how often replace dexcom g6 receiver

If you are a healthcare provider and want to learn more about Dexcom, Please check to see if the answer to your question can be found here. Just make sure to select "Stop Sensor" in your compatible smart device* or receiver before removing the old sensor; this will help you avoid any unnecessary issues with your new sensor. If you are a healthcare provider and want to learn more about Dexcom, I also restarted . Discreetly worn under clothing to measure glucose levels just underneath the skin. G7 is a real time, factory calibrated continuous glucose monitor with iCGM level performance, a simplified application and start-up process, and a faster sensor warm-up time. Do you love General Tso's Chicken but dont want all the high-carb flour coating or added sugar-filled sauce? While using this system, you'll get regular updates Available in USA If you are a healthcare provider and want to learn more about Dexcom, The disposable aspect of the product has no impact on reimbursement.. After waiting 2+ hours at least (I usually go at least 2 hours and 10 minutes just in case), bring the receiver back into communications with the transmitter. If your glucose alerts and readings from the Dexcom CGM do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. Frequently bought together Total price: These items are shipped from and sold by different sellers. Learn how to pair a new transmitter to either your Dexcom G6 app on your compatible smart device* or receiver. This product only fits the Dexcom G6 Receiver PDM. information and promotional communications related to Dexcom products. $7.99 ($4.00/Count) Product Description A1C WEAR has a mission: Take the sensor off your body and remove transmitter from the holder. I lost my G6 receiver at the beach after receiving it a little less than a year ago. How did it feel to wear it for 10 days? Are Strength Training and High-Intensity Exercise Better for Weight Loss? Dexcom G6 System Using Your G6 Receiver Navigation Navigation Icon What It Means MenuTap to: Customize your CGM, such as alert settings Change the screen's brightness Turn off the receiver Calibrate and add an event End your sensor session And more Choose someplace thats: At least 3 inches from your insulin pump infusion set or your insulin injection site, Not a bony area, such as ribs or hipbones, Free of scarring, tattoos, thick hair, or irritated skin, Different from a current sensor site (if youre replacing a sensor). Medicare Coverage and Distributors' Contacts, Dexcom G6 CGM Pharmacy Ordering and Filling Info Sheet, https://www.dexcom.com/safety-information. Pharmacy is our preferred distribution channel and we have expanded pharmacy access for Dexcom CGM by nearly 80% since December 2018. The Dexcom G6 CGM System can help make glucose testing a breeze! Your Dexcom G6 CGM receiver displays your glucose information at a glance on the touch screen, and delivers blood sugar alerts and alarms to notify you of pending highs and lows. Just make sure to select "Stop Sensor" in your compatible smart device* or Dexcom receiver before removing the old sensor; this will help you to prevent issues with pairing your new sensor. here. Take the sensor off your body and remove transmitter from the holder. Dexcom, Dexcom Follow, Dexcom Clarity, and Dexcom Share are registered trademarks of Dexcom, Inc. in the U.S., and may be registered in other countries. Last month, we chatted with Jake Leach, Dexcoms chief technology officer (CTO) to get the latest scoop on the release timeline and new features of the Dexcom G7 continuous glucose monitor (CGM), a highly-anticipated diabetes technology that will be released in 2021. information and promotional communications related to Dexcom products. Back on your receiver, tap Yes on the screen asking whether you have successfully inserted your sensor and attached the transmitter. the privacy and confidentiality of your personal information. Will G7 be approved for different wear locations (besides the abdomen)? [CDATA[ Once your receiver is charged, press and hold the Power button for two seconds, and wait while the program loads. Choose the place where you want to insert the sensor and wipe the area with an alcohol wipe. Visit the Contact Us page for contact information. Sign, order, and submit prescription to ASPN or your patients preferred local pharmacy. This video provides information about Dexcom G6 to pharmacists. DEXCOM CGM USE RESULTED IN A 72% REDUCTION IN HYPOGLYCEMIC EVENTS. Diabetes Daily does not provide medical advice, Diabetes and Amputations: What You Need to Know, Low-Carb Keto General Tsos Chicken Recipe, Eli Lilly Slashes Insulin Prices, Capping Cost at $35 for Many Diabetes Patients, Study: Type 1 Diabetes is More Difficult and Dangerous for Girls. With Insulets Omnipod 5 preparing for a first half of 2021 launch, we feel that our leadership in this category will result in us having integrations with the leading tethered pump on the market in Tandems Control.IQ, and the leading tubeless pump in Omnipod 5. Patients and [providers] both tell us there isnt a need for CGM systems to provide a glucose readout more frequently than every five minutes. DexcomG6 1 Three-Pack of Sensors 3. cab354 7 mo. Getting your patients with type 1 or type 2 diabetes started on the Dexcom G6 CGM System is easy, and we have teams in place to support every step of the process. The auto-applicator comes pre-loaded with a sensor. This is especially true since Dexcom CGM has an Urgent Low Soon predictive alert that can warn users 20 minutes in advance of a severe hypoglycemic event (55 mg/dL), which helps give them time to take appropriate action before an event occurs. Patients or caregivers can insert the sensor with the auto-applicator, then snap in the transmitter. Enter Dexcom G6 in your e-prescribing software and select the quantities and refills for each component. As with other medical applications, you must check with your doctor or endocrinologist before establishing the best spot for the Dexcom G6 sensor. Getting started and setting up the Dexcom G6 receiver. 3. Once the sensor code is entered, the transmitter paired, and everything has warmed up, they will be able to view glucose data from the transmitter via a patient's selected display device. To ensure a successful transaction, please confirm your submitted First Name and Last Name match that associated wtih your NPI number. How Long Do the Dexcom G6 Sensor and Transmitter Last? This starts your two-hour sensor warmup: Keep the receiver within 20 feet of you during the warmup period. The WISDM study showed that Dexcom CGM use nearly halved the amount of time spent <70 mg/dL for older adults with T1D. Your Dexcom G6 transmitter battery is good for up to three months: About three weeks before the expected end of its life, youll receive warnings through the G6 app or your receiver counting down until there are only 10 days remaining. Dexcom Terms of Use and Do Low-Fat Diets Work for Weight Loss and Diabetes? Dexcom G6 sensor replacement frequency: A single Dexcom G6 sensor can be worn up to 10 days. She firmly believes in empowering all people with diabetes to learn as much as they can about how to manage their condition and enjoys connecting with the community through her writing and on social media. However, in their videos it appears they are assuming the transmitter battery has died (killing the sensor along with it). We'll review pairing and starting a sensor for the app, then for the receiver. We continue to focus on making CGM more accessible and easier to obtain for patients. To learn more about how to change your Dexcom G6 sensor after 10 days of wear, watch our training video with step-by-step instructions. Attaching the Dexcom G6 Blood Glucose Transmitter to the Sensor: Clean the transmitter by wiping it with alcohol and letting it dry. The rep told me the sensors are designed like this knowing that there is a high rate of sensor failure due to the need for sensitivity for it to technically read each body. Rub a finger around the edge of the sensor patch three times to make sure the sensor is secure against your skin. Show more Show. Learn how to fill a Dexcom G6 pharmacy prescription for you and your patients. Do I like the Dexcom G6? Dexcom, headquartered in San Diego, is dedicated to helping people better manage their diabetes by developing and marketing continuous glucose monitoring (CGM) products and tools for adult and pediatric patients. 2 "As the first iCGM on the market, and still the only one indicated for use with automated insulin delivery systems, Dexcom G6 is the forerunner in the category of interoperability and are advocates of patient choice in insulin delivery. This G7 wearable technology is paired with a brand-new app experience that includes real time glucose information combined with personalized insights designed to further enhance the unique value users get from Dexcom CGM. I can use my phone for now but I don't want it to be permanent due to the fact that my phone runs out of battery very fast, misses alarms for high or low glucose, and I like to not be addicted to my phone. How often do you change dexcom G6 transmitter? By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. You will not receive alerts or readings during this time, so youll need to check your blood glucose meter to make any necessary treatment decisions. Pinch the edge of the adhesive patch, then peel the adhesive and transmitter up and away from your body, similar to the way you'd remove a bandage. Dexcom respects By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. For more information, please see our Connected systems are truly the future of diabetes technology and we are working to extend our leadership in the category with these key partners and the tools that we have created to support these integrations, including our Dexcom artificial pancreas algorithm technology.. Dexcoms research confirmed the option was highly valued.. (Indicated for one-year use) To learn more about how to change your Dexcom G6 sensor after 10 days of wear, watch our training video with. How to Remove and Replace Your Dexcom G6 Transmitter This 4-minute Dexcom training video shows viewers the process of removing and replacing the transmitter and sensor for the Dexcom G6 System when using the receiver. 6. The Dexcom G6 Continuous Glucose Monitoring (CGM) System is indicated for ages 2 years and older. Touchscreen: No more pushing buttons. Maria was diagnosed with type 1 diabetes as an undergraduate biochemistry student, which inspired her to pursue graduate work in the immunology field. This box contains your receiver, charging cable, and power adapter. Clean and dry skin is essential before you insert the sensor Clean and dry your hands and your insertion site before inserting your sensor. Frequently Asked Questions. In 2 hours, you will start to receive your alarms and readings again. G7 will be no different. hb```c``a`a` @q:;,48@>;6 - 1 Like wadawabbit (Dorie) January 6, 2021, 10:15pm #7 Thanks @Dennis. Scan this QR code to download the app now. Insert the transmitter tab into the slot on your sensor and snap it firmly into place. Remember to insert the same sensor as the sensor code youve just entered. Enter the date using the format Month, Day, Year, and then tap Save to continue. Youll receive a Low Alert or High Alert when your glucose levels fall below your Low Alert setting or above the High Alert level you set. The DEXCOM G6 RECEIVER can help make glucose testing a breeze! If you have any further questions, call Dexcom Technical Support at 844-607-8393 or Dexcom CARE at 888-738-3646. to view the Dexcom G6 User Guide for more information. Has anyone been able to buy a replacement via insurance or is it cash price only? From placement to overpatch options, these Dexcom G6 adhesive patch tips show you how to keep your sensor on for the full 10-day wear without issues. Wait for your transmitter to pair and tap Next on the Pair Successful screen. Memory: the Dexcom G6 receiver stores 30 days of glucose data. The transmitter battery is good for up to 3 months. After the two-hour warmup, youll receive your first sensor glucose reading: The number in the circle is your glucose number, which updates every 5 minutes. It will last 110 days, you cannot start a new session after day 99/100 depending on the time you stopped your last session. The Receiver has a warranty of 12 months, which starts from the order date. Fastened on top of the sensor; sends data wirelessly to the wearer's compatible display device* (3-month lifespan). And make sure to use the same sensor as the sensor code that you entered into the receiver. |,L1 -\;f/qy h endstream endobj 19 0 obj <>>> endobj 20 0 obj <. Please note: Information provided with the sample request is validated against Provider's license information. Clean the skin at the insertion site with rubbing alcohol and let it dry. When the Dexcom G6 sensor is on your skin, remove the safety guard on the orange button. Dexcom G6 has never been more accessible and affordable, even for those without CGM coverage. Maria is passionate about harnessing her formal research and teaching experiences to deliver up-to-date and evidence-based information to the diabetes community. If you still have questions, our Customer Service team would be happy to help. Many follow-up questions from our readers prompted us to follow-up further. The Dexcom G6 Continuous Glucose Monitoring (CGM) System is covered by Medicare for patients who meet the Medicare coverage criteria. Filling an Rx for Dexcom CGM is easy and timely Reddit and its partners use cookies and similar technologies to provide you with a better experience. Clean your skin with rubbing alcohol and let it dry. With our pharmacy savings program, your patients can get a coupon to save on the monthly cash price of their Dexcom supplies. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Insert the transmitter tab into the slot on your sensor and snap it firmly into place. the benefits of Dexcom CGM. Dexcom G6 sensor replacement frequency: A single Dexcom G6 sensor can be worn up to 10 days. Then tap Enter Code on the receiver. Privacy Policy. Do you anticipate working on integration with all the major pump companies? ago JJinDol 2 yr. ago You are eligible to purchase 1 receiver under insurance annually. And there are just three steps to get started: Inserting your sensor and attaching the transmitter, Pairing the transmitter and starting the sensor. For detailed instructions on how to use the Dexcom G6 Continuous Glucose Monitoring System, please refer to the user guide atdexcom.com/guides. If the circle is gray, your number is in target range. She earned a Ph.D. in Molecular and Cellular Biology from Ohio University and was also a postdoctoral researcher at the Ohio State University and a fellow at the Brigham and Womens Hospital and Harvard Medical School. Pick up the SKIN GRIP Dexcom G6 or similar adhesive and waterproof patches, and extend your sensor life by more than 10+ days. The activation card provides guidance for patients to start the 10-day digital journey; it complements the Dexcom G6 set-up guide and instructions for use. My app currently says 1/3/21 so I just need to count 3 and get April 3rd - of shortly thereafter. Youve successfully attached your transmitter! This video walks you through how you used to be able to replace the battery on your Dexcom G6 CGM transmitter, then shows you how to use it with the TOP (The Other Pancreas) artificial. Dexcom, Dexcom Clarity, Dexcom Follow, Dexcom One, Dexcom Share, and any related logos and design marks are either registered trademarks or trademarks of Dexcom, Inc. in the United States and/or other countries. How to Not Let Your Diabetes Ruin Your Workout. Back on the receiver, tap YES on the screen saying you have completed inserting your sensor and attaching your transmitter. hbbd``b`Z$; j D#Hl bX5 V. " !$8L,F27 j 5 endstream endobj startxref 0 %%EOF 51 0 obj <>stream The information you provide will be sent securely and subject to the Find the serial number on the back of your new transmitter box and enter the serial number. 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The HypoDE study showed that Dexcom CGM use significantly reduced hypoglycemia in patients with T1D who were treated with multiple daily insulin injections and at high risk for hypoglycemia. Here is how the transmitter and receiver work together. 3. pairing the transmitter and starting the sensor. How the Liver Affects Blood Glucose Levels, Type 2 Diabetes Development and Progression, What You Need to Know About Type 2 Diabetes Remission, Diabetes Daily Articles for Newly Diagnosed, Questions for Doctor Appointments After Type 2 Diagnosis, The 3 Stages of Type 1 Diabetes Development, Latent Autoimmune Diabetes in Adults (LADA), Diabetes in School: Setting a Plan in Place, How to Prepare a Newly Diagnosed Child for School, How to Minimize High and Low Blood Sugars, How to Fix High Morning Blood Sugars (Dawn Phenomenon), Understanding the Dangers of Hypoglycemia Unawareness. For more information, please see our 1 Three-Pack of Sensors Use the touchscreen to view, analyze and share your readings. three months A G6 transmitter lasts for three months (same as G5 Mobile). Remove the applicator. Dexcom has partnered with ASPN Pharmacies, who will coordinate fulfillment with your patient at the pharmacy of your choice. By choosing to request info, you are granting Dexcom, Inc. ago. Seek medical advice and attention when appropriate, including for any medical emergency. Pair the new transmitter and start your new sensor. You are prompted once the transmitter battery has died. Dexcom, Dexcom Follow, Dexcom Clarity, and Dexcom Share are registered trademarks of Dexcom, Inc. in the U.S., and may be registered in other countries. If you are a Dexcom User or Patient, please contact Dexcom You can change a Dexcom G6 sensor earlier than 10 days. Refill every 3 months. My sons is lost and probably was swallowed by a black hole. Skin Grip Adhesive Patches for Dexcom G6 CGM (20-Pack), Waterproof & Sweatproof for 10-14 Days, Pre-Cut Adhesive Tape, Continuous Glucose Monitor Protection (Tan) To ensure a successful transaction, please confirm your submitted First Name and Last Name match that associated wtih your NPI number. It was the date. A: A sensor code is a unique code printed on the back of the adhesive patch. Please mind - every topic is an article of its own. Youve successfully inserted your sensor. The orange indicator light turns it self off and the battery icon no longer shows that it is charging via the cessation of the "lightning" symbol , and the battery icon appears "full" . Fastened on top of the sensor and wirelessly sends data to the receiver or compatible smart device. Cookie Notice I think my warranty/insurance precludes me from getting a new one for more than a year. Pairing a new transmitter using your receiver Pair Automatically: Wait until your session comes to an end and tap the "pair" button when prompted by your receiver. Can You Really Lose Weight By Exercising? A patient can apply the sensor on their own by following the instructions for use. So I watched all the videos from dexcom showing how to change transmitters. Now your 2-hour sensor warmup has begun. The Dexcom G6 CGM is Available Through Pharmacy! I've been using my G6 for a year and every batch of 6 sensors I have about 2 replaced, mostly for the placement hitting a capillary causing blood. For tips on keeping your sensor on for the full 10-day wear, please reference our, . Open your sensor box and find the sensor code on the applicator. the privacy and confidentiality of your personal information. For tips on keeping your sensor on for the full 10-day wear, please reference our sensor adhesive tips. By choosing to request info, you are granting Dexcom, Inc. Cookie Notice If you are a Dexcom User or Patient, please contact Dexcom Getting your patients with type 1 or type 2 diabetes started on the Dexcom G6 CGM System is easy, and we have teams in place to support every step of the process. (Indicated for three-month use) When you go above your High Alert level, the receiver alerts you, and the circle turns yellow. Weve packaged all of this into a fully disposable form-factor that is 60% smaller than our current G6 wearable and introduces significant cost reductions across the manufacturing process. Dexcom Terms of Use and Click here to learn how to prescribe. Dexcom G6 How to Replace Your Sensor (Receiver) Dexcom 24.9K subscribers Subscribe Like Share 113K views 4 years ago Learn when your Dexcom will alert you to replace your sensor and. By choosing to request info, you are granting Dexcom, Inc. You need to enter that code into the mobile app or. Each Dexcom G6 sensor has a four-number code printed on that adhesive backing that you peel off before attaching the sensor to your body. 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. As the first iCGM on the market, and still the only one indicated for use with automated insulin delivery systems, Dexcom G6 is the forerunner in the category of interoperability and are advocates of patient choice in insulin delivery. Privacy Policy. Does the Mediterranean Diet Work for Weight Loss? Displays glucose trends showing when glucose is high, low, or within range. Consequences: You could have a severe low or high glucose event. Receiver NDC: 08627-0091-11 Pair Manually: If you don't see Pair new transmitter, you must select Stop Sensor first Then follow the on-screen prompts to pair your new transmitter When you're ready to insert your Dexcom G6 sensor, first wash and dry your hands. Without further adieu, here are your questions about the G7 answered: This is correct. The information you provide will be sent securely and subject to the The Dexcom G6 receiver has the following features: Lightweight: The Dexcom G6 receiver is lightweight and compact. If you would like to submit your prescription via fax, please fax it to (866) 879-8150. DEXCOM CGM USE HELPS MITIGATE HYPOGLYCEMIA FOR OLDER ADULTS WITH TYPE 1 DIABETES. Filling an RX for Dexcom CGM is easy and timely. Being careful not to touch the adhesive, remove both labels from the sensor applicator, exposing the sticky surface. Two years ago we stated that we believe that by 2023, 50% of our insulin intensive customer base will be using a connected insulin delivery device in combination with our CGM, and we believe that we are on track to hit that mark. DexcomG6. Then tap the Start Sensor button. You can request to be contacted by a representative or visit our frequently asked questions page for more information. Decide where on your body you want to insert the sensor. You will need your sensor, transmitter, and alcohol wipes for this step. Avoid bony areas, like ribs and hipbones and areas with scarring, tattoos, thick hair, or irritated skin. For additional questions, please call: 888-738-3646 (Monday - Friday 6 am to 5 pm PST) or email [emailprotected]. How to Fill Dexcom, headquartered in San Diego, is dedicated to helping people better manage their diabetes by developing and marketing continuous glucose monitoring (CGM) products and tools for adult and pediatric patients. Tap Next on the Welcome screen. Transmitter NDC:08627-0016-01 Now that the product is disposable, would this no longer be considered durable medical equipment (DME) and thus covered differently by insurance companies? Comments are. 1 Wireless Transmitter (Indicated for three-month use) Transmitter NDC:08627-0016-01 Fastened on top of the sensor and wirelessly sends data to the receiver or compatible smart device. 1. Dexcom G6 also allows you to share your glucose info with your loved ones easily. Choose someplace thats at least 3 inches from your insulin pump infusion set or your insulin injection site. here. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Some people find the word "diabetic" dismissive. Reddit and its partners use cookies and similar technologies to provide you with a better experience. information and promotional communications related to Dexcom products. Privacy Policy. You can change a Dexcom G6 sensor earlier than 10 days. Dexcom respects Search for jobs related to How often to replace dexcom g6 receiver or hire on the world's largest freelancing marketplace with 20m+ jobs. If your glucose alerts and readings from the Dexcom CGM do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. Please note: Information provided with the sample request is validated against Provider's license information. The Bluetooth range with G7 will still be 20 ft.. The move follows a $35 price cap set by Medicare that took effect in January, and may help lower insulin costs for many younger and A new study shows that girls with type 1 diabetes experience greater challenges and more diabetic complications. Are you a diabetic, or a person with diabetes? The trend arrow can help you avoid being low or high: Use your number and arrow to help you make diabetes treatment decisions, like treating for a low or dosing for a high. She is most passionate about new advances in research and technology, optimizing diet to improve glycemic management, and helping women with diabetes gain the most relevant knowledge to achieve healthy pregnancy outcomes. 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. It's free to sign up and bid on jobs. Provides simple sensor insertion at the push of a button. (30-day supply) We are conducting pivotal trials with the G7 in multiple wear locations, including abdomen and upper arm.. To set the date and time, tap a field, then tap the arrows to change the number. Hydration and Diabetes: Can Drinking Water Affect Your Blood Sugar? Seek medical advice and attention when appropriate, including for any medical emergency. Youll wear each sensor for 10 days and use the transmitter for three months. Then, stick the sensor onto the chosen site. Order LBL014003 Rev 001 Dexcom G6 User Guide. What Should I Do If I Have Symptoms of COVID-19? Maria Muccioli is a staff writer at Diabetes Daily. window.__mirage2 = {petok:"e45_isK4eJHFnmh3BClQaiDSW8bdpjGJpNbEvmQ2Nso-1800-0"}; Insert the transmitter tab into the slot on your sensor and snap it firmly into place. The chart on your receiver indicates your blood glucose level at each reading and fills in over time. LBL021881 Rev001 Place the sticky adhesive side of the applicator against your skin at the insertion site. Pharmacies wanting to place an order for Dexcom CGM supplies via next-business-day delivery should contact a wholesaler. %PDF-1.6 % Removing your sensor and transmitter Learn how to remove your Dexcom G6 sensor and transmitter. If your glucose alerts and readings from the Dexcom CGM do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. You may opt-out of these communications at any time. Refill once per year. We've gathered together answers to some of the most common questions asked by Dexcom Canada's customers. Remove the applicator youve successfully inserted your Dexcom G6 sensor! This strategy will not change for G7.. *Editors note: This article was updated for clarity on 12/30/2020. Your Nightscout site, dexcom follow app, dexcom G6 app, and Loop app (if you use it) will all continue to work as usual. Find out about risk factors and prevention strategies. 18 0 obj <> endobj 38 0 obj <>/Filter/FlateDecode/ID[<2DB4CD1D050143FE85D0A9C41777C3DE><8F592394A14F49BC8EE51EEC0233BAEB>]/Index[18 34]/Info 17 0 R/Length 95/Prev 48684/Root 19 0 R/Size 52/Type/XRef/W[1 2 1]>>stream

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