Well, up here in Edinburgh, Scotchland, which has one of the most liberal libre prescribing policies anywhere, a new paper has just been published on the before and after effect of libre, the data taken from 900 real world users, one of which was me!
https://link.springer.com/article/10.1007/s00125-019-4894-1
It's all looking pretty good, lower a1cs, fewer dka admissions (dropped from 10 to 2), improved quality of life.
The number of folks pre-bolusing, a basic, incredibly useful technique which seriously improves post-meal bounces, but unfortunately, many have not been taught, jumped from 9 to 36%.
Hypos actually increased but the authors say this is probably on account of them being more visible on the 24 ht trace instead of them being missed with bg tests.
Approval of the system was high, but anxiety scores seems to have increased a bit too, but I'm speculating this is on account of the 24 hr trace showing hidden messy things we didn't see before - the increase in pre-bolusing and generally being able to see the messy stuff and then proactively figure out ways to sort it will win out in the end.
I remember from that T1D ROM event a few weeks ago that one of the speakers, I think it was the head of JDRF said that patients making a noise about libre did actually lead to policy changes, and the other speakers who were docs nodded in agreement. Making some noise does seem to work so I'd encourage anyone who is getting scripting grief from their docs to run this paper past them.
https://link.springer.com/article/10.1007/s00125-019-4894-1
It's all looking pretty good, lower a1cs, fewer dka admissions (dropped from 10 to 2), improved quality of life.
The number of folks pre-bolusing, a basic, incredibly useful technique which seriously improves post-meal bounces, but unfortunately, many have not been taught, jumped from 9 to 36%.
Hypos actually increased but the authors say this is probably on account of them being more visible on the 24 ht trace instead of them being missed with bg tests.
Approval of the system was high, but anxiety scores seems to have increased a bit too, but I'm speculating this is on account of the 24 hr trace showing hidden messy things we didn't see before - the increase in pre-bolusing and generally being able to see the messy stuff and then proactively figure out ways to sort it will win out in the end.
I remember from that T1D ROM event a few weeks ago that one of the speakers, I think it was the head of JDRF said that patients making a noise about libre did actually lead to policy changes, and the other speakers who were docs nodded in agreement. Making some noise does seem to work so I'd encourage anyone who is getting scripting grief from their docs to run this paper past them.