CGM and diving

[tridacna]

The eversense is interesting but not terribly convenient unless you are really needle phobic. After a year (6 months now, a year pretty soon) you still need to remove it (scalpel and forceps) and put a new one in. Most folks you now see wearing a LIBRE 2 are in fact not diabetic but rather after "wellness". If you are pre-diabetic you should wear one to figure out which foods to eat (and which to avoid).
Bill

FTFY Most diabetics with health insurance are using a Libre 3 or 3plus.

Eversense users get the Libre 2.

 

[monkkx]

just want to report that my libre 2 did not survived a 100m dive although with drysuit ... I had previously dive un to 40-45m with no issue. I'm not sure why the pressure would affect electronic, nor if I can make any conclusion based on a single failure, but this is my experience so far. I asked for a replacement.

 

[bvanant]

It is surprising that the sensor died at 100 meters. There should be no obvious issue at depth that changes the physics of the CGM device. Maybe it is just coincidence. We have run sensors in vitro to that depth with no issue.
Bill

 

[rddvet]

Most folks you now see wearing Libre are in fact not diabetic but rather after "wellness". If you are pre-diabetic you should wear one to figure out which foods to eat (and which to avoid).
Bill

This is the reason I wear one pediodically through the year. As I've gotten older my A1C has creeped up some. Not prediabetic but don't want to get there. I use a Libre2 because its what I can easily order myself (own a medical business). Over the past 2 years the CGM has given me tons of data to figure out what diets work best for me and what foods to avoid to keep my glucose (and therefore insulin response) steady. Its also allowed me to figure out best nutrient timing in relation to various activities. Its really changed how and what I eat as well as when/what I eat in relation to things such as vigorous exercise.
Its a shame that the american insurance/medical system still makes it so hard for people to access CGMs. They are a powerful tool for people looking to fine tune their health, let alone all of the diabetics that would clearly benefit from them.
The only issue I have now is I was using a very good app called Veri which was one of the only apps that didn't require you to purchase cgms from them. They were bought by Oura and the app is now dead. I haven't found a good app yet that doesn't require a cgm subscription with it. And since I can get my cgms at cost, there is no reason to sign up for a cmg subscription. So as of now I'm just using the Libre app and a macro app. I'd love to find another app like Veri that allows me to track food and my cgm in the same app.

 

[tridacna]

This is the reason I wear one pediodically through the year. As I've gotten older my A1C has creeped up some. Not prediabetic but don't want to get there. I use a Libre2 because its what I can easily order myself (own a medical business). Over the past 2 years the CGM has given me tons of data to figure out what diets work best for me and what foods to avoid to keep my glucose (and therefore insulin response) steady. Its also allowed me to figure out best nutrient timing in relation to various activities. Its really changed how and what I eat as well as when/what I eat in relation to things such as vigorous exercise.
Its a shame that the american insurance/medical system still makes it so hard for people to access CGMs. They are a powerful tool for people looking to fine tune their health, let alone all of the diabetics that would clearly benefit from them.
The only issue I have now is I was using a very good app called Veri which was one of the only apps that didn't require you to purchase cgms from them. They were bought by Oura and the app is now dead. I haven't found a good app yet that doesn't require a cgm subscription with it. And since I can get my cgms at cost, there is no reason to sign up for a cmg subscription. So as of now I'm just using the Libre app and a macro app. I'd love to find another app like Veri that allows me to track food and my cgm in the same app.

It's even worse than that. Medicare only covers CGMs if the patient is diabetic AND on insulin!

 

[rddvet]

It's even worse than that. Medicare only covers CGMs if the patient is diabetic AND on insulin!

I agree. I was just trying not too say too much and sound political. But yeah, our system doesn't reward us for being healthy.

 

[monkkx]

It is surprising that the sensor died at 100 meters. There should be no obvious issue at depth that changes the physics of the CGM device. Maybe it is just coincidence. We have run sensors in vitro to that depth with no issue.
Bill

it could very well be a coincidence ... I concur with you and see no reason why pressure would impact the electronic. I'll try again and report

 

[tridacna]

it could very well be a coincidence ... I concur with you and see no reason why pressure would impact the electronic. I'll try again and report

Did Abbott replace the sensor?

 

[bvanant]

This is the reason I wear one pediodically through the year. As I've gotten older my A1C has creeped up some. Not prediabetic but don't want to get there. I use a Libre2 because its what I can easily order myself (own a medical business). Over the past 2 years the CGM has given me tons of data to figure out what diets work best for me and what foods to avoid to keep my glucose (and therefore insulin response) steady. Its also allowed me to figure out best nutrient timing in relation to various activities. Its really changed how and what I eat as well as when/what I eat in relation to things such as vigorous exercise.
Its a shame that the american insurance/medical system still makes it so hard for people to access CGMs. They are a powerful tool for people looking to fine tune their health, let alone all of the diabetics that would clearly benefit from them.
The only issue I have now is I was using a very good app called Veri which was one of the only apps that didn't require you to purchase cgms from them. They were bought by Oura and the app is now dead. I haven't found a good app yet that doesn't require a cgm subscription with it. And since I can get my cgms at cost, there is no reason to sign up for a cmg subscription. So as of now I'm just using the Libre app and a macro app. I'd love to find another app like Veri that allows me to track food and my cgm in the same app.

There are now (I know you know this) over the counter CGMs from both Dexcom and Abbott. I have been saying for many years that personalized nutrition is the next "killer app" for CGM for people without diabetes. As far as Medicare goes, if you are T1 then you NEED CGM and it is of course reimbursed. If you are T2 and not using insulin then CGM might be interesting and useful but are not medically necessary. There is a ton of debate in the literature about the benefits of CGM for non-diabetics as well ( see Nutrisense, Levels, January et al) but the data is not yet compelling that the use of CGM is terribly important yet. I say that as one of the guys that made the first FDA approved CGM (at Minimed) and still working on better CGM technology.
Bill

 

[rddvet]

There are now (I know you know this) over the counter CGMs from both Dexcom and Abbott. I have been saying for many years that personalized nutrition is the next "killer app" for CGM for people without diabetes. As far as Medicare goes, if you are T1 then you NEED CGM and it is of course reimbursed. If you are T2 and not using insulin then CGM might be interesting and useful but are not medically necessary. There is a ton of debate in the literature about the benefits of CGM for non-diabetics as well ( see Nutrisense, Levels, January et al) but the data is not yet compelling that the use of CGM is terribly important yet. I say that as one of the guys that made the first FDA approved CGM (at Minimed) and still working on better CGM technology.
Bill

I can see the debate on both sides for non diabetics. I think slapping on a cam with no understanding of what the readings mean is pointless. But when you understand what it’s telling you (which most of the apps are helping with) and combine it with regular blood work and consulting with your dr or a nutritionist it’s exceptionally beneficial. Unfortunately most of the country isn’t that committed or willing to spend the money.
I know there are new non-Rx cgms now. I was hoping they would lead to better apps that don’t require cgm purchase as part of the program but I don’t see one yet.