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<blockquote data-quote="Mechmoth" data-source="post: 1904916" data-attributes="member: 493074"><p>Thanks for the amazing advice on the sensor. Luckily it was testing my blood glucose was what pushed me to using the sensor. I actually found that my bg swings were more significant than what the sensor was picking up.</p><p></p><p>Also, I get my iron levels tested every 6 months as I'm on medication for that, so lucky that can be ruled out.</p><p></p><p>I'm going bk to bg testing now and try out the low carb diet again as I believe this could be me experiencing insulin resistance from the PCOS. </p><p></p><p>I phoned up my doctors today and found that in 2014 my fasting blood glucose test came back as 5 mml/L which I was told is fine. </p><p></p><p></p><p>QUOTE="Scott-C, post: 1904562, member: 374531"]Hi, [USER=493074]@Mechmoth[/USER] , as a long term libre user, about two years, a couple of points spring to mind about how you are interpreting your graphs.</p><p></p><p>First, if you view 24 hrs in portrait format, it can really cramp up the time axis and make changes look more "spikey" than they really are. Viewing in landscape gives a more realistic impression.</p><p></p><p>Second, libre has a tendency to exaggerate lows and highs, and some sensors can be sketchier than others. I've had a few where it reports levels which are significantly below actual levels, and I only know that because I do bg tests. I reckon there's a fair chance that the hypos and hypers you are seeing are not actually there, but you're not going to know that for sure unless you do bg tests.</p><p></p><p>Third, the spikes correspond with your mealtimes, and correspond with what we see on the cgm traces of many non-diabetics. They go up, then they come back down within a reasonable time. That is perfectly natural and tends to suggest that your endocrine system is working just as it should. You eat a meal, carbs end up as glucose in the bloodstream, insulin lets you use it as energy, and store the rest in the liver and muscles as glycogen for future use. A spike and dip like in your graphs tend to suggest that that process is working just fine for you - a post-meal spike and dip is what happens naturally in non-diabetics. There are many papers showing that.</p><p></p><p>Fourth, the pancreas is far from perfect. It makes mistakes. It is not at all uncommon for non-diabetics to have dips and spikes out of range. Instead of the daily graphs you've posted, I'd encourage you to look at the "modal day", AGP graph which the pc software for libre offers. It stitches together daily graphs from a specified period and strips out the top and bottom 10% as outliers. It gives a much clearer, broader view of what is generally going on over an extended time period, so that recurring patterns can be seen more clearly.</p><p></p><p>On the basis of the graphs you've posted, I'm inclined to say there isn't really a diabetes issue here, I'd be hesitant about any radical adjustment to your preferred carb intake, and the anaemia is probably the main thing which needs attention.</p></blockquote><p>[/QUOTE]</p>
[QUOTE="Mechmoth, post: 1904916, member: 493074"] Thanks for the amazing advice on the sensor. Luckily it was testing my blood glucose was what pushed me to using the sensor. I actually found that my bg swings were more significant than what the sensor was picking up. Also, I get my iron levels tested every 6 months as I'm on medication for that, so lucky that can be ruled out. I'm going bk to bg testing now and try out the low carb diet again as I believe this could be me experiencing insulin resistance from the PCOS. I phoned up my doctors today and found that in 2014 my fasting blood glucose test came back as 5 mml/L which I was told is fine. QUOTE="Scott-C, post: 1904562, member: 374531"]Hi, [USER=493074]@Mechmoth[/USER] , as a long term libre user, about two years, a couple of points spring to mind about how you are interpreting your graphs. First, if you view 24 hrs in portrait format, it can really cramp up the time axis and make changes look more "spikey" than they really are. Viewing in landscape gives a more realistic impression. Second, libre has a tendency to exaggerate lows and highs, and some sensors can be sketchier than others. I've had a few where it reports levels which are significantly below actual levels, and I only know that because I do bg tests. I reckon there's a fair chance that the hypos and hypers you are seeing are not actually there, but you're not going to know that for sure unless you do bg tests. Third, the spikes correspond with your mealtimes, and correspond with what we see on the cgm traces of many non-diabetics. They go up, then they come back down within a reasonable time. That is perfectly natural and tends to suggest that your endocrine system is working just as it should. You eat a meal, carbs end up as glucose in the bloodstream, insulin lets you use it as energy, and store the rest in the liver and muscles as glycogen for future use. A spike and dip like in your graphs tend to suggest that that process is working just fine for you - a post-meal spike and dip is what happens naturally in non-diabetics. There are many papers showing that. Fourth, the pancreas is far from perfect. It makes mistakes. It is not at all uncommon for non-diabetics to have dips and spikes out of range. Instead of the daily graphs you've posted, I'd encourage you to look at the "modal day", AGP graph which the pc software for libre offers. It stitches together daily graphs from a specified period and strips out the top and bottom 10% as outliers. It gives a much clearer, broader view of what is generally going on over an extended time period, so that recurring patterns can be seen more clearly. On the basis of the graphs you've posted, I'm inclined to say there isn't really a diabetes issue here, I'd be hesitant about any radical adjustment to your preferred carb intake, and the anaemia is probably the main thing which needs attention.[/QUOTE] [/QUOTE]
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