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<blockquote data-quote="Scott-C" data-source="post: 1410765" data-attributes="member: 374531"><p>Hmm, fair point, shouldn't have expressed it in the context of an 80g meal, but I still think that the point about considering the absorption rate/GI holds true for any size of meal and any type of person.</p><p></p><p>From a T1 point of view, it's something I'll think about when deciding how far in advance to pre-bolus.</p><p></p><p>I've been paying a lot of attention to variability since getting the libre. I've been following the various Westminster and Holyrood petitions for getting cgm on the NHS, and the government responses seem to be NICE guidance is that hba1c is fine so no need. I've not yet been bored enough to check out the studies which led NICE to that view, but it seems to me at first glance that they're kind of missing the point. Hba1c is an average so you could have two people with the same a1c, but one is tightly controlled and the other has lots if lows and highs but it still averages out at superficially good. Cgm, though, whether through AGP or daily graphs shows swings in a way which a1c just doesn't. Pretty much everything I've read suggests that swings/variability is damaging, so how governments can say that a1c is good enough without the depth of information an AGP provides is frankly beyond me.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 1410765, member: 374531"] Hmm, fair point, shouldn't have expressed it in the context of an 80g meal, but I still think that the point about considering the absorption rate/GI holds true for any size of meal and any type of person. From a T1 point of view, it's something I'll think about when deciding how far in advance to pre-bolus. I've been paying a lot of attention to variability since getting the libre. I've been following the various Westminster and Holyrood petitions for getting cgm on the NHS, and the government responses seem to be NICE guidance is that hba1c is fine so no need. I've not yet been bored enough to check out the studies which led NICE to that view, but it seems to me at first glance that they're kind of missing the point. Hba1c is an average so you could have two people with the same a1c, but one is tightly controlled and the other has lots if lows and highs but it still averages out at superficially good. Cgm, though, whether through AGP or daily graphs shows swings in a way which a1c just doesn't. Pretty much everything I've read suggests that swings/variability is damaging, so how governments can say that a1c is good enough without the depth of information an AGP provides is frankly beyond me. [/QUOTE]
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