Diabetes educator, Gary Scheiner gives his in-depth review of the newly approved Abbott Freestyle Libre CGM continuous glucose monitor. Faster than the fastest meter. More powerful than point-in-time measurements. Able to leap piles of test strips with a single scan. Look… on pharmacy shelves (soon). It’s a meter. It’s a CGM. It’s FREESTYLE LIBRE! Seriously, this is exciting. Abbott’s Frestyle Libre has finally been approved for sale in the United States. Why the excitement? Because it almost eliminates the need for fingerstick blood glucose measurements. It has features of a CGM (continuous glucose monitor) and a blood glucose meter combined in one device. And it is simple to use, reasonably accurate, virtually painless, and relatively inexpensive ($60 for the durable receiver/scanner, $40 per sensor; insurance coverage pending). Super! How does it work? An applicator device is placed on the back of the arm. With one push, a tiny glucose-sensitive filament is inserted just below the skin, with the waterproof transmitter (about the size of two stacked quarters) attached and adhered to the skin. After a 12-hour warmup period, a signal is sent every minute to a handheld receiver about the size of a small cell phone, and the current glucose level along with a trend arrow and graph of the most recent eight hours of data is displayed. The sensor/transmitter is replaced every 10 days. And because of its accuracy, NO fingerstick calibrations are required. A very similar device has been available in Europe and other parts of the world since 2014. The hardware is basically the same, but there are a few subtle differences between the US version and the European version. The European sensors last 14 days [...]
The 670G represents an important step towards fully automating glucose control. However, it is important to put it in the proper context and set expectations at an appropriate level.
It's awesome that people with diabetes are living normal lifespans, but the current Medicare system is not set up to provide coverage of the technologies that we become accustomed to using when we have commercial insurance coverage to control the disease as well as we can.
Meters should be within 10% of lab values to be considered accurate. The more often a meter falls within 10% (or 10 points) of the lab value, the more reliable it will be.
Heading back to school is an exciting and anxious time for most and no doubt diabetes can add to that anxiety level. Whether your child is very young, newly diagnosed or maybe just heading to a new school this year, the thought of going back to school may have you both on edge.
There are a multitude of different groups working on hybrid closed loop projects, and each one runs on its own unique proportion of automation and brain-power. Here are a few of the projects that were presented and discussed at the ADA Scientific Sessions in New Orleans this past June.
How do the latest Medtronic and Dexcom CGM systems compare?
It can be easy to forget to look at your feet, especially if they feel just fine. This is the best time to take a look! If they feel great, you want to keep them feeling this way and it’s the right time to prevent a problem from starting. Diabetes can be hard on feet over time because high blood glucose levels can cause nerve damage. This damage can cause your feet to feel numb or even painful. Without proper sensation, you may not feel when you have an injury or if your shoes fit too tight, which can lead to calluses, blisters, or other wounds. If left untreated, these wounds can get infected and heal more slowly if blood sugar is high and/or you already have poor blood flow in your feet (peripheral artery disease). 5 Tips to help keep your feet feeling their best: 1. Check your feet every day Evaluate your feet every time you take a shower, or every time you put on or take off your socks and shoes. Look for red areas, blisters, sore or irritated skin as well as scratches or cuts. If it is hard to see the bottom of your feet, use a mirror on the floor to look at the bottom and sides. 2. Apply Moisture Avoid letting the skin on your feet get too dry. Rub in a thick, moisture rich lotion, but don’t put it between your toes—these dark, moist areas are great places for bacteria to build up and cause infection. 3. Protect your feet with well fitted shoes Shoes should be snug but not too tight. There should be room to wiggle your toes in the shoe. If you have [...]
By Diane Herbert MSW, LSW, CDE (pending) If you’re living with diabetes, you have been told many times and in many ways – Check your sugar, test, monitor your glucose, do your finger sticks….. You have also likely been told that this is how you learn your current glucose (sugar) level. I’m wondering how much information you’ve been given about why checking your blood sugar is helpful to you and what it means at different points in your day? Your Body at Work The pancreas and the body are truly amazing when it comes to keeping checks and balances within our systems. As far as your blood sugar goes – the pancreas and the liver perform a seamless dance to metabolize food/energy/sugar to make sure that all the other systems get just the right amount they need at just the right time when they need it. When you live with diabetes, your body’s ability to do that dance breaks down and requires that a third partner be entered into the mix – that partner is you! Your non-diabetes pancreas and liver had blood sugar management skills literally hardwired into their DNA. These are skills that we from the outside continue to only dream about matching. Effortlessly these amazing organs knew how much to adjust for exercise, when to release insulin quickly, when to dole it out slowly over hours, and how to auto-correct with a perfect shot of glucose if we added a late variable to the mix (say going on a roller coaster after eating pizza). Now living with diabetes – that balancing act largely rests on you to perform manually. How can you hope to be able to return to the smooth, graceful [...]
It is with great pleasure that we have a special opportunity to post Dr. Steve Edelman & Dr. Jeremy Pettus's ADA recap from the recent ADA Scientific Sessions in Boston.
It’s great when there are tips or tools that help us remember when to do something or products that make carrying all our “stuff” a bit easier. Little thing can helps us balance diabetes a bit better.
For those of us who use an insulin pump, changing out the insulin and tubing is one of the more time-consuming tasks we have to endure.