Are We Seeing the Beginning of the End?

Tophat1900

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In his case I don’t think he would have the income to easily self fund. It’s a big ask on a low income.

But for those that can and for when they do get a bit cheaper for self funders then progress might well be made.

I'd be interested in trying one....
 
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I long for the day where it might become possible for continuous glucose monitoring to be performed non-invasively through commercially available, wearable products such as Apple Watch*. I know it seems impossible right now, but from time-to-time the development rumours resurface. If this technology ever comes to fruition, then I believe that only then will we see a massive change in how people understand the true effects of what they are putting into their bodies. If that day ever comes, then it wont matter a jot what doctors think. Their views on glycemic control will become irrelevant, since far fewer diabetics will ever be sat in front of them anyway.

EDIT: To clarify my point - if unaware and uninterested Mr. Joe Average can suddenly see that his food choices are causing glucose problems simply because he just bought the latest smart watch, there will be far fewer people sat in front of their doctor.

*other smart watches are available.
 
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JohnEGreen

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I long for the day where it might become possible for continuous glucose monitoring to be performed non-invasively through commercially available, wearable products such as Apple Watch*. I know it seems impossible right now, but from time-to-time the development rumours resurface. If this technology ever comes to fruition, then I believe that only then will we see a massive change in how people understand the true effects of what they are putting into their bodies. If that day ever comes, then it wont matter a jot what doctors think. Their views on glycemic control will become irrelevant, since far fewer diabetics will ever be sat in front of them anyway.

EDIT: To clarify my point - if unaware and uninterested Mr. Joe Average can suddenly see that his food choices are causing glucose problems simply because he just bought the latest smart watch, there will be far fewer people sat in front of their doctor.

*other smart watches are available.
Because they will all be down at their local Costa or Cafe Nero talking about it over a vanilla latte and a cake.
 

LittleGreyCat

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Just for clarification?

If you have a Freestyle Libre attached to your arm, what it to prevent you from downloading the phone App and reading the sensor yourself?

I know you can start it with a Reader then read it with the App (although not vice versa).

I assume that the study asks you not to.
 
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Because they will all be down at their local Costa or Cafe Nero talking about it over a vanilla latte and a cake.

I assume that is a reference to Apple Watch wearers being bearded, hipster coffeeshop types? If so then I assure you the last time visited a coffeeshop it wasn't for a cup of coffee :angelic:
 

ickihun

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A few weeks ago I discovered a work colleague of mine has T1 diabetes. He explained he had that condition for a number of years. And that he had changed medication a number of times. I didn’t understand his predicament but for him it was something he hadn’t yet resolved. He also explained that he had quite severe neuropathy, something I could identify with as I had experienced it at lower levels.

Then he told me that he was so tired of finger prick testing. I then asked him if he had heard of the Freestyle Libre and he said no. I explained to him what it was, did and how it was fitted. In the light of what he previously had said he could see a benefit there and as coincidence would have it, he had an appointment that afternoon with his GP. I suggested he ask about one. I did give him a printout of the NHS directive on the issuing of the Freestyle Libre but that was the following day.

The following day he read the printout and could see for himself the point I was making but he told me that his GP had told him at their appointment the day before, that he would look into it for him. No more than that.

This person lives in the Fylde region too, but his surgery is adjacent to mine and adjacent to @Debandez ’s surgery. I haven’t spoken to him for a few weeks as he hasn’t been into work, so I don’t know the outcome but it didn’t sound promising.

I gave him the Diabetes.co.uk address as ironically he was a member of the other diabetes body. I explained that there might well be people on the Diabetes.co.uk forum that might help him with his medication issues.


Beginning of the End?
So, on the topic of the Freestyle Libre, though on a slightly different note, it has been said that now the Libre is on the scene, that the opportunity for medical practioners to deny the benefits of LCHF solutions to their T2 patients will become much more difficult. This seems to make a lot of sense. If so, is this the beginning of the end of such occurrences?
Any bet my GP will want me on one as my testing costs are not cheap but that's due to the insulin and risk of RH after Roux-en-y op too now.
Awaiting an appointment with my new DN too.
 

JohnEGreen

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I assume that is a reference to Apple Watch wearers being bearded, hipster coffeeshop types? If so then I assure you the last time visited a coffeeshop it wasn't for a cup of coffee :angelic:

My grandson often drags me off to the local Costa. I have a coconut milk latte from the vegan choices thingy they do and sit and observe the several apple laptops always present linked with apple watches and can not help but over hear the conversations

My observation in previous post was more to do with human nature and fads if the scenario you described were to come about I seriously doubt that it would engender any fundamental change in peoples habits it would just be the next thing in a long list of fashionable things to talk about or do like the endless selfies taken by people these days.the you tube influencers if not I will be pleasantly surprised maye be we will have protests in the streets of London over the amount of sugar in food just like the climate change protesters obsessing over CO2 Jim never assume anything especially where I am concerned and I will do you the same courtesy. ;)
 
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My grandson often drags me off to the local Costa. I have a coconut milk latte from the vegan choices thingy they do and sit and observe the several apple laptops always present linked with apple watches and can not help but over hear the conversations

My observation in previous post was more to do with human nature and fads if the scenario you described were to come about I seriously doubt that it would engender any fundamental change in peoples habits it would just be the next thing in a long list of fashionable things to talk about or do like the endless selfies taken by people these days.the you tube influencers if not I will be pleasantly surprised maye be we will have protests in the streets of London over the amount of sugar in food just like the climate change protesters obsessing over CO2 Jim never assume anything especially where I am concerned and I will do you the same courtesy. ;)

Well, personally I think Joe Public would be more concerned than you're giving him credit for if an alarm went off on his wrist warning of dangerously elevated blood glucose 60 minutes after eating a bowl of super healthy granola. Presently this doubtless happens a lot, but those without a prior diagnosis or reason to wear a CGM/Libre will be blissfully unaware. At the present time the technology does not exist to put monitoring into a consumer wearable anyway, so it's a moot point I guess :cool:
 
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Listlad

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Libreview:

61F5EDE4-75C8-4681-9FF4-28B5CA0E50CC.jpeg
 

Robbity

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I think it would be an interesting debate if one were to present their libre results to their doctor, has anyone been able to do that?
When I was using a Libre I had a doctors appointment, so took along my reader too. He had a trainee with him and I though "What a great opportunity..." until I realised when I went to show them that the blasted thing had fallen off on my way to the surgery! :(:banghead:

He and another GP in the practice who was my diabetic support for a short while did both get graphical log results from my low carb finger prick results: However he's aware of the benefits anyway and originally suggested the Atkins diet to me. And as of this year he told me all their diabetic patients are offered the option of low carbing.

Robbity
 

Jaylee

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Interesting topic @Listlad . I hope your T1 friend managed to sort out a consultation regarding the Libre.

I self fund. & have been referred by an open minded GP to a specialist. Now oddly I use XDrip as a reader.
But after a recent consultation I've had an email invite from the DSN at this unit to share my Libre data with them at the clinic on Libreview. Looks like they're only trained with the Abbott product & bamboozled by anything else..? I was the first "one" she'd seen with a Miaomiao! "How often do you test?" Every 5 minutes...
I already had an account when I down loaded Abbott's official app but only use it to activate the sensor. So it was easy to just accept. (Bit like file sharing on Drop box?)

Lol, in order to prospectively be prescribed a Libre, I now have to scan the Libre then input the data of carbs (what little I do consume.) & dosage.
Where as with the Miaomiao Bluetooth transmitter & Xdrip app it scanned for me, (as mentioned earlier.)every 5 minutes & I could input meter readings to calibrate the sensor..

The "hoops" we gotta jump through...
 
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Listlad

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Interesting topic @Listlad . I hope your T1 friend managed to sort out a consultation regarding the Libre.

I self fund. & have been referred by an open minded GP to a specialist. Now oddly I use XDrip as a reader.
But after a recent consultation I've had an email invite from the DSN at this unit to share my Libre data with them at the clinic on Libreview. Looks like they're only trained with the Abbott product & bamboozled by anything else..? I was the first "one" she'd seen with a Miaomiao! "How often do you test?" Every 5 minutes...
I already had an account when I down loaded Abbott's official app but only use it to activate the sensor. So it was easy to just accept. (Bit like file sharing on Drop box?)

Lol, in order to prospectively be prescribed a Libre, I now have to scan the Libre then input the data of carbs (what little I do consume.) & dosage.
Where as with the Miaomiao Bluetooth transmitter & Xdrip app it scanned for me, (as mentioned earlier.)every 5 minutes & I could input meter readings to calibrate the sensor..

The "hoops" we gotta jump through...
I never saw him again. Unfortunately. I changed jobs. It was disappointing that as a T1 that was suffering and confused, he wasn’t automatically offered a Libre.
 

DavidGrahamJones

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Not sure how Libre affects LCHF?

Apologies for only just seeing this comment. As a type II who has successfully controlled his BG for a number of years following a low carb diet (not high fat), I can say that the FS Libre has been a godsend. Being able to see that my BG was going up at times when it didn't seem that it should (dawn phenomenon), I was able to try other strategies to keep it down (fasting helps). It also showed me very quickly if I'd miscalculated with carb content.
 

Jaylee

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Apologies for only just seeing this comment. As a type II who has successfully controlled his BG for a number of years following a low carb diet (not high fat), I can say that the FS Libre has been a godsend. Being able to see that my BG was going up at times when it didn't seem that it should (dawn phenomenon), I was able to try other strategies to keep it down (fasting helps). It also showed me very quickly if I'd miscalculated with carb content.

Hi,

I can get down with that. The linear graphs showing effects & catching any "blind spots." Regardless of type, diet or meds.
Then help make that tweak. As opposed to the advice given by meter prescribing GPs, (if lucky not dissuaded by no need.) "test once a day."
 

Diakat

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@DavidGrahamJones @Jaylee totally agree that the Libre helps catch moments like that. But the post I questioned said “now Libre is on the scene, that the opportunity for medical practioners to deny the benefits of LCHF solutions to their T2 patients” is reduced. Only if a T2 patient self funds Libre and shows lchf data. As we now most do not.
 
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Jaylee

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@DavidGrahamJones @Jaylee totally agree that the Libre helps catch moments like that. But the post I questioned said “now Libre is on the scene, that the opportunity for medical practioners to deny the benefits of LCHF solutions to their T2 patients” is reduced. Only if a T2 patient self funds Libre and shows lchf data. As we now most do not.

@Diakat :) i'm totally all the way with you to the bank on that one.

I also feel there is a little fuzzy logic in OPs the thoughts;. "the opportunity for medical practitioners to deny the benefits of LCHF solutions to their T2 patients will become much more difficult."
A self funding T2 patient may be lucky not to have adverse effects one particular carb like rice on the BG?
In short.
I believe they could be used to help tailor a bespoke diet. "eat to your Libre." ;)
 

Listlad

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Apologies for only just seeing this comment. As a type II who has successfully controlled his BG for a number of years following a low carb diet (not high fat), I can say that the FS Libre has been a godsend. Being able to see that my BG was going up at times when it didn't seem that it should (dawn phenomenon), I was able to try other strategies to keep it down (fasting helps). It also showed me very quickly if I'd miscalculated with carb content.
I always thought this was the case. A godsend is indeed the word. Even for Prediabetics.
 

Listlad

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"the opportunity for medical practitioners to deny the benefits of LCHF solutions to their T2 patients will become much more difficult."
You know, ironically I was paraphrasing Dr David Unwin in that sentence.

@Diakat
 
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