Dexcom CGM, continuous glucose monitoring

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ISSUE 88

DIABETES MAGAZINE

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It's free...

so on. Our devices had to adapt around

circumstances like that, what do you do if

you break your phone, now how do you

see your data?"

The latest phase of the CGM revolution

is integrated CGM (iCGM), where sensors

are being used to help automate insulin

delivery in pumps, further leveraging

connectivity (or as it is also often referred

to, interoperability or IOP). Says Sayer,

"Dexcom is the best-in-industry in terms

of accuracy and performance. You can

rely on it and it doesn't need calibrating,

which makes for a much easier experience

for the user, and they can share their

data with whomever they want to. That

means the person with diabetes can get

further analysis from the data by talking

to advisers."

Plenty of proof

Sayer explains, "There had already been

plenty of proof as regards the benefits of

using CGM in pregnancy, but it had to be

proved with a study in order to get the

mark. In fact, we'd advise that women

do not stop using it when the pregnancy

is over. Early motherhood can be pretty

chaotic, having a sensor on will help to

keep control of the mother's diabetes,

allowing the mother to get on with looking

after her baby. It is also possible that

sensors can be used as a diagnostic

device in pregnancy. If a sensor is worn,

it could pick up on gestational diabetes,

for example."

At the moment the method to

establish diabetes is usually a glucose

tolerance test. Without a doubt this is a

bit of a rough way to go about it. Ideally

it would be good to make a diagnosis

without having to put somebody, who

potentially has diabetes, through a test

that involves them swallowing huge

amounts of glucose in order to prove that

they can't tolerate it.

"Additionally," says Sayer, "Once you

are on sensors, you are immediately

talking about how much time is spent

in range (TIR) as opposed to an HbA1c

test, which is a three-month average. That

really isn't that helpful in pregnancy."

Interoperability

The system was designed from the

beginning for integration, the idea that

data is put into a platform where people

can easily access it. "The data format

used is universal," says Sayer, "So it's

easy to pull the numbers in. Dexcom is

available to be integrated into any other

device that allows access. It is already

integrated with Tandon's t:slim X2 insulin

pump. Next will be the Omnipod Horizon,

then Lilly's new connected insulin pen (it's

already connected in the US)."

The next generation of G6 is the G7

also due out in 2021, however at the

moment studies are obviously on hold, so

there will be a slight delay in the launch.

People in the UK are unfortunately

highly aware of the fact that most sensor

use is not supported by the NHS. The

majority who are on CGM pay for it

themselves (the term is to 'self-fund'). Of

course, not everyone can afford sensors

as the costs presently stand. But part of

Dexcom's long-term plan has been to

bring the cost down in order to increase

access and uptake of its sensors.

"The truth is that people perceive

sensors as costly, but they are not," says

Sayer. "The sooner you can diagnose

someone, the sooner they can be treated

and the less impact the condition will

have on them in the long run, which

means less cost overall, both in terms of

money but also quality of life - avoiding

amputations, loss of work and all the rest

that badly controlled diabetes can bring.

New patients get CGM immediately in the

US, it is seen as a game changer. And as

for the user experience," adds Sayer, "If

anything does go wrong, we tend to know

about it pretty quickly - our customers

tell us, we listen, and we react. Our aim

is for increasingly seamless and helpful

support."

www.dexcom.com

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Index

  1. Free online Desang diabetes magazine diabetes information
  2. Abbott Freestyle Libre, Flash Glucose Monitoring
  3. Desang diabetes, magazine diabetes information, Sue Marshall diabetes
  4. Desang diabetes magazine, diabetes news
  5. BD, Becton Dickinson, injection technique, BD pen needles
  6. Desang diabetes magazine diabetes news
  7. Desang diabetes magazine diabetes news
  8. Dexcom CGM, continuous glucose monitoring
  9. Diabetes technology education
  10. Dexcom CGM, continuous glucose monitoring
  11. Dexcom CGM, continuous glucose monitoring
  12. Intellin, Chris Genders, diabetes health information app, Type 2 diabetes
  13. Medtronic Minimed 670G hybrid closed loop insulin pump
  14. Medtrum A6 Touchcare patch pump and CGM in harmony
  15. Spirit pharmacy national medicines dispensing service and advice for people with
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  17. Diabetes and coronovirus, diabetes Covid-19
  18. Diabetes and coronovirus, diabetes Covid-19
  19. Ascensia Contour Next One Diabetes blood test meters
  20. Page 0020
  21. Diabetes UK helpline
  22. Mike Kendall diabetes every day ups and downs, T1 resources
  23. Professor Partha Kar diabetes NHS sugar blog
  24. diabetes tech
  25. diabetes tech, tandem diabetes care, abbott CGM, Tandem t slim insulin pump, medtronic diabetes care
  26. Roche Diabetes Care France, Biocorp Mallya, Tandem diabetes care, Gvoke Hypopen
  27. Medtrum A6 Touchcare patch pump and CGM in harmony
  28. Diabetes Medical ID, MediPal, Bulter and Grace diabetes ID
  29. Diabetes Medical ID, medic alert, MediTag, Universal Medical ID UK
  30. Diabetes skin care
  31. Diabetes skin care
  32. Air Liquide Healthcare UK Tandem t:slim insulin pump with Basal IQ
  33. Air Liquide Healthcare UK Tandem t:slim insulin pump with Basal IQ
  34. sugarBEAT continuous glucose monitoring from Nemaura Medical for Type 2 diabetes
  35. Page 0035
  36. Reporting HbA1c
  37. Insulet Omnipod DASH insulin pump with insulin pods, podders, Omnipod DASH Personal Diabetes Manager
  38. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  39. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  40. Making Carbs Count, Carbohydrate counting for diabetes
  41. Making Carbs Count, Carbohydrate counting for diabetes
  42. Making Carbs Count, Carbohydrate counting for diabetes
  43. : Desang diabetes kitbags, bag for diabetes kit
  44. Free online Desang diabetes magazine diabetes information

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