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Recent Content by Bill_St

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    Mounjaro

    I have been taking MJ for almost a year now. Very positive results and almost no side effects. 25% weight loss. Insulin requirement down from 30 units /day to 6. (CGM is very useful to control variability) Improved sight and kidney function. Feel much better overall and glucose levels still...
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    Mounjaro

    Sub icbs and even individual practices can be selected The main problem seems that some ICBs are very much behind, some prescribe 20X as many as others eg Dorset with only 0.30 per 1000 patients. Very much a postcode lottery at the moment, but generally Doctors are talking in areas and...
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    Mounjaro

    One of the best indicators is the number of prescriptions per 1000 patients on a GPs list. The rate of change shows that Doctors are increasingly in favour. These numbers are for NHS prescriptions from openprescribing.net so don’t include the vast private use. Also note that London drags well...
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    Difficulty with Doctor

    Documentation. Put your concerns in a letter with clear evidence of your glucose level trace. The libre app will provide this. Enter your blood strip test results as note. Ensure that you are drinking plenty water - this being one of the issues with libre variability.
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    You may be able to reapply a libre sensor after it falls off

    The issue with washing in IPA is that the filament and/or the grooved needle, may be coated in anti inflammatory to reduce insertion trauma. Yet it is necessary to combat infection.
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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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