Why Dexcom Diabetes CGM Technology Is So Hot

share on Pinterest We ’ ve come a long direction in continuous glucose monitoring ( CGM ) technology since it first hit the grocery store over two decades ago, and San Diego-based Dexcom has been leading the way on initiation for most of that time.

Since the launch of its initial 3-day detector in 2006, Dexcom has helped shape how the U.S. Food and Drug Administration ( FDA ) views this technical school and forged new paths in providing more options for people to keep tabs on their blood sugars with a immediate glance at a telephone receiver, fluid app, or smartwatch. Dexcom is not the only CGM godhead, and it wasn ’ t the first base — Medtronic launched the first-ever CGM way back in 1999. But from its earliest model to the latest mobile connected device, Dexcom has cemented its spot as the most democratic full-featured CGM available. Everything changes promptly in the diabetes device universe, so it ’ second crucial to keep tab on what the company is up to. here ’ s a bass dive into what Dexcom is offering in 2020 and beyond, along with a bit of its deep history.

Current Dexcom tech

Dexcom G6

Approved for ages 2 and older and launched in 2018, the Dexcom G6 was the first CGM to offer direct-to-smartphone connectivity, with no necessitate for a freestanding telephone receiver and no fingerstick calibrations required . share on Pinterest 10-Day Wear Sensor: The water-repellent G6 detector is said to be more accurate and dependable than earlier models, and can be worn for 10 days compared to the former 7 days.But the caution is that there ’ s a hard-shutoff at the 10-day grade, meaning users can no longer extend the detector for elongated wear, as many users previously did. The FDA actually laid out this limitation in a letter to Dexcom trace requirements for the G6, with a specific clause mandate that the disposable detector must shut off and be incapable of use beyond the approve 10 days of wear. Transmitter: The G6 vector ( the mind of the system ) is about a third smaller, slender, and lower-profile than the previous model and has a raw glucose-analyzing algorithm inside. It has a 3-month battery life that besides includes a brief grace time period at the tail end but starts providing notifications when the 90-day cycle is near and/or when the battery is nearing its conclusion. No ‘Required’ Fingerstick: The FDA has approved the G6 as accurate enough to rely on for making insulin dose and treatment decisions without a accompaniment fingerstick test, as was previously required. Users implicated about accuracy can hush enter calibrations, if they wish. Disposable Auto Inserter: With the G6, Dexcom introduced a newly fictile, spring-loaded collected car insertion device that requires nothing but the press of an orange button to inject a new detector — even single-handed ! G6 sensors come packaged in a box of three, with each detector pre-assembled into the car inserter so no needles are exposed. You simply pull off a awkward yellow journalism to reveal the detector and the scannable connection code, and then after pushing the button to insert the detector on your body, you dispose of the applicator. Receiver Not Required: The G6 does still work with the touch screen liquidator introduced a few years early, but it ’ s no long required by the FDA as region of the system. many users just rely on the G6 smartphone app to see CGM data and get alerts. G6 Mobile App: This app works on both iPhone and Android. After a 2-hour warmup menstruation without any data, the app starts showing glucose results. It displays a r-2 with the current real-time glucose level and appropriate Gray, Red, or Yellow semblance code depending on whether you ’ re In Range, Low, or High, respectively. A small arrow points in the guidance you ’ re swerve and a graph with glucose value and other inputted data like insulin, carbs, and practice are displayed below. You can turn your smartphone horizontally to see up to 24 hours of data and scroll back consequently. Of course, data can be shared with arsenic many as five people via the separate Dexcom Follow app and with a sophisticate ’ second function through the Dexcom Clarity platform. Alerts: With the G6, Dexcom added predictive alerts, meaning you ’ ll get an “ Urgent Low Soon ” alert whenever the detector picks up that you ’ ll fell to 55 mg/dL within 20 minutes. additionally, you can customize alerts for unlike times of day or night. There ’ randomness a “ Do not Disturb ” feature of speech for audible or oscillation alerts, though the “ Snooze ” have is disabled on significant alerts like “ Urgent Low ” and “ Sensor/Transmitter Failure. ” Goodbye, Tylenol Effect: With this model, Dexcom was able to eliminate hindrance from medications containing acetaminophen ( Tylenol ), which has been an ongoing write out in the CGM global. The G6 has a particular membrane on each detector that eliminates the body chemistry hindrance from these medications, which previously could give false high glucose results .

Smartwatch connectivity

Yes, the G6 does connect to the Apple Watch to display CGM data and offers alerts and alarms on versatile watch faces . share on Pinterest But note that you must have the CGM connected to a compatible smartphone in order to have the data shared. That means you ’ re required to carry a smartphone as the bridge between the CGM and smartwatch, so if you go out but leave your iPhone at base, the Apple Watch and G6 won ’ deoxythymidine monophosphate communicate with each other. Dexcom has been promising a direct-to-watch capability for years, but it hasn ’ t yet materialized. arguably, there is a bunch that goes into that, including ensuring that any io lookout updates don ’ triiodothyronine intervene with the data .

Next-generation technology

As we move into the concluding months of 2020, many are waiting anxiously for Dexcom ’ s next-gen technical school that promises a batch of much-anticipated new features. here ’ s what ’ second coming .

Dexcom G7

The G7 model has been in the works for respective years as a collaboration with Verily ( once Google Life Sciences ). While details are still scant, Dexcom ’ s hinted at some big revisions to what the G7 will offer once it ’ south available in early 2021 : Extended Wear of 14 to 15 days: This adds 4 to 5 extra days compared to the stream 10-day wear. As with the G6, no fingerstick calibrations will be required. Fully Disposable: Unlike Dexcom CGM models to date, the G7 will be amply disposable. This means there will no long be a classify vector with a 3-month barrage life. alternatively, the detector and vector will be integrated, and once the detector ’ second function is finished, you ’ ll discard of the wholly compound unit of measurement. Thinner: Dexcom says the G7 will be the thinnest generation of its CGM sensors so far, but the company hasn ’ thymine so far released any specific detail on measurements or design. Decision-Support: Dexcom has talked a draw about wanting to integrate software features like dosing aid and information and prompt that help users make better health choices based on their CGM readings. Given Dexcom ’ south skill of TypeZero Technologies in 2018, they seem to be on the path to providing a smart algorithm for this kind of drug user accompaniment. This should besides help the company in its finish to expand CGM use for more type 2s, equally well as for users without diabetes.

Device interoperability and DIY innovation

As the diabetes device industry works toward connected “ artificial pancreas ” systems, the FDA has created an entire nerve pathway toward interoperability, or the estimate of “ plug and play ” that allows assorted CGMs, insulin pumps, insulin pens, and controlling algorithm to work together in a modular fashion. The Dexcom G6 was first base to obtain the FDA ’ s modern “ iCGM ” designation, meaning it ’ s approved for consumption with exchangeable devices that have a comparable interoperability designation — like Tandem ’ s deoxythymidine monophosphate : reduce X2 insulin pump. Dexcom now works with several devices, from the Tandem pump to the Omnipod tubeless spot pump and InPen smart insulin write from Companion Medical. The company besides has more partnerships with different diabetes data platforms than any of its competitors. Dexcom has besides been a catalyst to the emerging Do-It-Yourself diabetes engineering community. It was Dexcom ’ s CGM technical school that served as the basis for a rush of grassroots invention that crystallized at the # WeAreNotWaiting movement in 2013. A humble group of enterprising DIYers figured out a way to set up open-source data platforms to bypass the Dexcom limitations at the time. In doing so, they created the data-sharing platform known as Nightscout and an entire on-line community of DIY data-sharers ; finally, that evolved into an open-source closed loop system, vitamin a well. Dexcom wasn ’ t a fan at the begin, and leadership dubbed the DIYers “ rogue cowboys. ” The nickname adhere and emboldened the # WeAreNotWaiting community even more. Over the years Dexcom has come to embrace this movement, even launching a developer platform to farther fuel invention based on its core technology in 2017 .

Discontinued Dexcom tech

While the previous G4 and G5 versions were officially discontinued in June 2020, you ’ ll inactive likely find users out there holding onto these older models .

G4 Platinum

The G4 was launched in 2012 and brought with it a new iPod-style receiver device that was much sleeker and more modern-looking than anything else in CGM technology at the fourth dimension. It was foremost FDA-approved for consumption by adults 18 and older, and then two years late was all right ’ d for kids and teens. In early 2015, Dexcom introduced a newfangled recipient that could “ partake ” data with a modest count of followers, introducing Dexcom Share and the Follow apps for the first prison term .

G5 Mobile

In late 2015, Dexcom introduced the G5 and with it, a newfangled age of built-in data-sharing capability that, for the first time, allowed data to be displayed on a mobile app quite than fair a standalone telephone receiver device. The G5 calm used the iPod-style receiver for the first couple of years, until Dexcom launched its new touch screen receiver with a vertical predilection. When Dexcom discontinued the G4 and G5 in June 2020, many users were forced to upgrade to the G6. Since most people — including those on Medicare — are now able to access the G6, chances are it will soon become quite challenge to find supplies for these older models.

Earliest Dexcom tech

As a flashback, it ’ randomness worth tipping our hats to the earliest Dexcom CGM models that came before the “ G-series ” — the Seven Plus and the first 3-day detector dubbed the STS ( aka Short Term Sensor ). The Seven Plus was so named for the fact that the detector could be worn for 7 days ( versus the earlier 3-day wear clock ). It introduced the egg-shaped receiver that many referred to as the “ Dexcom egg. ” Before that, the STS was good for 3 days but it was nowhere near deoxyadenosine monophosphate accurate as today ’ south CGM technical school. It required calibration by cable circuit board to a particular Contour mark fingerstick glucose meter. It was besides not raincoat, requiring plastic coverings, and those who wore this model were much turned off by its inaccuracy, bulky size, and how the adhesive material irritated the skin. We ’ ve come a long way, baby !

A changing CGM landscape

It ’ second amazing how the CGM universe continues to expand, with new players like the Abbott Libre flash glucose monitor Senseonics Eversense implantable CGM making a splash. To date, there are more than 40 newfangled CGMs products hoping to make it to marketplace someday, to compete immediately with Dexcom and Medtronic in “ standard ” CGM technology. certain, Dexcom has experienced growing pains as it ’ mho restructured and experienced order delays and customer service issues, like most companies out there. But overall, Dexcom remains one of the most stimulate players in diabetes engineering as it forges a way to the future of CGM .

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