Welcome and congratulations on getting started with
the Eversense® E3 CGM System, the only long-term CGM
that lasts 6 months with a single sensor.

In this tutorial , we briefly discuss the system 24-hour Warm Up Phase, and demonstrate how to enter your personalized glucose settings into the Eversense App.

But first, if you’ve not yet paired your Eversense E3 Smart Transmitter with the Eversense App, and linked the Smart Transmitter with your Eversense E3 sensor,
you should do that before continuing on.

Refer to the available System Set-Up Videos or your Eversense E3 CGM System Quick Reference Guide to assist you.

When you recently linked your E3 Smart Transmitter with the Eversense E3 sensor, the 24-hour Warm Up Phase countdown began, so we refer to this 24-hour time period as Day 1.

You won’t be getting any glucose data during Day 1, and it’s not necessary to wear your Smart Transmitter over your sensor.

But, it’s a great time to program your personalized glucose settings into your Eversense E3 CGM system.

To do this, your Eversense E3 Smart Transmitter and Eversense Mobile app must be communicating.

When you open your Eversense app, the Eversense E3 Smart Transmitter should connect automatically.

Looking at the My Glucose Home screen, you’ll notice the transmitter battery icon on the top right is black.

The app status bar will say either Warm-Up Phase, or No Sensor Detected.

If they are not connected, the icon will be grey and the app status bar will say No Transmitter Connected.

As you begin programming your personalized settings into your mobile app, you may see a No Sensor Detected alert pop-up. You can just tap “Not Now”.

Alerts and Notifications will be covered in the Day 2 and Day 3 chapters.

To personalize your Eversense E3 CGM system, you’ll need your CGM settings for your glucose alerts levels and glucose target levels.

To get to your personalized settings, tap on the menu icon to open the Main Menu.

Scroll down to tap Settings.

Then Tap Glucose.

As you go into the glucose settings, you’ll see the Glucose Alerts section at the top.

Your glucose alerts will let you know when your glucose level has passed a critical high or low glucose threshold, as determined by your health care provider.

Note that the default settings
are 250 mg/dL for a high glucose alert
and 65 mg/dL for a low glucose alert.

When you want to personalize a glucose alert setting, simply tap on the setting you would like to change,

Scroll to the desired value.
Then tap Done.

Always discuss the right alert settings for you with your healthcare provider.

Below Glucose Alerts is where
you set your glucose Target Range.

Your glucose target range is the area where you and your health care provider agree your glucose levels should be most of the time.

Again, simply tap on the setting
you would like to change, scroll to the desired value, and then tap Done.

Note that your glucose target levels can only be programmed within the glucose alert levels you have set.

You can also set Predictive and Rate of Change Alerts on this screen.

Predictive alerts can be especially helpful to CGM users.

However, if you are new to CGM, it might be best to wait to set either of these optional alerts until you discuss these settings with your healthcare provider.

See your User Guide for more information.

Another important way that you can personalize your Eversense E3 CGM System is by customizing how your alerts sound, and how often alerts repeat.

From the My Glucose home screen, tap the Main Menu icon,

Then Settings on the Main Menu.

Then choose Sound Settings.

On the Sound Settings screen, you can tap on the alert name to open a ringtone menu that allows you to set a unique sound for that particular alert.

For example, to change your low glucose alert sound, tap on the ringtone name to hear the sound and make your choice.

You can change your choice by tapping on another ringtone name.

The Snooze feature allows you to set how often you would like your alert to repeat.

Simple tap on the snooze choice.

Scroll to set the time. Then tap Done.

In this example, where the low glucose alert snooze setting is set for 15 minutes, the user would receive a low glucose alert every 15 minutes as long as their glucose level remained below the user low glucose alert threshold.

Snooze is an important feature to understand if you feel that the frequency with which you receive alerts needs to be adjusted.

If you’re still in the 24-hour warm-up phase and not wearing your Eversense E3 Smart Transmitter, it’s a good idea to turn it off.

To do this, press and hold the power button for about 5 seconds until the smart transmitter vibrates. This time, when you release the button, the LED will flash orange.

You’ve now completed Day 1 training. Once the 24-hour warm up phase is complete, you’re ready to move on to the Day 2 training presentation on System Initialization, and begin to receive glucose data.

Please contact your health care provider if you have a medical question or concerns about your diabetes treatment plan.

And contact Eversense Customer Care
if you have technical questions about
the Eversense E3 CGM System

Eversense Customer Care
1-844-SENSE4U (7367348)
Support@eversensediabetes.com

Once the 24-hour Warm Up Phase is complete, you’re ready to get your system started so that you can begin to receive glucose data.

First - if possible, it’s always best to wait to start System Initialization early in the day.

This will allow you to complete all four required initialization calibrations before going to bed.

This presentation will walk you through the steps, and you can also refer to your Eversense E3 CGM System Quick Reference Guide.

When you’re ready, start
by making sure that your
Eversense E3 Smart Transmitter
is fully charged.

Step 2 is to place your smart transmitter onto the adhesive patch.

Get an adhesive patch and peel off the paper backing with the Eversense logo.

The center of the patch is sticky, and this is where you should place your smart transmitter, as shown.

Press the smart transmitter firmly onto the adhesive.

Then, remove the larger piece
of the remaining clear backing
on the adhesive patch.

Now you are ready for step 3 – positioning the Eversense
E3 Smart Transmitter over
the Eversense E3 sensor.

If you have an over wrap on your arm, you will need to remove it so that
you can see the Tegaderm bandage.

It’s helpful to understand where your sensor is located. Your health care provider inserted the sensor above the incision, as illustrated here.

This means that the sensor is likely above the center of your Tegaderm bandage.

There may also be visible marks where your health care provider marked the corners of the smart transmitter before placing your sensor. Aligning the smart transmitter in this location helps to place it appropriately over the sensor.

Go to a mirror, if needed, in order to clearly see your Tegaderm bandage.

Then, open the Placement Guide in your app by going to Main Menu 

 – Placement Guide.

You’ll see a black X at first.

Hold the smart transmitter with adhesive as shown – with the sides of the adhesive patch pulled back. If visible, use the smart transmitter corner marks on your skin to position the smart transmitter – toward the top half of the Tegaderm bandage.

Note that the smart transmitter needs to be touching your arm.

Gently lift and slightly move the smart transmitter plus adhesive to find the location with the strongest signal, somewhere between 2-3 bars or good to excellent.

Rotating the smart transmitter slightly may help.

When moving the transmitter, allow a few seconds for the signal to update before moving the transmitter again.

Once you have obtained a signal of two to three bars leave the smart transmitter on your arm there.

Remove the smaller remaining piece of clear backing and smooth out the adhesive patch.

Close the Placement Guide by tapping the menu icon.

The adhesive patch will need to be replaced daily. With practice, you’ll quickly become an expert at positioning your smart transmitter.

Now that you’ve successfully positioned your Eversense E3 Smart Transmitter,
you’ll see a Calibrate Now notification appear in your mobile app within a few minutes.

This means it’s time to do your first of four 4 fingerstick calibrations.

The four calibrations can be completed in
as little as 6 hours,

as you can calibrate
as often as every 2 hours.

And, calibrations must be entered
no more than 12 hours apart.

But, you won’t have to remember the time for each calibration because your Eversense E3 CGM System will remind you each time with
a calibrate now notification.

To enter a calibration, do a fingerstick blood glucose check ...

... and tap on the blue Calibrate button.

Tap on Glucose...

... and scroll to enter the correct blood glucose value, 

then tap Done.

Confirm that the correct glucose values has been entered, then tap Submit.

You'll receive a Calibration in Progress notification which you can clear by tapping OK.

Here’s an example of how that might work:

so their warm-up phase ends
at 9:45 AM on Tuesday.

Let’s say a user linked their sensor and smart transmitter at 9:45 am on Monday,

Warm up ends:  9:45AM

They then use the Placement Guide to place the smart transmitter on their arm over the sensor, and at about 10:00 AM they get their first Calibrate Now notification. They perform a fingerstick
BG check and enter that value into the mobile app.

1st calibration:  10:00 AM

Here’s an example of how that might work:

2 hours later, the 2nd Calibrate Now notification appears, and once that 2nd blood glucose value is
entered, sensor glucose
data begins to appear
on the My Glucose
home screen.

2nd calibration:  12:00 PM

Here’s an example of how that might work:

Calibration prompts #3 and #4 will follow in the same fashion.

But remember, you don’t have to calibrate right away – you have up
to 12 hours to perform the next required calibration. But it is ideal to complete all 4 before going to bed, so that you will have the benefit of continuous data that first night.

Warm up ends:  9:45AM

1st calibration:  10:00 AM

2nd calibration:  12:00 PM

3rd calibration:  2:00 PM

4th calibration:  4:00 PM

Here’s an example of how that might work:

Once you have completed the 4 initialization calibrations, and are receiving continuous glucose data, you will enter the 2 Daily Calibration phase.

For the next 21-days you will need to calibrate 2 times per day. After that, you’ll be required to calibrate at least once, but no more than two times, per day.

You'll learn more about Daily Calibration Phases in the presentation Day 3 and beyond: Daily Wear

Finally, good calibration technique is the best way to ensure the greatest accuracy of your Eversense E3 CGM system, so here are a few calibration tips.

• Always wash your hands well, and dry them thoroughly.

• If possible, avoid calibrating when glucose levels may be changing rapidly such as after meals, after taking insulin, or during or after exercise.

• Always enter an actual blood glucose value, and enter the calibration within 10 minutes.

• And finally, keep your smart transmitter in place over the Eversense E3 sensor for at least
  5 minutes before and 15 minutes after each calibration.

You’ve now completed Day 2 training, and are ready to move on to the Day 3 training on Daily Wear – which will cover the features of the Eversense E3 CGM System that you’ll use every day.

Please contact your health care provider
if you have a medical question or concerns
about your diabetes treatment plan.

And contact Eversense Customer Care
if you have technical questions about
the Eversense E3 CGM System.