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<blockquote data-quote="Scott-C" data-source="post: 2024084" data-attributes="member: 374531"><p>Hi, [USER=370779]@kellie lees[/USER] , I'm on mdi, so can't help with the pump issue, but I see you say he is on libre. </p><p></p><p>If he's got a kindle, I'd highly recommend getting a copy of Sugar Surfing by Stephen Ponder. He's an American endo and T1 who has been using cgm from the early days.</p><p></p><p>Standard NHS treatment can be very conservative, because it's largely based on people using strips, which give very limited insight into what bg is doing. </p><p></p><p>Now that libre and cgm is becoming more common, a lot of us are playing by different rules, and it will take a bit of time for the "official" view to catch up</p><p> </p><p>Official courses like DAFNE will say things like, "don't test between meals unless you feel hypo, and save corrections till your next meal if too high." (the DAFNE course is good, though, would strongly recommend him getting on that)</p><p></p><p>That's all well and good on strips alone, but with libre, when we can see bg starting to rise too high between meals, that's a good enough reason to say, ok, I got that meal bolus wrong, if I leave this, it'll end up at 12 by my next meal, then I'll have the bother of dragging a too high bg down as well as trying to bolus for the next meal, so why don't I just fire in another 1 or 2u correction now to save it getting anywhere near 12?</p><p></p><p>The basic idea of Sugar Surfing is to look at libre/cgm output regularly so you can then gently nudge and steer bg levels with a few dextrotabs here and a unit or two there long before they get anywhere near out of range.</p><p></p><p>I got libre about 3 yrs ago, read Sugar Surfing a few weeks later. The techniques it describes played a major part in me being able to smooth out my bg levels.</p><p></p><p>The author isn't some left-field crank, he's recommended as further reading on cgm by some NHS hospitals.</p><p></p><p>Libre is pretty good on its own, but many of us are using a small transmitter called MiaoMiao, about £160 one off cost, which reads the sensor every 5 mins and sends it to a phone app, xDrip+, to get "proper" cgm. It's a really useful tool in being able to see what's going on with bg, which makes it a lot easier to smooth levels out.</p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="Scott-C, post: 2024084, member: 374531"] Hi, [USER=370779]@kellie lees[/USER] , I'm on mdi, so can't help with the pump issue, but I see you say he is on libre. If he's got a kindle, I'd highly recommend getting a copy of Sugar Surfing by Stephen Ponder. He's an American endo and T1 who has been using cgm from the early days. Standard NHS treatment can be very conservative, because it's largely based on people using strips, which give very limited insight into what bg is doing. Now that libre and cgm is becoming more common, a lot of us are playing by different rules, and it will take a bit of time for the "official" view to catch up Official courses like DAFNE will say things like, "don't test between meals unless you feel hypo, and save corrections till your next meal if too high." (the DAFNE course is good, though, would strongly recommend him getting on that) That's all well and good on strips alone, but with libre, when we can see bg starting to rise too high between meals, that's a good enough reason to say, ok, I got that meal bolus wrong, if I leave this, it'll end up at 12 by my next meal, then I'll have the bother of dragging a too high bg down as well as trying to bolus for the next meal, so why don't I just fire in another 1 or 2u correction now to save it getting anywhere near 12? The basic idea of Sugar Surfing is to look at libre/cgm output regularly so you can then gently nudge and steer bg levels with a few dextrotabs here and a unit or two there long before they get anywhere near out of range. I got libre about 3 yrs ago, read Sugar Surfing a few weeks later. The techniques it describes played a major part in me being able to smooth out my bg levels. The author isn't some left-field crank, he's recommended as further reading on cgm by some NHS hospitals. Libre is pretty good on its own, but many of us are using a small transmitter called MiaoMiao, about £160 one off cost, which reads the sensor every 5 mins and sends it to a phone app, xDrip+, to get "proper" cgm. It's a really useful tool in being able to see what's going on with bg, which makes it a lot easier to smooth levels out. Good luck! [/QUOTE]
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