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

what would you tell week-1 you about CGM

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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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6 comments, started 1 year ago
u/ice_pack_auditcold chain207 points·1 year ago

The three numbers, and what each one can and cannot tell you.

A1c is an average over about three months, weighted to the recent weeks. It cannot show variability and it lags change. Continuous monitoring shows the shape — excursions, overnight, time in range — and is where improvement usually becomes visible first. Fingersticks are point measurements, useful for sanity-checking a sensor and for specific questions.

Most of the frustrated posts here come from expecting one of the three to answer a question that belongs to another. And all three are inputs to a conversation with whoever manages your care, which is not this board.

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u/iman_castellanosOP157 points·1 year ago

Is that a first-day sensor reading?

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u/kaia_cabrera94 points·1 year ago

Time in range told me far more than the average did. Two quarters with the same A1c looked completely different on the sensor.

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u/nhs_waitlist_nUK36 points·1 year ago

Yes — the person managing your diabetes is the one to talk to, and this board is explicit about that.

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u/nhs_waitlist_nUK-17 points·1 year ago

That A1c change is inside the assay’s variability and the interval you measured over is too short.

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u/iman_castellanosOP61 points·1 year ago

Small fix — insulin secretion in this class is glucose-dependent, which is precisely why the risk you describe comes from the other agent.

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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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