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Bluetooth from transmitter to full function iphone app. Dexcom doesn't need to be in the receiver business.
Bluetooth from sensor to remote pump (duh). Might convince me to go to pump.
Longer life/less expensive sensors.
Fully disablable/infinitely customizable alerts.

Yours?

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Forget the first two! FDA approves the system as a whole, and having a trasmitter "talk" over BT to something else is very unlikely to happen. On the other hand, BT in the receiver talking to anything else would not be too difficult to implement, and would not need any specific FDA approval...

Longer life sensors? I've done 3 weeks with one, and 2 weeks almost each and every time. FDA says 1 week max, but I get the best readings from my Dexcom at the beginnning of week 2, typically. Less expensive is a matter of market adoption and competition.

The alerts can be changed fairly easily, but I understand your need for more granular control. Something I don't need at this time.

My wish list stops at the things that I can do while using Islet on my iPhone:

http://www.iabetics.com/

I use it to log every insulin shot I take, including insulin type, and also when I start with a new insulin pen and new sensor, so I can keep track of how many supplies I need when travelling.

Also, timezone support will be nice to have.

But so far, after 6 months with the Dexcom, I am quite happy with the way it is, to tell you the truth.

Ciao, Luca

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I must agree with Luca. 1) FDA will not approve a hole in your skin for more than 7 days. Look at hospitals - CDC and accrediting bodies require IVs to be changed about every 72 hours for peripheral lines, lines place under sterile technique (near OR conditions) longer.
BT is not controlled by FDA, however, a channel hopping system would be good. It would require the transmitter to listen as well as talk. Bigger box and more power consumption.
Fully disable the 55 alarm - not on your life because your life depends on it. FDA will not allow something like this. FDA may allow MD to prescribe and have set the 55 alarm moved to say 50 or up to 60 before delivery but not likely.
Jay

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Personally, I like having a receiver. It's something I can put in my shirt pocket and easily check when I'm in meetings. If Dexcom wanted to also send a signal to an insulin pump that would be fine but I still would want a receiver. I wish the receiver was smaller and the graph y-axis was scaled to the data (rather than a fixed 25 to 400 scale) so it would be much easier to see trends. Other than that, I've had my Dexcom for almost 1 year and I've been very happy with it.

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My wish is to have the option to purchase a mini-receiver just big enough to display a reading and trend arrows in addition to the regular sized receiver. The current receiver is well-implemented with a pleasing to handle shape but seems larger than it needs to be.

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