CGM sensors, continuous glucose monitor, Dexcom, Medtronic Enlite, Eversense implantable CGM, Abbott

KITLIVING

continued over

W

hat is CGM?

Simply standing

for continuous

glucose

monitoring,

CGM has taken a long time to be truly

appreciated. Considered expensive,

only with increased usage by both HCPs

becoming familiar with the technology

as well as diabetics wearing it, the full

benefits are now coming to light. They

are, at present, 'as well as', not 'instead

of' normal blood tests.

It's being proven through greater

uptake and usage of devices that

CGM is a support to the normal talksof

blood testing and insulin delivery. Often

associated with wearing an insulin pump,

which act as receivers for the CGM data

that is generated, it is often thought that

if you use a CGM you no longer blood

test, but that's simply not the case. CGM

sensors need regular calibrations from

blood test machines. Worn on the body,

CGM can be prone to snagging or can

be a challenge to keep in place for the

required period of time (usually 6 or 7

days) but over time that too becomes less

of a worry as users get used to having

CGM onboard.

CGMs have a set of alarms that can

be set up, alerting the wearer to trends

of blood glucose going up, or down.

The idea being that if you can detect

and prevent these we can go a long

way toward reducing the long-term

complications that come from high and

low blood sugars.

All aboard

CGM should not be confused with

Flash Glucose Monitoring which is the

technology behind Abbott's FreeStyle

Libre sensor (more of that below).

So how much CGM is out there? There

are not many players in this exclusive field.

Medtronic has been at the forefront of

developing sensor technology that works

with its own range of insulin pumps. As

part of the move of CGM sensors away

from solely serving people on pumps,

Medtronic is opening it's Enlite sensor and

reader to a wider audience in a package

called Medtronic Guardian Connect that

does not work with an insulin pump but

with a smartphone.

This consists of an Enlite sensor

worn on the body that uses a Guardian

Link to transmit glucose results every five

minutes via Bluetooth to a free app on

a smartphone, currently only iOS (Apple

technology) with Android coming soon.

Back to the sensor-and-pump

combination, Medtronic also has Smart

Guard technology which operates on

it's MiniMed 640G insulin pumps. This

incorporates 'suspend before low',

whereby the pump is enabled to suspend

insulin delivery when sensor readings go

below an agreed level. This has been

proven to greatly reduce - and even

eliminate - hypos, especially at night

giving users greater confidence in trying

to keep glucose readings in range and

thereby leading to greater overall control.

The purpose of the new Medtronic

Guardian Connect is for people who either

don't want to pump, can't get a pump, or

have Type 2 diabetes and are not being

encouraged to use an insulin pump.

Both options include a system of

alarms that can be adjusted around an

individuals needs and which have been

proven to increase time spent in range.

The alarms can help users eliminate being

too high or too low. Using a smartphone

means much more visibility of the data

for the user (or interested parties -- the

system can also be made to send SMS

alerts to parents, partners or HCPs.).

However, you can't control the pump from

the app (if that is what you are using), nor

is low glucose suspend available as that

only works with a 640G insulin pump.

The system needs calibrating at least

twice a day; you just plug the calibration

from your blood test meter into the app.

Medtronic's Guardian Connect can

be used alongside other pumps - as a

stand-along system, it does not have to

only work with Medtronic's own insulin

pumps. You can set up your own alerts

and you'll see arrows showing you if your

readings are trending up or down.

No cause for alarm

Meanwhile, Dexcom has been making

a lot of waves in terms of pushing

awareness and availability of CGM

forward. While not having an associated

insulin pump of it's own, the push has

been to work towards integration with

other pump suppliers. Notably, it's G5

model has been cleared by the FDA in

America for insulin dosing to be allowed

based on a CGM reading. The FDA

stated in December 2016 that, "The G5

Mobile Continuous Glucose Monitoring

System uses a small sensor wire inserted

just below the skin that continuously

measures and monitors glucose levels.

Real-time results are sent wirelessly every

five minutes to a dedicated receiver and

a compatible mobile device (e.g., smart

phone or tablet) running a mobile app.

Alarms and alerts indicate glucose levels

above or below user-set thresholds. The

system measures glucose in fluid under

the skin and must be calibrated at least

two times per day using blood obtained

from fingerstick tests. However, additional

daily fingerstick blood tests are generally

no longer necessary because unlike other

continuous glucose monitoring systems,

Index

  1. Desang diabetes magazine diabetes information
  2. Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets
  3. Desang diabetes magazine diabetes information, Sue Marshall
  4. Desang diabetes magazine diabetes news
  5. Desang diabetes magazine diabetes news, Type 1 diabetes, Type 2 diabetes
  6. Accu-Chek Eversense implantable CGM
  7. Desang diabetes magazine diabetes news, Type 1 diabetes, Type 2 diabetes
  8. Desang diabetes magazine diabetes news, Type 1 diabetes, Type 2 diabetes
  9. Ascensia Contour Diabetes blood test meters
  10. Diabetes kit diabetes management equipment
  11. Desang diabetes kitbags
  12. diabetic diet
  13. diabetic diet
  14. Tim Omer, hypodiabetic, nightscout, CGM hackers, CGM sensors
  15. Tim Omer, hypodiabetic, nightscout, CGM hackers, CGM sensors
  16. Tim Omer, hypodiabetic, nightscout, CGM hackers, CGM sensors
  17. Tim Omer, hypodiabetic, nightscout, CGM hackers, CGM sensors
  18. London Medical, London Diabetes Centre, private diabetes clinic
  19. London Medical, London Diabetes Centre, private diabetes clinic
  20. CGM sensors, continuous glucose monitor, Dexcom, Medtronic Enlite, Eversense implantable CGM, Abbott
  21. CGM sensors, continuous glucose monitor, Dexcom, Medtronic Enlite, Eversense implantable CGM, Abbott
  22. CGM sensors, continuous glucose monitor, Dexcom, Medtronic Enlite, Eversense implantable CGM, Abbott
  23. CGM sensors, continuous glucose monitor, Dexcom, Medtronic Enlite, Eversense implantable CGM, Abbott
  24. CGM sensors, continuous glucose monitor, Dexcom, Medtronic Enlite, Eversense implantable CGM, Abbott
  25. CGM sensors, continuous glucose monitor, Dexcom, Medtronic Enlite, Eversense implantable CGM, Abbott
  26. Neuropad diabetes footcare
  27. diabetic diet, Dr Malhotra, the pioppii diet
  28. Making Carbs Count goat meat
  29. Making Carbs Count goat meat, the nutritional value of goat meat
  30. DRWF diabetes research and wellness foundation events
  31. Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets
  32. Making Carbs Count, goat meat curry, Romy Gil
  33. Accu-Chek Insight insulin pump
  34. Desang Diabetes Magazine, Living with diabetes, the diabetic diet, carb counting

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