← Return to Wakeup Blood Glucose Test
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Diabetes & Endocrine System | Last Active: Apr 21, 2023 | Replies (15)
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Replies to "@cehunt57 - after the first 24 hours after sensor application, I see a fairly good correlation..."
@annabelle6dawgs thank you for your response in this group discussion regarding blood sugar testing. Sharing stories and trading information is always helpful. We got into talking about continual glucose monitoring (CGM).
Here’s a little background on my need for CGM. Diabetic (Type 1) for 48 years. I have not used pharmaceuticals or nutraceuticals for treating diabetes because what I most needed was insulin. Nearly 18 years ago I had a pancreas transplant. It is only partially functioning at present and may be partly responsible for the difficulty in tracking and leveling my blood sugar. My healthcare providers include a local endocrinologist, nurse practitioners, certified diabetes educators and nutritionists / dietitians well versed in diabetes and renal nutrition. I also have a transplant team and endocrinologist at Mayo Clinic in Rochester, MN. My current treatment plan is a CGM (Dexcom G6) that I’ve had a little over a year and an insulin pump (Omnipod 5) that I’ve had for several months. The two devices work together for insulin delivery. There is a prescribed 24/7 basal delivery, plus mealtime and correction bolus’ that are calculated using device algorithms. I think it is crucial that I can rely on accuracy of the CGM to do its part in the insulin delivery system. When these discrepancies happen between CGM and glucometer finger sticks it is not roughly by the same amount or in the same direction. Two examples may explain better. A CGM low alarm (40) in the middle of the night when the glucometer showed in range (90). Another example a high CGM alarm (385) when the glucometer was only slightly above my target range and not high enough to trigger a high alarm (175). That is what is frustrating and kind of scary because the Omnipod 5 pump for insulin delivery is supposed to be working with the CGM. Thanks for letting me vent.
Oh, one more thing my HbA1C is currently 6.7. My team is happy with that. Before the pancreas transplant the A1C NEVER got out of double digits (10+)! I have not been told to follow the ADA-translated CGM reading.