Matthew Anson, blood testing, HbA1c, CGM and Time In Range

KITLIVING

and should confirm to the International

Organization for Standards ISO 15197

Standard for blood glucose monitoring.

All home glucose meters must reach a

certain level of accuracy, but inevitably,

there will be variation between meters.

This is generally not a problem, as we

tend to stick to one meter for daily use

and seldom compare the readings with a

spare meter to confirm its accuracy.

The same cannot be said for CGM

and flash glucose monitoring.

Sensors detect glucose in the fluid

surrounding tissues (interstitial body fluid),

which lags behind blood glucose by

about 15 minutes. Comparing readings

from a traditional meter with a glucose

sensor will usually not give concordant

numbers, especially if glucose levels are

fluctuating rapidly, and it is for times like

this where blood glucose should be relied

upon for precise insulin and carbohydrate

calculations.

The more you compare glucose

readings from any two devices, the more

likely you are to see a discrepancy, and

this can go some way to explaining the

perceived inaccuracy of CGM. With

sensor accuracy improving year-byyear,

the subjective trade-off between

point accuracy of blood glucose and the

long-term trends such as time-in-range

provided by continuous monitoring may

not be a concern in the future. Glucose

The major limitation of 'time in range' is that

it can only be gleaned by use of CGM sensor

technology constantly measuring blood

glucose, yet it is a much more powerful and

accurate representation of glucose control, far

superior to HbA1c.

sensors have already gained the trust

of the DVLA, which has updated its

guidelines allowing CGM and flash

glucose monitoring to be valid for driving

purposes as well as blood test meters.

Numbers game

So it does seem that inevitably numbers

and 'big data' will play an ever more

important role in the management of

diabetes. Supporting and educating

healthcare professionals, patients and

their carers will ensure that this transition is

both smooth and rewarding for everyone

involved and resulting in improved control

and therefore 'better' numbers - and

outcomes.

"

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 kitbags, free online diabetes magazine, diabetic kit
  6. Now Patient repeat prescription delivery service
  7. Now Patient repeat prescription delivery service
  8. Desang diabetes magazine diabetes news, Diabetes UK
  9. Now Patient repeat prescription delivery service
  10. Desang diabetes magazine diabetes news, Diabetes UK
  11. JDRF Type 1 tea party, raise awareness Type 1 diabetes
  12. Desang diabetes magazine diabetes diet
  13. Page 0013
  14. Roche Diabetes Care UK
  15. Dexcom CGM, continuous glucose monitoring
  16. Page 0016
  17. Input diabetes, help to get diabetes technology, access to diabetes technology
  18. Sleeping and diabetes, sleep and diabetes, diabetes and sleep
  19. Sleeping and diabetes, sleep and diabetes, diabetes and sleep
  20. Sleeping and diabetes, sleep and diabetes, diabetes and sleep
  21. Ascensia Contour Next One Diabetes blood test meters
  22. Sleeping and diabetes, sleep and diabetes, diabetes and sleep
  23. Ypsomed MyLife Diabetes care blood glucose monitoring systems
  24. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  25. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  26. Matthew Anson, blood testing, HbA1c, CGM and Time In Range
  27. Dexcom CGM, continuous glucose monitoring
  28. Page 0028
  29. Matthew Anson, blood testing, HbA1c, CGM and Time In Range
  30. Omnipod Insulet insulin pump with insulin pods, podders
  31. Omnipod Insulet insulin pump with insulin pods, podders
  32. Omnipod Insulet insulin pump with insulin pods, podders
  33. Omnipod Insulet insulin pump with insulin pods, podders
  34. Making Carbs Count, carb counting for diabetes
  35. Desang Diabetes Magazine, Making Carbs Count, carbohydrate counting for diabetes
  36. Accu-Chek Insight insulin pump
  37. Accu-Chek Insight insulin pump
  38. Desang Diabetes Magazine, free diabetes magazine, living with diabetes

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