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Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

nytimes.com

31–40 of 61 posts

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#31

Earlier quoted context omitted.

What country is this? I just order freestyle libre online you don't need any doctors receipt for this.

US requires a prescription because it's classified as medical device "class 3"

Isn't that interesting - the UK regulates medicines pretty closely, but I've just tried and I can go straight to the web site and buy one here, no questions asked.

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#32
post #30

Earlier quoted context omitted.

Unless it misleads you. One can "lose" 2 lbs...by weighing before drinking water after a run. Did you really lose 2 lbs?

If you're allowing a single data point to have that much power over what or how you think, you've already lost. Especially if you decide to ignore context like "I just lost water by running and I haven't had anything to drink yet", or even important variables like time of day. The number by itself is meaningless. Data (as in a ton of data points) with context can be incredibly useful. Don't blame the tool if you don'…

Oh to be blessed with decent analytical intelligence. Not everyone is, however.

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#33

Earlier quoted context omitted.

US requires a prescription because it's classified as medical device "class 3"

Isn't that interesting - the UK regulates medicines pretty closely, but I've just tried and I can go straight to the web site and buy one here, no questions asked.

The UK doesn't have the regulatory capture in that space that the US does. US doctors want you to go to them for everything, and the AMA (basically a lobbying firm for doctors) is taken seriously here. in the UK you can get lots of things over the counter without doctor intervention.

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#34

It wasn't for me. Individual anecdotal stories aren't evidence but without consistent feedback it's easy to get back into poor habits. When I eat a Twizzler and see my blood glucose spike at 180-200 FOR 1 TWIZZLER then it's the feedback I need. It's no different to me than frequent weighings. I'm sure some people don't need or want the feedback but for me it's essential. And using a CGM (I use 14 day Lifestyle) I can…

I'm glad you found something that works for you, but this is massively over-complicated for almost everyone.

Constant glucose tracking is interesting, but completely unnecessary. EDIT - For most healthy individuals.

It's like my father-in-law who obsesses over vitamins while he ignores being ~40 pounds overweight - he needs to simply eat less & move more, not keep reading articles until he uncovers some magic combination of micronutrients.

Beef spikes insulin just as much as rice does. Acute insulin spikes are not bad, and can be very beneficial. Chronically elevated insulin is not good, but it's almost always simple to address that - just eat less, less often.

But people seem to prefer to focus on complicating easy things instead of consistently doing simple but difficult things.

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#35
post #14

Off-topic: but as someone who's not officially type 2 diabetic but would like to be proactive about measuring their sugar level (I've had my A1c at pre-diabetes levels in the past), what options do I have to secure a CGM? I've asked my physician but he said he won't be able to prescribe one that's covered by insurance. The DEXCOM website doesn't have a clear MSRP for folks like me.

14 day freestyle libre is $130ish but you can find coupons online that push it down to around $80. Dexcom is in the hundreds per month.

Does a 14 Day FreeStyle Libre cost $130ish per month, or is $130ish a one time fee that one can use 14 Day FreeStyle Libre forever afterwards?

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#36

Earlier quoted context omitted.

Data drives me to do better.

Unless it misleads you. One can "lose" 2 lbs...by weighing before drinking water after a run. Did you really lose 2 lbs?

If you're misled by thinking you lost 2 pounds when instead you just lost some water, you are missing some pretty essential data.

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#37

Earlier quoted context omitted.

What country is this? I just order freestyle libre online you don't need any doctors receipt for this.

US requires a prescription because it's classified as medical device "class 3"

Here in Canada you can buy them at WalMart: https://www.walmart.ca/en/health/home-health-care/diabetes-c...

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#38
post #35

Earlier quoted context omitted.

14 day freestyle libre is $130ish but you can find coupons online that push it down to around $80. Dexcom is in the hundreds per month.

Does a 14 Day FreeStyle Libre cost $130ish per month, or is $130ish a one time fee that one can use 14 Day FreeStyle Libre forever afterwards?

The device has a 14 day lifespan.

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#39
post #16

The article says: > Of course, there are exceptions. When patients are acutely ill, or changing regimens, or finding that their blood sugar is not well controlled, testing may be appropriate. So about the regimens: unless the patient eats the same every week (same ingredients, same quantities) without any significant variation, it’s still the way to go IMHO. General guidelines can be followed by the patient but usual…

> finding that their blood sugar is not well controlled Isn't this everyone with diabetes? Hell of an exception.

I believe they mean that the insulin+metformin+diet regimen isn’t keeping sugar in a reasonable range.

Re: Routine glucose monitoring may be unnecessary for people with Type 2 diabetes

#40
post #34

It wasn't for me. Individual anecdotal stories aren't evidence but without consistent feedback it's easy to get back into poor habits. When I eat a Twizzler and see my blood glucose spike at 180-200 FOR 1 TWIZZLER then it's the feedback I need. It's no different to me than frequent weighings. I'm sure some people don't need or want the feedback but for me it's essential. And using a CGM (I use 14 day Lifestyle) I can…

I'm glad you found something that works for you, but this is massively over-complicated for almost everyone. Constant glucose tracking is interesting, but completely unnecessary. EDIT - For most healthy individuals. It's like my father-in-law who obsesses over vitamins while he ignores being ~40 pounds overweight - he needs to simply eat less & move more, not keep reading articles until he uncovers some magic combina…

>Beef spikes insulin just as much as rice does.

Citation?

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