Medicare/Dexcom October G6

Thank you Tim35 for providing me with so much information. The Dexcom rep really emphasized the need for me to contact my insurance company, but how you did it sounds much easier.

I regularly use Rite Aid in both of the towns
I live in and really like them, but I do have a Walgreens in one of the small towns. Also I don’t use an Endo just a regular GP, so I hope that won’t be an issue. My doctor writes prescriptions for whatever I want. I will have him write it the way that you suggest. Thanks for the PDF.

Thanks Tim, you have been very helpful.

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DrBB I tried to extend my G6 sensor and it didn’t work but I only tried the “easy” method. I’m one of the fortunate ones that have absolutely no issues with getting my Dex to stick. I try to keep that arm out of direct water spray from the shower and clean around it. Then, if I can see it’s wet and transparent, I take a piece of tissue …and firmly blot around the tape until it’s white and opaque again (which takes a few seconds). After 10 days it’s still sticking so well that I literally have to pry it slowly and painfully off my skin. I’m nervous about them changing the adhesive because I am very sensitive to most adhesives and if I couldn’t use a cgm it would be disastrous! So (after this long-winded message lol), I would love to know the secret of extending my sensor. Clearly I won’t have a problem with it sticking around.

@CMiska
Maybe detail the steps you followed ?

@Tim35 Do you think pharmacy orders will automatically switch from G5 to G6 ? I wonder if that only applies to MC DME Part B orders.

@MM1

They are different NDC codes so I would think a new prescription would be required?

But that is only a guess.

I can get the exact steps my husband used but I do remember it only had to do with changing the sensor and not entering a date. Something like that? But I’ve read of a much more complicated way to do it and can’t remember where we had read about it.

@CMiska
We just did a (successful) G6 restart two days ago. The process we use (which somebody else posted and we copy).

  1. Sensor has stopped either from hitting 10 days or manual stop. No difference.
  2. Start sensor with no code
  3. Start 15 minute timer in phone or egg timer (lol)
  4. When 15 minute timer goes off then stop sensor
  5. Start sensor with code (use the real code or who knows what the impact is)
  6. Done. Two hr warmup starts just like normal

We do this on our iPhone which is running the Dexcom G6 Mobile App

I always check the Dex number after the two hour warmup with a good meter (we use Contour Next One) to see if the number is ballpark.

On a restart, I will be much more apt to apply a calibration if the number is off.
I check again 12 hrs late (meter vs Dexcom)

Going forward with a restarted sensor, I will check the Dexcom against a meter at least once a day.

I will only trust the data after it is shown the data can be trusted.

Good Luck.

IMO 30/30 is ridiculous and dangerous. If I inject to correct a high of 400, I could be taking 3 units too many and searching to correct a low 2 hours later.

@JJM1

Agreed. Something that was ACTUALLY 30/30 would be totally useless to us.

We checked our Dex G6 against our Contour Next One both last night and this morning. Last night difference of 2 points. This morning a difference of 5 points.

I expect this kind of good result from the Dexcom. This is very usable for us.

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I am regularly calling in for a replacement sensor, normally for ???. Maybe 1 time a year for 20/20 faults with my G4 system. IF the sensors and G6 system are so good, WHY would they dilute their warrantee? But if users are normally seeing 10/10 results then yes “This is very usable for us.”

what are 20/20 faults?

I suspect sensors that are regularly reading BG more than 20 points off from finger-stick for sensor readings less than 80 and/or more than 20% off when over 80.

Exactly.

Sensor vs Finger Stick differences greater than 20 when BG is below 100 and greater than 20% when BG is above 100.

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@Tim35 Why would they change from 20/20, to 30/30 with the G6? Dexcom is in partnership with Tandem, and know the algorithm is relying on the G6 sensor to make BG corrections. Why make it worse than the previous generation sensor? What has changed with the warranty?

Their confidence? :slight_smile:

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They no longer replace bad sensors?

The number of calls they were receiving from 10/10 patients complaining when the warranty was 20/20? One way to reduce nuisance calls is to widen a tolerance. Not a good option but maybe they felt necessary to be able to sustain their rapid growth and still answer customer service calls in a timely fashion. Just speculating, of course.

Your theory makes sense. People were calling and complaining about 10/10?

I don’t know. Just a possible theory. Every medium to large company always has a few anal customers that just like to call on a daily basis and exaggerate their issues. Some just have too much time on their hands and then some people are just never happy unless a product is perfect and as we all well know Dexcom puts out a great product, but still far from perfect for all.