#CGMs

[needlepokes]

how to write a diabetic character: CGM edition

is your diabetic character wearing a CGM? do they have to? CGMs these are Continous Glucose Monitors that can detect how much sugar is in your bloodstream.

How are they different than tradtional fingerprick (blood) tests? they take blood sugar readings 24/7, and provide you with how your sugars are doing at all times, rather than just at that moment. This leads to tremendously better control over blood sugar.

The way they work is that they can "sample" your blood sugar by testing your subcutaneous tissue for sugar levels then adjusting that value.

However, they're less accurate than a fingerprick (blood) reading and will often "lag" behind by about 15 minutes.

SO if you have a character who is expereincing low or high blood sugar - they'd get an alarm on their CGM, and then they might take a fingerprick reading to make sure. CGM false alarms DO exist and it can cause some very annoying situations.

A less careful/depressed/struggling/burnt out character might A. not care or "sleep through" alarms B. not double check with a finger prick C. not care that they're wearing a CGM - pump into stuff or just rip it off (although they are very expensive!).

can you mute them? yes, and a character might choose to do this while they're sleeping, having an exam, or if they know they're about to fuck up their blood sugar.

how long do they last? the libre ones last 14 days. the dexcom ones last up to 10 days.

can you shower with them? yes

can you swim with them? yes

can you have sex with them on? yes, and i've read very funny anecdotes from diabetics having to pause during sex because their cgm was beeping

are they expensive? yes! sometimes, they're covered by insurance, but not completely. If a character is in poverty, or do not have insurance, they likely would have to rely solely on fingerpricks.

Who usually uses CGMs? they are very widespread between T1Ds and are increasingly being used by T2Ds as well.

can you share the readings on multiple devices? yes! your character might share their info with their SO, parents, roommates, close friends...etc. It is genuienly one of the most telling signs of a close relationship between people - because those people will see your "mistakes" and decisions.

where do you stick them? the libre ones (circular ones) officially just go on the back of your arm. The dexcom ones can go on just about anywhere that's "soft" - stomach, thighs, back of arm, chest...etc.

does putting them on hurt? sometimes! the way they are installed involves a needle going into the skin then sitting in the subcutaneous tissue. This can sometimes cause some bleeding, and soreness for a few hours.

Often times the process is completely painless, but this is not the case for everyone. A thinner character might struggle to find a place "cushy" enough for a cgm.

can you put them on your own? yes the process is made for one person to stick it on, but i've seen some couples on instagram act all romantic and sappy about applying it together, so that should give you some ideas for your diabetic characters' budding romances ;)

Some CGMs are just naturally faulty, i'd say about 4 sensors is a busted one, and in that case you'll have to replace them - which most companies just do without any hassle.

do they work with insulin pumps? some insulin pumps can work in tangent with CGMs and provide feedback for the user to automatically generate the correct doses of insulin, depending on their current blood sugar.

do they come off easily? depends on who you're asking. some people swear up and down that they never last and have to put on patches, which are admittedly very cute. Weather, clothing, and how clumsy a character is all factor in this. For me personally i just put them on raw and keep them together by sheer willpower.

CGMs can cause anxiety in diabetics. The constant flow of information can easily burnout people, and this can possibly be the case for any diabetic character you might write. Seeing arrows going down or up can be very distressing, especially knowing how painful some of the consequences are. I personally take breaks for both myself and my wallet from using CGMs to avoid burn out.

nonetheless, CGMs are WONDERFUL pieces of technology that have personally made me much happier as a diabetic, freer and a lot more independent.

does your character want their CGM to show? lots of people, including myself don't like revealing their CGMs - but your character might like showing them off!

and lastly - my favorite thing about CGMs - taking them off and having a "naked" shower once a month where i dont have to worry about it coming off. - They look like this:

#actually diabetic #diabetes #writing tips #diabetic #CGMs #dexcom #freestyle libre #T1D #T2D

[clatterbane]

CGMs' from a doctor's perspective in non-diabetics-discussion. And my question about influencers who discuss "spikes" and the misinformation spread to those of us who use CGMs.

Came across this in another sub; many people use CGM's who do not have diabetes and it's an interesting discussion about how people use this info without having the background knowledge of one's own endocrine system. I see an increase in people coming into diabetes subs to discuss "spikes" or "spiking their insulin" and thought this video is quite relevant to that discussion. How people are turning to disordered eating, or not understanding the absolutely normal functions (up and down) of their own pancreas. Also, I'm looking at the sheer amount of "influencer" discussing "spikes" and then spreading misinformation. This part of the video discusses misinformation of CGM within non-diabetic populations. thought it was quite interesting!

The relevant sections should start around 4.40 mins: https://www.youtube.com/watch?v=4BUAIyGVlac&t=280s

EDIT: I think this is allowed in the sub-meant to be a discussion about CGM's and people without diabetes and how it can cause anxiety in people. If not allowed let me know. I am T1 and have heard these types of comments in real life, and them trying to compare their (non T1) data to mine etc.

Edit 2: the rest of the video is not relevant to this discussion. The CGM discussion is 4.40 to about 11 minutes.

I don't have the spoons to say much about this myself right now, but would also recommend the video link. I'm all for people doing whatever the hell they want with their own bodies--and everyone having access to the necessary technology!

But, things really have gotten this goddamn ridiculous with the fearmongering aimed at the conscientious walking worried well, feeding (haha!) straight off our society's fucked-up relationship with food and pervasive ableism. With such a variety of lucrative quackery attached to it. It's honestly pretty distressing to think about.

#medical stuff #quackery #ableism #diabetes #cgms #look out honey cause i'm using technology #alarmism #fearmongering #disordered eating

[nojoom]

it’s weird to expect chronically ill people to feel joy when they acquire medical devices, just because they’re expensive or “improve quality of life” - yeah lots of us are grateful and ARE overjoyed we have tech that makes life easier (mostly because we’ve suffered for a long time with terrible alternatives)- but it isn’t, like, a luxury purchase. and expecting us to behave like it is feels really wrong. most of the time, it’s like buying a very annoying warranty on a car or paying off an electricity bill. it’s just maintenance that i could’ve spent on things that actually bring me joy

#i assume this is how all chronically ill people thing i apologize if it isn’t #luna's diabetic tag #cgms #actually diabetic #actually chronically ill #chronic illness

[princesscatherinemiddleton]

The Duchess of Cambridge visited Manchester to attend the Children’s Global Media Summit at the Manchester Central Convention Complex | December 6 2017

#mine #royaltyedit #kate #manchester17 #cgms

[v-2-fm]

#goodnigth #photooftheday #cgms #photographylovers

[nmsc-market-pulse]

Continuous Glucose Monitoring Systems (CGMS): Revolutionizing Diabetes Management

The landscape of diabetes management is witnessing a significant transformation, primarily fueled by the advent and adoption of the Continuous Glucose Monitoring Systems (CGMS) Market. These innovative devices offer real-time insights into glucose levels, empowering patients with diabetes to make more informed decisions regarding their diet, exercise, and medication.

The evolution of CGMS technology not only marks a leap towards enhanced quality of life for individuals with diabetes but also unfolds a new chapter in the cost-effectiveness and accessibility of diabetes care. This article delves into the burgeoning CGMS market, highlighting its implications for cost-effectiveness in diabetes management and examining the shifts in insurance policies and healthcare regulations that are broadening its reach.

Secure a FREE sample: https://www.nextmsc.com/continuous-glucose-monitoring-systems-market/request-sample

The Rising Tide of CGMS Adoption

The global CGMS market is on an upward trajectory, driven by a growing prevalence of diabetes, technological advancements, and an increasing awareness of the benefits of continuous glucose monitoring. These devices, which measure glucose levels at regular intervals throughout the day and night, offer a dynamic picture of blood glucose trends. Unlike traditional blood glucose meters, CGMS provide users with actionable insights to preemptively manage glucose highs and lows, potentially reducing the risk of complications associated with diabetes, such as cardiovascular disease, nerve damage, and kidney failure.

Cost-Effectiveness of CGMS: A Closer Look

The initial cost of CGMS, including the purchase of the device and ongoing expenses for disposable sensors, may seem steep compared to traditional fingerstick glucose meters. However, a deeper analysis reveals a different story when considering long-term healthcare costs associated with diabetes management. Studies have shown that CGMS can lead to a significant reduction in HbA1c levels, which correlates with a decreased risk of diabetes-related complications. By preventing these complications, CGMS can offset their upfront costs through savings on future healthcare expenditures, such as hospital admissions, treatments for complications, and reduced need for emergency care.

Moreover, CGMS can enhance the quality of life for individuals with diabetes, offering them peace of mind and reducing the burden of constant blood glucose monitoring. The ability of CGMS to provide real-time feedback and alerts can also improve glycemic control, further contributing to its cost-effectiveness.

Insurance Coverage and Healthcare Regulations: Expanding Access to CGMS

Recognizing the long-term benefits and cost savings associated with improved diabetes management, insurance providers and healthcare policymakers are increasingly supporting the adoption of CGMS. In recent years, there have been notable changes in insurance policies and healthcare regulations that are making CGMS more accessible to a broader population.

Medicare and Medicaid: In the United States, Medicare expanded its coverage for CGMS, including for individuals with Type 1 and Type 2 diabetes on intensive insulin therapy. This decision has set a precedent, encouraging other insurance providers to follow suit. Medicaid coverage for CGMS also varies by state, but there is a growing trend towards inclusion, especially for patients demonstrating a need for intensive glucose monitoring.

Private Insurance: Many private insurance companies have revised their policies to cover CGMS for a wider range of patients, including those with Type 2 diabetes not on insulin. These policy changes are often based on accumulating evidence supporting the clinical and economic benefits of CGMS.

International Perspectives: Beyond the United States, countries across Europe, Asia, and elsewhere are also expanding access to CGMS through national healthcare systems and insurance schemes. This global shift is facilitated by the recognition of CGMS as a tool for proactive diabetes management, capable of reducing long-term healthcare costs.

Regulatory Support: Healthcare regulators, such as the U.S. Food and Drug Administration (FDA), have been proactive in approving new CGMS technologies, further driving market growth. Regulatory support has also encouraged innovation, leading to the development of more accurate, user-friendly, and affordable CGMS options.

Inquire before purchasing: https://www.nextmsc.com/continuous-glucose-monitoring-systems-market/inquire-before-buying

Challenges and Future Directions

Despite the promising trajectory of the CGMS market, challenges remain, including disparities in access due to socioeconomic factors, the need for ongoing patient education and support, and the integration of CGMS data with healthcare systems for optimal diabetes management. Addressing these challenges requires a concerted effort from device manufacturers, healthcare providers, insurers, and policymakers.

As the CGMS market continues to evolve, future directions may include further technological advancements, such as non-invasive monitoring methods, integration with insulin pumps for automated insulin delivery, and enhanced data analytics for personalized diabetes management. Additionally, continued efforts to expand insurance coverage and reduce out-of-pocket costs for patients will be crucial in making CGMS accessible to all individuals with diabetes, regardless of their economic status.

Conclusion The CGMS market is at the forefront of a paradigm shift in diabetes management, offering promising prospects for improved glycemic control, enhanced quality of life, and long-term cost savings. As technology advances and healthcare systems adapt, CGMS is set to become an integral component of diabetes care. The ongoing expansion of insurance coverage and supportive healthcare regulations are pivotal in ensuring that the benefits of CGMS can be realized by a diverse population of patients with diabetes, marking a significant step forward in the quest for more effective, efficient, and equitable diabetes management.

Also Browse:

#CGMS #continuous glucose monitoring #healthcare industry #market research

[diabetesandmanagement]

Diabetes Management with CGMs like Freestyle Libre 2

Managing diabetes can be a challenging task, requiring frequent monitoring of blood glucose levels to prevent complications. Fortunately, advancements in medical technology have made diabetes management easier and more efficient. One such innovation is Continuous Glucose Monitoring (CGM), which allows people with diabetes to monitor their glucose levels in real-time using a small sensor. One of the most popular CGMs on the market is the Freestyle Libre 2. In this article, we will explore how CGMs like the Freestyle Libre 2 can improve diabetes management.

What is a CGM?

A CGM is a device that continuously measures glucose levels in the interstitial fluid using a small sensor inserted into the skin. The sensor sends glucose readings to a handheld device or a smartphone app, allowing users to monitor their glucose levels in real-time.

How does the Freestyle Libre 2 work?

The Freestyle Libre 2 Sensor Kit uses a technology called Flash Glucose Monitoring (FGM), which provides users with glucose readings every minute without the need for fingerstick tests. The sensor measures glucose levels in the interstitial fluid using a small electrode that is inserted into the skin. To take a glucose reading, users simply hold the handheld reader close to the sensor, and the sensor sends the glucose data wirelessly to the reader, which displays the glucose reading in real-time.

Benefits of using CGMs like the Freestyle Libre 2

Continuous glucose monitoring

CGMs like the Freestyle Libre 2 provide users with continuous glucose monitoring, which means that they can monitor their glucose levels in real-time without the need for fingerstick tests. This makes it easier for people with diabetes to manage their condition and make informed decisions about their treatment.

Improved accuracy

CGMs like the Freestyle Libre 2 have been shown to be more accurate than traditional fingerstick tests. This is because the sensor measures glucose levels in the interstitial fluid, which is known to reflect changes in blood glucose levels more quickly than fingerstick tests.

Trend data

CGMs like the Freestyle Libre 2 provide users with trend data that shows how their glucose levels are changing over time. This makes it easier for people with diabetes to identify patterns and adjust their treatment accordingly.

Alerts

The Freestyle Libre 2 also comes with customizable alarms that alert users when their glucose levels are too high or too low. This is especially useful for people with diabetes who are prone to hypoglycemia or hyperglycemia.

Convenience

CGMs like the Freestyle Libre 2 are convenient for people with diabetes who lead active lifestyles. The sensor is designed to stay in place for up to 14 days, and it is water-resistant, which means that users can shower or swim while wearing it.

Conclusion

CGMs like the Freestyle Libre 2 are a game-changer in diabetes management. They provide users with continuous glucose monitoring, improved accuracy, trend data, customizable alerts, and convenience. With a CGM, people with diabetes can better manage their condition and reduce the risk of complications. However, it is important to note that CGMs are not a replacement for traditional fingerstick tests, and people with diabetes should work with their healthcare provider to determine the best management plan for their individual needs.

#diabetes #diabetic #cgms #freestyle libre

[oandersonamorim]

2022… . . . . . . #boy #girls #men #cgms #ms #campograndems #matogrossodosul #brasil #instragram #God #family #friends #boysloveboys #FearlessTV #RedTV #reputationTV #speaknowTV #taylorswiftTV #lover #folklore #evermore #midnights #taylorswift (em Em Campo Grande MS) https://www.instagram.com/p/CmFf9Jpp4Nt/?igshid=NGJjMDIxMWI=

#boy #girls #men #cgms #ms #campograndems #matogrossodosul #brasil #instragram #god #family #friends #boysloveboys #fearlesstv #redtv #reputationtv #speaknowtv #taylorswifttv #lover #folklore #evermore #midnights #taylorswift

[charlescandles]

Derby 50k, great weather, awesome volunteers and great company. Sugars tad high at the star but manageable after 1/4 in the event. Tons of fun, 6th Derby #insanerunning #ultrarunning #running #runner #runitfast #charitymiles #t1drunner #cgms #medtronic640g #diabetic #diabeticrunner #derby50k (at Ellerbe, North Carolina) https://www.instagram.com/p/CldyZECLjPL/?igshid=NGJjMDIxMWI=

#insanerunning #ultrarunning #running #runner #runitfast #charitymiles #t1drunner #cgms #medtronic640g #diabetic #diabeticrunner #derby50k

[ursumartins]

Noite no @mrhoppycg Obrigado 🙏 . . #musicaaovivo #cgms (em Campo Grande, Brazil) https://www.instagram.com/p/Ch_U9xMDVwZ/?igshid=NGJjMDIxMWI=

#musicaaovivo #cgms

[needlepokes]

🫶🏼

#actually diabetic #t1d #diabetes #type 1 diabetes #cgms

[clatterbane]

What feels like an embarrassment of riches in today! 😎

Now that I am fully covered, it was time to start getting the Libre sensors through the usual channels. Which apparently involves just requesting more through the local health authority, so they can evidently just tell the manufacturer to ship some to you directly.

Guessing you might be able to just do that through the healthcare web portal, but I still don't have access yet. So, Mr. C needed to call them. And didn't remember I'd gotten one bad sensor, so put it off until a few days before my last one expired last week. 😩

Thankfully those didn't take super long to ship, but yeah. I ended up going without since Thursday, and was extra glad to see these once he got off work today and picked up the package!

The rest of the booty is now duly stashed on my dedicated shelf of mainly diabetes shit! 😅 Haven't even gotten all the stray glucose meters and stuff in there yet.

Even more impressed at just how important the CGM data is for decent management--not to mention basic safety! 😰--after months of having it to work from. Even harder to believe that this was not NHS standard of care now that I've experienced the difference, bad as the system is about ill-advised pennypinching in general. (I understand that at least the Libre 2 is recently finally starting to be covered more for T1, but jfc. I never even saw an endo there, as some indication.)

I've actually been doing more finger stick testing the past few days than I regularly did when that was all I had to rely on. Thankfully, my blood sugar levels had mostly settled back down from the craziness with that last virus, and I had pretty much gotten insulin dosages stable again. My eating ability/food intake has also thankfully been staying steadier lately. So, at least my blood sugar responses were staying more predictable. (As much as they ever will...)

It was still pretty stressful, flying by the seat of my pants, based on a few blurry snapshots for navigation. And, of course, without any warnings available if something did start going dangerously wrong. As they can pretty damned fast, and for no apparent reason.

"Sir, that is my emotional support constant glucose display!"

(With Diabox still being sorta bitchy about consistently reading the new sensor over Bluetooth, but meh. Not unusual for a few hours.,)

Very glad to get that going again, at any rate. And we should be set for a few months. 👍

#personal #cgms #look out honey cause i'm using technology #libre 2 #diabetes #type 1 diabetes #t1 diabetes

[oswaldojop]

#REPOST @thauannunesmatias with @get__repost__app #nightphotography #pixelcam #brasil #cgms https://www.instagram.com/p/Cf0rbHDuOdq/?igshid=NGJjMDIxMWI=

#repost #nightphotography #pixelcam #brasil #cgms

[princesscatherinemiddleton]

The Duchess of Cambridge visited Manchester to attend the Children’s Global Media Summit at the Manchester Central Convention Complex, where she visited the BBC Children’s department to see how the BBC runs interactive workshops called “Stepping Out” sessions | December 6 2017

#mine #royaltyedit #kate #manchester17 #cgms

[annagaw]

Stop staring at me, Granger, I’m trying to study.

#dramione #dhr #dramione til I dra-die-one #Where is ur tie draco u slob #(I forgot to draw it) #Spent too long on those textbook pages I’ll tell you that for nowt #Hermione is a cgm girlie now she’s figured her shit out

[zurko48]

#this is the most annoying thing ever actually like. why ru lying to me >:( #type one diabetes #actually diabetic #diabetic #diabetes #t1d #type one diabetic #dexcom #cgm #constant glucose monitor