`Use your fingers to spread the back tabs
`of the sensor pod.
`
`Transmitter will pop out.
`
`Keep transmitter to use again with your
`next sensor.
`
`Keep
`
`Dispose of the sensor following your local guidelines for
`disposal of blood-contacting components.
`
`C
`
`D
`
`E
`
`30 • Dexcom G5 Mobile CGM System Quick Start Guide
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`Tips for Using Both Display Devices
`
`The Dexcom G5 Mobile CGM System allows you to use the app and
`receiver at the same time. The transmitter sends data to both the app
`and receiver. When using both at the same time, you should:
`
`• Enter BG meter value on only 1 device - When you enter a value
`into one device, the sensor glucose values may be different on the
`other display device until the transmitter shares the entered value.
`• Change and acknowledge alerts on each device separately
`
`Urgent Low Glucose Alarm
`
`The automatic Urgent Low Glucose Alarm set at 3.1 mmol/L. You
`cannot change or turn off this alarm or its re-alert settings.
`
`Advanced Alerts
`
`Advanced Alerts take your glucose sensing to the next level.
`By default, these Alerts are turned OFF, but they can be turned ON, and
`customized:
`
`Rise Rate: Your device will alert you when your glucose is rising at a
`rapid (0.11 mmol/L/min) or very rapid (0.17 mmol/L/min) rate. This
`feature can help you avoid staying high over a long period of time.
`
`Fall Rate: Your device will alert you when your glucose is falling at a
`rapid (-0.11 mmol/L/min) or very rapid (-0.17 mmol/L/min) rate. This
`feature can help you avoid low glucose events.
`
`By default, the following alert is turned ON, but can be turned OFF, and
`customized:
`
`Signal Loss: Your device alerts you when you are not receiving
`sensor glucose readings. Signal loss happens when your display
`device and transmitter stop communicating; make sure you are
`within range (6 meters), without obstruction.
`
`Refer to your user guide for advanced features and
`troubleshooting information.
`
`Dexcom G5 Mobile CGM System Quick Start Guide • 31
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

`

`
`
`
`
`
`
`
`
`EC REP
`
`Dexcom, Inc.
`6340 Sequence Drive
`San Diego, CA 92121 USA
`+1.858.200.0200
`www.dexcom.com
`Outside US: Contact your local
`Dexcom representative
`
`MDSS GmbH
`Schiffgraben 41
`30175 Hannover, Germany
`
`© 2020 Dexcom, Inc. All rights reserved.
`
`
`
`
`
` LBL013139 Rev 005 MT23203
`Rev. Date: 2020/1
`
`Dexcom, Dexcom Follow, Dexcom G5, Dexcom G5 Mobile, and Dexcom Share are either registered trademarks or trademarks of
`Dexcom, Inc. in the United States and/or other countries. All other marks are property of their respective owners.
`
`ABBOTT Exhibit 2014
`Dexcom v. Abbott Diabetes Care, IPR2023-01409
`
`

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