Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

FDA clears first over-the-counter continuous glucose monitor

fda.gov

Post reply on HN
Print view View original

171–180 of 439 posts

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

#171

Post by user_7832 »

mlsu wrote: post #15
coldpie wrote: 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…

Dexcom and Freestyle both have options (G7, FSL2) that have a much narrower form factor than the old sensors. They end up being far more reliable, because the sensor doesn't dislodge. The new Dexcom sensors are more accurate. Less drift and no calibration. Out of pocket cost is obviously your own situation but I think anyone with T1 should look at them. For me they are life changing, even moreso if you have a pump th…

> The new Dexcom sensors are more accurate. Less drift and no calibration.

As someone using a freestyle libre who's never calibrated, how often do you need to calibrate it? Reason for asking is that I'm likely to switch to the g6 if I go with the TSlim X2 for looping. TIA!

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

#172

Post by amenghra »

throwup238 wrote: post #141
pie420 wrote: post #104

Earlier quoted context omitted.

Not a doctor, but from what I have seen, there is a healthy amount of spiking from eating normal foods, but our modern diets are so sugar and carb heavy that the glucose spikes are way outside the range that our bodies evolved to handle. Hunter gatherers would maybe eat some berries here (much smaller and less sweet than modern berries) and there. The modern human eating pizza, tons of bread, ice cream, soda, etc. cr…

> Hunter gatherers would maybe eat some berries here (much smaller and less sweet than modern berries) and there. Archaic humans had access to plenty of wild fruit that were high in sugar and tubers that were high in complex carbs. They even had access to concentrated forms of sugar like sugarcane and honey. They obviously didn't have refined sugars in everything they eat like we do but that they had access to limite…

We live 2x-3x longer than we used to. We should take the best possible care of our bodies.

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

#173

Post by meindnoch »

jseliger wrote: post #148
philsnow wrote: post #30

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…

Before I got cancer, I had one through Levels, and it was informative. Dessert is much worse than I'd thought. Rice, too, including brown rice. I remember eating some biryani and a small bit of naan at an Indian restaurant and thinking that I'd been pretty healthy, only to see a spike of like 80.

Momentary high blood sugar is perfectly fine after eating carbohydrate-rich meals.

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

#174

Post by user_7832 »

thecosas wrote: post #164

T1D here who has been using Dexcom G6 for many years now. Interesting to see the differences between Stelo and G7 which are built on the same platform. Curious if anything is driving the increase in wear time other than battery life savings from reporting back fewer readings. CGM: G7 / Stelo Wear time: 10 / 15 days Time between readings: 5 / 15 minutes

I seem to remember there was a "trick" with the g6 where you remove and reinsert the transmitter to get it to last longer... I suspect the time estimates are quite conservative.

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

#175

Post by smileysteve »

saagarjha wrote: post #26
rkagerer wrote: post #12

When your smartphone becomes a critical health device to support/treat a condition I wonder how that will impact case law around things like police confiscation.

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.

They jail you, give you low quality food, and eventually the jailer may send a medical team to manage your type 2 diabetes -- most likely with a finger prick and test strip; and they'll give you dietary guidelines that the jail/prison food doesn't satisfy.

US version; (oh, and they'll charge you for the medical care)

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

#176

Post by mlsu »

itpragmatik wrote: post #51
philsnow wrote: post #30

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…

At least for me the readings that it shows are not accurate (when verified with old style finger pricking glucose monitoring machine). These CGMs are good for knowing the general variability of glucose level in your blood based on your diet exercise etc; I don’t trust the absolute numbers from CGM like Freestyle Libre - haven’t used any other one though yet.

It actually may actually be the other way around, at least for newer CGMs.

Try doing a few fingerpricks in a row. The variability will surprise you!

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

#177

Post by lewismenelaws »

cadr wrote: post #150
coldpie wrote: 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…

I just started with the G6 (still using it), and when I started I'd have that sometimes. Whatever they changed in the past year or so, it has gotten waaaaay better. (They would always replace them if they failed early, but was still a huge pain.) I'm exited to move to the G7 (mainly because of the shorter warmup time). Also, pairing it with the Omnipod 5 is just next level. Closed loop. Never having to inject in publ…

I have the G7 and it's incredible. On a medtronic pump... wanting to switch asap

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

#178

Post by csours »

guidopallemans wrote: post #55
csours wrote: post #21

I wish Theranos had worked on a more reasonable goal - like an implantable CGM. I had T2D, well controlled now, my A1C is below the diabetic diagnostic range. I used CGMs, and they taught me a lot about how my body reacted to food and exercise. But I sweat a lot and they would always fall off, halving the useful life of each monitor. I would probably still use them from time to time if they didn't sweat off; and if a…

I used to have this problem as well, so I talked it over at my endo office. They suggested that I order some specially shaped stickers to keep them on, but instead I just bought some Kinesiology Tape (hansaplast, but also exists store-brand). 10cm of that works perfectly, even for heavy contact sports combined with sweating (and many showers).

Yup, I tried this. I sweat A LOT

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

#179

Post by mattl »

bradleyy wrote: post #129
lacoolj wrote: post #13

inb4 apple watch integration

Dexcom already has an integration; are you talking about hardware?

Yeah, it would be great if the watch could just do this for you, instead of needing to buy a new sensor every 14 days.

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

#180

Post by cadr »

lewismenelaws wrote: post #177
cadr wrote: post #150

Earlier quoted context omitted.

I just started with the G6 (still using it), and when I started I'd have that sometimes. Whatever they changed in the past year or so, it has gotten waaaaay better. (They would always replace them if they failed early, but was still a huge pain.) I'm exited to move to the G7 (mainly because of the shorter warmup time). Also, pairing it with the Omnipod 5 is just next level. Closed loop. Never having to inject in publ…

I have the G7 and it's incredible. On a medtronic pump... wanting to switch asap

The omnipod isn't setup with the g6 yet. Can't wait.
Post reply on HN