Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets

KIT

P

eter Jennings is a

T1D and DSN. These

days he spends four

days as an academic

and one day at clinic

and says, "I've always seen my role is

being that of a teacher and facilitator,

not a dictator. The way I see it, I'm just

here to walk alongside you, so when I

look at your data, it's not a judgment of

'good' or 'bad' based on your readings,

it's simply a conversation about them. I

might ask, what might we alter here in

order to change the outcome? I really

don't want people to beat themselves

up when their data downloads are not

perfect, they may never be, and it's a

hard disease to live with.

"I like to approach these downloads

with a sense of curiosity, wondering,

'what's going on here?'. It's important to

start with the basics, to check your bases

- what were you aiming for? The patient

and myself need to understand what

we're trying to achieve. That helps us to

understand whether or not we're getting

anywhere close to our goals.

"The kind of screenshot illustrated

here is typical of data produced over

a 24-hour period. Not surprisingly, the

actual range of results across a full day

can be quite wide. That means that if

your target range had been 4-7mmols/l

you will also see quite a bit of time spent

between 5-10mmol/l. Glucose fluctuation

is normal in anyone with Type I diabetes,

but they may not have seen it presented

in this way before. It's very important not

to be put off.

WAYS OF SEEING

Interpreting data read-outs is a skill, and for those new to it,

can be daunting. DSN and Type 1 diabetic Peter Jennings talks

us through viewing a FreeStyle Libre download.

"With Abbott's Freestyle Libre sensor,

the data download is called an ambulatory

glucose profile (AGP). In other words,

it is giving all your data in one visual

representation. The darkest blue line is the

median. There are two more bands of blue

- the slightly darker shade shows where

25% to 75% of the readings fall, that is to

say 50% of your readings. It's called the

25-75 percentile The lighter blue shaded

area shows 80% of readings, and is called

the 10th-90th percentile. It excludes the

10% highest and 10% lowest readings."

Shades of blue

Looking at this data download, Jennings

explains, "The majority of the readings

are shown within the pale blue shaded

area, and from this you can begin to see

patterns, looking beyond individual results.

Looking back at the image, one aspect

to consider is how wide the shaded area

is. That gives us an insight. The dark blue

line, the median, stays roughly the same

size (or depth). The others can change a

little bit depending on the time of day the

tests are being taken.

"For example, at 6am in the darker

shade of blue most of the results are in

quite a tight area, between 6.5-7 mmol.

As many as 50% of the readings are falling

in that area, which is pretty good for that

time in the morning. It's a nice safe start

to the day. However, some of these tests

are coming in a little low - down as far

as 3mmols/l, which isn't quite so great so

that might need looking at. No one likes

waking up with a hypo.

"Looking at 10am, the lighter area

shows that the range of results is a bit

Index

  1. Desang diabetes magazine diabetes information
  2. Diabetes UK careline
  3. Desang diabetes magazine diabetes information, Sue Marshall
  4. Desang diabetes magazine diabetes news
  5. Desang diabetes magazine diabetes news
  6. Desang diabetes magazine diabetes news
  7. Dexcom CGM, continuous glucose monitoring
  8. Desang diabetes magazine diabetes news
  9. Ascensia Contour Next One Diabetes blood test meters
  10. Page 0010
  11. Senseonics Eversense implantable CGM, Roche Diabetes Care, Accu-Chek
  12. Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets
  13. Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets
  14. Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets
  15. OurPath programme, Roche Diabetes Care
  16. diabetes and ketones, diabetic sick day rules, DKA
  17. diabetes and ketones, diabetic sick day rules, DKA
  18. diabetes and ketones, diabetic sick day rules, DKA
  19. diabetes and ketones, diabetic sick day rules, DKA
  20. Insulin pumps UK 2018
  21. Page 0021
  22. Insulin pumps UK 2018
  23. Insulin pumps UK 2018
  24. Insulin pumps UK 2018
  25. Medtronic Minimed 670G insulin pump
  26. Insulin pumps UK 2018
  27. Omnipod Insulet insulin pump with insulin pods
  28. Insulin pumps UK 2018
  29. Insulin pumps UK 2018
  30. Insulin pumps UK 2018
  31. Desang diabetes kitbags
  32. London Medical, London Diabetes Centre, private diabetes clinic
  33. London Medical, London Diabetes Centre, private diabetes clinic
  34. London Medical, London Diabetes Centre, private diabetes clinic
  35. London Medical, London Diabetes Centre, private diabetes clinic
  36. Making Carbs count: Counting carbs for the diabetic diet
  37. Making Carbs count: Counting carbs for the diabetic diet
  38. Accu-Chek Insight insulin pump
  39. Accu-Chek Insight insulin pump
  40. Free diabetes magazine, living with diabetes, the diabetic diet, carb counting

Related Issues

powered by PageTiger