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<blockquote data-quote="paulliljeros" data-source="post: 1450464" data-attributes="member: 220050"><p>Thank you, but you can't see the whole story. Sadly I spent my first 28 years of diabetes with absolutely terrible control and am paying for it now with stage 5 CKD. I sorted myself out by buying a dexcom, and that was the turning point. I am fortunate, in that I have been able to make life choices that enable me to afford it, and I sympathise with those that cannot, because life is infinitely easier for me with it. Sadly, I personally don't believe we see a true representation of the benefits of CGM, as I suspect almost everyone that uses it in the UK pays for it themselves, and therefore takes it incredibly seriously, ekes every last minute out of every sensor, and micro-analyses every trend. Had I been given CGM for free 5+ years ago, it would have, in my personal situation, been a complete waste of money as I wouldn't have used it appropriately. For this reason, how are the NHS meant to ensure only those that will make the best use of the technology be given it, and use it properly - we already see how badly the CCGs work when it comes to getting pumps. How many people get medication on prescription, and then waste it by not completing the course?</p><p>In an ideal world you are absolutely right, it would be given on the NHS, but sadly, I honestly don't think it will be cost effective when BG tests are a cheaper alternative. I would also say that CGM isn't really a replacement for BG tests, it just puts them into context, telling you where you've been, and where you're going.</p></blockquote><p></p>
[QUOTE="paulliljeros, post: 1450464, member: 220050"] Thank you, but you can't see the whole story. Sadly I spent my first 28 years of diabetes with absolutely terrible control and am paying for it now with stage 5 CKD. I sorted myself out by buying a dexcom, and that was the turning point. I am fortunate, in that I have been able to make life choices that enable me to afford it, and I sympathise with those that cannot, because life is infinitely easier for me with it. Sadly, I personally don't believe we see a true representation of the benefits of CGM, as I suspect almost everyone that uses it in the UK pays for it themselves, and therefore takes it incredibly seriously, ekes every last minute out of every sensor, and micro-analyses every trend. Had I been given CGM for free 5+ years ago, it would have, in my personal situation, been a complete waste of money as I wouldn't have used it appropriately. For this reason, how are the NHS meant to ensure only those that will make the best use of the technology be given it, and use it properly - we already see how badly the CCGs work when it comes to getting pumps. How many people get medication on prescription, and then waste it by not completing the course? In an ideal world you are absolutely right, it would be given on the NHS, but sadly, I honestly don't think it will be cost effective when BG tests are a cheaper alternative. I would also say that CGM isn't really a replacement for BG tests, it just puts them into context, telling you where you've been, and where you're going. [/QUOTE]
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