Dexcom Portrait on the Web User Guide For Use with the Dexcom G4 PLATINUM Continuous Glucose Monitoring System LBL 0123491 Rev 10
Table of Contents 1 Introduction to Dexcom Portrait on the Web... 3 1.1 Overview of Portrait on the Web... 3 1.2 Computer and Internet Requirements... 3 1.3 Privacy Policy... 4 2 Installing Portrait on the Web... 5 2.1 First-Time Use... 5 2.2 Repeat User... 11 2.3 Installation Problems... 12 3 Running Portrait on the Web... 13 3.1 Connecting Receiver to Computer... 14 3.2 Uploading Data... 18 4 Charts/Reports... 21 4.1 Trend Patterns Report... 22 4.1.1 Daily Trends... 23 4.1.2 Pattern Map... 23 4.1.3 Pattern Insights Summary... 25 4.1.4 Statistics... 27 5 Customizing a Report... 28 5.1 Date Range... 28 5.2 Target Glucose Range... 29 6 Downloading, Saving, Printing and Emailing Reports... 30 6.1 Report Formats... 30 6.2 Downloading and Saving a Report... 34 6.3 Printing a Report... 38 6.4 Emailing a Report... 42 6.5 Recent Reports... 47 7 Uninstalling Portrait on the Web... 48 8 Online Help and Technical Support... 49 Page 2 of 49
1 Introduction to Dexcom Portrait on the Web 1.1 Overview of Portrait on the Web Portrait on the Web is an accessory software program intended to allow the transfer of glucose data stored by the Dexcom Continuous Glucose Monitoring System to remote servers for data management. The software can be used by healthcare professionals in their office environments as well as by end users in their home environments. After the glucose data transfer, the information is displayed in charts and tables to help the end users and the healthcare professionals analyze trends and patterns in glucose levels. Reports can be downloaded, saved or printed. At-home end users can also email reports. Caution: Federal law restricts this device to sale by or on the order of a licensed healthcare professional. WARNING: The software does not provide any medical advice and should not be relied on for that purpose. Patients should not make changes in their treatment program without talking with their healthcare professionals. NOTE: Throughout the User Guide, Receiver means the Dexcom G4 Receiver and Portrait or software means Dexcom Portrait on the Web. 1.2 Computer and Internet Requirements Dexcom Portrait on the Web no longer supports the Windows XP operating system. Dexcom Portrait on the Web supports most up-to-date browser/operating system configurations, but not all. Google recently released a 64-bit version of their Chrome browser for Windows, and Mozilla has published plans to release a 64-bit version of Firefox for Windows. Dexcom Portrait on the Web does not support these browser versions. We support the following configurations: Windows 7 or 8 o Internet Explorer 8, 9, 10, 11 Note: Versions 10 and 11 must be run in desktop mode. o Google Chrome Note: Must use current 32-bit version. o Firefox no earlier than 4 Note: Must use 32-bit version. Mac OSX 10.7, 10.8 or 10.9 Page 3 of 49
o Safari 6, 7 o Google Chrome current version o Firefox no earlier than 4 Your computer must meet the following hardware requirements: PC: o 1.3 gigahertz (GHz) processor o 1 gigabyte (GB) free RAM o Microsoft.NET Framework 3.5 o 100 megabytes (MB) free disk space after.net has been installed Mac: o 2 gigahertz (GHz) processor o 2 gigabytes (GB) free RAM o 100 megabytes (MB) free disk space Other computer requirements: USB 2.0 port to attach the USB cable to upload data from your Receiver Mouse or track pad A software program that can handle.pdf files (for example, Adobe Acrobat or Adobe Reader) for viewing, saving and printing reports A software program that can handle Microsoft Excel files (for example, Excel or Excel Reader) for viewing, saving and printing reports Printer, if hard copies of reports are desired Network connection: A broadband network connection of 1.5 Mbps or better is required to: Install the software from the Web View online Help, access the User Guide, link to the Dexcom website, or troubleshoot technical problems with the Dexcom system 1.3 Privacy Policy To read Dexcom s Privacy Policy, click on this URL: http://www.dexcom.com/notice_of_privacy_practices. Portrait does not contain malware or computer viruses that might harm your computer. We recommend that you use an appropriate firewall program and an anti-virus program on your computer to protect against malware and viruses. Page 4 of 49
2 Installing Portrait on the Web Users can find the Portrait software through the Dexcom website. At-home end users should go to the Dexcom Products Web page to find the software, and healthcare professionals should go to the Healthcare Professionals Web page. When you click on the Portrait link, Portrait will check to see if you have installed the software on your computer before. 2.1 First-Time Use If this is the first time you have used Portrait, the Upload Utility will install on your computer. On-screen instructions will guide you through the process. The instructions are included in this section below for easy reference. The following Installation Screen appears: NOTE: The Install button is not active (it is grayed out and you cannot start the Install process) until you check the Agree to the Terms of Service box. Page 5 of 49
Check the box next to Agree to the Terms of Service in the lower right hand corner of the Welcome Screen. After you check the Agree to the Terms of Service, the Install button in the lower righthand corner of the screen becomes active. Click on the Install button to start the software installation. Page 6 of 49
If you click on the Help link in the top right hand corner of the screen, you will find several tips for getting started. Page 7 of 49
If you are using a computer with Windows and Internet Explorer, the Installation Screen below appears after you click Install. This screen guides you through the installation process: Installation Screen Page 8 of 49
If you are using an Apple (Mac) computer with Safari, the following Installation Screen appears after you click Install. This screen guides you through the installation process: Installation Screen Page 9 of 49
This screen appears after you have successfully installed the software on your computer: Page 10 of 49
Go to Section 3 for instructions on using the Portrait software. NOTE: On this screen and each of the following screens, the View Recent Reports button is only available if you are an at-home end user and if you have prior reports in the system from earlier uploads. 2.2 Repeat User If you have already installed the software, Portrait will check to make sure you have the most up-to-date version. If updates are needed, they will be done automatically. Page 11 of 49
2.3 Installation Problems If the following screen appears, there may be a problem with the installation. Follow the directions to try installing again.. Page 12 of 49
NOTE: You will need an Internet connection during the entire process of installing software, uploading data and viewing reports. If the screen below appears, your Internet connection may have been disrupted. 3 Running Portrait on the Web Users can find the Portrait software through the Dexcom website. At-home end users should go to the Dexcom Products Web page to find the software, and healthcare professionals should go to the Healthcare Professionals Web page. Click on the Portrait link. Remember that you will need an Internet connection during the entire process of uploading and viewing reports. Page 13 of 49
3.1 Connecting Receiver to Computer The Upload Screen appears each time you run the software. The Upload Screen has directions on how to connect your Receiver to your computer. Connect your Receiver to your computer with the same USB cable that you use to charge the Receiver. Connect the USB cable to your computer s USB port. Press and hold the Power button on the Receiver until the Receiver turns ON. Slide open the USB port cover on the side of the Receiver and connect the USB cable to the Receiver. You can click on the Help link in any of the three Upload steps to get more information on what to do at each step. Page 14 of 49
Upload Help Step 1 Page 15 of 49
Upload Help Step 2 Page 16 of 49
Upload Help Step 3 Page 17 of 49
If you click on the Help link in the top right-hand corner of any screen, you will find helpful tips. Upload Screen- Help 3.2 Uploading Data After you connect the Receiver to the computer, click on the Upload button to start the upload process. A progress bar will appear on the following screens: Page 18 of 49
Upload in Progress Page 19 of 49
When the progress bar is complete, the data upload has completed, and the Trend Patterns Report will show on your computer screen. Page 20 of 49
If the upload was not successful, you will see the following screen: The screen will feature suggestions on what to check (for example, the Receiver is not connected) in a yellow box across the top of the window. Follow these directions to correct the problem. Then click Try Again to try the upload process again. 4 Charts/Reports The Trend Patterns Report will show on your computer after the upload is complete. Page 21 of 49
4.1 Trend Patterns Report Page 22 of 49
The Trend Patterns Report helps identify patterns of high and low glucose trends. The pattern map shows daily trend traces so that healthcare professionals can quickly visualize the high and low trends over time and discuss these patterns with patients. The Trend Patterns Report is divided into four sections: 4.1.1 Daily Trends The Daily Trends graph lets you see several days of sensor glucose readings over each hour of the day, all on one 24-hour graph. Each day is a different color dot line on the graph. This can help you see patterns and trends in sensor glucose readings from hour to hour and from day to day. 4.1.2 Pattern Map A lighter shade of color shows a low/high pattern. Lows are shown in shades of red. Highs are shown in shades of yellow. A darker shade means that the glucose values are farther Page 23 of 49
from target (distance), and how many of those glucose values (frequency) are outside the target range. Target is the target glucose range defined for the glucose data displayed. Distance is how much the glucose value is different from the target range. Distances farther away from the target are given more weight than closer distances and are displayed in a darker shade. The distances are averaged over the range of days selected. Frequency is how many times in the given range the glucose value is over or under the target. A significant pattern occurs when the glucose values are repeatedly outside the target range for frequency and average of weighted distances. Page 24 of 49
4.1.3 Pattern Insights Summary The Pattern Insights Summary shows how many patterns are found for each of the four preset patterns (Nighttime Lows, Daytime Lows, Nighttime Highs and Daytime Highs). It also shows when the most significant pattern occurred. If no significant patterns are found, the No significant patterns detected message is displayed. Page 25 of 49
The Some Possible Considerations section lists actions to consider if certain patterns are detected. They are displayed next to the appropriate pattern in the Patterns Insights Summary. Page 26 of 49
4.1.4 Statistics The Statistics section shows different statistics for the selected days. The Sensor Usage statistics show the number of days in which sensor readings were taken out of the total number of days in the report. The Calibrations / Day statistics show the total number of calibrations divided by the sensor usage days. The Standard Deviation statistics represent a measure of variability in sensor glucose readings around the average. The larger the standard deviation, the larger the variability. The Target Range is the target glucose range. See Section 5.2 to change the target range. The Nighttime Range is the fixed time range for nights. WARNING: Patients must consult a healthcare professional before making any medical interpretations and therapy adjustments from the information in these reports. Page 27 of 49
5 Customizing a Report With Portrait, you can customize the Date Range and the Target Glucose Range used to create reports. 5.1 Date Range You will see data from the Last 7 Days when the report is first shown. You can choose a different date range to see more data by using the drop-down box at the top of the report screen for Date Range. To change the Date Range, click the down arrow in the Date Range box, and choose from Last 14 Days or Last 30 Days. The software will automatically update the report to the new date range. Page 28 of 49
5.2 Target Glucose Range The Target Glucose Range of 70 180 mg/dl is the range shown by default on the report. To change the Target Glucose Range, click the down arrow in the Target Range dropdown box and choose the target range of 90-130mg/dL. The software will update the Report automatically to show the new range. Page 29 of 49
NOTE: If you click on the Help link in the top right hand corner of ANY screen, you will find helpful tips. The Help link in Trend Patterns gives you tips on viewing the data. 6 Downloading, Saving, Printing and Emailing Reports 6.1 Report Formats Page 30 of 49
Trend Patterns Report If you download/save the Trend Patterns report, the report shown on your computer screen is how it will appear in PDF. Page 31 of 49
Daily Plots If you save the Daily Plots, the software will create a PDF report with daily glucose plots. This report shows a separate graph for each day of glucose data. It is laid out the same way as the Trend Patterns report, except that only one day s worth of glucose values is shown on each graph. If you choose Last 7 Days as the Date Range, the Daily Plots Report will show up to seven daily graphs. If you choose Last 14 Days as the Date Range, the Daily Plots Report will show up to 14 daily graphs. If you choose Last 30 Days as the Date Range, the Daily Plots Report will show up to 30 daily graphs. Page 32 of 49
Excel Data If you save glucose data as Excel Data, all the data contained within the Receiver will be included in the Excel file. There are five different tabs in the Excel worksheet: Accounts Tab This tab includes information such as Dexcom account identifiers. CGM Tab This tab includes information such as CGM readings, time of CGM readings, serial number of device, unit of measurement, and account information. NOTE: Note: The Device Serial Number is only shown on the at-home end user report. Page 33 of 49
Events Tab This tab includes information of events entered into device, such as CGM calibrations and exercise information. NOTE: The Device Serial Number is only shown on the at-home end user report. Device Tab This tab includes information about the device type and serial number. NOTE: The Device Serial Number is only shown on the at-home end user report. Meta Tab This tab includes information about the software product. 6.2 Downloading and Saving a Report You can download and save a Portrait report on your computer in PDF (portable document format) or as Microsoft Excel data (.xlsx files). Page 34 of 49
Note: You must have a PDF reader installed on your computer to view a PDF report from Portrait. (An example is Adobe Reader, which can be installed for free online.) You must have software that can open Microsoft Excel Data to view Excel data reports. (An example is Microsoft Excel Viewer, which can be installed for free online.) To download and save a report, click on the Save Report drop-down box at the top of the Report. You have the option to save the Trend Patterns, the Daily Plots, or the Excel Data. Page 35 of 49
The report is saved where your computer automatically saves downloaded files. This will usually be the Downloads folder. After you select the report you wish to save, you might see one of the following screens. Follow the associated steps: Page 36 of 49
Internet Explorer for Windows A window will show on the screen and indicate that the report is being generated. Default settings will open the report automatically and also close the generating report window after the report has generated. You can change these default options by un-checking the two boxes at the bottom of the generating report window. (Note: You must do this before the report generates and the window closes.) Un-check the open the report box if you do not want the report to open automatically. Uncheck the close this window box if you want the window to stay open. After the report generates, the generating report window will show the option to see where the report downloaded. Page 37 of 49
Safari for Mac A window will show on the screen and indicate that the report is being generated. Excel data and PDF reports will be saved to your Downloads folder. You can open the files by selecting them from within your Downloads folder. 6.3 Printing a Report You can print the Trend Patterns and Daily Plots reports in PDF format after you have downloaded them. Downloading automatically saves the reports; see Section 6.2 above for instructions on downloading. (Note: You must have Adobe Acrobat or Adobe Reader installed on your computer to open those reports to print them after they are saved.) The report shown on your computer screen is how the report will appear when it is printed. Page 38 of 49
You can print a Trend Patterns report from its saved PDF: Page 39 of 49
You can print Daily Plots from its saved PDF: You can print Excel Data from its saved Excel file. Each tab in the Excel Data worksheet must be printed separately: Accounts Tab Page 40 of 49
CGM Tab Events Tab Device Tab Page 41 of 49
Meta Tab 6.4 Emailing a Report If you are an at-home end user, you can also email reports to your healthcare professional. Click on the Email Reports drop-down menu of the report. The following screen appears: (Note: The Email Reports drop-down menu is not visible to healthcare professionals. Only at-home end users may access this feature.) Page 42 of 49
Select the reports that you want to email by clicking in the box below the report icon. The selected reports will be marked with blue check marks: Page 43 of 49
Complete the To: field on the screen. (From: and Your name: are automatically filled in.) You may also add an optional message in the Message: field. You can also select to have a copy of the Report emailed to you. Then click on the Send Report(s) button. This screen then appears: Page 44 of 49
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After you click on the I Agree to the Terms button, this screen appears to confirm that your report has been sent. Click on the Go Back to Report button to return to the software. Page 46 of 49
6.5 Recent Reports At-home end users can view, print and email recent reports. From the Upload Screen, click on the View Recent Reports button and select the desired report. Follow instructions in the previous Section 5 for saving, printing or emailing reports. Many other screens also show the View Recent Reports button for this purpose. Page 47 of 49
7 Uninstalling Portrait on the Web Every Portrait screen has a Help link at the upper-right corner. This link opens a pop-up window. To uninstall Portrait, click on Uninstall Software at the right-hand side of the Help pop-up window. Then follow the instructions. Page 48 of 49
8 Online Help and Technical Support Every Portrait screen has a Help link. Click on this link for a pop-up window that has helpful tips. You can also download or print the User Guide through the Help link. If you need help with your Receiver or have questions about Portrait, go to www.dexcom.com and click on the Support topic at the top of the page for Technical Support. You can also contact Technical Support: In the U.S., the Dexcom Technical Support Team is available Monday through Friday from 6 a.m. to 5 p.m. Pacific Standard Time (PST) to assist you and answer questions about Portrait. Telephone: 1-858-200-0200 or 1-888-738-3646 Web: Email: www.dexcom.com techsupport@dexcom.com Address: 6340 Sequence Drive San Diego, CA 92121 Dexcom Portrait on the Web is for use in the United States only. 2015 Dexcom, Inc. All rights reserved Page 49 of 49