Im a year and a half in so my second but wasnt like this with all the hypos last winter its just trying to find the right balance...although this diabetes lark lulls you into a false sense you think you have cracked it then bang everything goes to potThis is my first descent into winter since being on insulin, so I'm being ultra-careful as I monitor it all. But, yes, definitely a pain and the amount of head-space the diet/exercise/insulin calculations seem to be occupying at the moment is huge!
Wearable glucose monitors will be made available to tens of thousands more people with type 1 diabetes from April 2019, NHS England has announced.
Nice one. Let's hope it really happens.Some good news - https://www.bbc.co.uk/news/health-46198366
Madam behaved all night, starting the day on a happy 4.8mmol. Shoved three hard boiled duck eggs down my face for breakfast...
But what does this really mean?
It does not say that Libre will be available to all with type 1 diabetes; just that it will be available to "tens of thousands more". This suggests there is still wiggle room for the CCGs to avoid spending money as there are about 400,000 people in the UK with diabetes - could still be less than 10% of people with diabetes having access to the Libre.
It is recommended that Freestyle Libre® should only be used for people with Type 1 diabetes, aged four and above, attending specialist Type 1 care using multiple daily injections or insulin pump therapy, who have been assessed by the specialist clinician and deemed to meet one or more of the following:
1. Patients who undertake intensive monitoring >8 times daily
2. Those who meet the current NICE criteria for insulin pump therapy (HbA1c >8.5% (69.4mmol/mol) or disabling hypoglycemia as described in NICE TA151) where a successful trial of FreeStyle Libre® may avoid the need for pump therapy.
3. Those who have recently developed impaired awareness of hypoglycaemia. It is noted that for persistent hypoglycaemia unawareness, NICE recommend continuous glucose monitoring with alarms and Freestyle Libre does currently not have that function.
4. Frequent admissions (>2 per year) with DKA or hypoglycaemia.
5. Those who require third parties to carry out monitoring and where conventional blood testing is not possible.
In addition, all patients (or carers) must be willing to undertake training in the use of Freestyle Libre® and commit to ongoing regular follow-up and monitoring (including remote follow-up where this is offered). Adjunct blood testing strips should be prescribed according to locally agreed best value guidelines with an expectation that demand/frequency of supply will be reduced.
But what does this really mean?
It does not say that Libre will be available to all with type 1 diabetes; just that it will be available to "tens of thousands more". This suggests there is still wiggle room for the CCGs to avoid spending money as there are about 400,000 people in the UK with diabetes - could still be less than 10% of people with diabetes having access to the Libre.
On another diabetes tech note, I am not happy with Pumpy.
On Monday, he decided to creep down my leg as I walked through the airport.
On Tuesday, he decided to shout at the security arch in the airport. At least something set off the metal detector, Normally, this would not be a problem but how do you fancy yanking up your skirt in public to show off a device strapped to your inner thigh? Note to self: do not wear a dress when going to the airport.
In addition to all his International attention seeking, I have been proactively trying to stop him causing more trouble in the future. Whilst I have no lumps, I try to move my cannula around. I have always favoured my belly and the red marks show me where the cannula was the last 3 or 4 times so I aim for somewhere else. Recently, I have been attempting to move away from the belly and on to my back. Two cannulas ago, I tried my spare tyre area on my back. This seemed to coincide with the waist band f my jeans. So I tried a little lower down on the top of my right cheek. It is too high to sit on so I thought I would be fine. However, as I boarded the plane, I lowered my back pack containing my laptop and overnight supplies a little too fast and it hit my cannula which has been aching ever since.
So, today, Pumpy is celebrating World Diabetes Day by being a PITA.
Good morning and happy world diabetes day
Libre change last night. What a PITA it is to get the sticky stick of the MM, thought I had found the ideal solution WD40 BUT not last night grrrr. Took me an hour to get it all off. So will be buying a spray tin of brake cleaner today and see if that works.
ANYWAY Libre saying that I woke to a 9.9, finger prick saying 6.4. Calibrated Xdrip and things seemed ok.....Got into work and alarms are going off like "billio" 11.6 and rising. Finger prick saying the same. Checked the Timesulin on my pen and that coincides with my morning jab. T1D is having a laugh with me today
Morning all, 6.4 this morning (after waking up an hour and half earlier on a 3.something and having 3 glucotabs) and 10.4 before bed and a slight correction. Work that out - why the drop 6-7 hours later, one beer!?
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