Quick tips for school nurses

CONTINUOUS BLOOD GLUCOSE MONITORS (CGM) in the School Setting

Dexcom Trainer:

• Stephanie Lynch 408-355-0950

There are 3 main components to most CGM:

1. Receiver:
   The device that actually displays the estimated glucose level.
2. Sensor:
   SubQ catheter that reads interstitial glucose
3. Transmitter:
   The small device on the skin, attached to the subQ sensor, that wirelessly communicates data from the sensor to the receiver.

There are 2 main companies that make CGM:

1. Medtronic Minimed:
   They make one that attaches to the new 670G pump (Guardian System). The older system does not talk with the pump. The CGM that talks with the pump and adjust the insulin is called “auto mode”. See the link below to review.
2. Dexcom:
   Separate receiver from pump or send information to their phone which then shares to their parents.

Recheck Low with finger stick.
If a child comes in and is low when you recheck you must use a fingerstick because the CGM is 15 minutes behind the actual reading.

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PUMPS

• 670G nurse reference guide
• Pump resources (You can ask a pump trainer to visit you!):
  Medtronic: Jumana 650-678-1005
  Omnipod: Danielle Short 408-818-0225
  TSlim Tandem: Tanya 408-966-7702

OTHER RESOURCES

• American Diabetes Association: Tips for school nurses