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The Freestyle Libre affect
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<blockquote data-quote="tim2000s" data-source="post: 1471095" data-attributes="member: 30007"><p>An interesting topic [USER=182669]@slip[/USER], and one I <a href="http://www.diabettech.com/cgm/abbotts-freestylelibre-disrupting-and-democratising-diabetes-care-in-europe/" target="_blank">wrote </a>about earlier this year - I think it's very pertinent. My take on more accessible information is not one of overloading HCPs in relation to Diabetes. At first, they didn't know what to do with it as most had never seen the data displays we were providing them as it wasn't part of the training. Diabetes clinics have had to do something about that pretty sharpish as more people have come on board. That was the first step.</p><p></p><p>The second is the empowerment that less expensive monitoring devices provide. One thing that every consultant I know says is that they wish that people found it easier to take responsibility for their own diabetes. The Libre has done that. There are many thousands of people engaging with and looking at things that they'd never even thought about before the Libre. It's been fascinating watching the NHS react. Those who want people to embrace their Diabetes have jumped at the opportunity to help with this, and are happy to have people turn up with beautiful graphs. Those who are less pleased about their "patients" gaining much more "expertise" have been rather slower to act.</p><p></p><p>What I've increasingly found is that HCPs are learning nearly as much from the broader uptake of these devices. They are learning that DP is far more common than they previously thought. That if you eat plenty of carbs, you have very little choice but to pre-bolus at least 20 minute beforehand (I've seen advice change as a result of this) and that people eating fewer carbs have much less peaky traces than most who eat higher carbs.</p><p></p><p>So I think we do a disservice by saying we are providing too much information. The additional information is being added to the bank of knowledge and allows the HCP to much better understand what they are seeing with someone and thus what advice to give. If they choose to dig more deeply, then that's not unreasonable, but I don't think it's due to overload.</p><p></p><p>As it happens, AGPs were first provided in NightScout, and then (as far as I am aware) it was Abbott who were the first to produce them in a commercial software package.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1471095, member: 30007"] An interesting topic [USER=182669]@slip[/USER], and one I [URL='http://www.diabettech.com/cgm/abbotts-freestylelibre-disrupting-and-democratising-diabetes-care-in-europe/']wrote [/URL]about earlier this year - I think it's very pertinent. My take on more accessible information is not one of overloading HCPs in relation to Diabetes. At first, they didn't know what to do with it as most had never seen the data displays we were providing them as it wasn't part of the training. Diabetes clinics have had to do something about that pretty sharpish as more people have come on board. That was the first step. The second is the empowerment that less expensive monitoring devices provide. One thing that every consultant I know says is that they wish that people found it easier to take responsibility for their own diabetes. The Libre has done that. There are many thousands of people engaging with and looking at things that they'd never even thought about before the Libre. It's been fascinating watching the NHS react. Those who want people to embrace their Diabetes have jumped at the opportunity to help with this, and are happy to have people turn up with beautiful graphs. Those who are less pleased about their "patients" gaining much more "expertise" have been rather slower to act. What I've increasingly found is that HCPs are learning nearly as much from the broader uptake of these devices. They are learning that DP is far more common than they previously thought. That if you eat plenty of carbs, you have very little choice but to pre-bolus at least 20 minute beforehand (I've seen advice change as a result of this) and that people eating fewer carbs have much less peaky traces than most who eat higher carbs. So I think we do a disservice by saying we are providing too much information. The additional information is being added to the bank of knowledge and allows the HCP to much better understand what they are seeing with someone and thus what advice to give. If they choose to dig more deeply, then that's not unreasonable, but I don't think it's due to overload. As it happens, AGPs were first provided in NightScout, and then (as far as I am aware) it was Abbott who were the first to produce them in a commercial software package. [/QUOTE]
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