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Continuous glucose monitoring on the Apple Watch

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Re: Continuous glucose monitoring on the Apple Watch

#82
post #39

I had some ideas on how unreliable all nutrition research is but nothing prepared for the flood of bad advice once I was diagnosed with diabetes T2. I now trust one thing and one thing alone and that's my Dexcom G6. If it shows a spike eating the same meal twice , that meal is off the list. That easy. I deleted normal flour, potatoes and rice from my life and per three month blood checks I do not even count as predia…

Looking back to when my father was alive with diabetes T2 in the late 80s/early 90s, nearly all the nutritional information turned out to be total bollocks. I would go as far as saying the information was seriously harmful. We still have a good way to go, but things are definitely night and day compared to 30 years ago.

Re: Continuous glucose monitoring on the Apple Watch

#83
post #32

I'm actually part of a research team working on using a wrist mounted spectrometer to actually measure glucose continuously and non-invasively. Turns out it's a really really hard problem.

All I keep hearing is that Apple is pouring a fortune into cracking this problem. They've certainly been snapping up every prominent person in the industry in the last decade.

Re: Continuous glucose monitoring on the Apple Watch

#84
Few notes:

- glucose levels are not always "normal", for instance goes high if we eat something rich in sugar while we are PERFECTLY healthy, the smart-glucometer can't know that;

- a needle, even a micro-set of needles that constantly punch through our skin always in the same place is a recipe for infections and minor issues.

Surely Apple, and not only Apple, like to collect as much health data as possible, perhaps in a not so far future linking them to a new kind of social score "The Life Score" who decide for instance if we need meds what we get, sometimes good ones if we are useful for the society, as decided by those who master the score itself, a small élite, sometimes something to make us die because we are evolved to be useless again for the aforementioned élite.

Oh, BTW such planning-management-erotic-dreams was not much new a guy named adolf from Austria then Germany few years ago have tried a world war measuring how much "soldiers" local women can "produce" to match number of fallen ones... Try looking for Lebensborn project, which BTW means "those born out of love", a curious kind of love anyway...

Is this the society we want for the future? Something like the relatively recent Canadian TV series "Continuum"? for the future distopic part, without the rebellion of course.

Oh sure, we might have some marginal, in some cases potentially life-saving, benefits, but at what price? Do you really prefer being eventually saved at a certain age if you are still useful and you eventually fall ill, trading THE ENTIRE LIFE to be allowed to live under conditions you do not control if you are useful for someone else?

Such ideas have born before the French revolution, perhaps earlier, just to overturn the Revolution itself, maybe it's time to recover a bit of the old good spirit dropping the rest.

Re: Continuous glucose monitoring on the Apple Watch

#85
post #40
post #7

My son does something similar. In Vietnam, only the Freestyle Libre 1 is available, so we got the aftermarket MiaoMiao transmitter for it. The transmitter talks to an iPhone running xDripForiOS ( https://github.com/JohanDegraeve/xdripswift ) which, in turn, pushes the CGM data to nightscout ( https://nightscout.github.io ). We can then follow that data on nightscout using xdrip on our own phones. It's been a real lif…

I HATE the Freestyle Libre. The concept of continuous glucose monitoring is life saving, but this particular product is very very bad. The hardware design is awful. I've received 9 of them and 5 have broken before their expiration date, for a variety of reasons. Two of them broke immediately at first application. Glucose monitors in general are expensive ($100+ retail) products that are meant to be disposable every t…

Same here. They just up and die. Abbott has replaced a few for me. And I think the only way they’re going to get more reliable is if you force Abbott to cover the cost of the dead unit vs you/me.

Re: Continuous glucose monitoring on the Apple Watch

#86
post #54
post #45

Earlier quoted context omitted.

We've found them to be pretty reliable here. They tend to lose accuracy for extreme highs and lows, but when it's within 80-250 it's pretty spot on with our blood meter. xDrip also has a feature that will calibrate the libre with pokes which increases the accuracy. We never bolus off the libre's readings though, but it's fantastic for trends and seeing spikes and crashes in real-time. For example, I can see that my s…

Where do you get the MiaoMiao transmitter in Vietnam? I need to get one for my dad (thanks to your comment), but my google-fu didn't work out for it.

I just ordered from http://miaomiao.cool

Re: Continuous glucose monitoring on the Apple Watch

#87
post #49
post #31

Earlier quoted context omitted.

Veri/Levels as others mentioned if you dont mind paying $$ and want the fancy data viz and UI ...or just sign up for a free (15$ really) trial of the freestyle libre here: https://www.freestyle.abbott/us-en/myfreestyle.html . It'll ask you if you're a diabetic and you just click yes

Are there any apps that can read the NFC data from the FreeStyle libre? I don't want to deal with yet another device that you need to use to read data + upload.

Freestyle Libre has their own app. I havent tried it yet though but its supposed to be not great. I assume its good enough to watch trends for a non-diabetic seeking glycemic feedback on their meal

Re: Continuous glucose monitoring on the Apple Watch

#88

Friend of my wife, type 1, just 2 weeks ago died in his sleep from mismanaged blood sugar. He was only 37 and was otherwise very healthy - it was shocking, I never knew it was so dangerous and that mis measuring or forgetting before going to bed could have such dire consequences. I though it was like sleeping with your contacts in. This is a gap this tech could close, I hope it’s widely available soon - hopefully an…

That's really sad and tragic. There are like 50, or some other large number, things that affect blood glucose levels and we control 2 or 3 of them(insulin, food, and exercise). Your wife's friend may have done everything correctly and still had blood glucose that was too low. This is why I sleep so much better since getting a CGM, it's life changing because one can make data driven decisions that minimize risk and be…

I can't imagine what it was like as a T1 before them.

I was diagnosed T2 about 2.5 years ago, and worse a Freestyle Libre (not technically a CGM, but very close) for the first 6 months or so. Very useful for figuring out how I'd react to certain things, and I've got things pretty well under control now (A1C ~5.5)

Re: Continuous glucose monitoring on the Apple Watch

#89
post #88

Earlier quoted context omitted.

That's really sad and tragic. There are like 50, or some other large number, things that affect blood glucose levels and we control 2 or 3 of them(insulin, food, and exercise). Your wife's friend may have done everything correctly and still had blood glucose that was too low. This is why I sleep so much better since getting a CGM, it's life changing because one can make data driven decisions that minimize risk and be…

I can't imagine what it was like as a T1 before them. I was diagnosed T2 about 2.5 years ago, and worse a Freestyle Libre (not technically a CGM, but very close) for the first 6 months or so. Very useful for figuring out how I'd react to certain things, and I've got things pretty well under control now (A1C ~5.5)

That's awesome. Yeah, like anything using the data to make better decisions is the way, otherwise there's no point. Even as a T1, if my BG is high, I will generally(not always) eat less carb or none for a meal. Plus the changes in insulin dosing. It's just easier and injected insulin is so much slower than what the pancreas can do(both in time to react and duration)

Re: Continuous glucose monitoring on the Apple Watch

#90
post #56

Earlier quoted context omitted.

IV needle or IV catheter?

What's the difference?

I'm not an expert on this stuff, but usually the needle is usually only present while installing the IV. After it's placed, the needle is removed, leaving only the catheter.

I wasn't sure if appendicitis would need something larger perhaps?

Anyways, the Dexcom pods are similar to an IV in the way the insertion needle and sensor go in together then the needle retracts.

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