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c/t2dglp1·submitted 1 year ago by u/iman_castellanos

what would you tell week-1 you about CGM

Cautionbranch of 14 comments

what would you tell week-1 you about CGM. I am not trying to be the "source?" guy. I would just like a source. Panicked over a first-day sensor reading and rebuilt my week around it. It was the sensor. Brought the whole CGM export to my appointment rather than one number. Entirely different conversation. Assumed the…

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14 comments, started 1 year ago
u/marta_weiss95 points·1 year ago

Agreed. A1c is an integrated average over roughly three months and treating it as a current reading causes a lot of unnecessary alarm.

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[removed]71 points·1 year ago

[removed by moderator]

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u/lyophile_lou29 points·1 year ago

nothing here replaces the person managing your diabetes

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u/rasmus_kimani112 points·1 year ago

Postprandial excursions typically respond earlier than fasting glucose, so the sequence people observe is not a sign that something is not working.

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u/aleksi_eriksen92 points·1 year ago

postprandial excursions are where most of the improvement shows up first

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u/katrin_girard88 points·1 year ago

a1c can be affected by things that have nothing to do with glucose

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u/osman_ferrari68 points·1 year ago

Certain conditions affect A1c independently of glycaemia. If a result looks inconsistent with the sensor data, that is a question for whoever manages your care rather than for this board.

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u/tomas_lundgren49 points·1 year ago

My hs-CRP moved and it turned out to have nothing to do with glucose at all.

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u/runa_grimaldi16 points·12 months ago

the fasting number is the one people fixate on and it moves last

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u/tired_ledger_notes48 points·1 year ago

Kept fingersticks alongside the sensor for two weeks to sanity-check it. Worth doing once.

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u/step_count_stan40 points·1 year ago

a1c can be affected by things that have nothing to do with glucose

Agreed, and the glucose-dependence point is the reason the risk profile reads the way it does.

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u/katrin_girard49 points·12 months ago

Variability dropped before the average did, which was visible on the sensor and invisible on the lab result.

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u/hugo_norgaard33 points·1 year ago

variability matters as much as the mean

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Type 2 diabetes as the original indication: A1c trajectories, CGM traces, hypoglycaemia risk when stacked with sulfonylureas or insulin, metformin combinations, and why the weight-loss conversation sometimes drowns out the glycaemic one.

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