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2018 Continuous Glucose Monitors

/2018 Continuous Glucose Monitors

Senseonics Eversense Continuous Glucose Monitor Review

By |2018-12-05T21:01:54+00:00December 5th, 2018|2018 Continuous Glucose Monitors|

Pros & Cons of the Senseonics Eversense Continuous Glucose Monitor Unique Advantages: Pros Approved Sensor life 90 days Variety of vibrate & audio alerts via phone app Transmitter vibrates for alerts when out of range of phone Data back fills when away from phone/receiver Real time alerts for high, low, rate of change, or predictive low Not impacted by acetaminophen use Real-time sharable data Transmitter can be removed and replaced without sensor change Least medical waste Potential Drawbacks: CONS Sensor insertion (and removal) requires incision in physician’s office  24 hour warm up period after insertion Requires twice-daily calibration Transmitter requires daily or bi-daily charging Data upload not compatible with third party software Not Medicare approved Data not collected if transmitter not worn

Freestyle Libre 14 hour Continuous Glucose Monitor Review

By |2018-12-06T15:20:07+00:00December 5th, 2018|2018 Continuous Glucose Monitors|

Pros & Cons of the Freestyle Libre 14 hour Continuous Glucose Monitor Unique Advantages: Pros No calibration needed Sensor life 14 days Single button press insertion Low profile transmitter Lowest cost 1-hour warm up (shortest) Glucometer built into reader Reading updated every 60 seconds, recorded to memory every 15 minutes, Sensor stores up to 8 hours of data if not read. Reader accepts notes or events Medicare approved Data upload software Potential Drawbacks: CONS No realtime high/low alerts Need to carry reader and scan sensor to get data No “sharing” feature Calibration not available to improve accuracy. Widest inaccuracy in low glucose range Reader requires up to 3 hour charge every 7 days Freestyle software uploading can be confusing and reports are not interactive May be impacted by Vitamin C and aspirin Events must be entered at time of event (cannot back-enter) Transmitter adhesive may not last 14 days A Flash (meter) in the pan: My Review of Freestyle Libre Flash Glucose Monitor after 10 days, by Alicia Downs It’s Libre, Man! In-Depth Review of the Newly Approved Freestyle Libre, by Gary Scheiner Analysis of accuracy for the Freestyle Libre glucose monitor

Medtronic Guardian3 – 670G or Guardian Connect CGM Review

By |2018-12-06T15:20:38+00:00December 5th, 2018|2018 Continuous Glucose Monitors|

Pros & Cons of the Medtronic Guardian3 - 670G or Guardian Connect Continuous Glucose Monitor Unique Advantages: Pros Available with 670G integration or Guardian Connect app (but not both) Approved Sensor life 7 days (sensors may be reused) Customizable alerts for different times and days Single-button insertion Vibrate & audio alerts only limited by phone’s options (Guardian Connect only) Real time alerts for high, low, rate of change, or predictive low/high Real-time sharable data (Guardian Connect only) Sugar IQ companion app generates reports, indicates patterns/trends (Guardian Connect only) Potential Drawbacks: CONS 2 hour warm up time Complicated taping procedure Multiple tapes can cause skin skin issues Requires at least once calibration every 12 hours Stops generating data if not calibrated Transmitter requires 10-20 minute charge every 7 days Only compatible with Medtronic pumps, apps, and uploading Guardian Connect Apps available only on Apple devices Impacted by acetaminophen use Fair accuracy 670G and Me: Insights and Incites on Medtronic’s Latest System, by Gary Scheiner Loop vs. 670G: A Case Study in Government Oversight vs. Grassroots Innovation, by Gary Scheiner Point/Counterpoint: IDS Clinicians Offer Different Perspectives on the Medtronic 670G Medtronic 670G: Changing the way we think about diabetes management, but in a good way?, by Alicia Downs

Dexcom G6 Continuous Glucose Monitor Review

By |2018-12-05T21:06:12+00:00December 5th, 2018|2018 Continuous Glucose Monitors|

Pros & Cons of the Dexcom G6 Continuous Glucose Monitor Unique Advantages: Pros No calibration needed Calibration available to improve accuracy Approved Sensor life 10 days Customizable alerts for different times and days Single button push insertion Vibrate & audio alerts Interoperability to Tandem X2 pump Sends data to phone app (and apple watch), receiver, or pump. Real time alerts for high, low, rate of change, predictive urgent low “Always sound” feature can sound alerts when phone is on silent. Not impacted by acetaminophen use Real-time sharable data Approved for children over 2 Medicare approved Clarity companion app automatically uploads data, generates reports Potential Drawbacks: CONS Transmitter must be replaced every 3 months  Lots of medical waste with sensor inserters Occasional delays receiving product orders and technical support Re-use of sensors involves a difficult process Costly sensors and transmitters