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anyone got a CGBM?
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<blockquote data-quote="smaynard" data-source="post: 255842" data-attributes="member: 26686"><p>My, lots of different issues on this one!</p><p></p><p>A couple of extra thoughts....cannula...I've noticed on my daughter that typically insertions are painless but occasionally they are not and when they hurt her insulin requirements almost always decrease quite significantly. My assumption is that I must hit a muscle on those occasions and I've read that injecting into muscle significantly increases speed of insulin absorption. For my daughter, this is another variable (of the 50 million that we all need to deal with!) that I've learnt to recognise quickly and factor into the equation.</p><p></p><p>CGM, what can I say, I couldn't be a bigger fan of this technology. But, as with the pump, it takes time to master the nuances. Now that I've got it nailed I find the reliability absolutely fantastic. Yes, you still have to finger prick to calibrate and to get accurate readings it is essential you calibrate at the right time (i.e. when blood sugars are at their most stable). But, with out doubt, you can safely reduce the number of finger pricks required significantly and the amount you can learn about how the body responds to different things I've found to be invaluable in improving my ability to manage my daughter's condition.</p><p></p><p>In six months I saw her HbA1c go from 7.3 to 6.9 and then 6.4. Even more importantly, in my view, is the stability that can be achieved by learning to correctly respond to the predictive alerts for highs and lows. Stats. for last month show that 98% of the time levels were between 4 and 10 mmol. This is a far cry from the huge swings that used to be pretty much a daily occurrence. </p><p></p><p>As for funding, I understand it is very, very difficult and without it the expense is more than the majority of pockets can afford. My daughter currently has full funding and the battle with the PCT took a long time. However, I did negotiate with Medtronic and they provided free sensors for a number of months whilst I sorted the funding out. The case I put to them was that I considered demonstrating the improvement in control would significantly increase my chances of successfully obtaining funding.</p><p></p><p>Hope that's in some way helpful.</p></blockquote><p></p>
[QUOTE="smaynard, post: 255842, member: 26686"] My, lots of different issues on this one! A couple of extra thoughts....cannula...I've noticed on my daughter that typically insertions are painless but occasionally they are not and when they hurt her insulin requirements almost always decrease quite significantly. My assumption is that I must hit a muscle on those occasions and I've read that injecting into muscle significantly increases speed of insulin absorption. For my daughter, this is another variable (of the 50 million that we all need to deal with!) that I've learnt to recognise quickly and factor into the equation. CGM, what can I say, I couldn't be a bigger fan of this technology. But, as with the pump, it takes time to master the nuances. Now that I've got it nailed I find the reliability absolutely fantastic. Yes, you still have to finger prick to calibrate and to get accurate readings it is essential you calibrate at the right time (i.e. when blood sugars are at their most stable). But, with out doubt, you can safely reduce the number of finger pricks required significantly and the amount you can learn about how the body responds to different things I've found to be invaluable in improving my ability to manage my daughter's condition. In six months I saw her HbA1c go from 7.3 to 6.9 and then 6.4. Even more importantly, in my view, is the stability that can be achieved by learning to correctly respond to the predictive alerts for highs and lows. Stats. for last month show that 98% of the time levels were between 4 and 10 mmol. This is a far cry from the huge swings that used to be pretty much a daily occurrence. As for funding, I understand it is very, very difficult and without it the expense is more than the majority of pockets can afford. My daughter currently has full funding and the battle with the PCT took a long time. However, I did negotiate with Medtronic and they provided free sensors for a number of months whilst I sorted the funding out. The case I put to them was that I considered demonstrating the improvement in control would significantly increase my chances of successfully obtaining funding. Hope that's in some way helpful. [/QUOTE]
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