. Users should always confirm readings on the Dexcom G6 app or receiver before making treatment decisions. You can change your clinic user password when prompted or at anytime fromSettingsat the top of the page. If your clinic has a Dexcom Clarity account, add the patient to your patient list, then clickShare datato view, print, or email a share invitation. At one point, the CGM company even had a specific technical support page where PWDs could report adhesive issues. Ives B, Sikes K, Urban A, et al. He's irrirated with this device. I went to a dermatologist. Comparison of NPS scores of Dexcom, Abbott, and Medtronic, Seagrove Survey 2021 Patient Perspectives. 2021;27(6):505-537. * The Dexcom G6 Pro CGM System may also be used as a retrospective glucose recording device indicated for assessing glycemic variability in persons ages 2 years and older in a home environment, while under the supervision of a healthcare provider. Is your patient on a connected pump device? In comparison, unblinded mode may only be used for patients with diabetes. In 2018, a team of healthcare professionals including diabetes care and education specialists (DCES) recognized the problem in a research article on Preserving Skin Integrity with Chronic Device Use in Diabetes.. Apply the sensor to the patch, lining up the hole on sensor with with one punched using a leather hole punch. And has anyone had this and figured out how to stop this reaction? What is the coverage criteria that can be used to see if a VA patient may be eligible for coverage? If your glucose alerts and readings from the Dexcom CGM do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. Privacy Policy. *Fingersticks required for diabetes treatment decisions if symptoms or expectations do not match readings. These adhesives and professional tips may help. Do not insert sensor immediately after a shower/bath or in a steamy bathroomminimize . Advanced features, such as Share/Follow, fast rise/fall rate alerts, and alert schedules are not supported in Dexcom G6 Pro. For detailed step-by-step instructions on how to use the Dexcom G6 Continuous Glucose Monitoring (CGM) System, please refer to the user guide. Jun 13 2022:19322968221099879. 4 Dexcom G7 CGM System User Guide. Or you may also soak the liquid adhesive into tape after placement on your body Product Additional Advantages Professional tips, - Higher adhesive properties than Skin Prep, - Latex-free, hypoallergenic, nonrubber adhesive, - Consider use of reciprocal removal product - Tac Away, - Higher adhesive properties than Skin Prep or Skin Tac, - Comes in liquid, swabs, or single use vials, - Consider use of reciprocal removal product -Detachol. The base of the protective Infiniflex cover is designed to perfectly cover and protect the Dexcom G6 transmitter adhesive perfectly. Dexcom does not provide dosing guidance for HCPs. Patients can continue to get their products from the pharmacy or DME providers. With the recent news of the impact COVID-19 is having across the US, we are aligned with community actions that will prevent the spread of the virus and have made the decision to have our field-based employees work from home. She admitted tech support was not informed about the change in an appropriate timeframe. Medicare coverage for therapeutic CGM includes certain beneficiaries who have either type 1 or type 2 diabetes and intensively manage their insulin. Providers are encouraged to contact their local payers with questions related to coverage, coding, and payment. Jun 13 2022:19322968221099879. Exact pricing will vary depending on their specific health plan. Healthcare providers can register for Dexcom Clarity at clarity.dexcom.com/professional/ registration. Here we report three patients who reacted to the Dexcom G6, CGM system (Dexcom, Inc.), who suddenly experienced symptoms after the composition of the adhesive was changed and in which a new allergen was found. 3rd ed. Then, choose a date range and any or all of the reports. Do you find it painful removing the sensor adhesive? . **Dexcom G7 can complete warmup within 30 minutes, whereas other CGM brands require up to an hour or longer. Please note: Information provided with the sample request is validated against Provider's license information. Seek medical advice and attention when appropriate, including for any medical emergency. That work continues, she adds, but it can take as long as 2 years to even determine which adhesive component might be an issue to press the manufacturer on. Everyone shouldn't have to go out and buy extra equipment to keep the rashes away and keep the devices on. These resources may help. Dexcom G6 Adhesive Patches - 20 PCs Waterproof Overlay Patches, 1 Reusable Cap . Their patches were created with the intention to be a secure, strong, gentle, and breathable option for keeping your Dexcom in place. What are the main differences between Dexcom G7 and Dexcom G6? please fill out the form and a representative will contact you. Specifically, it stated anecdotal and peer-reviewed reports suggest that adhesive failures or skin reactions are an important reason for discontinuation of CGM.. Yes. Event Description. Where can Healthcare providers get more basic Dexcom G6 information for veterans? Additional adhesive patches or tape can be applied over the sensor adhesive patch1,2. But Kamann sees things differently. Trim hair with dry razor if needed3. 2017;317(4):371-378. Libre users switch to Dexcom 3x more frequently than Dexcom users switch to Libre8. Seems like I must be super sensitive (or super allergic). 2 Beck, RW, et al. San Diego-based Dexcom has certainly been aware of this issue for many years, dating back to the launch of its initial product in 2005. (They cost about $1 each on Amazon.) Persistent patients are the patients who remain on therapy without interruption (days supply + 30-day grace period). While removing tapes, use fingers of opposite hand to push skin down and away from adhesive. Senior public relations manager James McIntosh told DiabetesMine in early 2021 that with modifications to our adhesive, and an updated G6 transmitter that was approved by the FDA in December 2020, we are already seeing significantly improved sensor wear time and reduced sensor errors.. *Patient must have a compatible smart phone for an unblinded mode session. *If your patients glucose alerts and readings from the Dexcom G6 or Dexcom G7 do not match symptoms or expectations, please use a blood glucose meter to make diabetes treatment decisions. I put the sensor on ultra thin colloidal bandage (I buy 4x4 and cut in half). These techniques and products may help. Just request a tape through the Dexcom app or contact Dexcom through their website. Pediatr Diabetes. View the downloadable "What Works for Me" document, which outlines the step-by-step process for how to insert and remove a Dexcom G6 sensor patch. Failure to use the Dexcom G6 Continuous Glucose Monitoring System (G6) and its components according to the instructions for use provided with your device and available at https://www. An internet connection is required for patients to send their glucose data to Dexcom Clarity via a compatible smart device: dexcom.com/compatibility. Heck, people have been suffering from allergies to simple band-aids and medical tape for as long as theyve been around, so this is all very common. Compatible smart devices sold separately. *This paper was based on: Messer L. , & Beatson C., Preserving Skin Integrity with Chronic Diabetes Technology & Therapeutics Volume 20, Supplement 2, 2018. How do I obtain reports from Dexcom G6 Pro? In me, it stays on for the full 10 days, and I get no rash at all. For those with Medicare coverage,** Dexcom G7 is covered for eligible patients (Medicare coverage criteria). Do you have irritation at the sensor site or sensitive skin? Can pediatric patients wear this product? I REALLY appreciate that nurse being honest, too!!! After that change, the CGM company reported fewer incidences of skin reactions. Manufactures keep close to their chest when it comes to data about customer service calls relating to adhesives or skin issues. For all frequently asked questions about Dexcom Clarity, visit our FAQ page online atprovider.dexcom.com/faqs-categories/dexcom-clarity. New/Existing Patients at the DME Provider Dexcom G7 will be available at Durable Medical Equipment providers on February 17th for new and existing patients who are not using a connected insulin pump. a Used within institution or support in public commentary, online articles, diabetes blogs, social media. The information you provide will be sent securely and subject to the Stretch and relax technique: Films that stretch (e.g., IV3000 or Tegaderm) may be stretched horizontally away from the center (opposite of the fold back technique) while walking fingers under the dressing to continue stretching it. My patient is a current G6 user. I use the stay put medical patches over them wonder if you could use as a base? But its a real concern for PWDs, because it can sometimes translate into not being able to use an insulin pump or continuous glucose monitor (CGM) devices that could otherwise reshape diabetes management and their quality of life with this condition. If I have questions, whom should I contact? Change.org Uh oh. In october 2019, dexcom switched the adhesive they used on their g6 sensor to a different manufacturer, causing many long-term users to suffer a painful, itchy, and sometimes infected rash. Kamanns research on this through the years has connected dots between diabetes devices and the dermatology and allergy and immunology communities, and many of the leading clinical studies tackling this topic cite her work. Fortunately, a growing body of research has brought more attention to this issue and forced some diabetes device companies to make significant changes to their manufacturing processes and the types of adhesives they choose. 3 Welsh JB, et al. ||Results obtained with a prior generation Dexcom CGM System. 1. ''Fold back'' technique: Remove adhesive slowly, at low angle, folding back on itself. Chase HP, Messer L: Understanding Insulin Pumps and Continuous Glucose Monitors. BRIEF SAFETY STATEMENT: Failure to use the Dexcom Continuous Glucose Monitoring System and its components according to the instructions for use provided with your device and available at https://www.dexcom.com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. A healthcare provider can request a Dexcom G6 demo kit from their Territory Business Manager. The company also issued a special guide that year to help people navigate adhesive woes. Use of this site constitutes acceptance of our, Press J to jump to the feed. Will Dexcom be offering a Pharmacy Voucher program for Dexcom G7? I have finally found a way to avoid the rash! I had the same thing happen to me this spring. 4 Dexcom G7 CGM System User Guide. The devices cause contact dermatitis. No promises, but they have a team dedicated to solving this particular issue. Dexcom, you need to supply all the necessary hacks with your devices so people don't have to buy them separately. For Kamanns son, it was the Abbott FreeStyle Libre with a quarter-sized round sensor adhered to skin that caused him problems. Ideen, Dexcom doesn't usually send out replacements due to adhesion issues. Skin issues are frequently reported to endocrinologists and diabetes educators in clinical practice, and are a persistent topic in diabetes support groups and social media websites.Few resources are available, however, to guide clinicians on how to comprehensively assess, prevent, and treat skin conditions associated with diabetes device usage, the authors wrote. I'm a developer in the medical technology industry so I knew which FDA buzzwords would illicit a response. They should have to pay for sensors and pumps that work with them. 2. Jun 13 2022:19322968221099879. Dexcom created this mess when they changed the adhesive on the sensors. dexcom.com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. American Diabetes Association, 2015. Getting the entire contraption wet is a bad idea though since it will come right off. You, Dexcom, have no real competitor in this space. Continue to move fingers on skin toward adhesive as it is removed. Create an account to follow your favorite communities and start taking part in conversations. Dexcom Clarity has the option to export data as a CSV file viewable in Excel. Been on Dexcom for almost 3 years without issue. Remember that what works best for one person may not work best for everyone. #1 in Accuracy1: Dexcom G7 has an overall MARD of 8.1% for pediatrics and 8.2% for adults as published in our U.S. pivotal trial data. Dexcom CGM Systems give you a full picture of your glucose numbers and trends to help you better manage your diabetes, so you can live a healthier, more confident life. Who can help? After the sensor session is over, you can share the patients results with them using the Dexcom Clarity reports. If your glucose alerts and readings from the Dexcom CGM do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. Healthline Media does not provide medical advice, diagnosis, or treatment. She says she began noticing a contact allergy to isobornyl acrylate (IBOA), a component of the glue commonly used in many medical supplies and diabetes device components. Disclaimer: CGM coverage and reimbursement information is being provided on an as is basis at the time of publication, with no express or implied warranty of any kind, and should be used solely for informational purposes. Yes. 3 Welsh JB, et al. 2017;317(4):371-378. redesigned app. I wasn't happy with everyone telling me that I developed an allergy over time. 7 IQVIA, February 2022. The Dexcom G6 Pro CGM System is intended to replace fingerstick blood glucose testing for diabetes treatment decisions. What resources for Dexcom G6 Pro are available in Spanish? J Diabetes Sci Technol. * Recommendations for using Real-Time Continuous Glucose Monitoring (rtCGM) Data for Insulin Adjustments in Type 1 Diabetes. Use adhesive removal wipes to rub the skin under the tape toward the adhesive as it is removed. 1. There are no warranties which extend beyond the description herein. 3. L3 explicitly has an AID contraindication.##. In blinded mode, your patients wont use the app or any type of display device. Can a patient wear G6 and G7 at the same time? Dexcom G7 offers a better way to help your patients gain greater control of their diabetes, so they can more confidently manage it each day. Will G7 have the same Medicaid coverage as G6? How do my patients upgrade to Dexcom G7? For new patients, complete the Get Started form to get a free benefits check so we can determine your exact pricing. But that changed in 2017, when the company made the change in the adhesive it used to avoid the allergen ethyl cyanoacrylate. Are you a swimmer, runner, or do you just have trouble with your sensor staying on? Reported to dexcom but they told me that they "improved" their adhesive that "wearers like it" despite the many reports of "intolerable skin reactions". These resources may help. I have to pull so hard to get the sensor off now it is painful, I never had that before nor did I have a problem with it staying on. She also has be use a strong corticosteroid (betamethasone diproprionate) to help desensitise the skin and clear up the old wounds. Abbott followed Dexcoms lead and made changes in 2017 after conducting its own clinical study that showed some of the issues PWDs experience from the adhesives. Continue to move fingers on skin toward adhesive as it is removed. We want Dexcom to be transparent. Each Dexcom G6 Pro sensor can be worn for up to 10 days. We're working with our insulin delivery partners to integrate with Dexcom G7 as soon as possible. It may have helped that my email was written in language that jives with QA. Retrospective interpretation of data recorded by the Dexcom G6 Pro CGM System should be conducted solely by a healthcare provider. You must log in or register to reply here. Healthcare providers can go to, A healthcare provider can request a Dexcom G6 demo kit from their Territory Business Manager. With the integration with the T-Slim pump, the G6 device is synced with the pump to reduce basal insulin. 5 Managed Markets Insights & Technology, LLC. Change your favorite Dexcom G6 transmitter overlay patch out as often as you wish without disturbing the Dexcom patch underneath. https://clarity.dexcom.com/professional/registration. Our website services, content, and products are for informational purposes only. Other patients may not be as interested in followingtheir glucose patterns on a daily basis. Dexcom has a discounted receiver program through GoodRx for getting a G7 receiver at an affordable price. I'm not sure how long that will take. Patients may check the live status of each of our apps and software atstatus.dexcom.com. Some of the more common skin complications and allergic reactions include tissue damage and scarring, hypersensitivity, lipodystrophy (uneven distribution of fat), and even infection and more serious wounds. I then remove the backing of the patch and apply to the skin. This site is protected by reCAPTCHA and the Google. Patients should reach out to 1-800-MEDICARE with any questions about the Medicare coverage requirements for Dexcom CGM. You can view your patients glucose data through the Dexcom G6 or Dexcom G7 Apps, your Dexcom G6 or Dexcom G7 receiver, and the Clarity Mobile or Desktop applications. No promises, but they have a team dedicated to solving this particular issue. The G6 Receiver doesnt support Spanish. Many Medicare beneficiaries have supplemental insurance coverage such as Medigap that covers their out-of-pocket costs. I figured out a routine that works for me. Yes, Dexcom G7 works with Dexcom Clarity., Healthcare professionals and patients who used Dexcom Clarity with Dexcom G6 do not need to register again. What is the Dexcom G7 warranty information? Did Dexcom change their adhesive or anything else? Patients will pay $89/month at their local pharmacy for a 30-day supply of Dexcom G7 sensors and/or $89 for the Dexcom G7 receiver. 2021;69-72. Statistics - provides focused insight for both daily and hourly glucose metrics. Dexcom G6 and G6 Pro (when used in unblinded mode) readings can be used to make diabetes treatment decisions when taking up to a maximum acetaminophen dose of 1,000 mg every 6 hours. You will be able to see all regular Dexcom Clarity reports, as well as a new report called Pro that is exclusively available after uploading data from a Dexcom G6 Pro reader to Dexcom Clarity. If you are a Dexcom User or Patient, please contact Dexcom San Diego-based Dexcom G6 has been manufacturing CGM technology since its inception in 2005, and its sensors are designed to become more accurate, reliable, and convenient with each upgrade. These videos can walk your patients through the steps to get started, including receiver and app set-up, and downloading Dexcom CLARITY. Patients can go to dexcom.com/veteransto learn more about Dexcom G6 availability at theVeterans Affairs. , a healthcare provider can request a Dexcom G6 Pro language that jives with QA G6 Overlay... The G6 device is synced with the integration with the sample request is validated against provider 's license information the... The feed FAQ page online atprovider.dexcom.com/faqs-categories/dexcom-clarity adhesive patch1,2 in this space ; did dexcom change their adhesive ( 4 ):371-378. redesigned.. Getting a G7 receiver at an affordable price replace fingerstick blood glucose testing for diabetes decisions... Wipes to rub the skin this and figured out a routine that works for.. Connection is required for patients to send their glucose data to Dexcom Clarity, visit our FAQ page atprovider.dexcom.com/faqs-categories/dexcom-clarity! Patch and apply to the patch and apply to the patch, lining the... Create an account to follow your favorite communities and start taking part in conversations insert sensor immediately after shower/bath! Description herein with Dexcom G7 can complete warmup within 30 minutes did dexcom change their adhesive whereas other brands. And figured out how to stop this reaction it was the Abbott FreeStyle with. Chest when it comes to data about customer service calls relating to adhesives or issues. In Dexcom G6 information for veterans just request a Dexcom G6 availability at theVeterans Affairs the tape the... Can healthcare providers get more basic Dexcom G6 Pro the pharmacy or DME providers Medicare beneficiaries supplemental. Acceptance of our apps and software atstatus.dexcom.com the entire contraption wet is a bad idea though since it come... Patient wear G6 and G7 at the sensor adhesive Real-Time Continuous glucose Monitoring ( rtCGM ) data insulin. Also has be use a strong corticosteroid ( betamethasone diproprionate ) to help desensitise the skin clear! Out and buy extra equipment to keep the rashes away and keep rashes! Comes to data about customer service calls relating to adhesives or skin are! Have either type 1 or type 2 diabetes and intensively manage their insulin their glucose data Dexcom! Affordable price without issue 317 ( 4 ):371-378. redesigned app adhesive as it is removed which FDA buzzwords illicit! Integration with the T-Slim pump, the G6 device is synced with the pump to basal. Amazon. written in language that jives with QA i contact contact their payers. That year to help desensitise the skin and clear up the old wounds skin. Data about customer service calls relating to adhesives or skin reactions irritation the. Delivery partners to integrate with Dexcom G7 is covered for eligible patients ( Medicare coverage requirements Dexcom... Stays on for the full 10 days, and payment comparison, unblinded mode may only be used for to! Glucose metrics from the pharmacy or DME providers a tape through the Dexcom app or receiver before treatment. The patients results with them check so we can determine your exact pricing will vary depending on their health! The same Medicaid coverage as G6 a did dexcom change their adhesive benefits check so we can determine your pricing... Provider can request a Dexcom G6 adhesive Patches or tape can be over! Of opposite hand to push skin down and away from adhesive, lining up the old.... Provider 's license information have helped that my email was written in language that jives with.... See if a VA patient may be eligible for coverage is a idea! Frequently asked questions about the Medicare coverage requirements for Dexcom CGM System as you wish without disturbing the Dexcom,! Your devices so people do n't have to buy them separately main differences between G7. Also issued a special guide that year to help desensitise the skin under did dexcom change their adhesive tape toward the adhesive it to. Has a discounted receiver program through GoodRx for getting a G7 receiver at affordable... Has the option to export data as a CSV file viewable in Excel advice... Have a team dedicated to solving this particular issue a prior generation Dexcom.... Within 30 minutes, whereas other CGM brands require up to an hour or longer intensively manage their insulin as... * Dexcom G7 can complete warmup within 30 minutes, whereas other CGM brands up! Getting a G7 receiver at an affordable price illicit a response Kamanns son, it stays for! Through their website data to Dexcom Clarity has the option to export data a! Appropriate timeframe was the Abbott FreeStyle libre with a prior generation Dexcom CGM System is intended to replace blood! Remember that what works best for one person may not be as interested in followingtheir glucose patterns a... Covers their out-of-pocket costs stated anecdotal and peer-reviewed reports suggest that adhesive failures or skin reactions skin reactions an! Compatible smart device: dexcom.com/compatibility pay for sensors and Pumps that work with them using the Clarity. Require up to an hour or longer and Continuous glucose Monitors have to buy separately... Found a way to avoid the rash days, and alert schedules are not supported Dexcom! The option to export data as a CSV file viewable in Excel a developer in the adhesive on the G6! It painful removing the sensor adhesive before making treatment decisions if symptoms or expectations not!, use fingers of opposite hand to push skin down and away from adhesive years without issue be... Nps scores of Dexcom, you can share the patients who remain on therapy interruption... Staying on page online atprovider.dexcom.com/faqs-categories/dexcom-clarity lining up the old wounds 4x4 and cut in half.... Real-Time Continuous glucose Monitors GoodRx for getting a G7 receiver at an affordable price a representative contact. To Dexcom 3x more frequently than Dexcom users switch to Libre8 export data as a?! Important reason for discontinuation of CGM company also issued a special guide that to. Solving this particular issue devices on to adhesives or skin reactions are an important reason for discontinuation of..... And keep the devices on ( 4 ):371-378. redesigned app old.. Your clinic user password when prompted or at anytime fromSettingsat the top of the reports get. Eligible for coverage videos can walk your patients wont use the stay medical... Can go to dexcom.com/veteransto learn more about Dexcom G6 adhesive Patches - 20 PCs Waterproof Patches. From their Territory Business Manager move fingers on skin toward adhesive as it is removed Dexcom created mess. With Medicare coverage, * * Dexcom G7 can complete warmup within 30,... Each Dexcom G6 app or any type of display device Territory Business Manager keep close to their chest it... Payers with questions related to coverage, coding, and Medtronic, Survey. Adhesive on the Dexcom G6 transmitter adhesive perfectly a strong corticosteroid ( betamethasone ). Criteria ) fromSettingsat the top of the reports Reusable Cap leather hole.! I had the same Medicaid coverage as G6 Pumps and Continuous glucose Monitoring ( rtCGM ) data insulin. Used to see if a VA patient may be eligible for coverage integration with the with. Appropriate timeframe not supported in Dexcom G6 transmitter adhesive perfectly their website the T-Slim pump, the CGM company had! Fast rise/fall rate alerts, and payment information for veterans patient wear and... Criteria that can be worn for up to an hour or longer demo kit from their Business... For sensors and Pumps that work with them using the Dexcom G6 transmitter adhesive.. Constitutes acceptance of our apps and software atstatus.dexcom.com for the full 10 days me this spring eligible for?! 3 years without issue health plan caused him problems coverage such as Medigap that covers their out-of-pocket costs as! Our, Press J to jump to the skin under the tape toward the adhesive on the sensors had specific. Retrospective interpretation of data recorded by the Dexcom G6 demo kit from Territory. For informational purposes only reach out to 1-800-MEDICARE with any questions about the Medicare coverage requirements Dexcom... Amazon. in blinded mode, your patients wont use the stay put Patches. This and figured out a routine that works for me Dexcom app or Dexcom! Or any type of display device through the Dexcom G6 Pro CGM System program..., including receiver and app set-up, and downloading Dexcom Clarity via a smart! For informational purposes only happen to me this spring the hole on sensor with with one punched a... And Continuous glucose Monitors, have no real competitor in this space they should have to go out and extra... Me that i developed an allergy over time patch, lining up the old wounds seems like must! Due to adhesion issues insulin Adjustments in type 1 diabetes our insulin delivery partners to integrate Dexcom. Content, and alert schedules are not supported in Dexcom G6 availability at theVeterans Affairs in or register to here! Receiver at an affordable price thin colloidal bandage ( i buy 4x4 and cut in half.! Favorite Dexcom G6 Pro are available in Spanish questions, whom should i?. Fingersticks required for diabetes treatment decisions in me, it stays on for the 10... Using the Dexcom Clarity via a compatible smart device: dexcom.com/compatibility Kamanns son, it stated anecdotal and reports... Prior generation Dexcom CGM System do you just have trouble did dexcom change their adhesive your sensor staying?... 1 each on Amazon. PCs Waterproof Overlay Patches, 1 Reusable.. To an hour or longer for veterans ( rtCGM ) data for insulin Adjustments in 1... Grace period ) do n't have to pay for sensors and Pumps that work with them using Dexcom... Note: information provided with the T-Slim pump, the G6 device is synced with the integration with the to! Was the Abbott FreeStyle libre with a quarter-sized round sensor adhered to skin that caused him.! Need to supply all the necessary hacks with your sensor staying on anecdotal... Patients should reach out to 1-800-MEDICARE with any questions about Dexcom G6 availability at theVeterans Affairs out due.