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Dexcom One - 3 month review

jackois

Well-Known Member
Messages
391
Location
Southampton
Type of diabetes
Type 1
Treatment type
Insulin
This review almost 3 months after I cancelled my Dexcom G6 subscription.

Dexcom One is the cheapest of the 3 CGM devices that Dexcom supply. It's their competitor for the Freestyle Libre, and operates aroung the same price point.

The Dexcom One is basically the G6 with some of it's functionality removed, the abilty for someone to follow your readings remotely, and pump operation should you have a pump that can use it. The only other thing missing is the calibration ability for the sensor.

Having used it for 3 months, I've had one failure to deploy, where the sensor, although stuck to my stomach didn't release from the applicator. This was replaced by Dexcom within a couple of days and the old one returned for examination, post paid.

Having used the G6 for a couple of years, using the One was very similar, albeit with a new app developed for the One. Apply the sensor which sticks well, even with my love of overly long, hot showers. The app gives all the info you might need. Readings, trends and so on, customisable alert levels and alarm sounds. Quite deafening, you shouldn't sleep through a low with them.

In use, the One followed trends as well as the G6. It's accuracy is lacking due to the aforementioned removal of the calibration feature. I generally do a finger stick test daily to work out how far out the sensor is reading and then calculate the reading by adding or subtracting the difference. Current sensor for instance is reading 2.0Mmol above my fingerstick tests, but following the trend perfectly. Most of the sensors have been slightly out. One drifted to the point where it was constantly going into and out of alarm, which was a pain, and I ended up removing it a day early as the alarms were doing my head in. None of the sensors failed early.

As with the G6, there have been 'loss of signal' occasions, generally through the night, I suspect caused by sleeping on the sensor, which happened occasionally with the G6. Recovery seems to be sped up by re-starting the phone, rather than waiting as per the pop up alert. There was one app crash during the 3 months, sorted by re-installing the app and re-starting the sensor, luckily I'd kept the sensor and transmitter codes, which saved a call to Dexcom Support. I reported the app crash and that was followed up by Tech Support via the phone. Support have always been superb in my opinion. Very quick to respond and always able to help.

Ordering and delivery was quick, done online at the Dexcom website and delivered by DPD within a few days. Current price £299 for a 3 month supply of sensors and a transmitter.

To sum up... £50 a month cheaper than the G6 & G7. Easy to buy, quick delivery, easy to install and stick well. Trends work well. Check back on earlier readings by hovering over the points on the graph.

On the downside, as you can't calibrate the sensor via the app, you'll have to fingerstick more often as you'll have less trust other than trends which work well. The app, unlike the G6 version doesn't allow a landscape view which means on the 12 and 24 hour view it's difficult to isolate a particular reading.

I'll order another 3 month supply and see if the accuracy improves with use before deciding whether I'll need to shell out the extra for the G6. I'm unable to use the Libre as my skin is irritated by the adhesive.

Any questions or comments, please ask and I'll try to answer.
 
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Hi, a usefull post. I have tried Libra 2 and it was wildly inaccurate, so nhs switched me to dex one, first sensor read 30% to 50% high so was replaced, now second sensor is again reading above blood levels by minimum of 2mmol and upto 10mmol so its being replaced. Do other people find it always reads high? Perhaps a safety feature, but not helpfull when it say's 4mmol and bloods say 2.1mmol! Luckly my body alarm kicks in regardless of dexcom so i follow that.
But i have 50+yrs experience to fall back on.
Is it possible to calibrate a G6 to remove the errors? Does it have to be recalibrated every time the patch is changed?
As the healthcare pro's don't seem to know the answers, nor have experience i am looking to the forum for some assistance. Thanks in advance.
 
I used the G6 for 2 years... you can calibrate the G6, via the app.

I found that once in a while the G6 was reading high or low, but as long as the trend was steady you could take a couple of blood tests, 15 minutes apart and then calibrate the sensor to this figure;

Sadly, the One doesn't have this feature, rendering it more of a trend meter, in stead of a CGM... adding the calibration feature woould make this exactlly what Dexcom claim it to be...

If it's far enough out to be really annoying, a call to Dexcom support will get you a replacement sensor. It's a shame, as in some cases the NHS isn't getting what it's paying for, and in the rest the consumer isn't.
 
Yes i fear i have entered the world of medical devices, where marketing runs the ship rather than mefics.
I have rung Decom and they have supplied new sensors as they were innacurate and the trend arrow "drops" out so that feature does not work either.
I got the usual lecture on how to stick the sensor on but no reasons why the trend arrow drops out or the readings always being 30-50% above reality and 30-40 mins behind what my body tells me is happening.
I think i may well decide to stick to stabing my finger as at least i know the decission is based on actual rather than advertised readings.
Its a pity as these might have given some help after all these years.
 
Rather than order another 3 months worth of the Dexcom One and have ordered 3 G7 sensors to try them... if they don't work well, I shall probably return to the G6 on subscription...
 
I'm 30 days into my Dexcom One now. Had one sensor failure (on my second insertion) where it would not start up and just threw up errors, it was a Sunday but I called the help service and went through a few questions and was told to apply a new sensor and they would send me a new one overnight which they did. I have found that the readings do vary a bit, the first one over-read by about 1.2-1.3 mmol, the second was almost bang on but the third, the one I'm using now is varying between 1.3 and 1.5 mmol above the finger stick. I was a bit concerned after starting up the current one as the readings were way above where the last one left off two hours before by about 2.5 mmol but it settled down after three days to 1.3/1.5 above, I was surprised that it took so long to adjust. I do wish that it had the same ability as the G6 to adjust the readings so I could have more faith in what it's telling me from one sensor to another. The only other issue I've had is where the sensor loses connection with the app even when the phone is only about 3 feet away, thais happens at least twice a day.

I'm Type 2 and don't qualify for a free one as not on insulin so I'm self funding. The reason I did it was that my last HbA1c had risen quite high compared to my last one 6 months ago and my Triglycerides were very high, blood pressure up and HDL down so not good news all round. I've decided to study a more about Insulin Resistance and the ways to mitigate it (Ref: Jesse Chappus/ Robert Lustig on Youtube) and have started a 18:6 fasting routine and severely restricting carbs (under 30g per day), I'm only two weeks into that at the moment and have lost 6kg in what must have been internal fat. It will take about 6-12 months for the fasting to have any real effect on the Insulin Resistance so it's going to be a long haul.
 
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