Dexcom g7 abdomen placement

Value of Dexcom G7 *If your glucose alerts and readings from the G7 do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment ... upper arm or abdomen Age 24 months - 6 years: Use back of upper arm, abdomen, or upper buttocks. LBL021582 Rev 001 Insert Sensor Rub site with an alcohol wipe. Wait until dry.

Dexcom g7 abdomen placement. 1 mar 2023 ... The Dexcom G7 is shown on a green background. Courtesy of Dexcom ... The G6 is only cleared for insertion on the stomach for adults and the upper ...

Dexcom G71. Zero Fingersticks, No Scanning2. More Comfortable Wear - Sensor 60% smaller comparing with Dexcom G63. All-in-one Sensor - Transmitter-free. More...

It affects how well insulin is absorbed and overall blood glucose is managed. Choosing the right location can also reduce the risks of common pumping issues. Each insulin pump and Automated Insulin Delivery (AID) manufacturer has specific recommendations for on-body placements for their device, which we’ve aggregated below. Jake Leach Executive Vice President and Chief Technology Officer at Dexcom is back to talk G7. You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon Music - Google Play/Android - iHeart Radio - Radio Public , Amazon Alexa or wherever they get audio.Dec 14, 2022 · Based on its MARD (mean absolute relative difference), the G7 is more accurate than any other CGM sold in the United States. A CGM’s MARD is shown as a percentage – the lower, the better. The Dexcom G7’s MARD is 8.2 percent (in adults wearing sensors on their upper arms), compared to 9 percent for the G6. Home How to Insert the G7 Sensor Videos How to Insert the G7 Sensor This 1:42 video is a quick display of how to insert the Dexcom G7 sensor with the auto applicator. For detailed instructions on Dexcom G7 insertion or how to use the Dexcom G7 Continuous Glucose Monitoring System, please refer to the user guide at dexcom.com/guides.An easier way to manage diabetes without fingersticks†. Dexcom G7, the simple CGM system, delivers real-time glucose numbers to your smartphone* or smart watch‡—no fingersticks required.†. Effortlessly see your glucose levels and where they’re headed, so you can make smarter decisions about food and activity in the moment to take ...We Have the Dexcom Updates You Need. The Dexcom G7. By Ross Wollen. May 4th, 2022. Last week Barcelona hosted ATTD 2022, a major global diabetes technology conference, and Dexcom was there. We had an opportunity to speak to Jake Leach, Dexcom’s Chief Technology Officer, and we’ve got the updates you need.Learn the difference between Dexcom G6 vs. G7 CGM and choose the right continuous glucose monitor for you, whether you have type 1, type 2, or gestational diabetes. US. EN ES ... Abdomen. Upper buttocks (children only 2-6 years) Upper buttocks (children only 2-17 years) Connectivity. Connectivity. Smartphone iOS and Android*

All Dexcom ONE users can insert their sensors on their abdomen or the back of their upper arms. People ages 2 to 17 years old can also choose their upper buttocks. Look for a place on your belly, back of upper arms, or upper buttocks where you have some padding. The sensor is not tested or approved for other sites.For children and adolescents ages 2-17 years: Insert the Dexcom G6 on the belly or upper buttocks. For adults ages 18 and older: Insert the Dexcom G6 on the belly or back of upper arms. Look for a place on the belly, back of upper arms, or upper buttocks where there might be some padding when inserting your Dexcom G6 CGM.Dexcom G7: Get Ready for the Next Gen. The Dexcom G6 was a game-changer, as it was the first CGM to end the daily torture of finger pricks. The G6 has only been out for a couple of years, but we’re still anxiously awaiting the release of the G7, which is expected to get FDA approval this year. The G7 just received CE Mark approval in Europe.Apr 10, 2020 · Therefore, wearing the Dexcom G6 on your arm can be a beneficial alternative to prevent scar tissue. Many who put Dexcom G6 on the arm also believe that they get better readings there because there’s less loss of signals. Especially when wearing in the abdomen, clothes can get in the way, making it hard to get accurate readings and proper ... Ask a friend, family member, or healthcare provider to help insert your first Dexcom G7 sensor and apply the overpatch. Look in a mirror while positioning the applicator or applying your overpatch. The longer you keep it dry and sweat-free in the first 12 hours, the longer it may stick to your skin. If it peels off your skin, trim the peeled ...During the first 48 hours of wearing your sensor, you may experience extreme high/low glucose readings. Please note that this is normal as the sensor goes through a 48 hour calibration period. If you would like to read more information on the calibration process, visit: Extreme High/Low Readings During First 48 Hours If you feel persistent pain or …Safety, Accuracy of Dexcom G7 CGM Evaluated in T1D and T2D. The CGM provides accurate readings over 10.5 days of continuous wear. The Dexcom G7 continuous glucose monitor (CGM) can provide accurate glucose readings with either arm or abdominal placement over a period of wear of 10.5 days, according to research published in Diabetes Technology ...Dexcom G7s New Features. The Dexcom G7's newest features include: Smaller Size: 60% smaller on body sensor unit. All-in-One Transmitter/Sensor Unit: versus the G6's separate transmitter and sensor. Shorter Warm-Up Time: 30-minute sensor warmup (G6 is 2 hours) Replacement Grace Period: 12-hour Grace Period to replace finished sensor upon ...

The test your doctor does is considered a more accurate glucose number than any products you use at home. Both meters and Dexcom G6 are compared to that doctor’s test to measure accuracy in clinical studies. They aren’t compared to each other. Because of this, the Dexcom G6 reading (G6 reading) and meter value are unlikely to be exactly the ...Dexcom suggests inserting a g7 on the back of the upper arm for those 2yrs and older…. I’m wondering if anyone has tried inserting the g7 anywhere else, like their abdomen or thigh? I don’t really see Dexcom suggesting any other placement other than the back or the upper arm. Thank you! There's a TCOYD video on YT showing an endo (who has ...Combined sensor & transmitter for easier setup and insertion, with an even faster warm-up time³. Redesigned App. Dexcom Clarity integration enables users to ...Arm Placement Site Abdomen Placement Site Dexcom G6 Thigh Placement Arm Placement Site. ... g7 on abdomen and leg? no pre soak? : r/dexcom. Children (ages 2-17) ...My first real life experience with the Dexcom G7 CGM. I insert my first sensor, share my impressions, and discuss all new features of the Dexcom G7 continuou...

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Pros and cons of 7 different Dexcom G6 sensor sites that I tested. I share my thoughts on comfort, accuracy, and durability of each site. 10% discount link f... For children and adolescents ages 2-17 years: Insert the Dexcom G6 on the belly or upper buttocks. For adults ages 18 and older: Insert the Dexcom G6 on the belly or back of upper arms. Look for a place on the belly, back of upper arms, or upper buttocks where there might be some padding when inserting your Dexcom G6 CGM.In this video, I demonstrate how to insert a Dexcom g7 sensor. Also, I discuss the upgrades that have occurred with the Dexcom g7 sensor. It is much smaller ...Time to change your Dexcom G7 sensor? This video will show you how to replace your G7 sensor and start your new sensor.LBL021523 Rev001

Find answers to your questions about Dexcom G7 CGM for diabetes management, including who can use G7 continuous glucose monitoring system, coverage and ordering.Value of Dexcom G7 *If your glucose alerts and readings from the G7 do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment ... upper arm or abdomen Age 24 months - 6 years: Use back of upper arm, abdomen, or upper buttocks. LBL021582 Rev 001 Insert Sensor Rub site with an alcohol wipe. Wait until dry.For children and adolescents ages 2-17 years: Insert the Dexcom G6 on the belly or upper buttocks. For adults ages 18 and older: Insert the Dexcom G6 on the belly or back of upper arms. Look for a place on the belly, back of upper arms, or upper buttocks where there might be some padding when inserting your Dexcom G6 CGM.The authors of the study that Dexcom submitted to FDA for the G7 wrote in their conclusion “The G7 CGM provides accurate glucose readings with single-digit MARD with arm or abdomen placement in adults with diabetes.” https://pubmed.ncbi.nlm.nih.gov/35157505/The G7 rates as highly accurate, and unlike the G6, works just as well on the arm as the abdomen. In fact, the G6 itself has been getting more and more accurate since its original release, as Dexcom …Find answers to your questions about Dexcom G7 CGM for diabetes management, including who can use G7 continuous glucose monitoring system, coverage and ordering.biohacker_infinity • G7 • 7 mo. ago. You can definitely wear it on your stomach. For some reason, the FDA is making Dexcom guide users to the back upper arm in the US even though Dexcom’s European documentation lists the abdomen as one of the preferred sites, and even Dexcom’s US customer support have been telling people the abdomen is ...The place that works for me, if I'm standing with my arms at my side, the pod is at the very back of my arm. Hope that helps! I’m pretty active and also use Dexcom and Omnipod. Right now, I’m using every place BUT my stomach for both devices - …Dexcom G7: Get Ready for the Next Gen. The Dexcom G6 was a game-changer, as it was the first CGM to end the daily torture of finger pricks. The G6 has only been out for a couple of years, but we’re still anxiously awaiting the release of the G7, which is expected to get FDA approval this year. The G7 just received CE Mark approval in …

Conclusion. This study demonstrates that the G7 CGM is accurate and safe to use for up to 10.5 days in adults with diabetes when worn on either the arm or abdomen. G7 is significantly smaller than G6 (by 60%) and introduces new features such as sensor/transmitter integration with a simplified insertion process.

We evaluated the accuracy and safety of a seventh generation (G7) Dexcom continuous glucose monitor (CGM) during 10.5 days of use in adults with diabetes. ... The G7 CGM provides accurate glucose readings with single-digit MARD with arm or abdomen placement in adults with diabetes. Clinicaltrials.gov: NCT04794478. Keywords: Continuous glucose ...Dexcom G6 sensors may be inserted on the abdomen, the back of the upper arm (indicated for patients age 2 years and older) or the upper buttocks (ages 2-17 years). Sensor placement is important and you will want to change your insertion site with each sensor. Using the same site too often might not allow the skin to heal, causing scarring or ... The G7 rates as highly accurate and, unlike the G6, it is approved for wear on the arm as well as the abdomen. In fact, the G6 itself has been getting more and more accurate since its original release, as Dexcom refines its algorithms and updates its software. There’s no reason to expect Dexcom to stop targeting continuous accuracy …May 31, 2022. #1. So I went to insert a new sensor this morning (I usually do it in the evening but the sensor two sensors ago had failed, so my schedule got thrown off) and when I inserted it, it started bleeding like crazy. I've had that happen when removing my insulin pump infusion set, if I hit a capillary or something, but not with the cgm.You should be fine. Because body shapes and skin are different, you may just have to bite the bullet and try all places you want to have the sensor and see how it works. I wore my last one on my stomach, it was fine. I’m overweight and wear the g7 on my stomach and it works well. Also wore the g6 there too.G6 is best for those people with type 1 diabetes who want connectivity with insulin delivery systems and health or lifestyle apps. G7 is best for people with type 1 diabetes who may need extra support such as hypo unware, pregnancy or children. Currently G7 does not connect to insulin pumps. New features with Dexcom G7: 60 percent smaller than G6, …Dexcom G7 is a continuous glucose monitor that’s FDA-cleared for use in adults and children ages 2 years and older with diabetes. You can get it at pharmacies with a healthcare provider’s prescription. The Dexcom G7 is smaller, easier to apply, and more accurate than the G6 model. It also has a shorter warm-up period and a newly redesigned ...Probably not ideal but it's working so far for me and my body shape. I put them on the sides of my thighs and get no compression lows! The fronts of my arms work too. I usually sleep on my side. I found most success with the sensor placed on the back of my upper arm, I sleep on my other side.

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The test your doctor does is considered a more accurate glucose number than any products you use at home. Both meters and Dexcom G6 are compared to that doctor’s test to measure accuracy in clinical studies. They aren’t compared to each other. Because of this, the Dexcom G6 reading (G6 reading) and meter value are unlikely to be exactly the ...How to apply your overpatch. LBL-1002969 Rev002. How to insert your Dexcom G7 sensor. 17 lip 2023 ... I chose to wear my G7 on the back of the arm, which is where Dexcom indicates you should wear your first sensor. Over my 10-day wear, I ...The sensor itself is 50% smaller than the G6 sensor. It inserts at a 90-degree angle rather than a 30-degree angle, so there is less trauma to the skin. Each G7 sensor comes with the transmitter pre-attached, so there is no need to purchase or attach separate transmitters. The sensor/transmitter unit is 60% smaller than the G6 combination.the abdomen (age 2 years and older) or the upper buttocks (ages 2-17 years). 4 ... transitioned to using the Dexcom G7, he found a new sense of confidence to ...26 wrz 2023 ... We also recommend applying your sensor on an empty stomach and avoiding eating and exercising during the 30 min warm-up period. ... To watch ...Dexcom G7s New Features. The Dexcom G7's newest features include: Smaller Size: 60% smaller on body sensor unit. All-in-One Transmitter/Sensor Unit: versus the G6's separate transmitter and sensor. Shorter Warm-Up Time: 30-minute sensor warmup (G6 is 2 hours) Replacement Grace Period: 12-hour Grace Period to replace finished sensor upon ... Pros and cons of 7 different Dexcom G6 sensor sites that I tested. I share my thoughts on comfort, accuracy, and durability of each site. 10% discount link f...The test your doctor does is considered a more accurate glucose number than any products you use at home. Both meters and Dexcom G6 are compared to that doctor’s test to measure accuracy in clinical studies. They aren’t compared to each other. Because of this, the Dexcom G6 reading (G6 reading) and meter value are unlikely to be exactly the ...Your learning journey with Dexcom G7. Follow these simple steps to discover what you need to know about setting up and using your Dexcom G7 real-time Continuous Monitoring (CGM) system. Dexcom is here to support you on your journey with us, we’ll show you how to get the best out of your Dexcom G7 and where to find additional help and guidance. ….

Dexcom G7 will be available to people with diabetes starting in early 2023. If you have diabetes, you don’t need to wait to experience the life changing benefits of Dexcom real-time CGM. Get started today with Dexcom G6 and see why it is: The #1 recommended CGM system4,5. The #1 CGM system for patient satisfaction§.Time to change your Dexcom G7 sensor? This video will show you how to replace your G7 sensor and start your new sensor.LBL021523 Rev001Dexcom G6 sensors may be inserted on the abdomen (indicated for patients age 2 years and older) or the upper buttocks (ages 2-17 years). Sensor placement is important and you will want to change your insertion site with each sensor. Using the same site too often might not allow the skin to heal, causing scarring or skin irritation. Choose a ...Dexcom G71. Zero Fingersticks, No Scanning2. More Comfortable Wear - Sensor 60% smaller comparing with Dexcom G63. All-in-one Sensor - Transmitter-free. More...The G7 hasn't been tested in those situations when used during an MRI scan,\爀搀椀愀琀栀攀爀洀礀Ⰰ 漀爀 椀渀 琀栀攀 猀挀愀渀渀攀搀 愀爀攀愀 漀昀 愀 䌀吀 猀挀愀渀⸀ 吀桜ഀ攀 洀愀最渀攀琀椀挀 昀椀攀氀搀猀 愀渀搀 栀攀愀琀 挀漀甀氀搀屲damage components of the G7, which may cause ... Inserting and Starting Your Sensor and Transmitter Where can I insert my Dexcom G6 sensor? Dexcom G6 sensors may be inserted on the abdomen (indicated for patients …Dexcom G7 sensors may be inserted on the back of the upper arm (indicated for users ages 2 years and older) or the upper buttocks (ages 2-6 years old). Our research shows that back of the upper arm wear results in optimal performance*. Sensor placement is important, and you should change your insertion site with each sensor. abdomen, back of arm, upper buttocks (ages 2-6 years). Monitors interstitial glucose levels for 10 days. Sending data wirelessly to a compatible smartphone ... Dexcom g7 abdomen placement, The Dexcom G7 continuous glucose monitor is accurate and well tolerated for up to 10.5 days in people with diabetes ... The arm and abdomen sensors sent alerts when levels fell below 70 mg/dL in 91.3% and 85.2% of cases, respectively, and when levels were above 250 mg/dL in 99.9% and 99.8% of cases, respectively., G7 in abdomen. I am a wheelchair user due to advanced Parkinson’s disease and switched my g7 to abdomen since I was catching them on the wheelchair when in the back of my arm. Readings in the abdomen seem a quit a bit higher than the arm any suggestions. 11., Based on its MARD (mean absolute relative difference), the G7 is more accurate than any other CGM sold in the United States. A CGM’s MARD is shown as a percentage – the lower, the better. The Dexcom G7’s MARD is 8.2 percent (in adults wearing sensors on their upper arms), compared to 9 percent for the G6., Therefore, wearing the Dexcom G6 on your arm can be a beneficial alternative to prevent scar tissue. Many who put Dexcom G6 on the arm also believe that they get better readings there because there’s less loss of signals. Especially when wearing in the abdomen, clothes can get in the way, making it hard to get accurate readings and proper ..., Background: We evaluated the accuracy and safety of a seventh generation (G7) Dexcom continuous glucose monitor (CGM) during 10.5 days of use in adults with diabetes. Methods: Adults with either type 1 or type 2 diabetes (on intensive insulin therapy or not) participated at 12 investigational sites in the United States. In-clinic visits were conducted on days 1 or 2, 4 or 7, and on the second ..., Place Omnipod on the abdomen. The abdomen is a commonly chosen location for Omnipod placement due to its convenience and stability. Placing the pod on the abdomen allows for easy access, making it simpler to insert and remove the device as needed. The abdomen also offers a larger surface area, allowing for more placement options and flexibility., Dexcom G7 sensors may be inserted on the back of the upper arm (indicated for users ages 2 years and older) or the upper buttocks (ages 2-6 years old). Our research shows that back of the upper arm wear results in optimal performance*. Sensor placement is important, and you should change your insertion site with each sensor., The most accurate CGM system1. With an 8.2% overall MARD for adults and an 8.1% MARD for children,2 Dexcom G7 is the most accurate CGM system available.1. MARD (mean absolute relative difference) is a statistical measure of CGM accuracy; the lower the number the better. With unmatched accuracy,1 you can have confidence in the numbers …, Inserting and Starting Your Sensor and Transmitter Where can I insert my Dexcom G6 sensor? Dexcom G6 sensors may be inserted on the abdomen (indicated for patients …, The abdomen is a popular Dexcom G7 placement site due to its proximity to capillary-rich areas. It is recommended to place the sensor around the belly button area, …, Mar 20, 2023 · Safety, Accuracy of Dexcom G7 CGM Evaluated in T1D and T2D. The CGM provides accurate readings over 10.5 days of continuous wear. The Dexcom G7 continuous glucose monitor (CGM) can provide accurate glucose readings with either arm or abdominal placement over a period of wear of 10.5 days, according to research published in Diabetes Technology ... , Conclusions: The G7 CGM provides accurate glucose readings with single-digit MARD with arm or abdomen placement in adults with diabetes. Clinicaltrials.gov: NCT04794478, Time to change your Dexcom G7 sensor? This video will show you how to replace your G7 sensor and start your new sensor.LBL021525 Rev001, Dexcom G7Dexcom G7 Release. The CGM began distribution on Friday, February 17, 2023 so the “early in 2023” statement does ring true. As many die-hard Dexcom fans know, the product was approved by the FDA late 2022, and US MED is pleased to announce that we are now distributing the Dexcom G7! Click here to start …, Apr 26, 2023 · This is a clear win for the FreeStyle Libre 3. The Freestyle Libre 3 is rated for 14 days. The Dexcom G7 is only rated for 10 days (10.5 days, really, when you consider the 12-hour “grace period” for switching over to a new sensor). Libre’s longer life is a significant advantage — not only does it mean fewer annoying changeovers, but it ... , Dexcom designed the Dexcom G6 CGM System sensor auto-applicator for easier, more consistent sensor insertions. We recommend viewing the following video for a helpful demonstration of the sensor insertion and transmitter attachment process. The video is available in both English and Spanish. English:, The G7 hasn't been tested in those situations when used during an MRI scan,\爀搀椀愀琀栀攀爀洀礀Ⰰ 漀爀 椀渀 琀栀攀 猀挀愀渀渀攀搀 愀爀攀愀 漀昀 愀 䌀吀 猀挀愀渀⸀ 吀桜ഀ攀 洀愀最渀攀琀椀挀 昀椀攀氀搀猀 愀渀搀 栀攀愀琀 挀漀甀氀搀屲damage components of the G7, which may cause ... , Current Dexcom G6 users. If you pick up your Dexcom G6 supplies up at a pharmacy, all you need to do is get a Dexcom G7 prescription from your doctor and continue through the same process. Even if your health plan has not added Dexcom G7 yet, you can still pick it up now for just $89/month at your local pharmacy., An easier way to manage diabetes without fingersticks†. Dexcom G7, the simple CGM system, delivers real-time glucose numbers to your smartphone* or smart watch‡—no fingersticks required.†. Effortlessly see your glucose levels and where they’re headed, so you can make smarter decisions about food and activity in the moment to take ..., Quiet mode When this setting is enabled all your G7 alerts will vibrate. Your Urgent Low Glucose and Technical Alerts will still escalate to sound if not acknowledged. See all alerts Track your progress. Reach your goals., Therefore, wearing the Dexcom G6 on your arm can be a beneficial alternative to prevent scar tissue. Many who put Dexcom G6 on the arm also believe that they get better readings there because there’s less loss of signals. Especially when wearing in the abdomen, clothes can get in the way, making it hard to get accurate readings and proper ..., APC 5733. $130. 1.82. CPT 95250 Professional CGM. Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equipment, sensor placement, hook-up, calibration of monitor, patient training, removal of sensor ..., 26 mar 2023 ... Then press the button on the insertion device and firmly insert the Dexcom G7 sensor into the skin. Following insertion, press the start button ..., The G7 rates as highly accurate and, unlike the G6, it is approved for wear on the arm as well as the abdomen. In fact, the G6 itself has been getting more and more accurate since its original release, as Dexcom refines its algorithms and updates its software. There’s no reason to expect Dexcom to stop targeting continuous accuracy …, The Dexcom G7 is smaller, easier to apply, and more accurate than the G6 model. It also has a shorter warm-up period and a newly redesigned mobile app to help you track your glucose (sugar) trends. There are many ways to save on the Dexcom G7. GoodRx can help you save over $200 off the average retail price at certain pharmacies., I wore my Dexcom on my left arm and the Omnipod Dash alternated between my right and left thigh. When I read that the O5 wanted to be near the Dexcom, I took a chance and put the pod on my right thigh. Every time I looked at the PDM, it was Searching for CGM. Three days later I changed to the left thigh, which worked much better., Dexcom G7 sensors may be inserted on the back of the upper arm (indicated for users ages 2 years and older) or the upper buttocks (ages 2-6 years old). Our research shows that back of the upper arm wear results in optimal performance*. Sensor placement is important, and you should change your insertion site with each sensor. , Dexcom G7. The G7 is a small white, round device that is much smaller than the G6. Even though it’s smaller, it’s an all-in-one device with a sensor and transmitter built in, so people have been loving how easy it is to apply. Many also appreciate the fact that it can now be used on the arm rather than the abdomen., abdomen-placed sensors. Across days of wear, glucose concentration ranges, and rates of change, %20/20 agreement rates varied by no more than 9% from the overall %20/20. No serious adverse events were reported. Conclusions: The G7 CGM provides accurate glucose readings with single-digit MARD with arm or abdomen placement in adults with …, Dexcom G6. According to the Association of Diabetes Care and Education Specialists, the G6 provides 9% MARD for the back of the arm (an average 9% difference between a finger prick and sensor result at any one time) and 10.5% for the abdomen. The updated Dexcom G7 model does a little better when placed on the back of the arm – 8.2%., 26 mar 2023 ... Then press the button on the insertion device and firmly insert the Dexcom G7 sensor into the skin. Following insertion, press the start button ..., Blood Glucose Meter Dexcom seven plus User Manual Supplement. Continuous glucose monitoring system (11 pages) Blood Glucose Meter Dexcom SEVEN PLUS Quick Start Manual. (2 pages) Blood Glucose Meter Dexcom STS User Manual. For transmitter model number 9300 and receiver model number 8204 (3 pages) Blood Glucose Meter Dexcom STS User Manual., G7 Placement. I noticed on the G7 app it recommends the upper arm back area which I never tried but surely that is more likely to hit a nerve or muscle on the back? On the G6 i used it in area between side and back of upper arms. People still using same positions for G7 sensors as G6? 2. Dexcom Public company Business Business, Economics, and ...