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Tracking Blood Sugar

eric.jain.name

71–80 of 81 posts

Re: Tracking Blood Sugar

#71
post #20

Earlier quoted context omitted.

No. In the US, all similar products require a prescription. This is by far the best available option (no fingerstick calibration, longest-lasting sensor, easy mobile app, etc.). Basically, get this one. It’s $80 including 1 month of sensors. I believe the thinking is that people need a professional to discuss results with. I understand that perspective, but I don’t agree with it, and I definitely don’t agree that hav…

Thanks for clarifying. As a side note, I think this requirement is completely bogus. You should be able to get any "read-only" medical device you want, anytime you want, especially in a country where there is no universal healthcare. I see a contradiction where on one hand the authorities say: we have to protect you so that you don't harm yourself and on the other the same authorities say: your health is your respons…

"Read-only", but "mutable" in C++ const sense with slightly bloody side effects :)

Re: Tracking Blood Sugar

#72

I wear a FreeStyle Libre every day, AMA. It's very good for T1s, of course. It's reliable enough - the biggest downfall is that it's around 15 minutes behind real-time, ie, what you can measure with blood. Sometimes it can feel 'stuck' too, and change rapidly between a short amount of time. The second model, which I am waiting to try, includes Bluetooth alerts if a trend high or low is detected. This may make it even…

What do you mean by 'second model'? Like a new version of the FreeStyle Libre? I just got my first CGM, FreeStyle Libre 14 day, 2 days ago :) The relief I've already experienced from not having anxiety about where my blood sugar is at has been incredible. That said, being able to set alerts for lows/highs and not having to manually scan the sensor would be huge improvements. The way I was checking blood sugar before…

Yes, v2 is coming soon or is now out :)

Re: Tracking Blood Sugar

#73
post #51
post #28

Earlier quoted context omitted.

Should be possible with xDrip. Using the G5 still, so no real life experience. Some sensors get noisy sooner than the others. I noticed they work longer during the winter when its cooler. Last one worked for 4 weeks quite good, but in the summer they stopped working in less than two weeks.

I realized I wrote weeks - the transmitter is good for 3 months and gets flaky in the last couple weeks. I found some pictures of someone replacing the battery on the transmitter of a G6. This is.... not really practical. [1] What would be interesting is if you could pull out the internals and 3D print a new enclosure that had an actual user serviceable battery. [1] - https://seemycgm.com/2018/07/12/g6-transmitter-ba…

The transmitter has a counter inside and will stop working after a certain day count. xDrip has a feature where one can reset the counter back to zero and I've been using them at least six months with no trouble.

Re: Tracking Blood Sugar

#74
post #58

Earlier quoted context omitted.

That's troubling. Which doctors have you been speaking to? I've always gone to see endocrinologists specializing in diabetes and have never had a doctor give me overtly bad advice.

Always general practitioners. I tend to just visit them when I need a prescription now. I haven’t visited an endo since I never understood the purpose: I suppose they are more expensive and I can just use the internet. My A1c is generally high threes, so I’m not sure what else they could offer. I’ve asked general practitioners and they have never been more concrete than: endocrinologists can help you figure out which…

I had the same issues until I found a doctor who also has a type 1 diabetes. After I started going to her practice, my A1c dropped from 7.5 to 5.5-6.1 and I learned so much about keeping a good control.

The one I was seeing before her once started yelling at me for having such a bad control, so I seriously started looking for a better practice.

Re: Tracking Blood Sugar

#75

I have the Medtronic MiniMed pump, which includes its sensor that the pump uses for automated basal dosing. Accuracy is similar to what others have described.

How well does the automated bits work? I've considered a pump in the past for that reason, but was always afraid what mistakes could happen.

If you want to get even better system using AndroidAPS, get the DanaRS pump, which is the only manufacturer allowing unofficial use.

Before you must do some reading and understand the concepts. OpenAPS and AndroidAPS are state of the art systems and you can do even better than the basal setup using the oref1 SMB algorithm. I know countless of diabetics using it and we all have much better and easier control in our therapy.

https://openaps.org/ https://github.com/MilosKozak/AndroidAPS

Re: Tracking Blood Sugar

#77
post #15

Here's a second non-diabetic who tracks their glucose with the same non-invasive device and started analyzing it. Blog post: https://richardsprague.com/notes/cgm/cgm_analysis/ Slides from presentation last week: https://www.slideshare.net/richardsprague/quantified-self-se... He also tweets about it: https://twitter.com/sprague

It seems to still be invasive: https://www.freestylelibre.us/support/faq.html#faqTabstab-3 > The sensor is applied to the back of the upper arm with a simple, disposable device called an applicator. When the sensor is applied, a small (5mm) filament is inserted just under the skin, and held in place with a small adhesive pad. 'Inserted just under the skin' means it's still invasive, but that sounds nicer than regular…

> perhaps 'less-invasive' would be a more accurate description

I prefer "minimally invasive"... You can't just remove the device and stick it back on, but it's good enough that a truly non-invasive device would be a marginal improvement for me.

Re: Tracking Blood Sugar

#78

I'd be curious to know how he measures stress levels.

I don't even know how I'd go about measuring stress levels, but I did notice that there were two instances where my blood sugar staid elevated for much longer than it should have after lunch, and both times there was a somewhat stressful/non-routine situation (an interview, and riding a scooter across town).

Re: Tracking Blood Sugar

#79
post #73
post #51

Earlier quoted context omitted.

I realized I wrote weeks - the transmitter is good for 3 months and gets flaky in the last couple weeks. I found some pictures of someone replacing the battery on the transmitter of a G6. This is.... not really practical. [1] What would be interesting is if you could pull out the internals and 3D print a new enclosure that had an actual user serviceable battery. [1] - https://seemycgm.com/2018/07/12/g6-transmitter-ba…

The transmitter has a counter inside and will stop working after a certain day count. xDrip has a feature where one can reset the counter back to zero and I've been using them at least six months with no trouble.

Without changing the battery? Are you using G5 or G6?

Re: Tracking Blood Sugar

#80

Earlier quoted context omitted.

Summary: I have no citation but my understanding is that measuring insulin levels needs to be done from a blood draw, so a Freestyle Libre-type device wouldn't work. The Freestyle Libre and regular continuous glucose monitors measure glucose in the interstitial fluid under the skin - not blood. This is why the numbers can be wildly different to a blood glucose test done via finger-prick. From what I've seen while res…

Your example is someone without diabetes but referred to as a patient?

My comment wasn't clear; apologies. I was referring to someone who had blood drawn to test for and diagnose high insulin levels. I'd classify anyone having that test in a clinical setting to be a patient.
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