The Best Thing I have done for My Diabetic Condition.....

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Sir Speedy
New Member


Date Joined Aug 2010
Total Posts : 5
   Posted 8/4/2010 9:17 PM (GMT -7)   
was to get a CGM (see Dexcom) - its called a continuous glucose monitor - and best of all it has monitor that beeps or vibrates if my glucose real time reading goes above 220 or below 60 (or whatever I set it at). It has saved me multiple times.
My highs are not as high and my lows are not as low.
This is no joke - my A1C went from 10.8 to 7.2 - and I can not wait to get the the next A1C result - I know it will be in the 6's.
This monitor shows you exactly what foods effect you more than others - and then you can react to it. It shows you trends via a digital graph
- exaample - I now know that 45 units of Lantus at 9pm is perfect for me - whereas if go up to say 50 units I will bottom out at around 4am and my CGM will beep - wake me up - and small glass of milk later - I am ok - what if the CGM did not beep or went back to sleep? who knows. All I know is that I have way better control with my CGM and if you have extreme highs and lows glucose readings and a high A1C to prove it - all I can say is get a CGM now.
 
I have Blue Cross and Shield and they paid all but $400 of the $1,600. Best deal ever. The monitor looks like a simple pager. The transmiter is taped to your belly and has a small needle that goes maybe 5mm in the adipose tissue. Does not get in the way and you take  a shower with it, go swimming, play tennis, basket-ball or even have sex with it on. No problemo.
 
I have nothing to gain - by telling you this - but the CGM is that good. The information graphs that are downloaded to my laptop really help my endocrinologist also.
 
My history: 42 years old. Phyically active. Somewhat stressed out. RE Appraiser. Race HS & MX. 
Long story short. Ten years ago I went on the Atkins Diet -lost 45 lbs. in 4 months - that activated a virus that attacked my pancreas and bingo I become a Type 2 - later informed I am actually a Type 1 Insulin resistent.

Chaul22
Regular Member


Date Joined May 2010
Total Posts : 200
   Posted 8/4/2010 9:57 PM (GMT -7)   
I actually tried something like that once. Here they usually strap it onto you (the victim?) for 3-5 days and extract the data later. At least on this thing, I couldn't get live monitoring, which I would kind of take for granted for a device like this..

Anyways, the day the nurse put the needle in, I got a flu, making the 3 days extra hard. The device beeped every day at 6am (!) demanding to press some button on it at that moment. The data was a little erratic with gaps between, maybe I pressed the wrong button at some point.

I found the device I tried very uncomfortable to wear, but I would benefit from continuous monitoring especially if the device warned about reaching set high and low limits. Maybe some day they'll just inject you with nanobots that communicate the readings to an external wireless monitor at least for some duration and then clear out of the system.

Sir Speedy
New Member


Date Joined Aug 2010
Total Posts : 5
   Posted 8/5/2010 12:59 PM (GMT -7)   
The CGM is the size of a small phone and its Real Time glucose readings. They are just now hitting the market. I would reccomend this over anything I have done or tried in the past 10 years. My health care team absolutely loves the data it produces. The is no fudging the results with the CGM - it shows exactly when you missed or was late or mis calculated your insulin injection or show that you know how to count carbs or you don't. Excellent tool for exact carb-to-insultion ratio extraction.

I can't wait for the future when this technology goes to the digial wrist watch devise......let me know if yo have any questions. I will do my best to help out.

Chaul22
Regular Member


Date Joined May 2010
Total Posts : 200
   Posted 8/5/2010 1:39 PM (GMT -7)   
They've been around at least since year 2001, even the live monitoring/reporting type on the US market, but this must be very new on the consumer market. I hadn't heard of that. Still, hundreds of dollars is quite steep. The device I used for 3 days was from the public hospital and the nurse set it up. I didn't pay a thing for the chance to try it out. It was like a very thin needle, no larger than the needle on the insulin pen, sticking out of my stomach and taped in so that it would stay there for the duration. Maybe it had a wireless receiver that I had to carry with me, I don't remember. Is that the same kind? Maybe they'll figure out how to monitor BGL without the needle soon..

I got offered to use one of these devices for 5 days in context of some research project, again for free, but that one I denied because it was only a few weeks after the first try and I wasn't comfortable with it then.

Sir Speedy
New Member


Date Joined Aug 2010
Total Posts : 5
   Posted 8/5/2010 7:05 PM (GMT -7)   
Yes - something like that.
 
We live in the mid-west - and maybe its been around for awhile - all I know is that most of the Physicians I run into have never heard of it and Dexcom said they just introduced it within the past year. As a matter of fact, Dexcom said I was only the 10th customer they had in the Kansas City area with their CGM - who knows - maybe it was a sales tactic - all I know is that it works well for me.
 
It just does not show you what your glucose reading is - it puts it on a trend map and you can see the trend of your readings for the past 3-hours, push a button and you can see the trend for the past 6-hours - 12-hours and 24-hours.
 
Then you can plug it in your computer and print this info out as wells as the last week-month-3 month intervals.
I simply print this info out and you can clearly see a trend develop: Here is and example, by looking at my trends, I noticed that at around 2pm to 5pm my glucose readings were consisting running low on the week-ends - especially in the warner month - Bingo, I am usually outside working on Sat, therefore easy up on the Humalog on Sat. Lunch
Or my readings were running consistanly high on Thursdays after lunch - Bingo, that is Rotary Club meeting day and they do not have very many diabetic lunch options.
 
But like i said the best thing is the beeping when its low (below 60) or high (above 200) - it makes me correct the problem right then and there.
My lows are not as low and my highs are not as high.
I live in a rural area nad the last thing I want is to be in the midle of nowhere with a low glucose reading that I can not recover from. This thing will beep with plenty of time to correct the problem.

Chaul22
Regular Member


Date Joined May 2010
Total Posts : 200
   Posted 8/5/2010 9:20 PM (GMT -7)   
I just meant to say that this type of metering has been around, but surely they develop their products in a fast pace right now.. The one I used 3-4 years ago didn't yet have the live monitoring feature and it was probably from a different manufacturer.

The ones I've heard about only work for less than a week. Then you just change the needle sensor?

Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 8/6/2010 9:33 AM (GMT -7)   
Although gaining in popularity over the past few years, CGMS (continuous glucose monitoring systems) are still relatively new in terms of use. Until very recently, the technology was questionable at best. The older systems weren't wireless and don't show your BGLs in "real time" (have to upload the data to computer and print out), and they also had to be calibrated every time you tested with a meter (didn't absolve one of having to test anyway). I had the opportunity to wear one of those for a week. Interesting data but, I question some of it (due to the calibration aspect).

The other issues are availability and insurance coverage. Here in Canada, only 2 of the 3 new ones (wireles, yay!) are available and none that I know of are covered by insurance here yet. Ontario recently passed a bill that sees adults covered for the insulin pump and supplies but, not the CGMS part. VERY expensive stuff! The most promising product available here is the MiniMed Paradigm insulin pump and wireless CGMS. There a so many more things coming down the pipe, too.

I'm waiting for the insulin pump and CGMS that does the thinking for you :-) Even if a cure is a long way off, it would be nice to have some kind of device that would monitor BGLs and provide appropriate insulin amount as required. Gee, you'd think I was asking for a new pancreas or something :-)

In the meantime, I'll just keep testing 7-10 times/day. At least my strips are covered! :-)
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus
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