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Latest Activity

Rickst29 replied to etta amy's discussion 'Lost arrow, alternating with ???' in the group Dexcom Users
"OK. But if it goes blank again (with multiple missed readings in a row) I wouldn't give it another chance. For me, those 'sporadic performers' often show really bad numbers when I'm trying to depend on them. YMMV, of course."
Apr 18, 2013
Rickst29 replied to etta amy's discussion 'Lost arrow, alternating with ???' in the group Dexcom Users
"If you're stil getting a lot of "???" after 24 hours, the Sensor is failing to perform. And, unless there is a lot of water under the transmitter, from having failed to press down BOTH of the hold-down clamps, I think that you should…"
Apr 18, 2013
Rickst29 is attending Emily Coles's event

Live Interview with Terry Gregg, President and CEO of Dexcom, Inc. at TuDiabetes homepage

April 11, 2013 from 1pm to 2pm
This event already occurred.  Watch it here! Terrance H. Gregg is CEO of Dexcom, Inc., first joining the Dexcom Board of Directors in 2005 and subsequently appointed President and CEO in 2007 and CEO in 2011.In 2002 he retired as President of Medtronic MiniMed, a world leader in diabetes management systems. He became President and Chief Operating Officer of MiniMed, Inc.…See More
Apr 8, 2013
Rickst29 replied to Danielle's discussion 'Allergic reaction to adhesive?' in the group Dexcom Users
""Skin-Prep" also helps with that problem. My tape, "Opsite Flexifix" consistently stays down for the life of the Sensor. That's 2 weeks for me (YMMV, of course.) If the Sensor lifespan was even better, I've no idea how…"
Feb 4, 2013
Rickst29 replied to Danielle's discussion 'Allergic reaction to adhesive?' in the group Dexcom Users
"You should also try Smith & Nephew's "Skin-Prep" - it's not the same thing as their "I.V. Prep", and it's made for exactly this purpose: providing a barrier between long-term appliance adhesives and…"
Feb 3, 2013
Natalie ._c- and Rickst29 are now friends
Feb 1, 2013
Rickst29 replied to Mom 2 Kyle's discussion 'How is Day 1 for everyone with new G4 sensor??' in the group Dexcom Users
"I didn't have your Day-1 problem. (I had only a "first two hours" problem - less unstable time than I had on 7+ Sensors). But - If you want to try doing this, there are at least two ways: Way #1 - Less Hard, but equal work every time:…"
Dec 15, 2012
Rickst29 replied to cyndibug's discussion 'Skin Irritation' in the group Dexcom Users
"type3mom is correct: They absolutely, positively CAN NOT !!! say anything about unapproved usage methods."
Sep 19, 2012

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My Dexcom Insertion process:
Part A, preparing the site

Step #1: If you're doing this on the bathroom counter, put down a fresh clean towel before dong anything else. Bathroom counters are FILTHY, but you need access to a sink.

Step #2: Put the following items down on the towel: The opened Sensor package (Sensor still inside); a Skin-Prep wipe (not I.V. Prep); a two washcloth; a hand towel, and a hairdryer.

Optional Step: If you're ultra-finicky, you can also set down down a bottle of PVI, along with and some q-tips to apply it. This is the orange stuff used by MDs and Emergency medics. (It's available in pads too, but the pads are more messy to use; they're made for covering larger areas. You're only going to rub over a 1/2" area at the actual point of insertion. And for use at home, a bottle is much cheaper to use in the long run.)

Step #3: Wash your hands thoroughly, scrubbing hard with that fresh washcloth. "They" say 20-30 seconds, and I recommend the same (although I actually only do about 10). Then, scrub your target area the same way: scrubbing hard enough to cause some redness. You need to scrape off the loose skin at the surface, which gets penetrated by "bugs". If you haven't turned a bit red from the scrubbing, you're not pressing hard enough. Don't discard that washcloth yet, and leave the water running!

Step #4: Now, twist the washcloth to get nearly all the water out. (It's still soapy.) Firmly wipe the hair dryer handle and the "high/low/air/off" control switch to clean them up. (Because the hair dryer handle is probably almost as bad as the Countertop before you do this.) If you are going to use PVI, wipe the PVI bottle (especially the lid) in the same way. The water is still running....

Step #5: Now, hold that washcloth under the water again to get a lot of "rinsing" water in it. This rinses your hands too, of course. Rinse your target area. If it still seems soapy, even a little bit, then repeat.

Step #6: Now, use the washcloth to turn off the tap. (Don't touch the handle directly.)

Step #7: Use the hand towel to dry the target area and your hands, rubbing firmly.

Optional Step, If using PVI: Load up one of your q-tips with PVI, and rub the wire insertion point of your target, plus about 1/2" in each direction (a circular area). Note the exact location carefully, because you will NOT be able to use the colored circle as a guide later. Let it dry, and then reload the Q-tip and re-wipe the area as needed, in order to get at least 30 seconds of LIQUID contact with your skin. (Keeping it wet might take several repeats.)

Step #8: Using the hand towel, plug in the hair dryer and turn it on "low". The purpose of the hair dryer is not to "dry" the Skin-Prep; the reason why you MUST have a hair dryer is that the Skin-Prep liquid starts out extremely runny, and gravity will make it flow downwards (from the top of the wiped area into the bottom of the wipes area). This leaves the protective film too thin at the top edge, and the top edge is where Dexcom's Adhesive Pad usually comes lose first. You will use the hair dryer, pointed upwards, to keep the Skin-Prep fluid in place while it dries into an even film.

Your Hair Dyer May Vary ("YHDMV"), so you might want to use the "air" setting instead. But definitely not "High". The gravity-induced flow happens so quickly that you won't have time to turn on the hairdryer after you wipe -- you need to have it ALREADY RUNNING, and ALREADY IN YOUR HAND as you wipe (with the other hand).

Step #9: Open your Skin-Prep wipe, and pull it out of the foil. Pick up the hair dryer with the other hand, and put it about 6" away from the target area-- but don't point it AT the target until the wipe is done, and your hand holding the wipe is well away. Wipe thoroughly in a circular motion. (And of course, make sure that the Skin-Prep area is bigger than the size of the Dexcom adhesive pad.)

After a few seconds, remove the wiping hand from the area and IMMEDIATELY tilt the hair dryer to counter-act gravity while the Skin-Prep dries. When the Skin-Prep has dried, re-wipe gently and re-dry. This time, be careful to dry your Skin-Prep coating to the level which works best with Dexcom: Dry, with tiny cracks, but not BIG cracks. The tiny cracks look like a "shimmering" effect. Then proceed directly into Part B, Attaching the Sensor Assembly.. If the cracks have gotten too big, just re-wipe a third time.

Special notes for users of PVI antiseptic: If you used PVI, then you will have noticed that the Skin-Prep application pretty much wiped it off. This harmless, because Skin-Prep is another fairly decent antiseptic solution itself; your hands are clean; and the PVI has already killed any "really bad" stuff in the vicinity of the puncture site. (Yeah, something could theoretically be wiped from the wider Skin-Prep area into the puncture site without being killed... but this is already better than 99.9% of insertion procedures being used by Dexcom users. If you want more safety, just wipe PVI over the entire adhesive pad area -- or maybe install an Operating Theater in your House?)
Part B, Attaching the Sensor Assembly.
(to be edited soon....)

Comment Wall (33 comments)

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At 4:28pm on September 14, 2012, Baby Peanut said…

ok, i have a cde & the medtronic rep working with me, it has been done but i know it is very difficult. i actually have a petition up,
i hope you and your friends will sign it, thanks, liz

At 6:56am on November 20, 2011, MrsGink said…

I am insensed at Horizon requiring proof of medical intervention on a low to pay for dexcom sensors. Please pm me with the letters and appeals to the insurance companies. I will take them on.
Anne Marie

At 3:41pm on October 26, 2010, lisa c said…
thanks Rick!

I got mine in my rectus femorus. Feels good.
At 11:30am on September 20, 2010, Todd Carey said…
Thanks for the advice, I removed it right away. Appreciate it!
At 9:44am on August 27, 2010, DianaS said…
Sticking with Accuchek makes perfect sense. I think they've always made a good pump. And both the Solo and the Aviva combo look sweet too so you're sitting pretty good for future upgrades too.

At 3:47pm on August 26, 2010, DianaS said…
Rick sorry it took me so long to get back to you. I guess I need to check my page a little more often.

Regarding why I switched from Minimed to Animas it's mainly personal preference. I love the remote, the screen is easier to read at night when I don't have my glasses on, and I can hear any alarms better. Those are the biggies. I also was done with minimed's CGMS so wanted to try Dex instead and since Animas will eventually be partnering with Dex that was a consideration. I think Minimed had better reports for data management but I had so much trouble downloading it was worthless to me. I am not experiencing the same problems with Animas and Dex software so I have easy access to all of my data.

I am finding Medtronics marketing strategies to be distasteful--they've called me unsolicited at least 5 times trying to sell me a new pump. I think some of their claims border on outright attacks against other companies rather than just contrasting features and benefits. I don't like their lawsuits against other companies.

All in all switching has really reduced a whole lot of frustrations I was experiencing with pumping and CGMS. It's worked out very well for me.

I understand about the death timer of the Roche pump. I'm not so sure I'd want that either although I must admit their Aviva Combo pump in Europe looks sweet from what I can gather from the intarzweb. If it had been available last spring I would have seriously considered it.

Let me know if you have any more questions. Diana
At 1:28am on August 4, 2010, Miss Miss said…
I'm sure it does. I'm going to try to. I will be meeting up with my childhood bff and we are going to do some fun and crazy stuff.
At 12:49am on August 4, 2010, Miss Miss said…
You know I worked for United and had to fly out on 9/11 and I did not have to deal with stupidness of the TSA as I had to that day I was going to CA. I was like really wtf!
At 12:16am on August 4, 2010, Miss Miss said…
Oh that is cool. I went to college in NY. RIT they have programs for the deaf.
At 5:47pm on August 3, 2010, Miss Miss said…
Rickst29 thanks for the friend request.



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