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Recent Content by Bill_St

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    GPs to be rewarded for maximising Mounjaro use

    It will be interesting to follow changes in prescribing - it is possible to see individual surgeries in https://openprescribing.net/analyse/#org=practice&orgIds=00L&numIds=0601023AZBB,0601023ABBC&denom=total_list_size&selectedTab=summary I have used Northumberland as an example but any area...
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    Doctor wants to stop my mounjaro - what are the official guidelines?

    It will be very interesting to see how opinions change https://www.bbc.co.uk/news/articles/cddn399l4r9o
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    New guidance for T2D from NICE

    https://www.nice.org.uk/guidance/ng28
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    Problems with CGM

    The scanners will certainly survive the travel monitors. Libre have been medically tested even with MRI and CT scanners which are considerably higher dose than any airport scanner. No problem at all after a short recovery time for MRI. https://www.freestyle.abbott/us-en/safety-information.html
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    Smartwatch and libre sensor

    Read through Juggluco.nl and see the section describing how to calibrate Libre. Never needed it myself but it is there. Also section on Watches. AFAIK you do need your phone in Bluetooth range. Also see GlucoDataHandler in GooglePlay ;)
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    DexcomOne+ vs Libre 2 vs Prick test

    You can compare the variations of your own readings here : https://www.bmj.com/content/368/bmj.m149/rapid-responses
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    DexcomOne+ vs Libre 2 vs Prick test

    It is possible to calibrate Libre readings by using an excellent 3rd party app: Juggluco.nl The general difficulty with such calibrations for both Dexcom and Libre is that you are calibrating to single, or a few, fingerpicks that are themselves of questionable accuracy. Juggluco allows you to...
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    Doctor wants to stop my mounjaro - what are the official guidelines?

    An example region for all weight loss drugs
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    Doctor wants to stop my mounjaro - what are the official guidelines?

    There is a very useful publicly available resource that allows us to compare prescribing data. You can compare your region with others and even drill down to compare your GP practice with others. Two things stand out. Mounjaro prescriptions are Increasing across all regions and most GPs Massive...
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    Good Insulin Injection Practices.

    The latest 2025 FITTER recommendations from John Hopkins and Mayo Clinic : https://www.mayoclinicproceedings.org/article/S0025-6196(25)00030-8/fulltext
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    Mounjaro with T1

    https://openprescribing.net/analyse/#org=practice&orgIds=00L,13T,99C&numIds=0601023AZBB,0601023AWBB,0601023AWBD,0601023ABBC&denom=total_list_size&selectedTab=summary Select Time Series option to see change over time.
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    Mounjaro with T1

    It is very interesting to see how much individual practices vary within a region. Openprescribing does provide this analysis. As an example, I provide the results for my own region. Corrected for the different list sizes, it gives the amount of weight loss drugs prescribed per 1000 patients...
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    Mounjaro with T1

    My short acting insulin has gone down from typical 25-30 units/day to 5-6, sometimes Zero! Still maintaining 20 units basal.
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    Freestyle libre 2

    When applying, press firmly and hold for 15sec to allow the adhesive time to bond. Also hold hand up to head so the skin on the application site is stretched. Do not use any oil or oily product on application site, wash with Simple soap only, never moisturiser.
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