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Type 1 Diabetes
Dexcom G4 or G5?
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<blockquote data-quote="JontyW" data-source="post: 1275826" data-attributes="member: 40312"><p><span style="font-family: 'Arial'"><span style="font-size: 15px">Hi Hawra,</span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px"></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px">I'm a bit late into this thread, but having used a G4 for the last year I'm able to share my experience plus detailed costings that I've done for G4, G5 and Libre.</span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px"></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px">I'm been T1 for 47 years and have been well controlled despite no help from modern technology in the "early days", and as a result I have no complications. I used to have HbA1c around 8% to 7.5% and then 4 years ago decided to get up to date with self management so taught myself carb counting and started bolus doses based on ratios and correction factors. My next few HbA1c dropped into the < 6.5% region so I was well pleased, and I had also dropped carbs from ~140g/day down to ~100g/day and still have enjoyable meals. </span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px"></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px">So a year ago I decided I would try a CGM, and was aware of the Libre and since it sounded much cheaper, decided to go for that. However Abbott had major sensor supply issues during 2015, so I gave up and went for Dexcom G4, although didn't fully realise what were the main cost and functionality issues at that time. But... I do NOW.</span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px"></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px">Although I am generally well controlled, I have another, and rare, autoimmune disease called vasculitis, which means inflammation of the blood vessels. This inflammation, like infection, causes my BG to vary day to day, and sometimes I experience rapid BG drops in early morning, and with the G4 Low Alert set to 4, it vibrates and alarms on my bedside table and awakes me every time. I'm OK down to about 3.5, so quick Jelly Baby x2 will soon push me back up to ~6.<strong> So for 'me' it is the Dexcom Alarm which totally overrides anything else. </strong>I rate the G4 a brilliant tool, not only due to alarm function, but the visilibity to allow me to pre-bolus by up to one hour ahead to reduce spiking.</span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px"></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 15px">I have done some detailed costings which I will post next, but in the meantime, if you can make a G4 sensor last for 4 to 5 weeks like I can, then annual cost of G4 and Libre (with no easy alarm option) is about the SAME ...~ £1,300.</span></span></p></blockquote><p></p>
[QUOTE="JontyW, post: 1275826, member: 40312"] [FONT=Arial][SIZE=4]Hi Hawra, I'm a bit late into this thread, but having used a G4 for the last year I'm able to share my experience plus detailed costings that I've done for G4, G5 and Libre. I'm been T1 for 47 years and have been well controlled despite no help from modern technology in the "early days", and as a result I have no complications. I used to have HbA1c around 8% to 7.5% and then 4 years ago decided to get up to date with self management so taught myself carb counting and started bolus doses based on ratios and correction factors. My next few HbA1c dropped into the < 6.5% region so I was well pleased, and I had also dropped carbs from ~140g/day down to ~100g/day and still have enjoyable meals. So a year ago I decided I would try a CGM, and was aware of the Libre and since it sounded much cheaper, decided to go for that. However Abbott had major sensor supply issues during 2015, so I gave up and went for Dexcom G4, although didn't fully realise what were the main cost and functionality issues at that time. But... I do NOW. Although I am generally well controlled, I have another, and rare, autoimmune disease called vasculitis, which means inflammation of the blood vessels. This inflammation, like infection, causes my BG to vary day to day, and sometimes I experience rapid BG drops in early morning, and with the G4 Low Alert set to 4, it vibrates and alarms on my bedside table and awakes me every time. I'm OK down to about 3.5, so quick Jelly Baby x2 will soon push me back up to ~6.[B] So for 'me' it is the Dexcom Alarm which totally overrides anything else. [/B]I rate the G4 a brilliant tool, not only due to alarm function, but the visilibity to allow me to pre-bolus by up to one hour ahead to reduce spiking. I have done some detailed costings which I will post next, but in the meantime, if you can make a G4 sensor last for 4 to 5 weeks like I can, then annual cost of G4 and Libre (with no easy alarm option) is about the SAME ...~ £1,300.[/SIZE][/FONT] [/QUOTE]
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