Transcription
CLARITY: DEXCOM G5DAILY OVERLAY 14 DAY
CLARITY: DEXCOMDAILY VIEW
CLARITY: DEXCOMCOMPARISON
DEXCOM G5 Start simple Start Broad Remember this is new tech for the client. We do not want to overwhelm andfrustrate anyone Settings are personalized For example someone with hypoglycemia unawareness-The low alert would be set higher Data can be retrieved from either their iPhone or receiver
WHERE TO START?1.Hypoglycemia 2.Fix the fasting blood sugar 3.We want to make sure we are managing and solving the issues surrounding low blood sugars 1stThis can equate to 1/3 of a day for some and if we are managing nocturnal control this can bea large portion of blood sugar control.Postprandial control This can be a tough one to tackle. There are a lot of factors that play into results: 4.Lag timeBG directionFood choices (high fat, higher fiber, or portion sizes)Carb counting accuracyActivityWhat about site selection and rotation
CASE STUDIES
CASE STUDY: NS 69 year old female with T1D since age 29 Had habit of mixing old with new insulin as she did not want to waste the 1020 units remaining in reservoir Had 16 no delivery alerts in 30 days as she was waiting until all insulin wascompletely depleted because she did not want to waste insulin Was tired of testing blood sugars after having diabetes for 40 years
CASE STUDY: NSWHAT WOULD YOU DO?
CASE STUDY: NSWHAT WOULD YOU DO?
THIS IS WHAT WE CALL “WIPING THE SLATE CLEAN” Re-calculating the basal: 27 24 hours 1.12 units per hour
CASE STUDY NSAHHHH RESULTS!
CASE STUDY:LW LW is a 51 year old female with T1D for 30 years On a Medtronic Revel 523 Insulin pump therapy for 15 years Recently retired Was upgraded to a 530G with CGM (had concerns about accuracy of thesensor
CASE STUDY: LW
CASE STUDY: LW
CASE STUDY: LW She was not wearing her CGMconsistently Complaint was inaccuracy of theCGM Trial of the Dexcom CGM with herMedtronic CGM simultaneously
CASE STUDY: LW
CASE STUDY: LW
CASE STUDY: LW
CASE STUDY: LWOVERVIEWNote frequentsuspending when seestrend arrows goingdown resulting inglucose excursions
CASE STUDY:LWDAILY OVER VIEWDaily view allowsmore in-depthanalysis-notice CGMalerts and suspensionof pump withresultant glucoseexcursions
DEXCOM G5 Start simple Start Broad Remember this is new tech for the client.We do not want to overwhelm and frustrate anyone Settings are personalized For example someone with hypoglycemia unawareness-The low alert would be set higher Data can be
