Sue Marshall, Desang Diabetes Magazine, diabetes technology

36

LIVING

you don't need them. The proof is in

the pudding, if you're OK with your

glycaemic control and so is your

healthcare team, then you may have

no need them.

Choosing the right device is a

challenge, but your healthcare team

can help you. Hopefully they know

you, you know them and you can

talk confidently with them. My point

is - don't be scared of alarms, they

are there to help. Ideally though,

they need to be able to be adjusted to

your needs. At the moment, some are

personalisable, some aren't.

Which alarms?

The rest of this is going to be a bit

vague. It will be about the alarms, not

the devices.

To do this properly would need a

comparisons chart, which I will get to

(eventually) I hope it gives you pause

for thought so that you are better

able to understand your options.

Here are six alarms and alerts to

consider - bear in mind these go

across pumps and CGM, and literally

neither has all of these.

• Battery low/low power

Well, that's easy enough to

understand, and it's an alarm worth

heeding. It's a worry isn't it that the

device delivering your live-saving

insulin can run out of puff. As ever,

be prepared, have back up batteries

as required

• Calibrate

That used to be a blood test meter

thing, but it's gone now. Phew.

But calibrating is back big time

with some of the CGMs, though

to trends seems to be that these

are likely to be phased out at the

technology improves.

• Going high

We all need to know if we are going

high, so we can intervene. The

downside is that if your device is

set to give an audible sound, then

everyone around you can hear it.

At the end of the day, who cares if

they do? What matters is you being

safe; this tech is here to help and

advanced warnings about glucose

deviations can be extremely helpful,

and worth having alarms set up to

inform you.

• Going low

Arguably a more dangerous state, a

warning about a low blood glucose

level is massively helpful.

Alerts

These are alerts about your device

- they are vital requirements for

pump and CGM use. They are not

about your control, but the state

of the device and its consumables,

including insulin, such as:

• Insulin cartridge low

• Change set

• Change battery / charge pump

• Change sensor

Reminders

• Do a test

Useful enough if you need the

reminder. For any device, you can set

this to your needs.

• Take your meds

As above, some of us can do with a

reminder. Even someone on a pump

may have other medication to take,

such as pills or powders.

Lifelines

Fitting alarms around your life is

quite big on the wish-list. But it's not

always possible, it's down to what

options are on the device. Most have

some level of input from the user,

others allow for greater flexibility -¬

the better ones in my view, and over

time greater flexibility will become

the norm I hope, when did 'one size

fits all' ever work?

If you do find you are getting fed

up, your first port of call is to talk to

the dedicated Customer Care Lines

set up by the device supplier. Not

only are these people experts on

using the company's devices, but it

takes a bit of pressure off the NHS

and you're more likely to get a faster

response too. If that does not sort

you out, see if anyone you know uses

the same device whom you could talk

to. It's amazing what other people in

the community know about specific

devices and they may have good

advice or work-arounds. But by all

means, if you still have concerns,

by all means contact your HCP for

additional advice and support.

Sleep and social

Where alarms have the most impact

is at night time. First, they're just

plain louder. Second, if you have

a partner then it will affect them

too, unless they are game to wear

earplugs. But that inconvenience and

sleep disruption has to be balanced

(it's always about balance) against the

fear of hypos that can prevent people

sleeping well and actually having a

hypo, which of course is going to

disrupt your night.

Being woken by an alarm that

telling you you're going low lets you

do something to avert a hypo. If you

sleep on your own, then no one else

is there if you don't wake up. It's

swings and roundabouts and down to

you to draw the line where you want

over safety vs. sleep.

As mentioned, if you're in a quite

place your device might 'out' you,

telling anyone near who knows what

it is to have the same information

you have of your blood glucose level.

Family hopefully should not mind,

though maybe judgemental, 'what

have you been eating?'. Business

clients and colleagues might not

understand, or you might not want

them to know, but usually it's easy to

brush off an alert, or you've told them

about your kit they're fine about it.

Afterall, if it keeps you able to work,

then where's the problem?

Alarms are about you. They are

there to assist you. There is - always

a balance* and that's up to you

to assess and enforce (the name

of Diabetes UK's long-standing

membership magazine, Balance, has

always said it all).

Index

  1. Desang Diabetes Magazine, free diabetes magazine
  2. Desang Diabetes Magazine, free diabetes magazine
  3. Desang Diabetes Magazine, free diabetes magazine
  4. Free online Desang diabetes magazine diabetes information, Diabeloop
  5. diabetes news, diabetes research news, diabetes information, diabetes news
  6. Spirit Pharmacy for people with diabetes
  7. Page 0007
  8. Abbott Freestyle Libre 2, Flash Glucose Monitoring, FSL2, Abbott Wellness Factory
  9. Abbott Freestyle Libre 2, Flash Glucose Monitoring, FSL2
  10. JDRF UK Type 1 diabetes charity
  11. Medtrum A6 Touchcare patch pump and CGM in harmony
  12. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  13. Air Liquide Healthcare UK, Tandem t:slim insulin pump, , Control-iQ
  14. Page 0014
  15. Insulet Omnipod DASH insulin pump with insulin pods, podders, Omnipod DASH Personal Diabetes Manager
  16. Page 0016
  17. Dexcom G6 CGM, continuous glucose monitoring
  18. Page 0018
  19. Page 0019
  20. Medtronic MiniMed 780G System Automated for an easier way to stabilise glucose levels.
  21. Medtronic MiniMed 780G System Automated for an easier way to stabilise glucose levels.
  22. Medtronic MiniMed 780G System Automated for an easier way to stabilise glucose levels.
  23. Spirit Pharmacy for people with diabetes
  24. Page 0024
  25. Medtronic Guardian Connect CGM sensor for diabetes
  26. Medtronic MiniMed 780G System Automated for an easier way to stabilise glucose levels.
  27. Page 0027
  28. Desang Magazine, My Diabetes Kit, Charlotte Mitchell the guilty diabetic
  29. Desang Magazine, My Diabetes Kit, Charlotte Mitchell the guilty diabetic
  30. Desang Magazine, My Diabetes Kit, Charlotte Mitchell the guilty diabetic
  31. Diabetes technology education from Diabetes Technology Network DTN
  32. Desang Magazine, My Diabetes Kit, Charlotte Mitchell the guilty diabetic
  33. insulin pump, Dana RS system, artificial pancreas, Advanced Therapeutics UK, CamAPS FX, Dexcom G6
  34. Sue Marshall, Desang Diabetes Magazine, diabetes technology
  35. Page 0035
  36. Sue Marshall, Desang Diabetes Magazine, diabetes technology
  37. Page 0037
  38. Free Desang Diabetes Magazine, diabetes technology
  39. Free Desang Diabetes Magazine, diabetes technology
  40. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  41. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  42. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  43. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  44. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  45. Desang diabetes kitbags, Desang diabetes diaries
  46. Free Desang Diabetes Magazine, diabetes technology

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