Activity
- 10 hours, 9 minutes ago
  
  Fabio Gobeth likes your comment at
  Do you keep track of where you rotate your CGM site?
  No need to track it’s pretty obvious. Switch sides each time and try to miss any visible puncture spots
- 14 hours, 40 minutes ago
  
  Rafaela likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It really depends on when I catch it and how low it is. If I see it early enough I treat it and just watch it to make sure it is recovering.
- 15 hours, 58 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 15 hours, 59 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 15 hours, 59 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 16 hours ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 16 hours, 17 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It all depends on how low, where I am and what I'm doing and if I can easily eat/drink fast acting carbs to treat it. I only get anxious if it's taking a long time to bring bg level up to my target of 110 and I'm out in public.
- 16 hours, 17 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 16 hours, 17 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and what I am doing. Like today I had one at work where Dexcom said low but because I could treat and had two people with them, aware of it, I was okay.
- 16 hours, 18 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and for how long. Generally not anxious as much as sweating and foggy headed.
- 16 hours, 18 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 16 hours, 19 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually get more annoyed than anxious...It typically happens when I'm in the middle of working! I work as a private clarinet instructor so it's just me and the student and it's really difficult to string words together when I'm low.
- 16 hours, 19 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 16 hours, 19 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 16 hours, 52 minutes ago
  
  John Barbuto likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 18 hours, 13 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 18 hours, 14 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 18 hours, 14 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Two Reese's Peanut Butter cups for me 😊
- 18 hours, 14 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
- 18 hours, 33 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 18 hours, 33 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 18 hours, 34 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 18 hours, 37 minutes ago
  
  Becky Hertz likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 18 hours, 53 minutes ago
  
  Bret Itskowitch likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 18 hours, 53 minutes ago
  
  Bret Itskowitch likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
Clear All

Glucose Sensors: Derived Glycemic Outcomes Among Real-Time CGM VS. Flash CGM Users

T1D Exchange, 2 years ago 0 2 min read

CONTINUOUS GLUCOSE MONITOR (CGM) DERIVED GLYCEMIC OUTCOMES AMONG REAL‐TIME CGM VS. FLASH CGM USERS IN A MULTI‐CENTER EMR DATABASE FOR PEOPLE WITH T1D

N. Noor¹, O. Ebekozien¹, F. Vendrame², L. Jacobsen³, R. Weinstock⁴, M.P. Gallagher⁵, S. Corathers⁶, S. Accacha⁵, P. Prahalad⁷, R. Rapaport⁸

Background and Aims: Evidence from clinical trials suggest that use of CGM devices decreases hypoglycemia, but no real‐world studies have demonstrated efficacy of real‐time CGM vs. flash CGM device use in improving CGM derived glycemic outcomes. A flash or intermittently scanning CGM (isCGM) provides glucose levels immediately upon scanning sensor; whereas real‐time CGM (rtCGM) device automatically transmits a continuous stream of glucose data to the user. We examined efficacy of isCGM vs. rtCGM device use using real‐world EMR data from 19 endocrinology clinics participating in the T1DX‐QI Collaborative.

Methods: Main outcomes were a) mean time in range (TIR: 70‐180 mg/dL), b) time above range (TAR: >250 mg/dL) and c) time below range (TBR: <70 mg/dL). Patients >6 years with T1D from 2018 to 2022 were included. Discriptive differences between isCGM and rtCGM groups were assessed using chi‐square and Mann‐Whitney U tests. Bootstrapped point estimates and 95% CIs were reported. Linear mixed models examined association between type of CGM and TIR adjusting for covariates.

Results: This analysis included 6234 people in the rtCGM group and 412 people in the isCGM group. In the overall study population, mean TIR was higher for rtCGM users relative to isCGM users (Mean(95% CI): 50 (49‐51) vs. 40 (38‐43)) [p = 0.0001], mean TBR was lower for rtCGM users relative to isCGM users (Mean (95% CI): 1.9 (1.8‐2.0) vs. 2.6 (2.2‐3.0)) [p = 0.001] and mean TAR was also lower for rtCGM users (Mean(95% CI): 19 (18‐20) vs. 26 (23‐30)) [p < 0.001].

Click here to read the full abstract

Tags #Journal - Diabetes Technology and Therapeutics #Technology - CGMs

HEMOGLOBIN A1C LEVELS AMONG PEOPLE WITH TYPE 1 DIABETES SWITCHING FROM SELF‐MONITORING OF BLOOD GLUCOSE TO REAL‐TIME CGM USE: A RETROSPECTIVE LONGITUDINAL STUDY

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