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Libre 2 Plus - Worsening variation between sensor readings and glucose meter readings after around 8 days

Since switching to libre 2 plus, I haven't had a single CGM that has been close to my finger prick tests. My CGMs are consistently showing readings between 1 and 2 mmol lower. It's really annoying when the CGM gives you a false sense of glucose control
 
Yup, agreed @mariavontrapp
Things that seem to make it wonkier: sunshine, walking more than 2 minutes, being horizontal, * looking * at a packet of biscuits....

I read this recently and it was a good reminder not to rely solely on CGMs
 
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^ having said that, I've realised that using hand sanitizer to clean my finger for a "proper" test when out and about isn't really working as well as I'd thought - thought to double check at home this afternoon when my libre showed 3.7, and got a 5.3 with hand sanitizer (ha! Libre discrepancy!), then properly washed my hands and got a 3.6.
Face, meet palm...
 
Libre 2+ was reading 3 units lower than a properly-washed-hands fingerprick this morning; 4 units lower an hour ago, 4.5 units lower just now (on day 8 of wearing). Ridiculous.
 
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Mine has given me spurious low readings for the last few sensors, usually around 3-4am. It's often 2+mmol/l lower than a finger prick. Yesterday I got 3.4 from the CGM and the finger prick was 9.1! Looking back at the graph later, that shows a reading of around 6 despite the log in the app showing the low number. I've had it where low readings are there for about 30 minutes and then when you review things later they aren't shown at all and what the graph shows is much more like what actually happened vs the instantaneous readings. Abbot have replaced sensors without question but it is a bit annoying. They have asked for this one to be sent back to them for analysis which is a positive. It's so frustrating to be woken up a couple of times in the night for false alarms. I'm fairly new (4 months) to T1D and this is making it harder adapting.
 
So, I have vaguely posted about this issue before in other threads about the Libre, but I wanted to post about it here in more detail just to get a little insight from users going through a similar problem.

For context, I’m a former user of the Libre 2 sensors, recently switched to the Libre 2 Plus sensors by my GP in light of the discontinuation of the former. I’m also a user of the Accu Chek Aviva Expert meter, which I’ve had for six years now. Since the end of 2024, I noticed that the difference between my Libre 2 sensor readings and my meter readings tends to get worse. In the first seven days or so, the difference stays consistently within 2mmol for each of my meals and before bed, with the occasional odd difference here and there depending on my blood sugars’ behaviour. But usually, the line of the graph follows closely with the rises and the falls. However, within the latter days of its life, the sensor readings (presumably due to frequent usage) start to stray away from the meter readings, going up to 3 to 4mmol lower than my meter and failing to catch up properly after 15 minutes. I thought that upon switching to the Libre 2 Plus this might resolve the problem, but the same thing has been happening. There have been times where the sensors have started doing this earlier or later than 8 days, sometimes as early as two or as late as four, but most of the time it’s around halfway. Within this year alone, only one sensor made it the full lifespan without any issues. The rest I‘ve ended up changing after about a week.

The frustrating thing is, the sensors aren’t faulty in the sense that they stop working entirely or I have constant connection issues with Bluetooth. In the beginning, they work great. They just cause false readings, rises and drops after a certain amount of time has passed. Which is aggravating for me, as I’m Type 1 and use the Libre to monitor the behaviour of my food and insulin, so it is making my treatment decisions very difficult when I can’t actually tell how high or low my levels are going on certain days. I wouldn’t mind the variations so much if the sensor did correct itself or it was only the odd false reading at certain times, like, after eating or something. But it’s very disrupting having to constantly finger prick because my sensor is reporting false hypos or incorrectly claiming my levels aren’t rising or falling when they actually are, outside of messing up my data on the app as a whole.

Has anyone else experienced this problem and has any tips on how to improve it? I’ve tried putting my sensors on a couple of days earlier to see if that helps, but it’s only good in setting my readings straight within the first 48 hours. I’ve also stopped scanning unless it’s to correct signal loss, which doesn’t seem to help either. And as far as my meter goes, I do frequent control solution tests, so the meter itself and the test strips I use are good.

Is it possible it’s not a sensor issue and I’m just not reacting well to the sensors as a whole? I know some people‘s experiences with CGMs can vary, but they seem to work fine at first.

Could it be the placement of the sensors? I do move them to different spots on my upper arms but it doesn’t seem to matter.

Maybe it’s the time I activate the sensors? I usually try to do it between 4pm and 4:30pm, around an hour and a half to two hours after my lunch.

Any advice or suggestions are appreciated
Just wanted to chime in, your CGM reads glucose from interstitial fluid (basically the fluid between your cells), which tends to reflect your glucose levels a bit differently than finger sticks. That’s why CGM readings and finger prick numbers don’t always match, blood glucose can lag behind by a few minutes. If you're getting weird or fluctuating readings that don't match how you're actually feeling, it might be that your sensor shifted or got a bit loose. That’s happened to me a few times, and it really messed with the accuracy. I started using Not Just a Patch its an over-patch that covers my sensor keeping it secure, and it made a big difference. I’ve been using them for about a year now, they’re super reliable and totally worth it. You can order online, and they’ve got options for different CGMs. Definitely worth checking out if you’re running into this issue!
 
Just wanted to chime in, your CGM reads glucose from interstitial fluid (basically the fluid between your cells), which tends to reflect your glucose levels a bit differently than finger sticks. That’s why CGM readings and finger prick numbers don’t always match, blood glucose can lag behind by a few minutes. If you're getting weird or fluctuating readings that don't match how you're actually feeling, it might be that your sensor shifted or got a bit loose. That’s happened to me a few times, and it really messed with the accuracy. I started using Not Just a Patch its an over-patch that covers my sensor keeping it secure, and it made a big difference. I’ve been using them for about a year now, they’re super reliable and totally worth it. You can order online, and they’ve got options for different CGMs. Definitely worth checking out if you’re running into this issue!
Honestly, the thought of my sensors coming loose has crossed my mind when the reading variations have skewed over 2mmol. I do frequently get them caught or knocked on stuff and that has pulled the adhesive off the sensors in some places. But because the sensors have still felt secure when I've checked them and the sensors' behaviour hasn't immediately changed, I've never been 100% sure. Doesn't help that it's happened even when I think my sensors haven't been knocked or caught on anything.

Still, I've considered getting something to hold my sensors in place for a while anyways, so thank you for the recommendation. I've ordered a sample patch to use for my next sensor, so I'll see if it does make a difference to my readings. But if it doesn't, at least I'll have something to keep my sensors secure and protected.
 
Mine has given me spurious low readings for the last few sensors, usually around 3-4am. It's often 2+mmol/l lower than a finger prick. Yesterday I got 3.4 from the CGM and the finger prick was 9.1! Looking back at the graph later, that shows a reading of around 6 despite the log in the app showing the low number.
This sounds like the false readings could be being caused by a compression low. Sometimes when people sleep on the arm their sensor is on, the pressure applied to the sensor can cause false drops in readings. Also, because the sensors track the glucose levels through the interstitial fluid in the body rather than the blood like the finger prick tests do, there are times where large variations in readings can occur when levels are moving rapidly. It's claimed there's around a 10 to 15 minute lag between the sensor and the finger prick and that the sensor is usually behind the finger prick, so this is usually why the graphs don't always record readings that you've scanned (I have this happen all the time; it can be a pain). If this happens again, it might be worth waiting 10 to 15 minutes after doing a finger prick just to see if your sensor reading catches up.
 
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