Unfortunately, this scene is still very common in meetings catered for and by health professionals. It’s professional to give feedback with ❤️, which I did. It was a high quality dialogue, we’re all here to spread health.
My suggestion for improvement is not to cater any food to
In the United States, a physician order is required to purchase the device, even if using personal funds (which I did – no health care premium dollars were used to subsidize this experiment). In Canada, this is not the case, as physician colleagues there have been able to purchase the device over the counter. The manufacturer will assist by providing the wording of the order that the physician needs to write to allow access at a retail pharmacy.
The device was initially sold as two devices, a reader and a sensor. The reader is still available, but no longer necessary as the sensor now communicates directly with an iPhone via NFC.
Installation and Operation
The system is ingeniously put together. I assume it has to be for something as sensitive as diabetes management. The sensor comes with an applicator that pushes a close to 1″ needle into your upper arm, in my case my triceps muscle. The sensor will stay there 24/7 for 14 days. It is safe to bathe, swim, or workout with the sensor in place. I did all of these things, sometimes quite intensively, and the sensor worked for the entire time.
I have now had incidents of sensor loss either due to scraping my arm against a hard object like a door or another person. I tend to walk in a protection stance when I am wearing the device.
I don’t mind being asked what it is wherever I go. It’s a good test to see how much the population knows about this technology (not very much at all) or the experience of having diabetes. Currently 88% of the US population does not have diabetes. In a future iteration, it might be nice to have a flesh colored sensor that doesn’t stand out as much. In my situation, though, I’ve loved every conversation started with the device.
True and thank you. Today asked "You wear a #CGM and are not diabetic?" And I said, correct, I want to understand more of what it is like to be one (and I never truly will) Always #WorkingToBeAlly ✌️🕊🏳️🌈
This brand of meter arrives calibrated; it will be 1 hour before you get your first reading, and then readings will occur every 15 minutes if you don’t do anything. You can acquire readings more frequently if you’d like, up to 1 a minute.
The sensor will store 8 hours of readings, which means you need to scan the sensor at least that often, or you will lose data. This experience, of being tethered to a device like this, was a good experience for me to have. Why? Because all I needed to do was wand the sensor every 8 hours. This is a fraction of the work that a person living with diabetes must do to maintain their health and prevent life threatening complications.
When a reading is scanned, there’s an option to include information about food (carbohydrate counts), exercise, or other custom notes. The device keeps track of pre-meal and post-prandial readings, which is nice.
The Interface and the Software
The iPhone app has a fairly simple interface and will do some basic trending.
There are two official software options to analyze the data: A desktop software program, and web-based one. The desktop software only works with the older reader-version of the kit. I now exclusively use the web-based version of the software. The phone automatically uploads all readings to the manufacturer’s cloud for analysis.
The iOS software is more elegant in terms of setup and manages a few issues that I noticed with the desktop software’s assumptions about target glucose level and carbs per meal.
The interesting thing is, there’s really no reference on what a glucose level should be for a non-diabetic person on a 24/7 basis. There’s this guidance from Richard Bernstein, MD:
“Keep Your Glucose Levels Tightly Controlled Between 70 and 100 mg/dl all day long, everyday… or else you will pay the consequences.”Source
I am managing to do that quite well, and where I used to do sophisticated analysis with the raw data, I find I can tell stories from the data that’s presented day by day, like this one:
Isn’t it amazing how the liver can shovel glucose into the tissues at high speed, on demand, even though none (glucose) has been eaten (it is):
New Insights, Much Wonderment
To be able to see how your body regulates glucose is really a thing of wonder that we haven’t been able to do until now. I am in awe of what the body can do, and do it well. At the same time, I am also in awe of the impact of the body failing to do what it needs to do well, and how serious a situation that can be, especially if worsened by the nutrition/advice given by the health profession(s).
The photo to the right is one of my first measurements, from the old (reader) kit
88% of people with prediabetes don’t know it
I understand that things like ECGs are being integrated into the wearable world, but really, they don’t hold a candle to the impact of understanding one of the most important risk factors for health and life. This is especially true in a country where the majority (88%) of people with pre-diabetes don’t know they have it, and are therefore very likely to progress to fulminant diabetes.
This paper shows a graphic of the incubation period – up to 10 years before glucose intolerance shows in normal screening
The old reader has now been integrated into our mobile phone. I’m sure the engineers in Cupertino will be able to tell us what will happen to the sensor… 🙂
This is the last nose-to-tail sourced meal of group I experimented with in the last month or so. I’m learning a lot about regenerative grazing, ruminant agriculture, and respect for the spectrum of humanity working to achieve metabolic health.
When it comes to diet, one size does not fit all – we should not add “as long as it’s our size.” It’s healthy people healthy planet, not one or the other.
It turns out there are a plethora of meatball recipes online. I wanted something very simple, with real food, so I simply took a pound of 78% ground beef, added a real egg, and baked for 20 minutes at 400 degrees.
The blood glucose levels
As predicted, this meal, and every one like it, did not raise blood glucose levels.
Isn’t the human body amazing?
We’re in the era of diabetes reversal, why don’t more doctors know?
Thanks (again) for publishing my photo, @Popville, in this piece on the potential of DC Statehood.
This is another view from one of DC’s newest rooftops, in the NoMA neighborhood. Enjoy the photo.
Photo by PoPville flickr user Ted EytanFrom the Mayor’s Office:”Today, Mayor Muriel Bowser testified before the House Oversight and Reform Committee at a hearing on the Washington, DC Admission Act (H.R. 51), the first House hearing on DC statehood in over 25 years. H.R. 51 has been cosponso
My photograph was taken from one of Washington, DC’s newest rooftops, of the NoMA neighborhood, which is rapidly transforming (again). It’s why I call it “NoMAgical”
Photo by PoPville flickr user Ted EytanYou can talk about whatever is on your mind – quality of life issues, a beautiful tree you spotted, scuttlebutt, or any random questions/thoughts you may have. But please no personal attacks and no need to correct people’s grammar. This is a place to vent a