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The Question
Mon Jun 10 11:34:25 EDT 2013

Is there a way to monitor BS continuously throughout the day versus spot checking with a glucose meter?
Asked By: babyd2012  
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Expert Answers (2)
2013-06-18 17:41:06.0

Rita posted in her response, "there are glucose sensors that use infra-red technology to read glucose levels thru the skin." She was referring to a patient's Minimed pump, mistaking the radio frequency communication between the sensor and transmitter for infrared communication, which is still technology in development at this time. We apologize for any confusion this may have caused.
Answered By: Monica Dennis
Accreditations: dLife Managing Editor
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2013-06-09 11:48:01.0

Hello babyd2012
Thank you for bringing your question to dLife. You ask if there is a way to spot check glucose levels without doing fingersticks. Well, there are glucose sensors that use infra-red technology to read glucose levels thru the skin. The sensor is worn on the body. I have only known pump-dependent Diabetics use this device and only under certain situations. If a person is a brittle diabetic with poor control, a sensor can help regulate how much bolus insulin is needed to be released by the pump. The sensor can communicate with the pump. I have only seen insurance approve the sensor when it can be documented that the person is doing many fingersticks all day long and still is not in control. When I say many, I mean maybe 20-30 fingersticks per day. The gold standard of self-monitoring glucose levels continues to be doing fingersticks using a glucometer that is calibrated and test strips that are in date and kept properly in their closed container.
Answered By: Rita Juray
Accreditations: RN, MLT-ASCP, CCM, CDE
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Community Answers (3)
2013-06-14 18:24:53.0

The expert's response said that she only knew of people on the pump who used the continuous glucose monitors(CGM). I take insulin shots and I use the CGM. It has been extremely helpful to me in alerting me when I'm trending low, which was my main concern. With any of the systems you still need to calibrate with finger sticks twice a day. I don't usually have to do more that 4 a day. I have been using the Dexcom 7 for 3 years and have not had any visits to the Emergency Room since.
Answered By: angelicajoan

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2013-06-14 14:33:39.0

I have been using Dexom for 4 years (3 with the seven+ and about 6 months with the Dexcom4 Platnmum4) I still do 10 - 15 fingersticks but I find the CGM very very helpful in catching trends early. If I see a trend arro going up or down, I do an additional fingerstick so my corrections (if I am going up) is early and small. If the trend arrow is going down, I can decide to either change my basal and/or have a small dose of carbs. This system keeps me between 80 -120 just about 24/7 and my A1C's are consistently between 5.0 - 5.4 (the same region as someone without diabetes) I am anal by nature and I like having great control. I avoid lows this way as well. I have had Type 1 30+ years and have been pumping for about 8 years.
Answered By: pugmommy

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2013-06-14 11:09:39.0

There are systems available called continuous glucose monitors. A small wire sensor is inserted under the skin and connects to a wireless transmitter. A receiver is worn that displays the last reading as well as a trend of your glucose values (typically up to the last 24 hours.) Sensors are approved for wear for between three and seven days, depending on the manufacturer.
Answered By: jgreenewv

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