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    • 16 hours, 33 minutes ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 17 hours, 30 minutes ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 17 hours, 38 minutes ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 18 hours, 37 minutes ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 18 hours, 41 minutes ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 19 hours, 43 minutes ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 19 hours, 44 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    • 19 hours, 44 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 19 hours, 46 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      For Minimed, the dedicated reader is the pump.
    • 19 hours, 46 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I chose "dedicated reader". That reader is my pump, a Minimed 780G.
    • 19 hours, 46 minutes ago
      Marthaeg likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 8 hours ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 1 day, 8 hours ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 1 day, 8 hours ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Here's my concern. I've used AI when meeting new clients to take notes of my meetings while I'm talking with the client. Ostensibly, this frees me up from having to jot down notes while talking - allowing me to give my full attention to the conversation. (Very good benefit of AI) Then, when reviewing the notes, AI literally fabricated scenarios that weren't discussed (AI Hallucinations are a very bad side effect). Not knowing when AI will fabricate a fact pattern gives me great concern that AI will fabricate a glucose reading and then act on that hallucination. AI has great potential, but it's not ready yet.
    • 1 day, 14 hours ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 14 hours ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 day, 15 hours ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 15 hours ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      Extremely. I have a certificate in Medical Billing & Coding.
    • 1 day, 18 hours ago
      Kathy Hanavan likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 1 day, 18 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Roughly half my lows are caused by my auto correct system now. I expect AI hallucinations to make it worse. I have enough hallucinations when I'm low and need non-hallucinatory help. We all need more info on this subject to make better decisions. As my favorite 80's AI robot (Johnny 5) said, "Need input."
    • 1 day, 18 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I'm not comfortable for many reasons: 1) AI hasn't proven respects boundaries, quite the opposite, too many reports of AI tend to view its responsibilities and decisions as NOT mine; 2) the companies behind AI systems do likewise in not respecting my data as mine and jumble it in with their own; 3) AI systems haven't proven themselves as reliable parties regarding data and actions. There are many more; AI systems have a long way to go before I entrust one with dosing strategies while I'm awake, let alone while I'm asleep!
    • 1 day, 18 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’ve done a large 2 week focus group through Syracuse University on AI. I’ve also been watching shows on European news about AI and medical issues. AI still has too many glitches when it comes to medical issues.
    • 1 day, 19 hours ago
      Lawrence S. likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 2 days, 15 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 2 days, 15 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
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    If you wear a CGM, do you ever experience “compression lows” – false low blood glucose alerts that happen when there is pressure placed on the sensor, typically while you’re sleeping?

    Home > LC Polls > If you wear a CGM, do you ever experience “compression lows” – false low blood glucose alerts that happen when there is pressure placed on the sensor, typically while you’re sleeping?
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    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    26 Comments

    1. john36m

      I place the sensor on my arm and I try to set it so that when I sleep on my side, there is no pressure. However, I am not always successful in placement.

      2
      5 years ago Log in to Reply
    2. Larry Martin

      False lows are not just while sleeping. Frequently the first calibration after the 2 hr warmup is very low but actual glucose can be double. EX: 44 by CGM and 88 by glucose. The same happens the last 24-36 hours of the CGMs life.

      2
      5 years ago Log in to Reply
    3. Nevin Bowman

      I have been wearing a sensor for approximately 5 years, and this has never happened yet.

      5 years ago Log in to Reply
    4. Greg Felton

      I don’t have false lows when sleeping on my CGM, but I often stop getting readings for a few minutes at a time. Nothing serious.

      5 years ago Log in to Reply
    5. Grey Gray

      I used to have alot of problems when I was miss guidedly choosing my abdomen as a site. I only use back of arms now. But back means back not side of arm. No body fat left but somehow there is enough meat left there…

      1
      5 years ago Log in to Reply
    6. Henry Renn

      I wear the G6 sensor on my abdomen. I have never slept in position where sensor could be compressed.

      5 years ago Log in to Reply
    7. Beckett Nelson

      I typically try to place my CGM where I don’t have to worry about compression lows.

      1
      5 years ago Log in to Reply
    8. Sherolyn Newell

      I didn’t know that was a problem. I sleep on my sensor a lot. I rarely have night lows. If I do, I treat it. I don’t wake up too high, so I believe the lows are real.

      5 years ago Log in to Reply
    9. John Henninger

      I don’t know! How would you know? What is the event on the CGM? Needs an explanation if you are going to ask such a question. I do wear a CGM and have had incidences of the CGM reporting a Tech problem and to wait up to three hours. Have discussed the error with Dexcom and they sent extra patch tape.
      If you can address/explain your question to me, kit would be helpful. Thank you

      5 years ago Log in to Reply
      1. KarenM6

        Hi John –
        I’m not sure I can explain it well, but I’ll give it a try. There is no “event” on the CGM. What you might see are small-ish dips in the blood sugar “line” during sleep. So, you’ll see your trend line and, every so often a little dip. But, fairly quickly, the dip will go back up to the trend line. So, overall, the trend is straight or goes down or goes up (whatever your trend for the night)… but there are “breaks” in the trend. The time this would be problematic for the sleeper is if the person keeps a tight control and they have, let’s say, an 80 blood sugar all night. The “compression low” would report the person’s blood sugar as lower. If the alarm goes off, then it’s not really a low, it’s just the sensor has been tricked into thinking the blood sugar is low. Once the compression is gone, the report of the blood sugar numbers should go back to actual blood sugar numbers.
        I hope that makes sense!

        5 years ago Log in to Reply
    10. Retired and glad

      Until this question I have never heard of this. I sleep on it often but never thought this could be an issue when I get a low alert (happens very seldom in any event). When an alarm wakes me I seldom take a glucose test, just set one of my preset temporary basals (changes to 10% of normal basal for one or two hours) and possibly drink one of my small cans of pineapple juice and go back to sleep.

      5 years ago Log in to Reply
    11. Richard Vaughn

      I wear my CGM sensors on my upper ab. I always sleep on my sides, so my sensor is safe while I sleep.

      5 years ago Log in to Reply
    12. Maureen Helinski

      Yes, I had to change to wearing the sensor right in middle of stomach above navel. Even now if I sleep on my sides it is too close and the alarm goes off, wakes me. On my arms I slept on it often.

      5 years ago Log in to Reply
    13. Patty Harris

      As a matter of fact, I had a low compression this am before getting up. I had my arm on top of the sensor in my upper abdomen. Thanks to contributors on this site I was educated about compression lows.

      2
      5 years ago Log in to Reply
    14. Sally Numrich

      No. Not an issue I have noticed. But I do have connection problems sometimes. Pump is to far away from phone or facing the wrong way. When I roll over, it back fills but having everything facing the same way when you toss and turn can be challenging.

      5 years ago Log in to Reply
      1. Marvin Shotkin

        Question is about CGM, not a pump

        5 years ago Log in to Reply
    15. connie ker

      I wear an Abbott Freestyle Libre that has no alerts. I have noticed the low numbers that when the sensor is wearing down, anywhere from day 11-14 days. So when I see this happening, I just change sensors.

      5 years ago Log in to Reply
    16. Marvin Shotkin

      Thanks for asking, I thought I was the only one. It doesn’t happen often (I use the Dexcom G6), but the alert has woken me, and I see a suspicious precipitous drop on the graph. Sometimes it drops off and leads to a sensor error. I just lie on my back and wait for it to correct itself. I try to not sleep on the sensor, but that’s not always possible,

      5 years ago Log in to Reply
    17. persevereT1D52

      I’m surprised by the comments. I wear my G6 on the back of my arm and I get compression lows. Usually more during the first few days of new sensor. If they continue, I change sensors. They are very obvious looking at the graph. They are a sharp drop of readings for no reason. I get alarmed but the main concern regarding compression lows are when you use CIQ because your basal rate will drop to 0% during the time if you are unaware and don’t’ switch position.

      5 years ago Log in to Reply
    18. Kathryn Keller

      My daughter will only wear her dex on her upper butt, so we do get a fair amount of compression lows. It is usually pretty obvious on the graph as a large drop out of nowhere. Always a pain to have to wait for the numbers to straighten out once I change her position, but still thankful for this amazing technology.

      5 years ago Log in to Reply
    19. Sasha Wooldridge

      I don’t think it’s compression lows I’m dealing with but my Medtronic CGM frequently reads 10-20 units lower than I actually am overnight. It’s not the “dip” that’s associated with a compression low though, it just trends that way through the night.

      5 years ago Log in to Reply
    20. David Smith

      I’ve had occasional instances where my sensor has inexplicably started trending low for no apparent reason, but I can’t say it was a “compression low”. A recalibration usually takes care of it.

      5 years ago Log in to Reply
    21. Jneticdiabetic

      I put “other” because I was not sure. I wear my Medtronic CGM primarily on my hips because that’s where I have the most cushion. I’m a side sleeper and have definitely gotten lost sensor/signal alarms overnight when I lay on it. However, I don’t recall ever noticing the sudden drop some of the Dexcom users describe here.

      5 years ago Log in to Reply
    22. Becky Hertz

      Most compression lows come from a dog on my lap. I think I’ve only had one while sleeping.

      5 years ago Log in to Reply
    23. Cheryl Seibert

      Compression lows rarely occur for me as I’m thin and it’s painful to lay on the sensor in my upper arm. Occasionally, a Dexcom G6 sensor will ‘plummet’ to a SG of less than 50 when BG is in range 80-120. This occurs during the day and not when sensor is compressed. After calibration (or maybe more than 1), it returns to normal operation.

      5 years ago Log in to Reply
    24. Phyllis Lewis

      I have a Freestyle Libre and get no alerts. But I notice that my BG is often low during most of the night. My endo had no explanation for it. And I had never heard of compression lows until this question. I am a very restless sleeper and often lay on the GGM. I have been on the CGM for 6 months now and am not at all happy with it. The sensors have fallen off before the end of the 2-week period several times and 3 times have given me error messages and stopped working. I will be returning to finger pricks next week.

      5 years ago Log in to Reply

    If you wear a CGM, do you ever experience “compression lows” – false low blood glucose alerts that happen when there is pressure placed on the sensor, typically while you’re sleeping? Cancel reply

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