Saturday, January 29, 2011

To sensor or not to sensor?

I am lucy enough to have a CGM (continuous glucose monitor). I have the Dexcom 7 and I am very happy to have it as a tool for my Diabetes management. It can be pretty handy, but, I believe that it is not worth fighting the insurance company for in all cases. At least not yet.

While I do find my sensor helpful, it can be more of a hindrance than it is worth.

Helpful times:

  • When your blood sugar is pretty stable, if it is moving up or down slowly it can be pretty accurate
  • if all you want is to see the arrow of the direction your blood sugar is going (up, down, stable) and not exactly the actual number
  • When you have had a sensor site in a for few days and you are very busy. It has acclimated by this point and its nice to just have to look down an check
  • When driving a long distance, again maybe the number isn't dead on, but at least you can see if you should have a snack soon
  • When you are sleeping (it has caught many low blood sugars in my sleep before I would have caught them naturally and the alarm wakes me up.)
Not so helpful times:
  • When you're having one of those days where your blood sugars are crazy erratic, it can be as much as 100+ points off
  • When your out of range of the reicever
  • When you are anywhere near being dehydrated
  • It has times where the reading is "???" and there is nothing you can do about it but hope it snaps out of it on its own
  • you should never, treat a blood sugar based off the sensor reading. (In other words, it does not really help with cutting down on finger pricking)
A couple things I have learned:
  • It does hurt a little more than putting in a pump site, but it becomes unnoticeable
  • set the "high" and "low" alerts different than what you would really be concerned with. for example I have mine alarm when I am 100 for lows, in reality I'm normally about 80-90. 
Hopefully, soon, the kinks will be a little more worked out the readings will be more accurate. It is a nice tool to have sometimes but it isn't always a tool worth using. If anything sometimes I feel that it causes me to check my blood sugars more often because I see a number on it that I don't believe enough to treat without my regular glucometer  backing it up.

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