This page lists highlights of Continuous Glucose Monitoring (CGM) Brands and links to more brand resources. Please visit our Continuous Glucose Monitoring page for a full list of our CGM webpages.
Hypoglycemia and hydroxyurea (Hydrea™, Apo-Hydroxyurea™, Mylan-Hydroxyurea™* hydroxycarbamide): Medications with hydroxyurea could result in falsely elevated sensor glucose readings in Medtronic and Dexcom sensors (2021). Not Libre. see here)
Insurance coverage for CGM varies. Patients are asked to have their insurance companies check under "Glucose Meters" and "Medical Devices". Patients with no insurance coverage are encouraged to contact their employer's human resources department, as the employer determines the coverage available for their employees.
Be aware that there is a delay in compatibility with new Smart Phone operating system updates. Patients should check company websites to learn which operating systems are compatible with devices.
Topics
Related:
- CGM Handouts
- Continuous Glucose Monitoring page
- Skin care products for CGM
- Non-insured health benefits for First Nations and Inuit (NIHB) may cover some sensors for those who qualify.
Abbott's Freestyle Libre 2
- Healthcare providers can obtain digital STI cards that offer the patient a free sample as well as potential other savings. In Calgary, contact or to request these.
PRODUCT SUMMARY: LIBRE
- 14 day duration. Sensor and transmitter all in one.
- Real-time continuous glucose sensor when using using with an upgraded app. Otherwise, it is a flash glucose sensor that needs to be scanned by the phone (or external receiver obtained through Abbott).
- Healthcare providers can call 1-800-485-3996 if questions or contact
- No calibration is required (eg. no finger stick). Capillary glucose testing is required in some cases as outlined in the product manual.
- Encourage patients review Abbott's Sensor Adhesion Guide.
REPORTS: LIBRE
- Login: LibreView online reports (cloud) personal and professional clinic access
- To have patients direct their data to a professional clinic account see the instructions on our patient webpage endometab.ca under Patients & Family > Appointment Preparation.
- LibreView Support: 855-450-3563 EST 9 am to 8 pm ,
- Troubleshooting - Clear Browser Cache (see here)
- Accessing in Libreview
- Top right click 3 horizontal lines
- Preferences
- Thresholds (to change targets when viewing all your reports in professional libreview. Does not change targets on patient device)
- or Freestyle Libre (to review any of 9 reports)
TRAINING: LIBRE
- Libre2 Resources: User Manual and Videos
- Inserting the Sensor video or other topics in Libre Canada YouTube Channel
- Abbott's full YouTube Video Library, including those for healthcare providers
WEBSITE & CONTACTS: LIBRE
- Sensor Replacements: Fastest to do online via Sensor Support Form
- Libre Website as well as Libre Professional Website
- re Compassionate Supplies Request for MD, NP, prescribing pharmacist.
- Alberta government drug plans cover sensors for those under 18 years of age. Sensors are covered under NIHB, for all First Nations and Inuit people using insulin.
- Pseudo DINs (PIN) for FreeStyle Libre and Libre 2:
Original Libre Reader = 97799170
Original Libre Sensor = 97799171
Libre 2 Reader = 97799074
Libre 2 Sensor = 97799075
FreeStyle Precision Blood Ketone Strips (10) 97799762 - Calgary Contacts:
- Scott Buzahora (NW/SW Calgary -FMC, DCC, Chronic Kidney Disease Clinic; CFPCN & CWCP, ACH) Email: 403-970-5768
- Tracey Fedorchuk (NE/SE Calgary -PLC, ECHC, SHC, Mosaic PCN, CRPCN Strathmore) Email: 403-618-7086
- Lindsay Mackeracher (SW Calgary -CWCPCN, RockyView Hospital, SCHC, CRPCN & Southern AB) Email: 403-389-4798
- LibreView Tech support: 1-800-393-6647
Dexcom
- Dexcom support options - choose Dexcom Care > Book a training session. One option is for the patient to book a time and date to talk 1:1 with a Dexcom Trainer about how to setup or use the Dexcom. There are other options as well.
- For coverage, see Dexcom CGM Canada Insurance Coverage | Dexcom Provider Canada
DEXCOM G7- SUMMARY
Dexcom offers people with diabetes, and on diabetes, the ability to request a Dexcom G7 trial: https://www.dexcom.com/en-ca/interstitial
- Dexcom G7 is a real-time CGM with alerts and alarms and a built in transmitter
- 10.5 day wear
- 30-minute warm-up. Time counts down internally in the sensor. Users can leave the current almost-ended sensor in and running; insert new sensor; end old sensor 25 minutes later and just wait 5 minutes for new sensor to start on the app.
- MARD 8.2% overall for adults
- Indicated in pregnancy
- Alert changes: “delay first high alert”, “silence all alerts” (up to 6 hr)
- A receiver is available for purchase if the person has no compatible smart phone.
- Unless indicated for exceptions, no confirmatory capillary glucose test is required prior to bolusing.
- Not indicated in hemodialysis.
DEXCOM G6 - SUMMARY
- Dexcom G6 is an rtCGM and can provide automated alarms and alerts for low or high gluocse readings or rate changes.
- A transmitter (112 day use) is attached to the sensor (10 day use with G6) and wirelessly sends results to a smart phone app or a separately purchased receiver.
- The screen of the app or receiver shows current glucose level, a trend arrow (if glucose is trending up or down) and graphs for numerous hours previous data.
- Unless indicated for exceptions, no confirmatory capillary glucose test is required prior to bolusing.
- Not indicated in hemodialysis.
REPORTS & EDUCATION: DEXCOM
- Login to Dexcom Clarity Cloud Reports (personal & professional clinic access)
- To have patients direct their data to a professional clinic account see the instructions on our patient webpage endometab.ca under Patients & Family > Appointment Preparation. Note that the Dexcom G7 phone app displays a Clarity summary, but to share with the clinic, people still need the Clarity App.
- Dexcom may also be linked to Glooko
- Video Review of Clarity Online (YouTube) Sample Dexcom Clarity reports (pdf)
- Health Care Professional Recorded Education (Dexcom Deep Dive)
COST ASSISTANCE
Dexcom G7 Patient Benefit Program will will cover 20% of the cost with printed or digital certificates presented to the pharmacist. Provide coupon to patient: DEXCOM_G7_TearSheet_v1r6_ROC
WEBSITE & CONTACTS DEXCOM
- Dexcom website
- Dexcom Trial (Hello Dexcom) patients to access directly to obtain sample
- G6 Instructional Videos
- Dexcom G6- What Clinicians Need to Know (webinar recording- 30 mins)
- Please contact the company for the most accurate pricing and information. Insurance coverage may be under the category of glucose meters (SMBG) or more likely, medical devices. Patients can call Dexcom Insurance Specialists at 1-844-832-1810 ext.2 for assistance in determining if they are covered.
- Sensors are covered under NIHB, for all First Nations and Inuit people with type 1 diabetes, with prior approval. Requirements: under 19 years old and on multiple injections of short-acting insulin -OR- type 1 diabetes on short-acting insulin. . See this link for more details. or NIHB directly.
- Dexcom Support: (G7 support is here and booking a Dexcom Care Training Session is here) and support documents are here.
Technical Support 1-844-832-1809.
Dexcom Care 1-844-832-1811 - CONTACTS:
Calgary North/Central Alberta/Medicine Hat 403-463-3989
Calgary, Alberta South (includes RRDTC) 403-466-8243
Patients: 1-844-832-1810 for all inquiries: Option 3 technical support; Option 2 insurance support
Medtronic Guardian
PRODUCT SUMMARY: MEDTRONIC
- Medtronic Guardian rtCGM is available for use in two versions. Each version requires a rechargable transmitter.
- As a standalone CGM with phone app
- As an integrated CGM in a Medtronic Insulin Pump; may assist in partially closed loop function (see Medtronic Insulin Pump)
- The sensor is indicated to last up to 7 days and is attached to a rechargable transmitter indicated to perform for a year or longer. Each system provides automated alarms and alerts for low or high glucose readings. Calibration with a fingerstick capillary glucose meter is required every 12 hours. The sensor provides Medtronic's newest pumps the ability to auto adjust insulin up or down. See our Medtronic Insulin Pump webpage for an overview of function.
WEBSITE & CONTACTS: MEDTRONIC
- Pseudo DINs (PIN):
MMT-100-6mm: 97799250
MMT-101-9mm: 97799249 - Visit the website for the stand-alone Guardian CGM
- Visit the website for the Guardian integrated into Medtronic Insulin Pump
- Medtronic Download library (usermanuals)
- Contacts: Calgary and area: 403-829-1932
To view a list of all our CGM pages, please visit our main page, Glucose Sensors and Continuous Glucose Monitors (CGM),