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Type 1 Diabetes
TIR or Hba1c?
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<blockquote data-quote="wd1" data-source="post: 2218522" data-attributes="member: 351688"><p><span style="font-family: 'Arial'"><span style="font-size: 12px">Very interested in this discussion. Since getting the Libre a year ago I chose to use the TIR measure on the reader as an indicator of how well I'm doing - it seemed to me to be the obvious measure to use. So I was pleased to listen to a presentation given by </span></span><span style="font-size: 12px"><span style="font-family: 'Arial'">Dr Pratik Choudhary, (Senior Lecturer and Consultant, King’s College London) at a Diabetes UK "Tech and Type 1 conference" last November where, amongst other very informative things, he talks about this topic. (The conference is still available to view on: [MEDIA=youtube]YvJM-JVGvx8[/MEDIA] or search on Diabetes UK website).</span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Arial'">So I tried to have a discussion with my own Consultant on this when I saw him in December and he was still banging on about HbA1c - which was a bit disappointing. However in the follow up letter to my GP he did then recall the TIR discussion and how this was looking for me - so I was more impressed. Last week I met with the DSN in his team and TIR was definitely a key topic. I'm starting on the Omnipod pump next week after 38 years of MDI (very exciting) and using the TIR on my Libre is seen as a good indicator of how well the pump take-on is going.</span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Arial'">My view is that HbA1c has been the best indicator for clinicians for many years now so it is difficult for people to change their view quickly. It is only since the use of CGM and FGM has begun to become more widespread, that TIR data has been available and, right now, the benefit of this is being realised. The main benefit of course is that TIR is available instantly to the patient (and to the medical team) at any time removing the need for blood samples and laboratory analysis that is required for HbA1c. The future is TIR !</span></span></p></blockquote><p></p>
[QUOTE="wd1, post: 2218522, member: 351688"] [FONT=Arial][SIZE=3]Very interested in this discussion. Since getting the Libre a year ago I chose to use the TIR measure on the reader as an indicator of how well I'm doing - it seemed to me to be the obvious measure to use. So I was pleased to listen to a presentation given by [/SIZE][/FONT][SIZE=3][FONT=Arial]Dr Pratik Choudhary, (Senior Lecturer and Consultant, King’s College London) at a Diabetes UK "Tech and Type 1 conference" last November where, amongst other very informative things, he talks about this topic. (The conference is still available to view on: [MEDIA=youtube]YvJM-JVGvx8[/MEDIA] or search on Diabetes UK website). So I tried to have a discussion with my own Consultant on this when I saw him in December and he was still banging on about HbA1c - which was a bit disappointing. However in the follow up letter to my GP he did then recall the TIR discussion and how this was looking for me - so I was more impressed. Last week I met with the DSN in his team and TIR was definitely a key topic. I'm starting on the Omnipod pump next week after 38 years of MDI (very exciting) and using the TIR on my Libre is seen as a good indicator of how well the pump take-on is going. My view is that HbA1c has been the best indicator for clinicians for many years now so it is difficult for people to change their view quickly. It is only since the use of CGM and FGM has begun to become more widespread, that TIR data has been available and, right now, the benefit of this is being realised. The main benefit of course is that TIR is available instantly to the patient (and to the medical team) at any time removing the need for blood samples and laboratory analysis that is required for HbA1c. The future is TIR ![/FONT][/SIZE] [/QUOTE]
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