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FDA clears first over-the-counter continuous glucose monitor

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Re: FDA clears first over-the-counter continuous glucose monitor

#151
post #31

Earlier quoted context omitted.

What happens when an officer confiscates your glucose monitor today? I assume you die and they claim they did it for some valid reason or the other.

Or just withholding the insulin itself: https://www.thenation.com/article/society/diabetes-police/

Wow, that article is wild. For those who are not aware, ketoacidosis is when your body metabolizes fat for energy in the absence of insulin. This produces byproducts (keytone bodies) that raise the pH of the blood.

So, having ketoacidosis feels like having your blood turn to acid. Death from ketoacidosis is an excruciating death. Fermenting from the inside out as your heart pumps your increasingly acidic blood through your entire body. You're technically starving, so you're hungry, but at the same time your body is trying to expel glucose at all costs, so everything you look at makes you sick.

Extended periods of high blood glucose and lack of insulin especially is up there as one of the most uncomfortable things I've ever experienced personally. Just unimaginable cruelty.

Re: FDA clears first over-the-counter continuous glucose monitor

#152

It'd be pretty interesting to see that kind of data, but it looks like this product violates my policy on not buying hardware that requires a cell phone app to use, and my policy on keeping as much of my medical information as far away from my mobile device as possible. I'm not sure exactly who the app itself sells/leaks the data being collected to, but even having that kind of data on the device would make me uncomf…

My girlfriend as the Libre 3, and she has both the cell phone app, and a stand alone unit to store results. You can only use one or the other, not both at the same time (the Libre 3 uses Bluetooth). We have the stand alone unit because of insurance reasons.

Re: FDA clears first over-the-counter continuous glucose monitor

#153

Earlier quoted context omitted.

False positives in medicine can cause unnecessary interventions that carry their own risks. Believe it or not, there is an optimum level of ignorance for maximum health.

Dumb framework for dealing with incompetence. "I'm so incompetent that more data is going to lead to worse outcomes! So let me stick my head in the sand and not measure!" Imagine if any other profession operated under this framework: "Ehhh, if we inspect too hard we might make a repair on this airplane that will cause further damage, lets just not do the inspection"

Do you think tearing apart a working airplane and putting it back together in order to inspect it between every flight is a safe practice?

Did you see the 737 door plug accident?

You are missing part of the picture here. And that part is not that everyone else is dumb but you.

Re: FDA clears first over-the-counter continuous glucose monitor

#154

I dove into CGMs a little bit about a year ago, mostly just for fun. Yes, I paid money to some online prescription mill for CGMs (Abbott Freestyle Libre 3, IIRC), and then put one in my arm (the applicator is a short syringe section that has the monitor tube threaded into it, so the tube stays in your arm and your skin under the monitor remains broken) for a couple weeks. Just to see how various foods would affect my…

> so the tube stays in your arm and your skin under the monitor remains broken

That's not how it works, at least for the Freestyle Libre 3. The cross section of the needle has C shape rather than a O (technically I believe it's called a cannula). When you remove the applicator that C shape allows the needle to be removed through the hole at the top of the sensor, and only the flexible filament stays I your arm.

Re: FDA clears first over-the-counter continuous glucose monitor

#156
post #17
post #13

inb4 apple watch integration

I'll be buying that apple watch if it ever gets here

https://www.massdevice.com/dexcom-direct-to-watch-g7-cgm/

(There is already an app to show on the watch, but you still need the phone in the loop - this is directly to the watch without the phone.)

Re: FDA clears first over-the-counter continuous glucose monitor

#157
post #101

I don't know why modern days we get so many problems wrong. A -> B, then B -> A => incorrect In a fire, we see firefighters, that doesn't mean firefighters cause fire. In diabetic patients, we see high glucose level. That doesn't mean eating high GI food causes someone to have diabetes. If we look at the Blue Zone, many people eat mostly carb. So carb/high GI food definitely doesn't cause diabetes. Devices like this…

> In a fire, we see firefighters, that doesn't mean firefighters cause fire. In diabetic patients, we see high glucose level. That doesn't mean eating high GI food causes someone to have diabetes. This is correct but probably not in the way you think. It is not the glucose in and of itself that is the problem but the level of the hormone insulin circulating around your system that is at the root of Type II diabetes.…

Thank you for the detail :). And yes, I do believe lacking of fibre is one of the key important factors causing many kinds of diseases, and the modern diet is totally missing lots of fibre.

Re: FDA clears first over-the-counter continuous glucose monitor

#158
post #3

I'm T1D (insulin-dependent). I used a Dexcom for a couple years a while ago, back around the G3 through G5 era or so. I ended up stopping using it because my diabetes is very well managed, and I found it didn't make a huge difference to my management. With my insurance, each new sensor every week cost about $50, and would fail in various annoying ways: sometimes it would just stop working in the middle of the week, o…

The g7 is definitely a bit better on all counts except maybe bluetooth reliability. I use them with [open source closed loop](https://loopkit.github.io/loopdocs/) insulin pump software and it is pretty great.

Still a lot of plastic but the sensor comes in a smaller jar/applicator in a cardboard box and it pretty reliably lasts 10 days cutting down waste.

It sounds like this new sensor is just a g7 but with less stringent accuracy standards for non insulin users allowing it to last 15 days.

Re: FDA clears first over-the-counter continuous glucose monitor

#159
post #50

Earlier quoted context omitted.

If the needle in the CGM bothers you, don't let it. It's a quick, painless jab with a tiny needle at the beginning and then the needle comes out. The part that stays in your body is just a flexible filament made of plastic. I did this experiment as well, and the main thing it did was completely stop me from snacking. My habits got better because I could see how my BG could never return to baseline if I allowed myself…

Where do you put the needle thing? Does it get in the way of everyday things?

I keep mine on the front of my upper arm, where I automatically notice and protect it. The back of my arm usually means it's off in a few hours.
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