Generated by All in One SEO v4.9.4.1, this is an llms.txt file, used by LLMs to index the site. # Diabettech - Diabetes and Technology Where Diabetes and Technology meet ## Sitemaps - [XML Sitemap](https://www.diabettech.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Blog Posts](https://www.diabettech.com/blog-posts/) - All the posts, updated as they are written! - [Why is the cheese sandwich the downfall of AI carb counting, even with "3D scanning"?](https://www.diabettech.com/why-is-the-cheese-sandwich-the-downfall-of-ai-carb-counting/) - A slightly rhetorical question, I'll admit, but a pertinent one. Once again, I have been trying out the latest (read most heavily pushed on Facebook Diabetes groups by its founder, to the extent that using your mum as an advocate - or your mum's account - is really taking it a little too far) app - [The Libre Duo. A platform prototype to move care from the hospital to the home?](https://www.diabettech.com/the-libre-duo-a-platform-to-move-care-from-the-hospital-to-the-home/) - Abbott has put glucose and ketones on the same wearable, and the launch coverage is all about DKA. Worth having if you’re on a pump, which is fine as far as it goes, but it misses the bit that makes this interesting. Because if you look at what Abbott has actually built across its other divisions, and what they’ve patented alongside it, the Libre Duo doesn’t really look like a ketone sensor. It looks like the platform prototype and the first visible piece of an infrastructure designed to move chronic disease care out of outpatients and into the home. And the policy environment for that shift has just been locked in on both sides of the Atlantic for the next five years. - [Five AI models, three users, one finding: the settings came from the textbook, not the data](https://www.diabettech.com/five-ai-models-three-users-one-finding-the-settings-came-from-the-textbook-not-the-data/) - We took Nightscout data from three people and gave it to 5 Large Language Models with a detailed prompt to see how they would respond. The results weren't what I was expecting. - [I Asked AI to Count My Carbs 27,000 Times. It Couldn’t Give Me the Same Answer Twice.](https://www.diabettech.com/i-asked-ai-to-count-my-carbs-27000-times-it-couldnt-give-me-the-same-answer-twice/) - Ask ChatGPT to estimate the carbs in your lunch. Now ask it again. And again. Five hundred times. You’d expect the same answer each time. It’s the same photo, the same model, the same question. But you won’t get the same answer. Not even close — and the differences are large enough to cause a - [The Daily Bolus: The Triple Agonist Showdown & Surprising GLP-1 Wins in Type 1 Diabetes](https://www.diabettech.com/the-daily-bolus-the-triple-agonist-showdown-surprising-glp-1-wins-in-type-1-diabetes/) - Welcome to today's edition of The Daily Bolus! The incretin landscape is rapidly evolving into the era of the "triple agonist," with Eli Lilly and Novo Nordisk going head-to-head to push weight loss and A1C reduction to new extremes. Meanwhile, groundbreaking real-world data is showing that these blockbuster therapies are quietly transforming long-term care for - [100% Insulin Independence: Why Eledon’s Breakthrough is a Pillar, Not a Cure](https://www.diabettech.com/100-insulin-independence-why-eledons-breakthrough-is-a-pillar-not-a-cure/) - Eledon Pharmaceuticals recently achieved 100% insulin independence in an early-phase islet transplant trial using its anti-CD40L drug, tegoprubart. It’s a massive step forward in transplant immunology that avoids the toxicity of standard drugs. But why isn't it a cure yet, and how does it fit into the actual blueprint of a functional cure? - [Explore a Decade of Diabetes Insights with Diabettech AI](https://www.diabettech.com/introducing-diabettech-ai/) - After 10+ years of documenting the diabetes landscape, Diabettech is launching diabettech.ai—a custom research tool designed to help you navigate a decade’s worth of articles and reports. Powered by an LLM interface, this tool allows you to "interrogate" the site’s data to find specific answers on everything from cures to n=1 observations. ​Key highlights of the beta launch: ​Targeted Accuracy: Built to stick strictly to Diabettech articles and comments to minimize "hallucinations." ​Research-Focused: Optimized as a precision tool rather than a standard chatbot to provide relevant article links. ​Sustainable Design: Privately funded and optimized for efficiency to manage resource costs and query speeds. ​Ready to dive into the archives? Visit diabettech.ai to start your research and share your feedback on the beta experience. - [The Daily Bolus: Red Cell Sponges, Microbiome Signatures, and Cyborg Cells](https://www.diabettech.com/the-daily-bolus-red-cell-sponges-microbiome-signatures-and-cyborg-cells/) - Today’s research is moving beyond the traditional "big three" of glucose disposal—liver, muscle, and fat. We explore how red blood cells can be recruited as metabolic "sponges," how AI-driven gut signatures are catching insulin resistance earlier than ever, and why an electronic "cyborg" mesh might be the key to making lab-grown pancreatic cells finally function like the real thing. It’s a steady shift toward an integrated, multi-system approach to metabolic health. - [Now We Know What a Type 1 Cure Could Look Like](https://www.diabettech.com/now-we-know-what-a-type-1-cure-could-look-like/) - The Type 1 cure is no longer theoretical. Human data now points to a blueprint: working cells, immune evasion, and durable immune modulation. - [The Daily Bolus: Retinopathy Pills, Diabetes Risk Watches, and Immune Fixes for Insulin Resistance](https://www.diabettech.com/the-daily-bolus-retinopathy-pills-diabetes-risk-watches-and-immune-fixes-for-insulin-resistance/) - The diabetes pipeline is starting to look a lot like the cardiovascular playbook: prevent early, intervene earlier, and push treatment upstream before irreversible damage begins. This week’s updates span three very different corners of the ecosystem — but they share the same underlying theme. We’re seeing credible attempts to (1) stop complications before they become - [The Daily Bolus: Early Warnings, Genetic Cloaks, and the Seven-Year Shield](https://www.diabettech.com/the-daily-bolus-early-warnings-genetic-cloaks-and-the-seven-year-shield/) - Whilst the title of this edition sounds like something out of science fiction, in it we see a masterclass in "biological intelligence." As of February 5, 2026, the signal cutting through the noise has shifted from hardware on the skin to the deep cellular architecture of the body. From "immune niches" that act as early-warning - [The Daily Bolus: Mechanism over metrics, biology over dashboards](https://www.diabettech.com/the-daily-bolus-mechanism-over-metrics-biology-over-dashboards/) - The developments highlighted in the bolus today reinforce a theme Diabettech has been circling for years: the most meaningful progress in diabetes does not come from squeezing ever more signal out of glucose curves, but from understanding the biology that sits underneath them. Not all of these are from the past 24 hours, but all - [Introducing The Daily Bolus: Parsing the Signal from the Noise](https://www.diabettech.com/introducing-the-daily-bolus-parsing-the-signal-from-the-noise/) - Date: January 13, 2026 If you’ve been following Diabettech for a while, you know that my focus has always been on the deep dives—the "Nine Sensor Sambas," the forensic analysis of DIY algorithms, and the technical "why" behind the errors. But there is a problem: the world of diabetes tech is moving faster than any - [The Daily Bolus: Et tu, B Cells?](https://www.diabettech.com/the-daily-bolus-et-tu-b-cells/) - Recent news has been defined by a pivot toward "biological intelligence." As of January 21, 2026, the signal cutting through the noise isn't just about managing the disease after it arrives, but about uncovering the "hidden" sabotage within our immune systems and identifying at-risk children before the first symptom ever appears. 1. The "Sinister" Saboteurs: - [What If Type 1 Diabetes Was Treatable — If You Found It Early Enough?](https://www.diabettech.com/what-if-type-1-diabetes-was-treatable-if-you-found-it-early-enough/) - For most of its history, type 1 diabetes (T1D) has been diagnosed late. By the time symptoms appear, the autoimmune destruction of pancreatic beta cells has usually been underway for years, with a substantial proportion of insulin-producing capacity already lost. The consequences of this late diagnosis are familiar: diabetic ketoacidosis (DKA), emergency hospital admissions, and - [The Daily Bolus: What happened over the weekend?](https://www.diabettech.com/the-daily-bolus-what-happened-over-the-weekend/) - The Daily Bolus The weekend news has produced a rare mix of genuinely interesting diabetes science alongside the usual commercial background noise. Notably, some of the most consequential developments did not originate from device manufacturers or glucose-lowering drug pipelines, but from immune biology, metabolomics, and long-term disease-modification research. Disease Modification: Immune and Cellular Approaches NextCell - [Basal Testing: Single basal rate, variable ISF and CR - feedback](https://www.diabettech.com/basal-testing-single-basal-rate-variable-isf-and-cr-feedback/) - Determining what the outcomes are with an automated insulin delivery system using a single basal rate and varied ISF and CR using AndroidAPS. TLDR? It works. - [A "twiist" of Fate: Why Sequel is Moving Beyond Tidepool to Embrace Diabeloop](https://www.diabettech.com/a-twiist-of-fate-why-sequel-is-moving-beyond-tidepool-to-embrace-diabeloop/) - For those in the "We Are Not Waiting" camp, the Sequel twiist pump was supposed to be the commercial homecoming for Tidepool Loop. It promised the soul of a DIY algorithm with the support of a medical device giant. But as of their recent announcement today, the narrative has shifted. Sequel Med Tech and Diabeloop - [The Daily Bolus: Interoperability, AI, and Enhanced Glycemic Insights](https://www.diabettech.com/the-daily-bolus-interoperability-ai-and-enhanced-glycemic-insights/) - The past 24 hours have continued to underscore the relentless pace of innovation within diabetes technology and research, presenting clinicians and individuals living with diabetes with both exciting prospects and evolving complexities. Our focus today spans advancements in artificial intelligence for predictive glucose management, crucial discussions around automated insulin delivery (AID) system interoperability, - [ChatGPT Health: Promise, Practicality, and the Reality for People with Diabetes](https://www.diabettech.com/chatgpt-health-promise-practicality-and-the-reality-for-people-with-diabetes/) - Artificial intelligence has been hovering around diabetes care for a while now, usually wrapped in glossy demos and ambitious claims. Carb-counting apps that “just work”. Decision support systems that promise fewer hypos. Digital coaches that claim to learn your metabolism. Most people living with diabetes already know the punchline: the complexity of glucose physiology tends - [Unauthorised Use of Nine Sensor Samba Data in Commercial Marketing](https://www.diabettech.com/unauthorised-use-of-nine-sensor-samba-data-in-commercial-marketing/) - Recently, we became aware that i-Sens has published a marketing infographic promoting the CareSens Air continuous glucose monitoring (CGM) system. The infographic references Diabettech and our Nine Sensor Samba evaluation, a single-participant comparison of nine CGM devices conducted in real-world daily use.To be clear: Diabettech did not provide permission for our results, analysis, or commentary - [A pump update and then... Something changed!](https://www.diabettech.com/from-insight-to-dana-i-an-unexpected-change-in-my-tdd/) - Switching from Accu-Chek Insight to Dana-i (with a new cannula) unexpectedly reduced my daily insulin dose. Here’s what I discovered. - [The Nine Sensor Samba: How do the Consensus Error Grids stack up?](https://www.diabettech.com/the-nine-sensor-samba-how-do-the-consensus-error-grids-stack-up/) - Taking the evaluation of the nine sensors a step further with Consensus Error Grids and looking at the price performance of the sensors. - [The nine sensor samba: Results revealed](https://www.diabettech.com/the-nine-sensor-samba-results-revealed/) - 9 sensors; 15 days; 150 fingerpricks. The results of the "nine sensor samba" are in, and they're not what we were expecting... - [The Nine Sensor Samba — A Sneak Peek at Simultaneous CGM Testing](https://www.diabettech.com/nine-cgms-tested-together-sneak-peek-of-the-nine-sensor-samba-diabettech/) - Previewing the “Nine Sensor Samba”: Our real-world comparison of nine CGMs simultaneously, assessing accuracy (MARD), Time-in-Range, lag, and app usability. - [Beyond Snaq-qing. Digesting your glucose patterns.](https://www.diabettech.com/beyond-snaq-qing-digesting-your-glucose-patterns/) - I spent a long time discussing Snaq's use of AI for food recognition in the previous article. In this one, I'm looking at what it does in relation to glucose patterns. Snaq looks at two areas: Feedback on your time in range for the three hours after a meal; Providing an estimate, given the information - [Snaq. A diabetes AI to help you carb count. Badly.](https://www.diabettech.com/snaq-a-diabetes-ai-to-help-you-carb-count-badly/) - Here we review Snaq, a diabetes management app that aims to simplify carb counting through food photo recognition. Despite its functionality, the app struggles with food identification and portion sizes, often leading to inaccurate outputs. Users must contribute data to improve its learning, raising concerns about its subscription cost versus effectiveness. - [In conversation with... Unpacking the "Why" Behind the Errors](https://www.diabettech.com/in-conversation-with-unpacking-the-why-behind-the-errors/) - Here we discuss the LLMs design and purpose in the context of interacting with and advising on health data, and demonstrate why the two may be at odds with one another: https://wp.me/p7O2EL-2BM - [In conversation with... File uploads and interpretation. Where the wheels fall off!](https://www.diabettech.com/in-conversation-with-file-uploads-and-interpretation-where-the-wheels-fall-off/) - In this final section of the "In conversation with" experiment, we provided "access" to complete Nightscout data for the LLM models. Unfortunately, this is also where the wheels rather fell off, and whilst the results gave an initial appearance of credibility, upon further investigation it became clear that what was presented was rather less then effective and could have been very unsafe. Read on to learn more: https://wp.me/p7O2EL-2BE - [In Conversation with…. Reviewing user data and system settings using AI](https://www.diabettech.com/in-conversation-with-data-analysis-with-ai-diving-deep-into-nightscout-insights/) - In this article, we look at the abilities of the LLMs to review data charts in image form from Nightscout and see what they suggest in terms of changing treatments, and how the contextualise those changes. As a key way that users are interacting with these models, this is a critical insight into what you might get. It's a big read with lots to go through, but we'd highly recommend taking the time. It revealed a lot of unexpected items that are potential gotchas... - [In Conversation with.... Carb Counting with AI: A Deep Dive into How Different Models Stack Up](https://www.diabettech.com/in-conversation-with-carb-counting-with-ai-a-deep-dive-into-how-different-models-stack-up/) - In the dynamic world of diabetes management, anything that can help us accurately estimate carbohydrates in our meals is a game-changer. Imagine a future where your smart device could instantly tell you the carb count of your dinner plate, helping you bolus with confidence. It's a tantalizing prospect, and with the rapid advancements in Artificial - [In conversation with.... How effective are large language models at giving diabetes advice?](https://www.diabettech.com/in-conversation-with-how-effective-are-large-language-models-at-giving-diabetes-advice/) - An experiment with Large Language Models. How well do they provide advice on diabetes issues? - [In conversation with... the questions](https://www.diabettech.com/in-conversation-with-the-questions/) - We provided a broad range of questions to the AIs we tested. They're documented here and cover factual questions, wider information gathering, picture analysis and data analysis. Read more to see what we went into. - [In conversation with... Factual questions for Large Language Models](https://www.diabettech.com/in-conversation-with-factual-questions-for-large-language-models/) - As I stated in the last "In conversation with" article, I split the questions into three sets. Factual, picture analysis and data analysis. This is the section on the factual questions. Here we delve into where the LLMs agreed, where they diverged, and what lessons we can take from their collective digital wisdom. This is - [Beyond Blood Sugar: Could incretins shield against diabetes complications?](https://www.diabettech.com/beyond-blood-sugar-could-incretins-shield-against-diabetes-complications-2/) - Could incretins therapy effectively reduce the effects and thus risk of diabetes complications amongst all those with diabetes? A discussion of the mechanisms and actions that might lead to this conclusion. - [Medtronic, Ypsomed, and the Diabetes Device Shake-Up: Spin-Offs, Strategy, and the Future of Diabetes Tech](https://www.diabettech.com/medtronic-ypsomed-and-the-diabetes-device-shake-up-spin-offs-strategy-and-the-future-of-diabetes-tech/) - In a transformative moment for diabetes care and medtech strategy, two major players—Medtronic and Ypsomed—have announced spin-offs or divestments of their diabetes divisions. Do these moves reveal a deeper shift in how companies respond to disruptive therapies, competitive pressure, and changing financial expectations.This blog post is the summary of a conversation with ChatGPT that explores - [It's been a while...](https://www.diabettech.com/its-been-a-while/) - Somehow, Douglas Adams got the message exactly right with the phrase "Life, the Universe and Everything". At least that's what it feels like. However, whilst it's been quiet around here, it's not been forgotten. And we've been slowly gathering tech for content. So without further ado, what's coming up? Another N=1 CGM comparison. Remember all - [MARD wars. More craziness in the world of CGM marketing from ATTD](https://www.diabettech.com/mard-wars-more-craziness-in-the-world-of-cgm-marketing-from-attd/) - A long time ago in a galaxy far, far away.... The CE mark was created. But what is it? The definition according the the EU website is: The letters ‘CE’ appear on many products traded on the extended Single Market in the European Economic Area (EEA). They signify that products sold in the EEA have - [It's ATTD again, and here's another CGM accuracy study...](https://www.diabettech.com/its-attd-again-and-heres-another-cgm-accuracy-study/) - As seems to have become the norm in the preamble to the Advanced Technologies and Treatments in Diabetes conference, another accuracy study was released in the past month (along with various "new" CGMs getting CE mark clearance). As ever, all of these things deserve scrutiny, even if only to allow people to see them. So - [Holidays. Even from T1D?](https://www.diabettech.com/holidays-even-from-t1d/) - The holiday For the past two weeks, I've been on a bit of a holiday of a lifetime, taking in the Big 5 (elephant, rhino, buffalo, leopard and lion), the Marine Big 5 (seals, whales, sharks, dolphins and penguins), plus a host of other amazing animals and sites. To put this in context, it was - [CGM: Is “More” always better? Abbott’s Libres. More Data – part 2](https://www.diabettech.com/cgm-is-more-always-better-abbotts-libres-more-data-part-2/) - In the first part of these two sections dedicated to Libre's minute by minute data, we looked at how the data presented and what that meant for variation and differences to what we're used to with five minute data. In this section we'll take a look at the impact of using the more frequent data, - [CGM: Is "More" always better? Abbott's Libres. More Data - part 1](https://www.diabettech.com/cgm-is-more-always-better-abbotts-libres-more-data/) - Abbot - More data In the first part of this series, we looked at Dexcom, it's claims of greater accuracy, and what benefit that provided. With Abbott's Libre, we have more data. Five times as much in fact, as the data set is every minute instead of every five minutes. Does this mean that we - [CGM: Is "More" always better?](https://www.diabettech.com/cgm-is-more-always-better/) - Over the past few years we've seen a number of the larger CGM manufacturers allowing us to infer that their newer products are better because they have more.... "More what?" I hear being asked around in the background? Dexcom are happy to tell us that it's "More accuracy" and "More Power". Meanwhile, Abbott are clear - [CGM: Is "More" always better? Dexcom's G7. More Accurate](https://www.diabettech.com/cgm-is-more-always-better-dexcoms-g7-more-accurate/) - As we discussed in the first article in this series, there's a lot of marketing about having More with your CGM, whether that's accuracy or data. First up, we're going to look at Dexcom's G7, which we're told is "More Accurate". When Dexcom tells us that the G7 is the most accurate CGM on the - [Location, location, location. Does cannula site affect AID performance?](https://www.diabettech.com/location-location-location-does-cannula-site-affect-aid-performance/) - Rotate your injection or infusion sites. That's a key message that anyone living with type 1 is delivered very early in their life with the condition. And for good reason. Nobody wants to have to live with scar tissue or lipohypertrophy affecting their insulin absorption. But within the advice about location lies another reality, before - [GLP1-RAs and Type 1 Diabetes: A retrospective study of incretin-based therapy use with Open Source AID.](https://www.diabettech.com/glp1-ras-and-type-1-diabetes-a-retrospective-study-of-incretin-based-therapy-use-with-open-source-aid/) - So far in this series we've looked at why incretin therapy might be a useful adjunct to traditional type 1 treatment, and also how the pharmacokinetics might be best used to manage type 1. In this article, we look at the feedback from users of these treatments and some of the positives and negatives that - [Understanding SMB and oref1](https://www.diabettech.com/understanding-smb-and-oref1/) - A further explainer of the newer functionality within OpenAPS and AndroidAPS to help guide use of the system. - [GLP1-RAs in Type 1 Diabetes: Dosing and Pharmacokinetics](https://www.diabettech.com/glp1-ras-in-type-1-diabetes-dosing-and-pharmacokinetics/) - As we discussed in the previous article, people are starting to use incretins as an adjunct therapy in the treatment of type 1 diabetes. All off label, of course. Anyone familiar with these drugs will know that they are indicated to be injected once a week. A model that's easy to follow, doesn't involve too - [GLP1-RAs in Type 1 Diabetes: more than meets the eye?](https://www.diabettech.com/glp-1s-in-type-1-diabetes-more-than-meets-the-eye/) - Some people will be aware, and some not, that there is a reasonable minority of people with Type 1 Diabetes using GLP-1 Receptor Agonists (GLP1-RAs) such as WeGovy and Mounjaro (which is a dual incretin also containing Gastro Inhibitory Polypeptide, GIP), especially in the USA. They are used for a couple of reasons. Often as - [Microtech's Linx. An Aidex sequel.](https://www.diabettech.com/microtechs-linx-an-aidex-sequel/) - In all the noise around EASD, you may not have noticed that Microtech have launched a new CGM. This is their follow up to Aidex, and in its native market, the unit looks a lot like the Libre3. In fact, in the picture below, where it's sitting next to a Libre2 Plus, it's pretty much - [Abbott's Takedown Shakedown - an update](https://www.diabettech.com/abbotts-takedown-shakedown-an-update/) - Following action from users, admins, healthcare staff and advocates, Abbott have responded on the takedown shenanigans. This seems to be a company statement that has been received by multiple people (which is understandable) and highlights that the issue is with the third party we mentioned yesterday. It highlights the risks of outsourcing activities to third - [Abbott's Takedown Shakedown. No Libre no more](https://www.diabettech.com/abbotts-takedown-shakedown-no-libre-no-more/) - Over the past 48 hours, numerous Facebook groups across Europe that were unaffiliated with Abbott but provided "User group" services to Freestyle Libre users received notices similar to the one shown below: This is know to have happened in the UK, Germany, Poland and Croatia, plus potentially others. Now the takedown notice might suggest that - [Dexcom's Stelo by numbers. Could a 15 day G7 be imminent?](https://www.diabettech.com/dexcoms-stelo-by-numbers-could-a-15-day-g7-be-imminent/) - With performance numbers on the new 15-day, prescription free, Stelo sensor from Dexcom looking very similar to those from the G7, could Dexcom be contemplating the announcement of an uldated 15-day iCGM at EASD in Madrid? - [Exercise, Insulin and Automation. The challenges.](https://www.diabettech.com/exercise-insulin-and-automation-the-challenges/) - There are regularly calls in the #WeAreNotWaiting world to incorporate exercise detection into the algorithms that we use, so that end users can minimise hypo risk and not have to worry about unplanned, mild, exercise. This might cover a half hour walk with the dog, a shopping trip or a similar event. The cry is - [To patch pump or not to patch pump? That is the question...](https://www.diabettech.com/to-patch-pump-or-not-to-patch-pump-that-is-the-question/) - Ever since the Omnipod appeared, the question over what type of pump to use has been a constant question from both new users and those coming to the end of a contract. The patch pump appears to offer an all in one device that can be applied and removed every three days with no external, - [Waving the white flag? Medtronic partners with Abbott for CGM.](https://www.diabettech.com/waving-the-white-flag-medtronic-partners-with-abbott-for-cgm/) - Breaking news in the world of Diabetes tech today saw Medtronic and Abbott share news of a partnership to provide Abbott CGM technology to Medtronic for use with their AID and Smart pen systems. So what does this mean for Medtronic's CGM? Are they finally drawing a line under their attempts to produce a competitive, - [Ypsomed Diabetes Care. What happens next?](https://www.diabettech.com/ypsomed-diabetes-care-what-happens-next/) - It has probably passed most people by, but there were some very interesting statements from Ypsomed in regard to their Diabetes product line towards the end of March. The CEO appeared to state that they are more focused on the Business to Business delivery systems aspect: Our underlying growth drivers of simple self-treatment and the - [When n=1 is not enough. An initial take on the Libre2 and Libre2 Plus comparison](https://www.diabettech.com/when-n1-is-not-enough-an-initial-take-on-the-libre2-and-libre2-plus-comparison/) - As I mentioned a couple of weeks ago, I received a number of Libre2 and Libre2 Plus devices to try. So far, I've only used one pair, but this is an initial view of what I saw. The method used here to compare looks at the differences between TIR, TBR and TAR over the latter - [The Modular Medical MODD1 insulin pump. What do we know?](https://www.diabettech.com/the-modular-medical-modd1-insulin-pump-what-do-we-know/) - Modular Medical recently submitted their new pump system to the FDA for approval. Here we dig into more details of the pump, how it works and what we can expect. Firstly, how do Modular Medical present the pump? It's described as: Effortless Insulin Delivery Made Possible And the website suggests: But what do we really - [Coming soon... Libre2 and Libre2 Plus Face Off](https://www.diabettech.com/coming-soon-libre2-and-libre2-plus-face-off/) - I've now managed to get hold of a Libre2 and a Libre 2 Plus. Well, perhaps more than one of each. So I'll be sticking them to myself, breaking out the trusty strips and, more importantly, testing the viramin-C response of each to see what happens. Fourteen days later, we'll see how they both got - [The NHS England Hybrid Closed Loop experiment comes a step closer to implementation](https://www.diabettech.com/the-nhs-england-hybrid-closed-loop-experiment-comes-a-step-closer-to-implementation/) - Would you buy a car where the manufacturer told you it would do 50 miles to the gallon and 0-60 in 2.8 seconds without anything to back up that claim? Then why would anyone choose a Hybrid Closed Loop because "of course it works"? - [Medtrum's Nano - an alternative patch pump](https://www.diabettech.com/medtrums-nano-an-alternative-patch-pump/) - For a while now I've been intermittently flipping the occasional patch pump in between my normal use of my Roche Insight. To this end I've been using the Medtrum Nano patch pump. Long time readers of this site will know that I've tested the company's CGM systems on multiple occasions and found them wanting. Pumps, - [Diabetes and Data. What more can we learn? Part 2.](https://www.diabettech.com/diabetes-and-data-what-more-can-we-learn-part-2/) - In the first part of this evaluation, I looked at Steps, Sleep and Total Daily Dose (TDD) to see if I could find any relationships between these things. The data suggested that step patterns had a greater impact on daily dose than other metrics that we might use. In this part, I introduce Time in - [Diabetes and Data. What more can we learn? Part 1.](https://www.diabettech.com/diabetes-and-data-what-more-can-we-learn-part-1/) - Extracting data from smartwatches and other devices presents an opportunity like never beforento observe the relationship between behaviour and diabetes outcomes. This n=1 investigation strives to start the process off and highkight how some behaviours interact with Diabetes management. - [Comparing Dexcom's G7 and One+. Is there much difference?](https://www.diabettech.com/comparing-dexcoms-g7-and-one-is-there-much-difference/) - As many people will have seen, Dexcom have been expanding their product line based on the G7 hardware. The replacement for their more budget device, the One, is the One+, and they're using the same hardware for the Stelo, the first US over the counter CGM. Whilst the One+ isn't yet available in the UK, - [New technologies for MDI. Have Roche and Medtronic missed a trick?](https://www.diabettech.com/new-technologies-for-mdi-have-roche-and-medtronic-missed-a-trick/) - At ATTD, we saw the Medtronic Experience (which sounds like a bad rock tribute band) and Roche's SmartGuide describing themselves as the next great thing in the MDI world. The way Medtronic want you to think about InPen is as the greatest option in the world of MDI. Roche, on the other hand, want you - [The Sequel Med Tech Twiist with Tidepool Loop. Where did it come from, and what is it?](https://www.diabettech.com/the-sequel-med-tech-twiist-aid-system-with-tidepool-loop-where-did-it-come-from-and-what-is-it/) - With the recent announcement of the Twiist Insulin pump and AID with Tidepool Loop, a lot of people were left scratching their heads. Where had this device come from? It appeared seemingly out of nowhere. And yet, I suspect that it's not quite such a medical newcomer, indeed, I strongly suspect that the device itself - [Medtronic Simplera. Is it really the "Simple Era"?](https://www.diabettech.com/medtronic-simplera-is-it-really-the-simple-era/) - At ATTD in Florence, Medtronic were giving away their new CGM, Simplera, to those who wanted to try them out in their experience booth, and allowing us to start and use the CGM, if our phones allowed it. This is the new CGM that works with 780G and the InPen, and as we were told - [Welcome to the Wild, Wild West: the CGM head-to-head study](https://www.diabettech.com/welcome-to-the-wild-wild-west-the-cgm-head-to-head-study/) - In the past at Diabettech, we've talked about how the design of a CGM safety and accuracy study plays a big part in the results that are achieved (Lies, damned lies and statistics) and have highlighted ways that various manufacturers have "doped" studies to get competitive MARD numbers in order to compete with some of - [Medtrum Nano CGM... A tale of two sensors](https://www.diabettech.com/medtrum-nano-cgm-a-tale-of-two-sensors/) - Late in 2023, I received two Medtrum Nano sensors to try out, given to me by Medtrum. Historically, I've found that their CGM products have left me non-plussed at best, as I found the product to be very unreliable. More recently, they introduced the Nano, which has to vie for the title of "Smallest CGM - [Sinocare's iCan i3 CGM. And another one...](https://www.diabettech.com/sinocares-ican-i3-cgm-and-another-one/) - The latest CGM to come to the European market. Great MARD (apparently), new technology and the most frustrating application process yet. - [A new CGM from Roche? What do we know?](https://www.diabettech.com/a-new-cgm-from-roche-what-do-we-know/) - Those who keep an eye on diabetes technology conferences will know that Roche are running an industry symposium at ATTD (Advanced Technology and Treatments for Diabetes) in 2024. The CGM Their session has presentations from some of the most senior and highly regarded endocrinologists on offer. The program is shown below: What this tells us - [SiBionics GS1 CGM: a deep dive](https://www.diabettech.com/sibionics-gs1-cgm-a-deep-dive/) - If you have type 1 and use social media, you can't have missed the adverts for the newly CE marked SiBionics GS1 CGM system. They are everywhere. Facebook. TikTok. Instagram. You can't avoid them. In general they tell you that the GS1 is great. It doesn't need fingerpricks and it has an "amazingly accurate" MARD - [NICE TA943:
Hybrid closed loop systems for managing blood glucose levels in type 1 diabetes. What you need to know.](https://www.diabettech.com/nice-ta943hybrid-closed-loop-systems-for-managing-blood-glucose-levels-in-type-1-diabetes-what-you-need-to-know/) - NICE released their technology appraisal guidance for Hybrid Closed Loops today. You can find it here: https://www.nice.org.uk/guidance/ta943 I think everyone can agree that this is an incredibly exciting moment in Type 1 Diabetes history within the NHS in England and Wales, and judging by what I've seen on social media today, it's generated a huge - [Zealand Pharma. The other Danish pharmaceutical company doing interesting things](https://www.diabettech.com/zealand-pharma-the-other-danish-pharmaceutical-company-doing-interesting-things/) - Everyone has heard of Novo Nordisk. Europe's largest company by market capitalisation and famed for Ozempic, WeGovy, Insulin and other diabetes related products. Far fewer know about Zealand. But if you're involved with Diabetes, you probably should. They've had a partnership with BetaBionics since 2016 to produce Dasiglucagon, the stable version of Glucagon that's intended - [Yet another n=1 CGM face off....](https://www.diabettech.com/yet-another-n1-cgm-face-off/) - With the recent ascent of the SiBionics CGM system to CE mark and the introduction of an updated Medtrum Nano CGM system, it's about time for another n=1 comparison. As ever, it will be compared to something we know has a large user base and plenty of data. In this case, it will be the - [Commercial AID or Open Source? Some things to consider...](https://www.diabettech.com/commercial-aid-or-open-source-some-things-to-consider/) - This is a classic question that comes up frequently within groups that are largely populated by members of the ¥WeAreNotWaiting community. It's often included with statements such as "Why would you use a commercial system?" or "But people get so much better results with Open Source". The key issue is that there are both differences - [A close up view of Libre CGM data via Diabox...](https://www.diabettech.com/a-close-up-view-of-libre-cgm-data-via-diabox/) - The takeaway is that if you're using any tool like this, it's worth considering enabling the smoothing functionality. It may not give you exactly what the sensor is reading right now, but doing so is much less likely to result in accidentally delivering too much insulin. Which is more important to you? - [Cheap smartwatches with CGM... What do we think?](https://www.diabettech.com/cheap-smartwatches-with-cgm-what-do-we-think/) - Trying out a smartwatch with non-invasive glucose monitoring. This isnt the watch you're looking for.... - [Non-invasive CGM watches. Is this a Dreamcatcher moment?](https://www.diabettech.com/non-invasive-cgm-watches-is-this-a-dreamcatcher-moment/) - Another non-invasive CGM in a Smartwatch shows off its wares. It turned out to be as bad as you'd expect. - [And another one! SiBionics CGM enters the fray.](https://www.diabettech.com/yet-another-new-cgm-first-impressions-of-sibionics-offering/) - A new CGM system, brought to you by Sibionics, who also released the world's first Continuous Ketone Monitor. Whilst it remains non-CE marked, they've been giving it away via social media viral marketing. These are my first impressions. - [Nightscout as a service. A legal minefield?](https://www.diabettech.com/nightscout-as-a-service-a-legal-minefield/) - When Heroku removed their free tier, many people started to ask questions about what they should do next. There were a number of options. Pay Heroku, but do stuff yourself, move somewhere else free, but do it yourself, or pay for someone to host Nightscout for you. The idea of paying someone else to host - [Lies, damned lies and statistics. The art of the CGM accuracy study.](https://www.diabettech.com/lies-damned-lies-and-statistics-the-art-of-the-cgm-accuracy-study/) - How do you compare two different CGMs? It seems like a stupid question. It's obvious. You look at the Mean Absolute Relative Difference (MARD) of the two and the lower one is better. Right? In theory. And yet, you might come away disappointed. Everyone who uses CGM has asked themselves "How are my readings so - [Continuous Glucose Monitoring - clinical trial quality data](https://www.diabettech.com/continuous-glucose-monitoring-clinical-trial-quality-data/) - As we have espoused here on Diabettech in the past, not all clinical trials for CGM systems are equal. To this, end, we're now proud to host data providing a better insight into this, garnered from those very same clinical trials. Working in association with John Pemberton, there are now two tables giving information on - [The world's first CKM, with some data](https://www.diabettech.com/the-worlds-first-ckm-with-some-data/) - Adding measurements to the SiBio CKM to determine how it works. - [A lesson in how not to roll out real-time CGM to an existing system](https://www.diabettech.com/a-lesson-in-how-not-to-roll-out-real-time-cgm-to-an-existing-system/) - What impact does a botched rollout of an app update have on a CGM provider? - [Continuous Ketone Monitoring - a world's first from SiBio?](https://www.diabettech.com/continuous-ketone-monitoring-a-worlds-first-from-sibio/) - The world's first Continuous Ketone Monitor from SiBio. What does it do and how relevant is it to diabetes? - [And another one? The final poor CGM Smartwatch](https://www.diabettech.com/and-another-one-the-final-poor-cgm-smartwatch/) - As they go, this one looks quite smart, and appears to be running a slightly different operating system to all of the others that I've tried. It's by far the most Apple Watch-like in terms of looks and operation, and this one uses a different app. It is able to provide a glucose reading once - [Glastonbury 2023: Rick Astley and The Blossoms play the Smiths...](https://www.diabettech.com/glastonbury-2023-rick-astley-and-the-blossoms-play-the-smiths/) - Which seems like a suitable metaphor for a field test of an experimental algorithm that doesn't require mealtime bolusing and uses stepcount to mediate how aggressively the algorithm works. Boost version 4.1.3, with some fairly big changes and all the stepcount goodies was getting out through the rigour of numerous half marathons, random food, cider, - [Novo Nordisk acquisition of Biocorp. A big deal in the Smartpen world?](https://www.diabettech.com/novo-nordisk-acquisition-of-biocorp-a-big-deal-in-the-smartpen-world/) - Novo Nordisk's acquisition of Biocorp demonstrates how insulin manufacturers are looking to take the next step in optimising insulin delivery, opening up better access to AI techniques for MDI users. - [Experiments with stepcounts. An n=1 experience](https://www.diabettech.com/experiments-with-stepcounts-an-n1-experience/) - Learning about step counts as an input in AID systems. What does and doesnt work, and what could be better? - [Everybody's moving - integrating stepcounts into Open Source Automated Insulin Delivery](https://www.diabettech.com/everybodys-moving-integrating-stepcounts-into-open-source-automated-insulin-delivery/) - Using activity data to change behaviour in AID systems. - [Glucagon me... n=1 experiments with microbolusing Glucagon part 1: setting a baseline](https://www.diabettech.com/glucagon-me-n1-experiments-with-microbolusing-glucagon-part-1-setting-a-baseline/) - Everyone with type 1 is taught that the big orange plastic box that we're supposed to keep in the fridge is for emergencies only and should only be used by someone else, when we're unable to help ourselves, due to severe hypoglycemia. What a long sentence to start with, and is the hypothesis correct? A - [Glucagon me... n=1 experiments with microbolusing glucagon part 2: quantifying use](https://www.diabettech.com/glucagon-me-n1-experiments-with-microbolusing-glucagon-part-2-quantifying-use/) - Are two hormones and an algorithm enough? Or is diabetes far more complex than that? - [How far are we from fully closed loop? News from ATTD 2023](https://www.diabettech.com/how-far-are-we-from-fully-closed-loop-news-from-attd-2023/) - One of the great things about the ATTD conference is the updates on the technologies that are upcoming, alongside the "What's already there". It's very clear that over the past few years, the "Standard of care" in many countries has advanced significantly, with CGM coming as a standard item and Automated Insulin Delivery (AID) taking - [Eyecare or iCare? A revolution in the eye screening world.](https://www.diabettech.com/eyecare-or-icare-a-revolution-in-the-eye-screening-world/) - One of the stands in the Exhibition Hall that stood out was a smaller one, inhabited by a company known as iCare. Perhaps unsurprisingly, their product is used for eye screening. But perhaps surprisingly, they are able to take photos of the back of your eye without any use of drops (the minimum pupil diameter - [Why Aidex shouldn't be on a Formulary. Anywhere.](https://www.diabettech.com/why-glucorx-aidex-shouldnt-be-on-a-formulary-anywhere/) - You may remember, back in the summer of 2022, the author of this site wore an Aidex system (distributed by GlucoRX in the UK) to try and find out how well it worked, and was wholly unimpressed on a lot of fronts. That hasn't stopped it from appearing on the England Prescription Drug Tariff where - [Tidepool Loop. Approved but not yet available](https://www.diabettech.com/tidepool-loop-approved-but-not-yet-available/) - With the recent news that Tidepool's Loop has been approved by the FDA, the detail, that there are no pumps available that work with it, came as a bit of a shock to many. The news was that neither Omnipod nor Medtronic pumps would be available at launch as both pump manufacturers had declined to - [Back-smoothing or not back-smoothing? Is that the question?](https://www.diabettech.com/back-smoothing-or-not-back-smoothing-is-that-the-question/) - As many will have seen, the Dexcom G7 never had, and recently the G6, has removed back-smoothing from the apps on the phone, for various reasons. Does that matter? To most people, probably not, but let's have a look at comparisons of the data with the two devices plugged into me. In all the images - [Further observations of Dexcom's G7.](https://www.diabettech.com/further-observations-of-dexcoms-g7/) - Having tested a G7 against the Libre3, and found that without calibration, it tended to produce results that I wasn't satisfied with using just the factory calibration, I thought I'd have another go and see where we got to. This is one that was ordered from the UK website, and applied according to the user - [Battle Royale - Freestyle Libre 3 and Dexcom G7 face off - The results](https://www.diabettech.com/battle-royale-freestyle-libre-3-and-dexcom-g7-face-off-the-results/) - As previously discussed in this article, I have been wearing the Libre 3, Dexcom G6 and G7, to compare performance across all three. These are the results. These are laid out showing the Consensus Error Grid for each device and all three together followed by tables providing data about the BIAS, MARD vs Fingersticks (MARDf), - [The art of CGM accuracy studies, part 2: The Freestyle Libre3](https://www.diabettech.com/the-art-of-cgm-accuracy-studies-part-2-the-freestyle-libre3/) - As I'm currently testing a Libre3, and have taken a look back at the various accuracy studies as a part of this to review MARD data, I thought it worth while in taking a quick look at the Libre3, and it's much vaunted accuracy data. "But that's quite a cynical title", you might be saying to - [Battle Royale... The Dexcom G7 takes on the Freestyle Libre3](https://www.diabettech.com/battle-royale-the-dexcom-g7-takes-on-the-freestyle-libre3/) - It's finally here. The Dexcom G7 has landed. And now it's time for us here at Diabettech to pitch it against Abbott's Freestyle Libre 3. Both these devices have been circulating for some time, amid mounting excitement amongst a reasonable portion of the diabetes community, as published data suggests a better user experience. We'll be - [How to get real time CGM on prescription in England. A brief approach...](https://www.diabettech.com/how-to-get-real-time-cgm-on-prescription-in-england-a-brief-approach/) - ***Updated*** There's a lot of discussion around the new rtCGMs being available on prescription, but local GPs saying that they aren't or telling you there's nothing they can do. Most people with diabetes have a reasonably good relationship with their GP, and therefore should be able to have a conversation on a reasonable level regarding - [Dexcom One. Forcing Abbott to make Libre 2 truly a realtime CGM?](https://www.diabettech.com/dexcom-one-forcing-abbott-to-make-libre-2-true-a-realtime-cgm/) - Taking a look at the reasons why Dexcom One may force Abbott to make Libre2 a true real time CGM. - [DynamicISF - an update](https://www.diabettech.com/dynamicisf-an-update/) - Going back to the summer of last year, we rolled out an initial version of DynamicISF, based on user data gathered by Chris Wilson, and submitted to the Dev branch of AndroidAPS, where it has been working, alongside a version in FreeAPSX. Most of the details of that were discussed in this post. Since the - [Keep on movin'.... Factoring variation in activity into open source AID systems](https://www.diabettech.com/keep-on-movin-factoring-variation-in-activity-into-open-source-aid-systems/) - With the past 18 months or working on Boost and using it, various patterns have shown their heads. In the past I've written about the "hangover" effects of weight training and insulin sensitivity, and this past summer of participating in the 1mn steps challenge has provided an alternative view of how insulin sensitivity works in - [Accessing Real Time CGM in London. The unfair fairground?](https://www.diabettech.com/accessing-real-time-cgm-in-london-the-unfair-fairground/) - London. A city of 10 million people, 32 boroughs, five Integrated care systems (ICS), and probably 66,000 people with type 1 diabetes. London. Also a city with a Diabetes Clinical Network and a procurement partnership. Two NHS meta-organisations designed to improve collaboration across boroughs and ICSs. NICE guidelines that say that anyone with type 1 - [Non-invasive CGM. Coming soon, apparently...](https://www.diabettech.com/non-invasive-cgm-coming-soon-apparently/) - If you're on Social Media, and follow diabetes, you can't fail to have seen the noise from GlucoRX and the JDRF about BioXensor, a new, non-invasive Continuous Glucose Monitor (NICGM). While there're plenty of exciting soundbytes relating to this brand new products, as is often the case with NICGM, there's not a lot of detail. - [Comparing Dexcom's One with Libre2](https://www.diabettech.com/comparing-dexcoms-one-with-libre2/) - Having had the Libre2 fall off during the first few hours of the "Six of the Best" test, I decided to run One Vs Libre2 (the two cost neutral options on the NHS Drug Tariff) head to head against one another. In this case, I used the Librelink software to scan the Libre2 at allotted - [Six of the best - digging further into the statistics](https://www.diabettech.com/six-of-the-best-digging-further-into-the-statistics/) - In this part of the "Six of the Best" coverage, we look at the 15/15 data from this test, and the percentage of readings where the CGM didn't show a low value when finger sticks and hypo symptoms suggested otherwise. The data in this piece is much more open to challenge for two reasons. The - [Extending the Dexcom ONE. Yes, you can.](https://www.diabettech.com/extending-the-dexcom-one-yes-you-can/) - One of the first questions people in the WeAreNotWaiting community ask about new glucose sensors is "Can they be extended?" In the case of the Dexcom ONE, the answer is "Yes" and you can do so within the official app. Restarting is done exactly the same way as the G6. Pop out the transmitter using - [Six of the best: UK CGM error grids](https://www.diabettech.com/six-of-the-best-uk-cgm-error-grids/) - As I've previously discussed, I've been running a side by side trial of the currently available CGM systems in the UK. It focused on those that are available now, or very soon, on the NHS prescription tariff, and should be available via your UK GP. I also added in the Medtrum Nano, as an alternative - [Ten days in... Two sensors end](https://www.diabettech.com/ten-days-in-two-sensors-end/) - Ten days come to an end, and the first and most obvious, difference between the Dexcom devices and the rest is immediately obvious. The Dexcom sensors have come to an end, while the rest keep going until 14 days. This might not seem like a big issue, but for quite a few people, the ability - [Comparing six CGMs... How?](https://www.diabettech.com/comparing-six-cgms-how/) - As you'll be aware by now, I'm wearing a number of different CGMs with a view to comparing them. But as you'll also be aware, CGM comparison is notoriously difficult, so this is a brief article to describe how I plan to do this. The story so far... As you'll have seen, I've applied and - [Unboxing and applying the six CGMs](https://www.diabettech.com/unboxing-and-applying-the-six-cgms/) - To start with, let's make it clear on the source of each of these devices: Provided by the manufacturer for free: Dexcom ONEMedtrum Nano Purchased by me: Dexcom G6Glucomen DayGlucoRX AidexFreestyle Libre2 Could be obtained freely on prescription now or soon: Dexcom ONEGlucomen DayGlucoRX AidexFreestyle Libre2 I was going to start off by documenting details - [Prescription CGMs. How do they compare? Coming soon....](https://www.diabettech.com/prescription-cgms-how-do-they-compare-coming-soon/) - I've been lucky enough to get my hands on all three of the devices that will soon be available on prescription in England & Wales. The Dexcom One, kindly provided by Dexcom for this test, ahead of it being directly available, the Libre2 and the Aidex (paid for rather than on prescription). I'll be looking - [Glastonbury 2022. A different kind of looping experience.](https://www.diabettech.com/glastonbury-2022-a-different-kind-of-looping-experience/) - Two years after the last time I sat in a field for five days, listening to music, eating all sorts and enjoying cider, we were finally back. Back in the same field, similar cider and different music. And this time a change to my looping approach. Around 18 months ago, I finally switched out of - [#DiabetesWeek2022 or #BadDiabetesWeek2022?](https://www.diabettech.com/diabetesweek2022-or-baddiabetesweek2022/) - Technology isn't quite the panacea we all wish it was... - [GlucoRX Aidex. It's cheap, and that's a big problem.](https://www.diabettech.com/glucorx-aidex-its-cheap-and-thats-a-big-problem/) - As mentioned in this article, I bought myself a GlucoRX Aidex to see how well it worked. As what has to be one of the cheapest systems on the market in the UK, and also on the prescription tariff, it needed a review. So far, I've written about the experience of my first sensor, the - [The first 7 days of GlucoRX Aidex. Underwhelming.](https://www.diabettech.com/the-first-7-days-of-glucorx-aidex-underwhelming/) - After the disappointment in the amount of time it took to deliver the Aidex, and finally getting started with it, these are some of the thoughts around the challenges of living with it in everyday life. Instructions. Or not The Aidex describes itself as a factory calibrated sensor. But the Accuracy study highlights the fact - [Getting started with GlucoRX's Aidex. How will the newest addition to the UK CGM landscape perform?](https://www.diabettech.com/getting-started-with-glucorxs-aidex-how-will-the-newest-addition-to-the-uk-cgm-landscape-perform/) - After writing a brief article about the delays in receiving my Aidex, I got a shipping notice the very next day. Talk about coincidence! It arrived a couple of days later, just over 3 weeks after I placed my order. What's in the box? The box contained the contents in the picture below: A lot - [Technology for Diabetes that you can’t get yet: 4. Integrated Medical Sensors](https://www.diabettech.com/technology-for-diabetes-that-you-cant-get-yet-4-integrated-medical-sensors/) - Integrated medical sensors are a company that aims to provide a simple and effective solution for accurate and painless glucose monitoring for diabetes management. We don't know a vast amount about them, other than they are a multidisciplinary team, consisting of Caltech graduates with domain expertise in microelectronics, nanotechnology and electrochemical sensors, industry leader in - [Technology for Diabetes that you can't get yet: 3. Luna](https://www.diabettech.com/technology-for-diabetes-that-you-cant-get-yet-3-luna/) - Would sir like something to help you sleep? A forthcoming technology in the Diabetes world supposed to do just that. - [Technology for Diabetes that you can't get yet... 2. Pharmasens AG.](https://www.diabettech.com/technology-for-diabetes-that-you-cant-get-yet-2-pharmasens-ag/) - Who are PharmaSens? They're a company developing three insulin pumps, which do three different things. In their own words: We are a privately held Swiss company, located in Biel and Neuchâtel.We involve users early and constantly in our development. Our products are designed based on users’ preferences, wishes, and needs.We have an expert team experienced - [Technology for Diabetes that you can't get yet: 1. Afon Non-Invasive glucose monitoring](https://www.diabettech.com/technology-for-diabetes-that-you-cant-get-yet-1-afon-non-invasive-glucose-monitoring/) - A non-invasive glucose monitoring solution that claims to have simar accuracy to current invasive offerings. - [GlucoRX Aidex. The latest addition to the UK's CGM market. Or not...](https://www.diabettech.com/glucorx-aidex-the-latest-addition-to-the-uks-cgm-market-or-not/) - The newest CGM offering in the UK, but not the easiest to get hold of. - [The insulin only fully closed loop - as good at managing my diabetes as I am...?](https://www.diabettech.com/the-insulin-only-fully-closed-loop-as-good-at-managing-my-diabetes-as-i-am/) - Six months of Boost - my insulin only closed loop system based on AndroidAPS. - [What's been going on???](https://www.diabettech.com/whats-been-going-on/) - When someone asks you how you are, and mentions that it's been a while since they've seen any new posts on your website, it makes you take stock, and also look back. The last time I wrote, NICE had announced a consultation period on the provision of Flash and CGM for all those with Type - [Real Time CGM should be routinely available for all those with Type 1. The latest NICE guidelines...](https://www.diabettech.com/real-time-cgm-should-be-routinely-available-for-all-those-with-type-1-the-latest-nice-guidelines/) - In England and Wales, access to real time CGM has been a challenge for quite a long time. The consultation documents drag NICE guidance, kicking and screaming, into the present. The latest drafts are: Type 1: https://www.nice.org.uk/guidance/gid-ng10265/documents/draft-guideline Type 2: https://www.nice.org.uk/guidance/gid-ng10264/documents/draft-guideline. Previous guidance Back in 2015, when NICE last updated NG17, the guidance for Type 1 - [Automating ISF in open source AID systems. Experiments with AndroidAPS](https://www.diabettech.com/automating-isf-in-open-source-aid-systems-experiments-with-androidaps/) - As discussed in this article, I spent the best part of the last six months attempting to use an insulin-only full closed loop system. As part of fully closing the loop, removing the need to constantly adjust settings becomes more important, and to that end I worked with Chris Wilson at Glucose Genius to implement - [The insulin-only full closed loop. An n=1 experiment.](https://www.diabettech.com/the-insulin-only-full-closed-loop-an-n1-experiment/) - When Lyumjev first appeared in the research ether, I wrote an article about how, in theory at least, it should enable insulin only, full closed loop systems. The question was, with the open source tools available, could that be achieved? With Diabetes Awareness month here, now seems like a reasonable time to discuss what I've - [We come DexcomONE.... (Sorry Faithless....)](https://www.diabettech.com/we-come-dexcomone-sorry-faithless/) - DexcomONE. Something new from Dexcom. And boy doesn't that applicator look like a Dexcom G6... But it's only been talked about in a few places, and most notably, it doesn't seem to be in the broader Diabetes news. Why wouldn't it be? Well there may be some good reasons for this. Firstly, it's only been - [Wearing your pancreas on your wrist....](https://www.diabettech.com/wearing-your-pancreas-on-your-wrist/) - We've all head of the old adage, "Wearing your heart on your sleeve", but how many of us can say the same about our Pancreas? While continuing the #WeAreNotWaiting tradition of trying out new things, I obtained a Lemfo Lem12Pro running Android 10 in order to see if it was possible to run AndroidAPS 2.8.2 - [Closed loops and eyes. What are the potential links?](https://www.diabettech.com/closed-loops-and-eyes-what-are-the-potential-links/) - As many will be aware, the NHS is undertaking an England based population pilot of hybrid closed loop systems, to try and determine what are the best outcomes and see if the technology is up to scratch. It's being undertaken at centres across England, where patients are being signed up to use one of three - [Physical implementation of AID systems? What's best?](https://www.diabettech.com/does-physical-implementation-of-an-aid-matter/) - Choosing an AID system presents lots of choices. The physical set up may make or break use of one for an end user. - [Living with #Lyumjev. Almost a year in review...](https://www.diabettech.com/living-with-lyumjev-almost-a-year-in-review/) - Lyumjev. Still the newest insulin available and still the fastest kid on the block. But a year with it hasn't always been the most straightforward of considerations... 11 months ago I embarked on the Lyumjev Adventure, having sought a private GP to write me a prescription so that I could purchase Lyumjev from a pharmacy, - [Non-invasive CGM. What could it really allow?](https://www.diabettech.com/non-invasive-cgm-what-could-it-really-allow/) - We've all seen the headlines about Apple and Samsung watches containing non-invasive CGM, and hearing the stories of what this means for those with and without diabetes. But let's think about this for a moment. What does it really allow? Type 1 Diabetes Starting with Type 1, what does Glucose Monitoring in your watch really - [Fully closed loop with an Open Source AID system. A possibility?](https://www.diabettech.com/fully-closed-loop-with-an-open-source-aid-system-a-possibility/) - As faster insulins have become available and people have started to modify the existing code for oref1, a range of approaches are starting to be taken to try and create a fully closed loop that requires no interaction from a user in day to day life. Before we get there though, let's take a look - [Autotune - reviewing the outputs](https://www.diabettech.com/autotune-reviewing-the-outputs/) - Taking a look at the daily calculated autotune data from an OpenAPS rig to answer some of the concerns about what happens with frequent use of Autotune. - [Remember, #WeAreNotWaiting not #ItsAllFree](https://www.diabettech.com/remember-wearenotwaiting-not-itsallfree/) - Over the past week or so, there's been noticeable concern amongst the CGM in the Cloud and Looping communities, all part of WeAreNotWaiting movement, at what appeared to be a crackdown by Heroku targeting them. Many woke late last week to see the following: However, this isn't a focused attack on those users from that - [FreeAPSX: The new entry to the DIYAPS world](https://www.diabettech.com/freeapsx-the-new-entry-to-the-diyaps-world/) - #post_excerptAn introduction to FreeAPSX. The latest addition to the DIYAPS selection, putting oref1 on the iPhone. - [CGM as a lifestyle healthcare device. Such a bad idea?](https://www.diabettech.com/cgm-as-a-lifestyle-healthcare-device-such-a-bad-idea/) - As more people use CGM that has been the preserve of those with diabetes, does the expanding marketplace offer opportunities or risks, and should it be embraced? - [Basal Rates - with a DIY closed loop, what's the best strategy?](https://www.diabettech.com/basal-rates-with-a-diy-closed-loop-whats-the-best-strategy/) - Social media now promotes two very different ways to run basal rates with a DIY closed loop. This post outlines what they are and details an experiment to see which works best for me. - [Living with Looping - January 2021. The replay...](https://www.diabettech.com/living-with-looping-january-2021-the-replay/) - The recording of the Living with Looping event to provide replay and for those who were unable to attend. - [If COVID vaccines were deployed in England like Diabetes medication, many would be waiting for them in 2025...](https://www.diabettech.com/if-covid-vaccines-were-deployed-in-england-like-diabetes-medication-many-would-be-waiting-for-them-in-2025/) - Comparing the distribution of COVID vaccines to regular medication and how it highlights the disaster of local NHS organisation - [Learning from #WeAreNotWaiting - it seems commercial loops have similar caveats...](https://www.diabettech.com/learning-from-wearenotwaiting-it-seems-commercial-loops-have-similar-caveats/) - Looking at how users of DIYAPS can help new starters in the broader population with getting used to living with commercial closed loop systems. - [Lyumjev part 4. Persistence is king...](https://www.diabettech.com/lyumjev-part-4-persistence-is-king/) - USing Lyumjev successfully in a hybrid closed loop. Why has it suddenly started working? - [Lyumjev - a fully closed loop case study with oref1](https://www.diabettech.com/lyumjev-a-fully-closed-loop-case-study-with-oref1/) - An n=1 study that shows the effectiveness of Lyumjev when used in combination with the oref1 algorithm found in OpenAPS and AndroidAPS - [Abbott Freestyle Libre 3 - here already?](https://www.diabettech.com/abbott-freestyle-libre-3-here-already/) - Rapidly following up on the Libre Sense, Abbott release news of European approval of the Libre3 - a medically approved real time CGM that requires no calibration and lasts 14 days - [Clinical benefits of faster insulins - an n=1 answer to a common #EASD2020 question](https://www.diabettech.com/clinical-benefits-of-faster-insulins-an-n1-answer-to-a-common-easd2020-question/) - A question that's been asked in a number of sessions relating to faster insulins is "What are the clinical benefits?" This article attempts to answer that question looking at research studies and an n=1 observational study. - [Diabetes tech or not diabetes tech? "Libre Sense" is the question...](https://www.diabettech.com/diabetes-tech-or-not-diabetes-tech-libre-sense-is-the-question/) - Abbott's Libre Sense Glucose Sport Biosensor looks a lot like a real time CGM that's not got the accuracy testing required for a medical release. - [Lyumjev. What next? Another n=1 experiment...](https://www.diabettech.com/lyumjev-what-next-another-n1-experiment/) - Trying a mix of Lyumjev and Fiasp to try and overcome the site issues and lack of efficacy that was seen with Lyumjev on its own. The initial outcomes. - [Lyumjev. Ultrafast? It depends...](https://www.diabettech.com/lyumjev-ultra-rapid-in-some-circumstances/) - Lyumjev proved not to be so rapid for me when used in a pump, but when injected, met expectations. Some examples and thoughts about this. - [Insulin Lyumjev... Not as URLi as I expected!](https://www.diabettech.com/insulin-lyumjev-not-as-urli-as-i-expected/) - Trialling Lyumjev with OpenAPS and figuring out whether it's as fast for me as the Profil testing suggests it should be. - [Glucomen Day CGM - A two week review](https://www.diabettech.com/glucomen-day-cgm-a-two-week-review/) - With a calculated MARD versus fingersticks that was 39% worse than Dexcom's G6, at its current price I couldn't recommend the Menarini Glucomen Day CGM. - [Menarini's Glucomen Day CGM. The newest game in town...](https://www.diabettech.com/menarinis-glucomen-day-cgm-the-newest-game-in-town/) - The first steps with the Glucomen Day CGM, and a quick run through of the application provided with it. Is it worth the £139 per month subscription fee? - [Insulin Icodec - the once a week long acting insulin from Novo Nordisk](https://www.diabettech.com/insulin-icodec-the-once-a-week-long-acting-insulin-from-novo-nordisk/) - Insulin Icodec - the once a week long acting insulin from Novo Nordisk that works as well as Lantus - [Yet another new CGM system - with a MARD of 8.67%... Welcome the POCTech CT-100](https://www.diabettech.com/yet-another-new-cgm-system-with-a-mard-of-8-67-welcome-the-poctech-ct-100/) - The latest entrant into the widening CGM market. The CT-100 from POCTech - a new CGM with a purported 8.67% MARD. - [More commercial AID systems. What do the trials tell us?](https://www.diabettech.com/more-commercial-aid-systems-what-do-the-trials-tell-us/) - What's clear is that with the 780G, Medtronic appears at last to be catching up with the rest of the AID pack, but it's also clear that the 800lb gorilla in the medical devices world doesn't yet have the one AID to rule them all... - [Investigating the rules of 500 and 1800 looking at real world data](https://www.diabettech.com/investigating-the-rules-of-500-and-1800-looking-at-real-world-data/) - Looking at real world data from Tidepool and how it relates to the rules of 500 and 1800. Is there need to go back and review these in light of the amount of good real world data that is now available? - [The DanaRS. Marmite?](https://www.diabettech.com/the-danars-marmite/) - An overview of my experiences with the DanaRS pump, and what its strengths and weaknesses are. - [CamAPS: A month in review](https://www.diabettech.com/camaps-a-month-in-review/) - A month of using CamAPS. The good, the bad and the ugly. Well, maybe not so much that was ugly, but a few things that made me go "Hmmm?" Time in Range? 87%. - [CamAPS after two weeks. What have I learned?](https://www.diabettech.com/camaps-after-two-weeks-what-have-i-learned/) - After two weeks of using CamAPS there are some learning points for anyone thinking about changing from a DIY to a commercial AID system. - [Trying out CamAPS FX: Getting to know you....](https://www.diabettech.com/trying-out-camaps-fx-getting-to-know-you/) - A quick first impressions overview of using CamAPS FX, some of it's features and how some bits and pieces work. - [Trying out CamAPS FX - the new entrant to AID world: Getting Started](https://www.diabettech.com/trying-out-camaps-fx-the-new-entrant-to-aid-world-getting-started/) - A first look at CamAPS FX, how it works and what it does. I'll be trialling it and seeing what the outcomes are over the next month or so. - [Automated Insulin Delivery: why choice matters](https://www.diabettech.com/automated-insulin-delivery-why-choice-matters/) - Looking for insight from apparently unrelated datasets about DIYAPS systems presented at ATTD2020 as to why choice matters and context is all important. - [Comparing the Libre2 and Dexcom G6 as RT-CGM using #WeAreNotWaiting software](https://www.diabettech.com/comparing-the-libre2-and-dexcom-g6-as-rt-cgm-using-wearenotwaiting-software/) - The Libre2 has been available for some time now in both Germany and Norway, and is used by a reasonable number of loopers to drive their DIY systems as a result. It has also been submitted for the iCGM scheme in the US. - [Losing while looping - can you lose weight with a DIYAPS?](https://www.diabettech.com/losing-while-looping-can-you-lose-weight-with-a-diyaps/) - Weight loss with a DIYAPS. Is it possible? What can you do to do it? An observational n=1 month-long study demonstrating that it is possible. - [High temperatures, extreme conditions and glucose sensors... an n=1 observation](https://www.diabettech.com/high-temperatures-extreme-conditions-and-glucose-sensors-an-n1-observation/) - What happens to CGM sensor readings when you use them in a hot yoga setting with temperatures of 41 celsius and 90 minutes of high heart rates? - [Patching LibreLink for Libre2 - clearing the FUD](https://www.diabettech.com/patching-librelink-for-libre2-clearing-the-fud/) - Understanding what the LibreLink patch does, how it works and how it relates to European copyright rules. - [CGM for 2020 – will new entrants reduce costs?](https://www.diabettech.com/cgm-for-2020-will-new-entrants-reduce-costs/) - One of the highlights of the various conferences during 2019 has been the slew of new CGM providers that appear to have CE marks (European approval) and are therefore entering the previously uncompetitive market that is CGM. Current Landscape Let’s remind ourselves of the current environment, with the incumbent behemoth that is Dexcom with their - [You don't have to put on the red light... (but maybe you should)](https://www.diabettech.com/you-dont-have-to-put-on-the-red-light-but-maybe-you-should/) - An n=1 observation of the success of red light therapy to treat a venous ulcer as a last resort. - [OpenAPS - Still changing the diabetes world...](https://www.diabettech.com/openaps-still-changing-the-diabetes-world/) - Two years after release of oref1, OpenAPS's core algorithm is probably the most advanced, easily accessible automated insulin dosing algorithm that the general public can get their hands on. - [Could it be magic? A potential future for users of type 1 diabetes technology...](https://www.diabettech.com/could-it-be-magic-a-potential-future-for-users-of-type-1-diabetes-technology/) - Looking at a variety of technologies that, when fitted together could provide predictive insulin dosing to people with Type 1 DIabetes. - [Control:IQ vs 670G - Which is better? The pivotal trial results are in.](https://www.diabettech.com/controliq-vs-670g-which-is-better-the-pivotal-trial-results-are-in/) - With news that the Tandem T:Slim X2 Control:IQ pivotal study results have been published, a comparison of the data to that from the 670G. Control:IQ produces very similar outcomes to the 670G. - [Ultra-Rapid Lispro: What is it and why is it interesting?](https://www.diabettech.com/ultra-rapid-lispro-what-is-it-and-why-is-it-interesting/) - Ultra-Rapid Lispro is Lilly's new formulation of Lispro to counter Novo's Fiasp. This post looks compares it to other insulin & use in closed loops - ["...Go faster. But don’t go stupid..." - A short series of articles on ultra-rapid insulins and closed loops](https://www.diabettech.com/go-faster-but-dont-go-stupid-a-short-series-of-articles-on-ultra-rapid-insulins-and-closed-loops/) - Introduction to a forthcoming series of posts looking at ultra-rapid insulins in different forms and the outcomes when used with a DIY hybrid closed loop - [Libre Accuracy and Calibration using a third party transmitter - a case study](https://www.diabettech.com/libre-accuracy-and-calibration-using-a-third-party-transmitter-a-case-study/) - As a result of increased use of third party add-on transmitters to the Libre system to convert them into CGM, and the use of these with DIY APS systems, a case study to look at accuracy and the effects of calibration on accuracy was undertaken. - [Blood test strips. Cost, quality, accuracy. What's most important?](https://www.diabettech.com/blood-test-strips-cost-quality-accuracy-whats-most-important/) - Looking at the costs of blood test strips to the NHS and their accuracy, and the relative value of strips based on their accuracy. - [Adding to the options for MDI users – part two: Bringing it all together...](https://www.diabettech.com/adding-to-the-options-for-mdi-users-part-two-bringing-it-all-together/) - Looking at the various apps and software solutions that provide decision support, bolus calculation and integration for MDI users. - [Adding to the options for MDI users - part one: What's out there?](https://www.diabettech.com/adding-to-the-options-for-mdi-users-part-one-whats-out-there/) - With the rise in details of smartpens, connected devices, etc, this is a brief overview of MDI technology. Part two discusses decision support. - [If I could offer you only one tip for the future, sunscreen would be it - unless you wear CGM](https://www.diabettech.com/if-i-could-offer-you-only-one-tip-for-the-future-sunscreen-would-be-it-unless-you-wear-cgm/) - Reviewing living with a hybrid closed loop in the hot, sunny and sometimes wet circumstances of a week's holiday in the balearics. - [Inside the Medtronic recall. What should we make of it?](https://www.diabettech.com/inside-the-medtronic-recall-what-should-we-make-of-it/) - Why were older Medtronic pumps left on the market for 8 years with what was considered a security issue, and only recalled in June 2019? - [Adding to the arsenal - what is the new oral add-on for Type 1 Diabetes?](https://www.diabettech.com/adding-to-the-arsenal-what-is-the-new-oral-add-on-for-type-1-diabetes/) - A brief explanation of the newly approved oral add-on for type 1 diabetes, Dapagliflozin (or Forxiga as it's also known), as SGLT2 inhibitor. - [Masquerades and Feints - using DIY diabetes terms nefariously](https://www.diabettech.com/masquerades-and-feints-using-diy-diabetes-terms-nefariously/) - What happens when someone uses the terminology of DIY Diabetes to market a totally unapproved piece of hardware with no detail of safety provisions? - [Glastonbury Festival 2019 - a looping review](https://www.diabettech.com/glastonbury-festival-2019-a-looping-review/) - Revisiting my use of OpenAPS at the Greatest Festival on the planet. What I did differently, how my set-up changed and what is and isn't effective as a closed loop user. - [DIY Diabetes, Misuse and Ethics. A painful mishmash for healthcare](https://www.diabettech.com/diy-diabetes-misuse-and-ethics-a-painful-mishmash-for-healthcare/) - The regulatory conundrum for healthcare professionals about DIY diabetes solutions. - [Medtrum's S6 update. Does it make a difference?](https://www.diabettech.com/medtrums-s6-update-does-it-make-a-difference/) - A brief overview of the benefits or otherwise of the updated Medtrum S6 CGM system. - [May 2019 Snapshot of UK DIY APS Users](https://www.diabettech.com/may-2019-snapshot-of-uk-diy-aps-users/) - Results of the May 2019 Survey of UK users of DIY Artificial Pancreas systems - [Libre with MiaoMiao - calibration and comparison](https://www.diabettech.com/libre-with-miaomiao-calibration-and-comparison/) - Looking at how Abbott's Freestyle Libre is calibrated and the effects on accuracy of the system with DIY CGM software - [Why we are regularly wrong in the duration of insulin action (DIA) times we use, and why it matters...](https://www.diabettech.com/why-we-are-regularly-wrong-in-the-duration-of-insulin-action-dia-times-we-use-and-why-it-matters/) - The values that we use for DIA in pumps and bolus wizards is wrong. Here's why and what you can do about it. - [The first Living with Looping - an event summary!](https://www.diabettech.com/the-first-living-with-looping-an-event-summary/) - A brief overview of the Living with Looping audience and how they look at looping. - [Understanding Autosens](https://www.diabettech.com/understanding-autosens/) - Digging into how autosens works and explaining the differences between the options in AndroidAPS. - [Meal times when closed looping. Some points to consider](https://www.diabettech.com/meal-times-when-closed-looping-some-points-to-consider/) - Some pointers for how to handle meals using the various DIY Hybrid Closed Loop systems. - [Automating hypo & hyper temp targets - a quick hack](https://www.diabettech.com/automating-hypo-hyper-temp-targets-a-quick-hack/) - Creating automated temporary targets for OpenAPS and AndroidAPS using IFTTT - [DIY looping and CGM - a critical cog in the machine](https://www.diabettech.com/diy-looping-and-cgm/) - DIY loops rely on commercial CGM systems or DIY CGM software, & can never be as tightly integrated as commercial systems. Here we discuss how to mitigate for this. - [Infusion sets - overlook them at your peril...!](https://www.diabettech.com/infusion-sets-overlook-them-at-your-peril/) - A look at what's coming up in the world of insulin infusion sets to improve the weakest link in insulin pumping. - [Tandem's T:Slim X2 and Control-IQ. What do we know?](https://www.diabettech.com/tandems-tslim-x2-and-control-iq-what-do-we-know/) - Using the little information that is already available to draw some ideas about how control IQ works on the Tandem T:Slim X2, and what this might mean - [Death or profit: Flash, CGM and patient-centricity](https://www.diabettech.com/death-or-profit-flash-cgm-and-patient-centricity/) - Telling the story of the costs of Libre to blood test strip companies and the resulting blocking moves they may be trying. - [Healthcare and #Brexit - what would it mean if we left the EU as someone with a chronic disease? #InOrOut](https://www.diabettech.com/healthcare-and-brexit-what-would-it-mean-if-we-left-the-eu-as-someone-with-a-chronic-disease-inorout/) - As most of those who know me will realise, I'm fed up of the pointless arguments about immigration. It is something built up by UKIP as the biggest evil of our time, jumped on by a number of (what I thought were intelligent) Conservative MPs and has denoted the tone of the discussion about the - [#FreestyleLibre & #MiaoMiao: Two weeks. What did I think?](https://www.diabettech.com/freestylelibre-miaomiao-two-weeks-what-did-i-think/) - When you put the Libre with Miao Miao to the test against the G6, what's the outcome? Does the Open Source alternative work just as well or does it come up short? - [Turning Freestyle Libre into CGM: early observations.](https://www.diabettech.com/turning-freestyle-libre-into-cgm-early-observations/) - Looking at how the Libre & MiaoMiao with xDrip replicate a true CGM and How the calibration model works. - [Happy World Diabetes Day from NHS England - #FreestyleLibre for all?](https://www.diabettech.com/happy-world-diabetes-day-from-nhs-england-freestylelibre/) - Access to Freestyle Libre taken out of the hands of CCGs and run centrally from NHS England. What the impact of that will be. - [The CGM Royal Rumble - 4 systems face off, one will win...](https://www.diabettech.com/the-cgm-royal-rumble-4-systems-face-off-one-will-win/) - Back in early October the CGM Royal Rumble kicked off. Four CGM systems, located in their manufacturer recommended locations on the body and using their onboard (or on-reader) algorithms. Which one would have the best outcomes and which the worst? Bear in mind, this is an n=1 study, so the outcomes of this may not apply - [Diabeloop. The Second Hybrid Closed Loop system to get a CE mark....](https://www.diabettech.com/diabeloop-the-second-hybrid-closed-loop-system-to-get-a-ce-mark/) - The second artificial pancreas to receive an EMA approval comes from Diabeloop, a small company in France. - [Hba1C and T1 Tech. It matters.](https://www.diabettech.com/hba1c-and-t1-tech-it-matters/) - Technology can and does have a direct impact for PWT1D on Hba1C outcomes and the risks of complications. We need to ensure it gets to those who need it. - [#FreeStyleLibre2 - further thoughts](https://www.diabettech.com/freestylelibre2-further-thoughts/) - What is the data transmission component of Libre 2 and how does it play out in the Libre product lifecycle? - [Abbott's #FreestyleLibre2. Announced today at #EASD2018 - more questions than answers...](https://www.diabettech.com/abbotts-freestylelibre2-announced-today-at-easd2018-more-questions-than-answers/) - Abbott has released and CE Marked the Freestyle Libre 2. What secrets does that reveal/ - [#Libre - An example of ongoing variance within Diabetes care, looking at London area where this wasn't supposed to happen...](https://www.diabettech.com/libre-an-example-of-ongoing-variance-within-diabetes-care-looking-at-loan-area-where-this-wasnt-supposed-to-happen/) - A review of the variation across London in prescribing Libre. - [Fact checking Sir Michael Rawlins statements in relation to Insulin and #Brexit. Should we be worried?](https://www.diabettech.com/fact-checking-sir-michael-rawlins-statements-in-relation-to-insulin-and-brexit-should-we-be-worried/) - With access to medicines and government stockpiling being discussed ahead of a no-deal Brexit, we look at the data being talked about and what it all means. Will there be an insulin shortage? Is stockpiling necessary? - [Comparing Tandem's Basal-IQ to Medtronic's SmartGuard. Which Predictive Low Glucose Suspend is best?](https://www.diabettech.com/comparing-tandems-basal-iq-to-medtronics-smartguard-which-predictive-low-glucose-suspend-is-best/) - Comparing the Predictive Low Glucose Suspend systems from Medtronic (SmartGuard) and Tandem (Basal-IQ) - [When we talk about complications, we need to talk about "Risk" #TalkAboutComplications](https://www.diabettech.com/when-we-talk-about-complications-we-need-to-talk-about-risk-talkaboutcomplications/) - When we talk about complications, we also need to talk about risk. Educating people about the reality of complications instead of instilling fear is critical. - [#DIYAPS use in the UK - A Snapshot](https://www.diabettech.com/diyaps-use-in-the-uk-a-snapshot/) - Snapshot of the result of the UK DIY APS users survey undertaken in late September 2018. Majority of users use AndroidAPS, with Loop second and OpenAPS third. - [As #WeAreNotWaiting solutions become more prevalent, how can healthcare professionals support users?](https://www.diabettech.com/as-wearenotwaiting-solutions-become-more-prevalent-how-can-healthcare-professionals-support-users/) - How can HCPs engage with PWD and the DIY community to deliver better care for their patients? - [Fiasp and the Onset 5 CSII Trial - What Novo Nordisk found](https://www.diabettech.com/fiasp-and-the-onset5-csii-trial-what-novo-nordisk-found/) - A summary of the results of the Onset 5 clinical trial that investigated the use of Fiasp in Continuous Subcutaneous Insulin Infusion (or Pumping). - [Nemaura Sugarbeat's interim home trial results. Are they any good?](https://www.diabettech.com/nemaura-sugarbeats-interim-home-trial-results-are-they-any-good/) - Nemaura have released various pieces of information over the past 8 months ahead of a launch in the UK. But what does it tell us and is it worth paying attention to? - [Trying #Fiasp again, six months later...](https://www.diabettech.com/trying-fiasp-again-six-months-later/) - Going back to Fiasp and seeing whether it could be made to work again. Sadly the results weren't great. - [The Roche Accu-Chek Solo micropump - so just what is it?](https://www.diabettech.com/the-roche-accu-chek-solo-micropump-so-just-what-is-it/) - If you keep your eyes on Diabetes and medical media, you can't fail to have noticed that Roche's Solo Micropump, a new patch pump from Roche, received its CE mark today. But what is the Solo Micropump? If you have a dig around on Google, it appears this is the former Medingo pump, that received - [Revisiting the Dexcom G6, now that #WeAreNotWaiting and have adapted to it...](https://www.diabettech.com/revisiting-the-dexcom-g6-now-that-wearenotwaiting-and-have-adapted-to-it/) - Back at the end of March, when Dexcom launched the G6, I questioned how this might affect those using WeAreNotWaiting open source Diabetes technology. It raised a number of questions. These were: Can the G6 be used with the existing tools? Can it be restarted? What was the cost of this new product going to - [A month with Medtrum's A6 CGM](https://www.diabettech.com/a-month-with-medtrums-a6-cgm/) - The experience of trying out the Medtrum CGM system for a month and seeing how it compared with the Dexcom G5. - [Medtrum A6 CGM - A week (or two) in the life](https://www.diabettech.com/medtrum-a6-cgm-a-week-or-two-in-the-life/) - Testing the Medtrum A6 CGM. Is it all that we've come to expect from a real-time CGM device? Pitted against bloods and Dexcom's G5, how does it perform? - [The Medtrum A6 CGM. Initial impressions on performance...](https://www.diabettech.com/the-medtrum-a6-cgm-initial-impressions-on-performance/) - My first impressions after comparing the CGM data to blood testing for the Medtrum A6 and Dexcom G5 on a 24 hour old sensor. Trying to draw some conclusions as to the accuracy/preciseness of the system. - [Disruption in CGM land... Can Medtrum take Dexcom's crown?](https://www.diabettech.com/disruption-in-cgm-land-can-medtrum-take-dexcoms-crown/) - A brief overview of the first new realtime CGM entrant into the market since Dexcom. What does it look like, how does it work? Is it any good? - [Dexcom's G6 has arrived. How might it work for #WeAreNotWaiting users?](https://www.diabettech.com/dexcoms-g6-has-arrived-how-might-it-work-for-wearenotwaiting-users/) - Dexcom G6 and We Are Not Waiting - my thoughts on how the G6 might interact or otherwise with the existing we are not waiting platforms and some cost implications. - [Is Hba1C a poor yardstick for determining access to new T1D treatments in the real world](https://www.diabettech.com/is-hba1c-a-poor-yardstick-for-determining-access-to-new-t1d-treatments-in-the-real-world/) - WHy Hba1C doesn't tell you a lot about the real world use and quality of life of treatments for T1D - [Rise of the Machines - Technology and "patient-driven" innovation in the treatment of diabetes #T1DRoM](https://www.diabettech.com/rise-of-the-machines-technology-and-patient-driven-innovation-in-the-treatment-t1drom/) - A summary of the UK's first conference on innovation from within the world diabetes community and how it helps to change lives for the better. - [The real cost of Time in Range - what it takes to replace Hba1C #ATTD2018](https://www.diabettech.com/the-real-cost-of-time-in-range-what-it-takes-to-replace-hba1c-attd2018/) - Assessing what is really required to make Time in Range the gold standard of Diabetes measurement and deprecate the Hba1C. - [#SpareARose and #insulin4all - Highlighting the global healthcare dilemma](https://www.diabettech.com/sparearose-and-insulin4all-highlighting-the-global-healthcare-dilemma/) - What is the Spare a Rose campaign really highlighting? Access to healthcare for all. - [Designing by numbers? What have we learned from #WeAreNotWaiting about using APS systems?](https://www.diabettech.com/designing-by-numbers-what-have-we-learned-from-wearenotwaiting-about-using-aps-systems/) - People with Diabetes and their carers need to be at the heart of any system designed for use by them. - [A day without a loop - trying to quantify the difference between Sugar Surfing and looping #WeAreNotWaiting](https://www.diabettech.com/a-day-without-a-loop-trying-to-quantify-the-difference-between-sugar-surfing-and-looping-wearenotwaiting/) - Taking a day off the loop to see just how involved Sugar Surfing is and how much difference the use of a closed loop system makes. - [Enough is enough. I can't go on.... Details of the EMA Submission Fiasp CSII study](https://www.diabettech.com/enough-is-enough-i-cant-go-on-details-of-the-ema-submission-fiasp-csii-study/) - After nine months with Fiasp I've stopped using it. Reasons why and further insight into the issues that were identified in EMA testing. - [Carb Ratio variation - a side effect of Fiasp or something else?](https://www.diabettech.com/carb-ratio-variation-a-side-effect-of-fiasp-or-something-else/) - Taking a look at how insulin carb ratio varies, what patterns can be determined and potential reasons why. - [Fiasp - going off-label. Being intentionally non-compliant!](https://www.diabettech.com/fiasp-going-off-label-being-intentionally-non-compliant/) - Going off label and being intentionally non-compliant by mixing Fiasp with other insulin to retain the better dynamics while limiting unwanted side effects - [There ain't no party like a DIY pancreas party.... Reflections on a UK first.](https://www.diabettech.com/there-aint-no-party-like-a-diy-pancreas-party-reflections-on-a-uk-first/) - Getting a group of T1Ds together to build themselves DIY artificial pancreas systems. What that really means. - [Diabetes Technologies that never took off. Whatever happened to the "Sprinkler Needle"?](https://www.diabettech.com/diabetes-technologies-that-never-took-off-whatever-happened-to-the-sprinkler-needle/) - Sprinkler needles have, for some time, been known to provide a more effective insulin absorption profile for type 1 diabetes. They have not made it to market. Why? - [Fiasp - some further observations... Or why an artificial pancreas can't do everything!](https://www.diabettech.com/fiasp-some-further-observations-or-why-an-artificial-pancreas-cant-do-everything/) - Looking into what's been going on with High Carb meals, large insulin doses and other factors that affect the ability to properly control Type 1 Diabetes. - [#Loop and #OpenAPS - living with both, the similarities and differences - let's get down and dirty...](https://www.diabettech.com/loop-and-openaps-down-and-dirty/) - This post has now been superseded by an updated page on this website that can be found here: http://www.diabettech.com/looping-a-guide/comparing-the-loop-and-openaps-algorithms/ - [Looping. Do I choose #OpenAPS or #Loop? Either way #wearenotwaiting!](https://www.diabettech.com/looping-do-i-choose-openaps-or-loop-either-way-wearenotwaiting/) - A comparison of the features of open source hybrid closed loops. - [Defining an "Artificial Pancreas". Where are we with DIY systems? #WeAreNotWaiting](https://www.diabettech.com/defining-an-artificial-pancreas-where-are-we-with-diy-systems-wearenotwaiting/) - Can we now safely say that DIY systems have attained the level of ability that defines them as an Artificial Pancreas according to the JDRF scale? - [Roll up, roll up. The #Freestyle Libre postcode lottery has started. You gotta be in it to win it....](https://www.diabettech.com/roll-up-roll-up-the-freestyle-libre-postcode-lottery-has-started-you-gotta-be-in-it-to-win-it/) - Looking at the costs involved with the Libre and the disingenuous way that East of England priorities committee discounted it based on a fake cost model. - [Data and user interventions. Multiple challenges for future artificial pancreas systems.](https://www.diabettech.com/data-and-user-interventions-multiple-challenges-for-future-artificial-pancreas-systems/) - Will future artificial pancreas black box systems allow user intervention and access to user data when things aren't quite going to plan? What will the regulator do? - [Abbott's Freestyle Libre. FDA approved at last. What does this mean?](https://www.diabettech.com/abbotts-freestyle-libre-fda-approved-at-last-what-does-this-mean/) - With the FDA approval of Freestyle Libre, what does this mean for the US marketplace and how will it affect PWD, strip and CGM vendors? - [What goes up.... Must come down. Unless you're a #PWT1D using #Fiasp.](https://www.diabettech.com/what-goes-up-must-come-down-unless-youre-a-pwt1d-using-fiasp/) - Going back to fiasp - a ten day respite on Novorapid doesn't cause a reset in the insulin's resistivity and I had to massively change ratios. - [A graphical look at my #Fiasp failure. Does it show anything new?](https://www.diabettech.com/a-graphical-look-at-my-fiasp-failure-does-it-show-anything-new/) - A graphical review of the failure I had with fiasp and an attempt to spot some trend data. - [The latest updates to #OpenAPS try to make life easier once again - available in the dev branch](https://www.diabettech.com/the-latest-updates-to-openaps-try-to-make-life-easier-once-again-available-in-the-dev-branch/) - Delving into the latest features that have been added to the release candidate for the 0.6.0 release of OpenAPS. - [After six months with #Fiasp, things have gone awry!](https://www.diabettech.com/after-six-months-with-fiasp-things-have-gone-awry/) - This week, managing glucose levels with Fiasp has become really quite difficult. This attempts to describe what happened and theorise why. - [The Abbott Freestyle Libre will be available on the NHS. What does that mean?](https://www.diabettech.com/the-abbott-freestyle-libre-will-be-available-on-the-nhs-what-does-that-mean/) - Whilst the Freestyle Libre free on the NHS is a step in the right direction, what does it mean for the future availability of Diabetes Technology? - [A year of looping & how closed loop systems changed my life with T1D](https://www.diabettech.com/a-year-of-looping-how-closed-loop-systems-changed-my-life-with-t1d/) - It's now over a year since I first built myself an OpenAPS rig and entered into the world of the Hybrid Closed Loop. This is what happened and what comes next. - [Rebooting with a Juice-Fast. As a person with Type 1, what are the effects?](https://www.diabettech.com/rebooting-with-a-juice-fast-as-a-person-with-type-1-what-are-the-effects/) - Attempting to restart the metabolic clock with a juice based reboot and observing the metabolic outcomes as a result of this process. - [What conclusions can we draw when investigating Insulin Sensitivity using the Autosens function within #OpenAPS? An n=1 study](https://www.diabettech.com/what-conclusions-can-we-draw-when-investigating-insulin-sensitivity-using-the-autosens-function-within-openaps-an-n1-study/) - What conclusions can we draw when investigating Insulin Sensitivity using the Autosens function within #OpenAPS. An n=1 study - [Five days, four nights and no mud. Stress testing #OpenAPS at Glastonbury](https://www.diabettech.com/five-days-four-nights-and-no-mud-stress-testing-openaps-experience-at-glastonbury/) - Five days, four nights and no mud. My #OpenAPS experience at Glastonbury. Dodgy Dexcom sensors, bad carb counting and no carb entry. A story. - [Glastonbury with #OpenAPS.... Here we come!](https://www.diabettech.com/glastonbury-with-openaps-here-we-come/) - The final decision on what rig to take with me to Glastonbury, powering it and the factors driving the decision. - [Running #OpenAPS on the iPhone and Apple Watch. A brief explanation...](https://www.diabettech.com/running-openaps-on-the-iphone-and-apple-watch-a-brief-explanation/) - Setting up and running the monitoring and control functions for OpenAPS on an Apple Watch and iPhone - [A #LowCarb diet in Type 1 children. What are the effects? Reviewing some recent research...](https://www.diabettech.com/a-lowcarb-diet-in-type-1-children-what-are-the-effects-reviewing-some-recent-research/) - Some commentary on a recent paper relating to low carb diets and the issues with them for children with T1D. - [Does #Fiasp equal Freedom? A round up of collective experiences](https://www.diabettech.com/does-fiasp-equal-freedom-a-round-up-of-collective-experiences/) - The collective experiences of users of Fiasp - what are the trends that are coming out and how are people finding it? - [Taking #OpenAPS to Glastonbury Festival - preparing for 5 days in a field, off-grid and offline](https://www.diabettech.com/taking-openaps-to-glastonbury-festival-preparing-for-5-days-in-a-field/) - Considerations when taking OpenAPS into an environment where there is little opportunity to recharge and may have limited mobile phone coverage. - [Smart Insulin and "Artificial Pancreases" - what lessons can the latter give the former?](https://www.diabettech.com/smart-insulin-and-artificial-pancreases-what-lessons-can-the-latter-give-the-former/) - Smart Insulins and Artificial Pancreases are both closed loop systems and both need to address the same issues. Currently this is much harder in chemical techniques. - [#Fiasp two months on. Bedded in and settled down - what did I change to get there?](https://www.diabettech.com/fiasp-two-months-on-bedded-in-and-settled-down-what-did-i-change-to-get-there/) - After two months using Fiasp, this post details the changes I've had to make to get stability using this insulin and the results I've seen. - [The costs of diagnosis with a long term chronic condition: not just a financial burden... #DBlogWeek...?](https://www.diabettech.com/the-costs-of-diagnosis-with-a-long-term-chronic-condition-not-just-a-financial-burden-dblogweek/) - The personal, systemic and economic costs of living with a long term chronic condition soon add up. - [#wearenotwaiting and #OpenAPS meet the NHS](https://www.diabettech.com/openaps-meets-the-nhsx2/) - My experiences of dragging OpenAPS through the NHS in Diabetes Clinic and via A&E proved much better than expected! - [#OpenAPS & #oref1: Changing the habits of a lifetime](https://www.diabettech.com/openaps-oref1-changing-the-habits-of-a-lifetime/) - How using oref1 completely changes the way you interact with Type 1 Diabetes for the better - [oref1 - The newest algorithm in the #OpenAPS family and why it suits #Fiasp so well](https://www.diabettech.com/oref1-the-newest-algorithm-in-the-openaps-family/) - How Fiasp and oref1 reduce the need for blousing and could eliminate it altogether. Smart algorithms and faster insulin - [Medtronic's 670G and #OpenAPS/#Loop - what can we glean from the user manual](https://www.diabettech.com/medtronics-670g-and-openapsloop-what-can-we-glean-from-the-user-user-manual/) - Comparing the 670G based on the user guide with the experience of using OpenAPS and Loop. What's better or worse? - [My month with the newest kid on the block & a hypothesis on the #Fiasp effects.](https://www.diabettech.com/new-kid-on-the-block/) - Reduced insulin sensitivity and more insulin needed. A hypothesis on the changes with Fiasp. - [Adventures with Fiasp -  there's plenty to learn.](https://www.diabettech.com/adventures-with-fiasp/) - Seeing variable results with Fiasp, this post covers some of the further investigation required and what might come up as a result of it. - [#Fiasp - Faster Acting, but what else is going on?](https://www.diabettech.com/fiasp-faster-acting-but/) - Unexpected issues and other effects of using a new faster insulin. Trying to get to the bottom of the issues. - [#Fiasp and #OpenAPS - is this what we've been waiting for? A week in the life....](https://www.diabettech.com/fiasp-and-openaps-a-week-in-the-life/) - I'll cut to the chase. This has been one of the more interesting weeks in my life with diabetes. There aren't many occasions when you can say that you've put two things together and seen immense results, but I think this is one of them. It gives me more hope for future treatments, and I - [So... How fast is Fiasp really? Well let's take a look.](https://www.diabettech.com/so-how-fast-is-fiasp-really-well-lets-take-a-look/) - Retesting the action time of Faster Insulin Aspart (Fiasp) and seeing a repeat of the previously observed behaviour. It's faster! - [48 hours with Fiasp. What are my first thoughts on Faster insulin Aspart?](https://www.diabettech.com/48-hours-with-fiasp-what-are-my-early-thoughts-on-this-new-faster-insulin-apart/) - Using faster insulin Aspart. Does it do what it says on the tin? - [Are we living in the past? Good reasons why achieving the NICE Target Hba1C with the available NHS tools is tough...](https://www.diabettech.com/are-we-living-in-the-past-good-reasons-why-achieving-the-nice-target-hba1c-with-the-available-tools-is-tough/) - Why achieving an Hba1C below 6.5% is difficult with the tools available on the NHS & why CGM helps. - [What's the best CGM solution? A simple question with a complex answer...](https://www.diabettech.com/whats-the-best-cgm-solution-an-easy-question-with-a-more-difficult-answer/) - Response to the question "What is best CGM" published on many media over the past few months. - [Changes in hypo awareness. What can we learn from an unexpected benefit of the use of #OpenAPS and #Loop](https://www.diabettech.com/changes-in-hypo-awareness-an-unexpected-benefit-of-the-use-of-openaps-and-loop/) - Looping seems to improve hypo sensitivity as a result of a reduction in glycaemic variability and reductions in lows. - [Novo Nordisk FIAsp. Announced and with us shortly in the UK, + whatever happened to BC Lispro...? #fasterinsulinplease](https://www.diabettech.com/novo-nordisk-fiasp-announced-and-with-us-shortly-in-the-uk-whatever-happened-to-bc-lispro/) - FIAsp in the UK soon, thoughts on availability and what happened to BC Lispro, Lilly, Adocia and Diasome involvement - [Analyzing the output of the continuous monitoring survey - some thoughts on the data... #wearenotwaiting](https://www.diabettech.com/analyzing-the-output-of-the-continuous-monitoring-survey-some-thoughts-on-the-data-wearenotwaiting/) - Commentary about the recent report analyzing end users self reported views of glucose monitoring solutions. - [#ATTD2017 is over and it seems that the more things change, the more they stay the same... which is why #wearenotwaiting](https://www.diabettech.com/attd2017-is-over-and-it-seems-that-the-more-things-change-the-more-they-stay-the-same-which-is-why-wearenotwaiting/) - The 10th international conference on Advanced Technologies and Treatments for Diabetes (ATTD) has come to a close and once more the twitter feed has been a frenzy, this time with more "artificial pancreases", connected meters, big data solutions, CGM and some additional innovations. If you add to that the variety of studies that were presented, - [The CGM Survey - a preview: Time in range and Psychological benefits](https://www.diabettech.com/the-cgm-survey-a-preview-time-in-range-and-psychological-benefits/) - Now that the survey to try and find out what CGM and Libre users thought of the technology and how it had affected their self-management, it's time to provide a preview of some of the data. I am still processing much of it, however here is the brief preview of the results. Before you start - [Port and Portability - some further thoughts. A truly portable, offline instance of #OpenAPS](https://www.diabettech.com/port-and-portability-part-two-a-truly-portable-offline-wireless-instance-of-openaps/) - Late last year, I wrote about form and physicality of the hybrid closed loop, bemoaning the stuff I was carrying, and a few other things. My shopping list of likes was: A delivery device and remote control The remote control to be an app on a phone. Interact with the system from my phone Upload - [#freestylelibre - A quick round up of the phone apps available](https://www.diabettech.com/freestylelibre-a-quick-round-up-of-the-phone-apps-available/) - While I am still seeing performance issues with the sensors (regularly reading 25% or more out), I'm still battling on with this thing as it is still cheaper than the alternatives, and affordable healthcare is what we want, right? The whole system, in spite of the consistently poor performance of the sensors that I continue - [What is the purpose of an "Artificial Pancreas"? It may explain why #wearenotwaiting !](https://www.diabettech.com/what-is-the-purpose-of-an-artificial-pancreas/) - This question seems relatively straightforward to answer. Surely it's just to provide a way of delivering insulin automatically, leading to less user intervention and making managing diabetes easier? But I think it very much depends on the point of view of the person answering the question. There is a huge risk that that point of - [A year of personal progress with Diabetes Technology. Like many others, #wearenotwaiting](https://www.diabettech.com/a-year-of-personal-progress-with-diabetes-technology-like-many-others-wearenotwaiting/) - The transition from Freestyle Libre to full hybrid closed loop. How I really picked up diabetes tech in 2016. - [Hybrid Closed Looping with #OpenAPS - eat what you like and no need to worry.... #wearenotwaiting](https://www.diabettech.com/hybrid-closed-looping-with-openaps-eat-what-you-like-and-no-need-to-worry-wearenotwaiting/) - One of the things that I've previously described Closed Looping as is automated sugar surfing, and I'd still stand by that description, especially when you look at the results it's produced for me over the last few months. The best bit of if it is that it works regardless of what you eat. No necessity - [Port and Portability - form and physicality of the closed loop](https://www.diabettech.com/port-and-portability-form-and-physicality-of-the-closed-loop/) - The physical manifestation of future closed loop systems needs to involve users early in the design to make them more effective. - [Diabetes Tech is a revelation, but what do we do when it breaks? Treatment Continuity Planning...](https://www.diabettech.com/diabetes-tech-is-a-revelation-but-what-do-we-do-when-it-breaks-treatment-continuity-planning/) - How we'll need to cope when the diabetes technology fails - treatment continuity planning - [Abbott's #FreestyleLibre - disrupting and democratising Diabetes care in Europe](https://www.diabettech.com/abbotts-freestylelibre-disrupting-and-democratising-diabetes-care-in-europe/) - The freestyle Libre has disrupted and democratised diabetes care in Europe, moving power to the patient. - [The benefit of freedom from a Hybrid Closed #Loop or #OpenAPS... #wearenotwaiting](https://www.diabettech.com/the-benefit-of-freedom-from-a-hybrid-closed-loop-or-openaps-wearenotwaiting/) - Hybrid Closed loops free T1Ds from many small and intrusive daily tasks. - [The loss of a #loop. Recognising the "Life" benefits of hybrid closed loop systems.](https://www.diabettech.com/the-loss-of-a-loop-recognising-the-life-benefits-of-hybrid-closed-loop-systems/) - A day without a loop - it feels like an eternity. As crazy as it seems. But why? Well let's start at the beginning, and then I hope you'll see. Yesterday evening, it had reached the point where I was seeing more "???" than numbers from my Dexcom G5 set up, so there was only one - [Looping - getting started with dosing decision making apps (or Artificial Pancreases)](https://www.diabettech.com/looping-getting-started-with-dosing-decision-making-apps-or-artificial-pancreases/) - I recently had a conversation with someone who was struggling to manage their lows. They lacked hypoglycaemic awareness and found themselves regularly lower than they wanted to be. It occurred to me at that point that the range of tools now available can help anyone with impaired hypo awareness (IHA) as well as give people - [Catching up with Medtrum. Where are they since the JDRF Discovery Day?](https://www.diabettech.com/catching-up-with-medtrum-where-are-they-since-the-jdrf-discovery-day/) - This evening I had the opportunity to meet up with the team from Medtrum that is currently working their way around the UK and Europe, showing off their products to hospitals and attempting to get them to trial the kit. I met up with them this evening to have a look at their products and - [Hybrid Closed Looping with @OpenAPS and #Loop - a psychological perspective #wearenotwaiting](https://www.diabettech.com/hybrid-closed-looping-with-openaps-and-loop-a-psychological-perspective-wearenotwaiting/) - As I've been looping now for a little bit, I thought it was worthwhile to share one aspect of the experience that's perhaps not so frequently discussed. In the past 12 months I've gone from MDI to pumping to SmartGuard to autonomous Closed Looping. By anyone's measure, that's a pretty phenomenal rate of change. Throughout - [Why do Eggs cause high blood glucose in the absence of carbs? Here'syour answer...](https://www.diabettech.com/why-do-eggs-cause-high-blood-glucose-in-the-absence-of-carbs-heresyour-answer/) - Eggs, for many T1s, require almost as much insulin as carbohydrate. Yet eggs contain no noticeable carbs. What they do have is loads of protein and fats, and considering that eggs are food sources for chicks to grow up, probably very easily assimilable access to amino acids. When we eat eggs, we see blood glucose - [@openAPS - more steps forward... Does it ever stand still? Not if #wearenotwaiting](https://www.diabettech.com/openaps-more-steps-forward-does-it-ever-stand-still-not-if-wearenotwaiting/) - When I wrote about using OpenAPS last time around, I had a list of features that I was having a few issues with. Since then I've made yet more changes and am now running a more physically consolidated, if functionally different, set-up. Prior to this, I had used the new set-up scripts to build a - [How closed loops and faster, liver directed insulins will change your life #wearenotwaiting](https://www.diabettech.com/how-closed-loops-and-faster-liver-directed-insulins-will-change-your-life-wearenotwaiting/) - Imagine, if you will, that those who struggle with their diabetes need only minimal self-intervention to maintain DCTT recommended Hba1C levels and excellent glycaemic variability. They only have to strap a pump and sensor on and adhere to changing the cannula every three days and the sensor every fourteen. No calibration. No finger prick testing. - [Managing glycaemic variability by eating low carb. Does it work?](https://www.diabettech.com/managing-glycaemic-variability-by-eating-low-carb-does-it-work/) - As I mentioned on Twitter not so long ago, I've been undertaking a low carb diet for a few weeks as a great way to cut my weight before a summer holiday which will involve beaches and sunshine. Wearing a continuous glucose monitoring sensor while doing so also enables me to show the effects of - [If you're in the US, is the Medtronic 630G really worth it?](https://www.diabettech.com/if-youre-in-the-us-is-the-medtronic-630g-really-worth-it/) - If you take a look at the Facebook page for the Medtronic 640G, you'd be forgiven for thinking that the US has something similar available, and it's called the Medtronic 630G. You'd also think that the new 630G is a brilliant new innovation and that it does some amazing things. But if you think that, - [@OpenAPS - Standing on the shoulders of giants - #wearenotwaiting for an artificial pancreas!](https://www.diabettech.com/openaps-standing-on-the-shoulders-of-giants-wearenotwaiting-for-an-artificial-pancreas/) - loop /luːp/ verb 1. To monitor realtime glucose values and makes decisions to administer insulin accordingly. As I mentioned previously, I'd spent a fair amount of time building the Artificial Pancreas on my Pi whilst on vacation, but it wasn't really in a state that I was happy with. It could use nightscout data and - [Comparing @OpenAPS and the Medtronic Hybrid Closed Loop System - what does the data say?](https://www.diabettech.com/comparing-openaps-and-the-medtronic-hybrid-closed-loop-system-what-does-the-data-say/) - With the release yesterday of the Medtronic Hybrid Closed Loop pivotal study data, I thought it would be interesting to take a look at the only other widely, and publicly trialled closed loop system available, and see how the two compare. The two studies OpenAPS provided a poster to the American Diabetes Association Scientific Sessions - [The SWITCH1 trial: Proving that Lantus/Basaglar has a higher Hypocglycaemia rate than Tresiba](https://www.diabettech.com/hypoglycaemia-and-long-acting-insulin-the-switch1-trial-and-why-you-should-try-tresiba-if-youre-on-lantus/) - Let's start with the SWITCH 1 trial. What is it? It was a Phase 3a trial to compare the hypoglycaemia benefit of the two insulins. It was a double-blind, crossover trial, which essentially means that when participating, you used both insulins and didn't know which one you had at any point in the trial. The - [Faster acting analogue insulin - straight from #EASD2016 - coming to a pharmacy near you, sometime....](https://www.diabettech.com/faster-acting-analogue-insulin-straight-from-easd2016-coming-to-a-pharmacy-near-you-sometime/) - The EASD Virtual Meeting place has been a revelation. It's allowed me to view the sessions that I wanted the DOC that's present at the annual meetings to go and see, and as a result, given me the chance to see the sessions first hand. Having been able to see the slides and watch the - [It's EASD time again, and there's a lot going down at the 52nd Annual Meeting](https://www.diabettech.com/its-easd-time-again-and-theres-a-lot-going-down-at-the-52nd-annual-meeting/) - Gutted as I and many others of the GBDOC are to not be at the European Association for the Study of Diabetes (EASD) annual meeting in Munich, there's still a lot that can be learned from it. And of course, if you're there until the end of the conference, why not stay on a bit - [The great #gbdoc CGM debate - an alternative approach to NHS funding...](https://www.diabettech.com/the-great-gbdoc-cgm-debate-an-alternative-approach-to-nhs-funding/) - Following yesterday’s NNF conference on Continuous Glucose Monitoring (CGM) and the ensuing Twitter debate that frequently happens with these types of event, I gave some thought to an alternative approach to funding CGM. What it boils down to is that, instead of being tied to Self Monitoring of Blood Glucose (SMBG) using finger prick strips, - [Building myself an @openAPS DIY artificial pancreas, or how I spent my summer holiday...](https://www.diabettech.com/building-myself-an-openaps-diy-artificial-pancreas-or-how-i-spent-my-summer-holiday/) - Two weeks off work in Cornwall. A great time to sit in the sun and build an Artificial Pancreas. What an amazing world we live in these days, where I can connect my laptop to wifi and then talk to a small Raspberry Pi in the house while I sat in the sun and enjoyed - [Medtrum. Disruption in the CGM and Artificial Pancreas Marketplace.... Coming Soon?](https://www.diabettech.com/medtrum-disruption-in-the-cgm-and-artificial-pancreas-marketplace-coming-soon/) - Last night at the JDRF Discovery Evening in the City, a company named Medtrum sponsored the event. A company many of us have never heard of. But what they were talking about was very, very interesting. Why? Their product set. Their product suite is known as the A6 Touchcare System and is described on their - [My response to the @APPG_Diabetes call for evidence on Variation in Diabetes Care #gbdoc](https://www.diabettech.com/my-response-to-the-appg_diabetes-call-for-evidence-on-variation-in-diabetes-care-gbdoc/) - As many people will be aware, the All Parties Parliamentary Group for Diabetes has asked for written evidence submissions from diabetics of all ages and all types in their investigation into "Variation in Diabetes Care". Guidance on what they are looking for can be found here: https://diabetesappg.files.wordpress.com/2015/06/people-affected-by-diabetes-evidence-form.pdf As the submission is to a cross party interest - [Building the LimiTTer: Bridging the #freestylelibre sensor to xDrip #wearenotwaiting](https://www.diabettech.com/building-the-limitter-bridging-the-freestylelibre-sensor-to-xdrip-wearenotwaiting/) - As I wrote about a week or so ago, there is now a reference design from JoernL for a bridge that allows the Libre sensor to be used like a Dexcom CGM. It can be found here. http://joernl.github.io/LimiTTer/ In the spirit of #wearenotwaiting, I set out to build myself one to see how it worked! - [#NightScout. Possibly the best tool to manage your diabetes, not "just a monitor" #wearenotwaiting](https://www.diabettech.com/nightscout-possibly-the-best-tool-to-manage-your-diabetes-not-just-a-monitor-wearenotwaiting/) - Nightscout. A wonderful tool for monitoring blood glucose levels remotely. Allowing carers and parents to see what's going on with their children/protected family and friends. But, it's so much more than that. What am I talking about? I'm talking about what's possibly the best tool for visualising your diabetes care on the planet and enabling - [iHealth's Wireless Smart Glucose Monitoring System. Just how smart?](https://www.diabettech.com/ihealths-wireless-smart-glucose-monitoring-system-just-how-smart/) - I saw this device on one of the many Diabetes websites a while back and thought the idea of it sounded great. It looked like it might even be a valid alternative to the Dario, and I finally got my hands on it about a month ago, all entirely self funded. OKay, it's been in - [#Diabetes Tech and #Download2016 - out the other side!](https://www.diabettech.com/diabetes-tech-and-download2016-out-the-other-side/) - With this week being Diabetes Week 2016 (I know we are trying to raise awareness of Diabetes, but sometimes I think that Diabetes Week, Diabetes Day and Diabetes Month is perhaps overkill) and with me in the hiatus between two festival trips, I thought now would be an ideal opportunity to write a brief description - [Field trials. Taking the @MedtronicUK 640G and Smartguard into the Glastonbury 2016 Wilds...](https://www.diabettech.com/field-trials-taking-the-medtronicuk-640g-and-smartguard-into-the-glastonbury-2016-wilds/) - As many will know by now, this year's Glastonbury Festival was declared "the muddiest ever" by Michael Eavis. It had rain, sun, and mud. Lots of it. Rather more a case of "Mud trials" than "Field trials", you could say. But both of these too: And it had me, with my 640G and Smartguard enabled. - [@MedtronicUK 640G Smartguard Suspend - some analysis of my own activity and a few useful lessons #gbdoc](https://www.diabettech.com/medtronicuk-640g-smartguard-suspend-some-analysis-of-my-own-activity-and-a-few-useful-lessons-gbdoc/) - Following the weekend at Glastonbury, where I was able to use SmartGuard to great effect, I thought it might be interesting to review the data that was collected and see if it gave an insight into SmartGuard's activity. Firstly, I'll review what we know of the SmartGuard algo, then I'll go into the data that - [Three months with the Medtronic 640G - time for a review and comparison with the Spirit Combo that I used previously](https://www.diabettech.com/three-months-with-the-medtronic-640g-time-for-a-review-and-comparison-with-the-spirit-combo-that-i-used-previously/) - Having now used the 640G for three months, I felt that I now have a good handle on it, how it works and how it compares to the Accu-Chek Spirit Combo that I was using previously. To summarise it, as a pump, it does little differently, aside from a less functional remote control, however it - [Comparing @tim_omer HAPP with @MedtronicUK Smartguard... How do they compare? #gbdoc](https://www.diabettech.com/comparing-tim_omer-happ-with-medtronicuk-smartguard-how-do-they-compare-gbdoc/) - I've had the 640G for a while now, running SmartGuard, and I really like the technology, as I've mentioned in a few blog posts (if you hadn't noticed), but since I got my hands on the 640G uploader, courtesy of the guys here, I thought it might be quite interesting to run the two alongside - [Living with an Open Loop Artificial Pancreas - my first impressions!Boy, #wearenotwaiting](https://www.diabettech.com/living-with-an-open-loop-artificial-pancreas-my-first-impressionsboy-wearenotwaiting/) - Over the past couple of weeks, I've been very excited to be using the HAPP open loop artificial pancreas system as derived from OpenAPS. It's essentially the OpenAPS code ported to run on an Android phone (with much of the work done by Tim Omer), and we are working on trying to get it talking to various pumps. - [Managing a bolus based TBR model safely - further thoughts on the 640G with @openAPS - #wearenotwaiting](https://www.diabettech.com/managing-a-bolus-based-tbr-model-safely-further-thoughts-on-the-640g-with-openaps-wearenotwaiting/) - Working from the hypothesis that we can't set remote temporary basal rates with the 640G (which is yet to be confirmed, but I suspect will be the case), and thinking along the lines that we will be required to have the app manage the mini-boluses required to mimic the TBR model of a pump, how - [Using @openAPS with the Medtronic 640G - some thoughts and ideas on implementation #wearenotwaiting](https://www.diabettech.com/using-openaps-with-the-medtronic-640g-some-thoughts-and-ideas-on-implementation-wearenotwaiting/) - As I've discussed in previous topics, I've been running with Tim Omer's HAPP adaptation of OpenAPS, providing open loop APS functionality on a mobile phone.I've also recently moved on to a Medtronic 640G pump, which as far as I can tell, doesn't provide the capabilities for remote temporary basal instructions. I need to do some - [#DBlogWeek - the fifth and final day - Tips and Tricks...](https://www.diabettech.com/dblogweek-the-fifth-and-final-day-tips-and-tricks/) - So it's day five of the DBlogWeek and after saying I wasn't going to write something for every day, I've done the opposite. Fine. It is what it is. Still, I hope that's given a few people something to read and enjoy, and maybe caused a few controversies...On to the fifth and final instalment of - [#DBlogWeek - part 4 - Healthcare - a snapshot of the UK Experience](https://www.diabettech.com/dblogweek-part-4-healthcare-a-snapshot-of-the-uk-experience/) - Today's prompt: Most people who live with a chronic illness end up with a lot of experience when it comes to dealing with healthcare. How would you improve or change your healthcare experience? What would you like to see happening during medical visits with your healthcare team? How about when dealing with your health insurance companies? - [#DBlogWeek - The other half of diabetes... But is it always?](https://www.diabettech.com/dblogweek-the-other-half-of-diabetes-but-is-it-always/) - I'm not signed up as a participant to the DBlogWeek, as I'm unlikely to write about all the topics that are listed, so instead, I'm picking and choosing those which I find interesting to look at and raise some questions for me. I think I've posted on many of them in the past anyway. Today's - [#Dblogweek - Do we over-mystify the use of insulin pumps in the UK?](https://www.diabettech.com/dblogweek-do-we-over-mystify-the-use-of-insulin-pumps-in-the-uk/) - There have been loads of stats mentioned about the use of insulin pumps in the UK versus the rest of the world, with the most telling being the comparison between the UK and the US, where something like 40% of adults are using an insulin pump, compared to around 12% in the UK. This leads - [#DBlogWeek - part 3 - Language. It's all about context...](https://www.diabettech.com/dblogweek-part-3-language-its-all-about-context/) - I don't write about language and diabetes very often, if at all. Why? Because I'm not that bothered about it. There are certain terms that Diabetes HCPs shouldn't really be using in relation to dealing with patients (compliance and non-compliance being two of the most ridiculous and frustrating), but in general language it's too much - [#Dblogweek - The real day 1 post](https://www.diabettech.com/dblogweek-the-real-day-1-post/) - The day one question is why do you blog? And many of the blogs out there talk about it helping them to deal with the disease that is T1D.But that's not something I have an affinity for. I've been T1D a while and a long time ago I came to the realisation that T1D has - [CGM for less than £200? Maybe, with #freestylelibre and #wearenotwaiting](https://www.diabettech.com/cgm-for-less-than-200-maybe-with-freestylelibre-and-wearenotwaiting/) - CGM for less than £200. It sounds like a pipe dream doesn't it? But assuming you already have the right phone, this may very soon be a possibility.I've written a lot about the Freestyle Libre, both the ups and downs of it. I think it is a breakthrough technology and for the majority that have - [#freestylelibre and Dexcom G4 with xBridge - Two different sides of the same coin...](https://www.diabettech.com/freestylelibre-and-dexcom-g4-with-xbridge-two-different-sides-of-the-same-coin/) - As a long term user of the Libre and a recently started user of the Dexcom G4 with xBridge (note that I don't own a receiver - I've built all of the gear myself), using an Algorithm that is similar to the 505 in the US Dexcom G4, it's quite interesting to see the similarities - [#Afrezza and Easter Eggs - a different way to spend Easter weekend...](https://www.diabettech.com/afrezza-and-easter-eggs-a-different-way-to-spend-easter-weekend/) - For a while I've wanted to try Afrezza. Well, let's be honest. Since I heard about it. It sounded rather different from anything we've seen on the Type 1 treatment front (well, if you discount Exubera) and looked like it would do some interesting things. The talk from the many US users always expressed how - [At long last. xDrip and HAPP live, with me as a Guinea Pig! #wearenotwaiting](https://www.diabettech.com/at-long-last-xdrip-and-happ-live-with-me-as-a-guinea-pig-wearenotwaiting/) - Having unsuccessfully played around with trying to bring Dexcom G4 transmitters back from the dead, failing three times, I finally bit the bullet and paid for a transmitter. And some sensors.And finally completed the xBridge build.I am now a fully paid up member of CGM in the cloud, alarms, and everything...So how did I get - [Nemaura SugarBEAT - competition in the CGM world at last???](https://www.diabettech.com/nemaura-sugarbeat-competition-in-the-cgm-world-at-last/) - There's been a lot discussed recently about the Abbott Freestyle Libre and how the 4,000+ members of the Facebook group that is dedicated to it want to see it on the NHS in the UK. We already know it's available on Swedish (and I think German?) insurance policies. Most of us liked it as it - ["10 out of 10 people with diabetes would prefer a fully functioning pancreas..." - the results of a small poll of the #DOC](https://www.diabettech.com/10-out-of-10-people-with-diabetes-would-prefer-a-fully-functioning-pancreas-the-results-of-a-small-poll-of-the-doc/) - Following a discussion on Twitter about Hypoglycaemia being a major concern of T1Ds in diabetes clincs, I thought it would be interesting to see how the online community felt about blood glucose levels and what bothered them most. So I ran a little poll on Twitter and the Diabetes.co.uk ForumFor the sake of clarity, this - [My Diabetes, my way* or "How to set up bike handlebars"](https://www.diabettech.com/my-diabetes-my-way-or-how-to-set-up-bike-handlebars/) - So first up, apologies for stealing the name of the NHS Scotland Diabetes portal, but it seemed, well, apt, and lets face it, the second part is just a link back to the conversation that started this post...Following a long, and really quite emotional discussion on twitter in response to the @brickabetes picture below:Followed by - [Engaging and disengaging with @NHSDiabetes - how to make it a Romeo and Juliet story?](https://www.diabettech.com/engaging-and-disengaging-with-nhsdiabetes-how-to-make-it-a-romeo-and-juliet-story/) - Following a discussion on Twitter regarding transition from junior to senior diabetes clinics, how this should work and people worries and thoughts about it, it made me consider my potted history with the NHS and its diabetes care. I realised that I am a really good case study for someone who could engage and didn't - [Type 1 Diabetes and Me. The story of a Diabetic life - the teenageyears and University #gbdoc #DOC](https://www.diabettech.com/type-1-diabetes-and-me-the-story-of-a-diabetic-life-the-teenageyears-and-university-gbdoc-doc/) - In the second part of my life, we move into the teenage years and through university. It's probably not as in depth as the early part as being diagnosed tends to stick out in your memory. Living with Diabetes as a teenager doesn't so much. It was just a part of my life and I - ["Bounty" cake - a little taste of paradise...](https://www.diabettech.com/bounty-cake-a-little-taste-of-paradise/) - Sitting at home yesterday afternoon, we wanted, desperately, to eat sweets. Knowing that we shouldn't, and having flicked though a couple of cook books all to frequently, H came up with the idea of mixing two recipes to make what sounded like something amazing. So with reference to Madelaine Shaw's Get the Glow for the - [Diabulimia - and the propensity for eating disorders with T1 diabetes](https://www.diabettech.com/diabulimia-and-the-propensity-for-eating-disorders-with-t1-diabetes/) - Following multiple discussions on Twitter and in the DCUK forum, and at last a welcome session on Diabulimia at the Diabetes Professional Conference (DPC) in Glasgow on Tuesday, it appears that Diabulimia is starting to get wider recognition in the healthcare sphere.But as discussed in my last post, there is much more to T1 than - [Keep on jabbing, keep on testing... * - The psychological effects of a diabetes diagnosis](https://www.diabettech.com/keep-on-jabbing-keep-on-testing-the-psychological-effects-of-a-diabetes-diagnosis/) - I'll start by apologising to the Spencer Davis Group for destroying their fine lyrics and turning them into the title of a blog post about Diabetes. I bet they didn't see that one coming when they wrote the song. But then in 1965 it would have been "Keep on peeing, keep on fizzing"... anyway, I - [Ah, ah, ah, ah, Staying Alive, Staying Alive.... Well Beta Cells anyway...](https://www.diabettech.com/ah-ah-ah-ah-staying-alive-staying-alive-well-beta-cells-anyway/) - After a long interaction on Twitter that went something along the lines of "My basal is fairly stable and hasn't changed in a year" versus Everydayupsanddowns "The only constant is change", we started to speculate that ongoing endogenous insulin production, even in very small amounts, might actually make a difference to the ability to manage - [Which pump should I choose? How do I choose? Oh let me count the ways...](https://www.diabettech.com/which-pump-should-i-choose-how-do-i-choose-oh-let-me-count-the-ways/) - I've seen this question asked many times across multiple different versions of social media. And I think at its heart it misses the point. I think at the core, in basic functionality, all pumps are essentially equal, in that they all provide basal and a variety of bolus capabilities, and have different reservoir capacities. All - [Latent Autoimmune Diabetes in Adults - LADA - The Other (but more prevalent form of) Autoimmune Diabetes...](https://www.diabettech.com/latent-autoimmune-diabetes-in-adults-lada-the-other-but-more-prevalent-form-of-autoimmune-diabetes/) - Here I am, a type 1, something which I've now written a great deal about on this blog, and instead of talking about Type 1, I'm raising the topic of another Diabetes. The other diabetes in question? Latent Autoimmune Diabetes in Adults. Why this one? Because it's likely that this is a more prevalent type - [#freestylelibre - How Libre changes glucose testing behaviour and the cost implications](https://www.diabettech.com/freestylelibre-how-libre-changes-glucose-testing-behaviour-and-the-cost-implications/) - Whilst responding to a comment on the Freestyle Libre in a well known internet forum, it occurred to me that there are a couple of massive things that the little device has changed about my behaviour. There are also a couple of things that are hugely in the little devices favour that I hadn't previously - [The risks adherent in Diabetes Technology - why #wearenotwaiting is the right thing to do](https://www.diabettech.com/the-risks-adherent-in-diabetes-technology-why-wearenotwaiting-is-the-right-thing-to-do/) - Over the past 18 months I've spent a lot of time looking at diabetes technology, mainly as a result of the massive step forward that the Freestyle Libre presented (as we shouldn't underestimate how big a deal it is - affordable Continuous Glucose recording is a paradigm shift for self-managing this condition).What is clear is that - [Apparently, "Even small improvements in blood glucose levels can save the NHS loads of money" Not if you do the sums.](https://www.diabettech.com/apparently-even-small-improvements-in-blood-glucose-levels-can-save-the-nhs-loads-of-money-not-if-you-do-the-sums/) - The news doing the rounds on the Diabetes news circuit today is that even small reductions in blood glucose levels can result in huge cost reduction benefits to the NHS, as a result of the IMPACT2 study. What surprises me is that this is considered news. Surely it's something we've known about since the DCCT - [Deconstructing the myths surrounding a Low Carb diet and Type 1 diabetes - why it's another useful tool](https://www.diabettech.com/deconstructing-the-myths-surrounding-a-low-carb-diet-and-type-1-diabetes-why-its-another-useful-tool/) - Following a discussion on Twitter with someone regarding why a ketogenic diet is or is not dangerous for T1 diabetics, and seeing the usual recurrence of a number of myths that are regularly regurgitated, I thought it would be a good idea to have a look at these and understand what they really mean in - [The UK National Diabetes Audit results are in. Change is in the wind, but there's still a storm in the offing.](https://www.diabettech.com/the-uk-national-diabetes-audit-results-are-in-change-is-in-the-wind-but-theres-still-a-storm-in-the-offing/) - Published today, the National Diabetes Audit reports from 2013-2015 are here and have some interesting findings for us. Participation in the audit by Clinical Commissioning Groups (CCGs) and Local Health Boards (LHBs) compared to previous years was down by a third, but from a T1 perspective we can see clear improvements in long term blood - [Whose Diabetes is it anyway?](https://www.diabettech.com/whose-diabetes-is-it-anyway/) - Following a manic weekend of tweeting and a number of discussions brought on as a result of my clinic appointment on Friday, a couple of questions have raised their heads relating to Diabetes care, and the one I think needs most focus is, "Whose diabetes is it anyway?".We've seen a number of groups looking at - [Close encounters of the worst kind - an everyday encounter with @NHSDiabetes](https://www.diabettech.com/close-encounters-of-the-worst-kind-an-everyday-encounter-with-nhsdiabetes/) - Six monthly diabetes clinic appointment time and I was in high hopes. I had my agenda, knew what I wanted to say, and had prepared all my data. I'd arranged an early appointment and knew what I needed to do to see the top dog at the clinic, who was in residence today. I think - [Crowd Sourcing Diabetes Data - an extension of @NightscoutFdn for patient led clinical trials? #WeAreNotWaiting](https://www.diabettech.com/crowd-sourcing-diabetes-data-an-extension-of-nightscoutfdn-for-patient-led-clinical-trials-wearenotwaiting/) - Susannah Fox (@SusannahFox)19/01/2016, 03:04Peer-to-peer healthcare: Crazy. Crazy. Crazy. Obvious. (We're getting there.) susannahfox.com/2011/05/25/pee…I saw the above tweet in my feed this morning, retweeted by Dana Lewis. I thought it sounded like a very interesting idea and aligned well with a lot of the thinking I've been doing and the work that Matt and David at - [Targeting insulin at the liver where it should be - Hepatocyte-Delivered Vesicle for Insulin](https://www.diabettech.com/targeting-insulin-at-the-liver-where-it-should-be-hepatocyte-delivered-vesicle-for-insulin/) - Whilst we are on the subject of novel diabetes treatments, I recently came across Hepatocyte Directed Vesicle Insulin from Diasome, and this one is a really exciting, watch this space treatment for me as it's a really interesting idea and would, in theory allow injectable insulin to function more effectively, and remove things like the - [#Afrezza or How not to do Diabetes Pharma. Can @SanofiDiabetes shed a little more light? - Updated](https://www.diabettech.com/afrezza-or-how-not-to-do-diabetes-pharma-can-sanofidiabetes-shed-a-little-more-light-updated/) - ***NOTE: This post has been updated following re-reading of the SEC documents relating to the Chang Yi LIang case due to mis-reading of the data***I've written about Afrezza before. It's an interesting product from Mannkind, and whilst I haven't any experience, it seemed like a new paradigm in diabetes treatment. But we could just be - [#FreestyleLibre Now on NightScout - #wearenotwaiting](https://www.diabettech.com/freestylelibre-now-on-nightscout-wearenotwaiting/) - I've been using the Freestyle Libre for over a year now and the third party apps are getting better and better. Glimp has now reached the point where it can post data to Nightscout. And very successful it is too. I've got my hands on an Alpha version of the code, and deployed it, and - [#wearenotwaiting - Disparity of access to Type 1 Diabetes treatments - Globalization? You are having a laugh.](https://www.diabettech.com/wearenotwaiting-disparity-of-access-to-type-1-diabetes-treatments-globalization-you-are-having-a-laugh/) - All the time spent on looking at various aspects of Diabetes care during Diabetes Awareness Month made one thing very clear, which was massively accentuated by the Insulin for All campaign and new interactions with people from different areas of the globe. There is a huge disparity in the availability of treatments globally, and for - [Why isn't Glucagon suppression part of Diabetes treatment?](https://www.diabettech.com/why-isnt-glucagon-suppression-part-of-diabetes-treatment/) - Following discussions on the diabetes.co.uk forum recently, I decided that it was worth re-addressing the issue of Glucagon in the Type 1 Metabolic cycle.But why? Well I have been convinced that T1D is not just an underproduction of insulin. It appears to be a glut of glucagon without regulation as well. Why have I arrived - [Beer. What is it good for? Absolutely nothing...](https://www.diabettech.com/beer-what-is-it-good-for-absolutely-nothing/) - As the title says, the picture below conveys. Beer is good for nothing as a T1D. Why? It's about the hardest thing to control. Liquid toast, and there's a good reason for the name. In the graph below there are insulin doses at 17.30, 18.00, 18.30 and 21.30. And look at the timing of everything. Bloody - [Some thoughts on changing the Type 1 Diabetes Care model - part 1 #DOC #gbdoc](https://www.diabettech.com/some-thoughts-on-changing-the-type-1-diabetes-care-model-part-1-doc-gbdoc/) - Following a question posed by Dr Partha Kar at the Diabetes Professional Care conference in November 2015, I asked the diabetes.co.uk Type 1 population, as there are a lot of them concentrated in one place, the question: "What would be your ideal care model for the NHS with your Type 1 Diabetes?"There were quite a lot - [A Challenge for the Smartphone Glucometer makers... Parent alerting](https://www.diabettech.com/a-challenge-for-the-smartphone-glucometer-makers-parent-alerting/) - One for the kids...Dario, iBGstar, iHealth and 2in1 have phone apps that feed a web service with all the data from blood testing, once it has been done on the phone.Well all of you, how about you have a parent-child mode in your apps, such that a school can do a child's blood test, and - [The #3Rs technique - what T1Ds do when Reviewing and Reacting #DOC #gbdoc](https://www.diabettech.com/the-3rs-technique-what-t1ds-do-when-reviewing-and-reacting-doc-gbdoc/) - Following a very positive response to the 3Rs technique for diabetes management, the questions that have been raised to me a couple of times "What am I looking out for?" and "How do I react?".My initial reaction to these was to suggest that they are something that one might expect a person to have a - [That restoring insulin through blood therapy diabetes cure - not a silver bullet for T1D - #DOC #gbdoc](https://www.diabettech.com/that-restoring-insulin-through-blood-therapy-diabetes-cure-not-a-silver-bullet-for-t1d-doc-gbdoc/) - Thanks to front page stories on The Times and The Telegraph (surprisingly, given the output from the UK Government spending review the day before), it's hard to have missed the news that researchers in California have managed to re-educate the immune system of 14 Type 1 Diabetics by using Regulatory T-Cells extracted from those participants, - [The 3Rs - Record, Review, React: A straightforward way to manage your Diabetes #DOC #gbdoc](https://www.diabettech.com/the-3rs-record-review-react-a-straightforward-way-to-manage-your-diabetes-doc-gbdoc/) - I'd like to say I'd thought about this long and hard, and it was the culmination of a life's thinking about how we can best manage ourselves in terms of dealing with our diabetes. But that would be substantially overplaying my hand. It's certainly something I've contemplated for a while and had a placeholder sitting - [Lantus: Lethal or Lifesaver? #DOC #gbdoc](https://www.diabettech.com/lantus-lethal-or-lifesaver-doc-gbdoc/) - SummaryFollowing issues I experienced with Lantus (Insulin Glargine) in November 2014, I spent some time researching it, looking at absorption and pharmacokinetics and other users' experiences. I reached the conclusion that Glargine has the potential to be lethal and that due to its pharmacokinetics, it may be responsible for some of the issues seen with glucose - [The other Oral Insulin.... Hello Oral-lyn #gbdoc, #DOC #Oral-lyn](https://www.diabettech.com/the-other-oral-insulin-hello-oral-lyn-gbdoc-doc-oral-lyn/) - There's been a huge amount of publicity in Diabetic circles for Afrezza as the aggressive tactics of investors talking the product up through a campaign of blogging and Twitter advocating the new insulin.It seems to be a breakthrough, but we shouldn't forget that it is absorbed using pulmonary blood vessels and as such could, after - [Afrezza - The Inhaled Insulin: What will NICE say? #gbdoc #DOC #Afrezza](https://www.diabettech.com/afrezza-the-inhaled-insulin-what-will-nice-say-gbdoc-doc-afrezza/) - If you have hung around in Diabetes circles on line for long enough, you will have heard about inhaled insulins. They have a speckled history and have failed to have a significant impact on the market. Up until Afrezza, the most recent market participant, Exubera, was withdrawn from the market by Pfizer due to a - [Type 1 Diabetes and Me. The story of a Diabetic life - A Diabetes Epiphany #DOC #gbdoc](https://www.diabettech.com/type-1-diabetes-and-me-the-story-of-a-diabetic-life-a-diabetesepiphany-doc-gbdoc/) - In part four of an abridged life, we meet some more Diabetes "characters" and a few rather less pleasant ones at that. Looking back, it surprises me a little as to how I got on with life and paid the attention that I did to my Diabetes.As mentioned, during 2010, I finally started to look - [Type 1 Diabetes and Me. The story of a Diabetic life - In to work; the Lantus years #DOC #gbdoc](https://www.diabettech.com/type-1-diabetes-and-me-the-story-of-a-diabetic-life-in-to-work-the-lantus-years-doc-gbdoc/) - Taking my diabetic life a step further, I eventually left uni and headed into the grown up woirld of employment. My first three years were as part of a large graduate intake, for whom it was very much a continuation of the university years, and involved house sharing, drinking too much spending time with friends - [Type 1 Diabetes and me. The story of a Diabetic life - Diagnosis #DOC #gbdoc](https://www.diabettech.com/type-1-diabetes-and-me-the-story-of-a-diabetic-life-diagnosis-doc-gbdoc/) - As the "About me" section on this website states, I've been a T1D for more than 27 years. I've rarely, if ever, really spoken about T1D in my life and how it has affected me. Well this is the story, and it's probably going to be quite a long one, so I'm splitting it up - [Night time hypos and what to do about them? Maybe Hypoband is the answer! #gbdoc](https://www.diabettech.com/night-time-hypos-and-what-to-do-about-them-maybe-hypoband-is-theanswer-gbdoc/) - As I mentioned on a #gbdoc Twitter session the other night, when I have a hypo in my sleep, generally I just sleep through it. Normally my partner would be in bed with me and if I got so low I was fitting, she'd be there. This has happened once. It was when I used Lantus - [#freestylelibre How Abbott can tie the care triangle and Libre together to make a killing...](https://www.diabettech.com/freestylelibre-how-abbott-can-tie-the-care-triangle-and-libre-togetherto-make-a-killing/) - Today I've written about both the Triangle of Diabetes Care, which seems to be sponsored by Abbott, and the Libre accuracy study. These two components together give Abbott an opportunity to make a killing in the Diabetes world, if healthcare professionals and organisations can be brought along for the ride. What am I talking about? Let's - [#freestylelibre The Freestyle Libre Accuracy study - Here are the report details!](https://www.diabettech.com/freestylelibre-the-freestyle-libre-accuracy-study-here-are-the-report-details/) - The Libre accuracy report was published earlier this month and I've at last found a copy of it on line. And here are the highlights, and they're pretty good! And all just after a post on The Triangle of Diabetes Care, an Abbott sponsored care approach!The key points to take from it are:The study contained - [The Triangle of Diabetes Care. A step in the right direction? #freestylelibre #sugarsurfing](https://www.diabettech.com/the-triangle-of-diabetes-care-a-step-in-the-right-direction-freestylelibre-sugarsurfing/) - When attending the Diabetes Professional Care conference, I noticed a session on the agenda titled "Triangle of Diabetes Care and the Ambulatory Glucose Profile", by Pratik Choudhary, which is something about which I had never heard before. So I started to do some digging. Unfortunately I was unable to attend the session. If anyone went, - [DAFNE (and other Structured courses) - Dose Adjustment for Normal Eating, but maybe not normal life...](https://www.diabettech.com/dafne-and-other-structured-courses-dose-adjustment-for-normal-eating-but-maybe-not-normal-life/) - Following some discussions on the DCUK forum relating to DAFNE, I thought it would be an interesting topic to look into. Before I go on, I must state that I have never undertaken the DAFNE course, although I completed the Bournemouth BDEC course on-line, some ten years ago, and when diagnosed 27 years ago, carb - [Morning Dawn Phenomenon, nice to see you again... #DOC #gbdoc](https://www.diabettech.com/morning-dawn-phenomenon-nice-to-see-you-again-doc-gbdoc/) - I recently wrote about Dawn and the diabetes monkey (remember her? Coco I think her name was - I think Dawn would be a better one). Ah yes. Here she is...So why another post? Well I've been watching my Dawn Phenomenon (DP), or in some cases, the lack of it, with interest. What's going on - [Intensive therapy and day to day life #sugarsurfing #doc #gbdoc](https://www.diabettech.com/intensive-therapy-and-day-to-day-life-sugarsurfing-doc-gbdoc/) - Following yesterday's marathon blog of a day in my life, I thought it would be worth tallying up the totals to see just how many times I checked my glucose levels and thought about Diabetes.Why?To understand where I fall in the concept of Intensive Therapy.Why is this important?Well the DCCT and EDIC studies found that - [A Day in the life of this T1D - The Evening #DOC #gbdoc #dayinlifeofT1D](https://www.diabettech.com/a-day-in-the-life-of-this-t1d-the-evening-doc-gbdoc-dayinlifeoft1d/) - 17.03: Clear up the day's diabetic paraphernalia from my desk - multiple blood test strips in foil wraps and put them in bin, collect meter bits together and put in meter wallet into coat pocket. Tidy up desk and put various items in my bags before heading to the gym.17.12: Put trainers on prior to leaving - [A Day in the life of this T1D - The Afternoon #DOC #gbdoc #dayinlifeofT1D](https://www.diabettech.com/a-day-in-the-life-of-this-t1d-the-afternoon-doc-gbdoc-dayinlifeoft1d/) - Due to the number of posts, I've split the Day in the Life into multiple entries covering morning, afternoon and evening. It's fair to assume that around and about the entries in here, there is also work going on in the gaps!12.30: Make myself a rather tasty cup of Green Tea with Ginger. Very fresh - [A Day in the life of this T1D - The morning #DOC #gbdoc #dayinlifeofT1D](https://www.diabettech.com/a-day-in-the-life-of-this-t1d-the-morning-doc-gbdoc-dayinlifeoft1d/) - The diary of a day in the life. All the Diabetes related stuff is highlighted in red, so it's obvious. I'll update it at intervals throughout the day, as and when I get the opportunity!Due to the number of posts, I've split the Day in the Life into multiple entries covering morning, afternoon and evening. - [#insulin4all - keeping yourself alive #DOC](https://www.diabettech.com/insulin4all-keeping-yourself-alive-doc/) - It seems incredible that in 2015, we have a campaign called "Insulin for all". It's more than 94 years since Banting and Best discovered and extracted insulin, and yet there are still swathes of the planet where it is very difficult to get this live saving product.As most of the Diabetic Online Community is aware, - [Vive la France, nous somme tous Humain. #jesuisHumain](https://www.diabettech.com/vive-la-france-nous-somme-tous-humain-jesuishumain/) - I was going to write a blog today about T1D and me, but given the events of the past 24 hours, I felt that saying less and providing my condolences to those affected by the events of last night in France, and more importantly, those in Iraq, Syria and the Middle East who are also - [The cost of diabetic emergency care. Is it really so expensive? #gbdoc](https://www.diabettech.com/the-cost-of-diabetic-emergency-care-is-it-really-so-expensive-gbdoc/) - Whilst responding to a question on the diabetes.co.uk forum, I uncovered the JBDS paper on avoidance of admissions for diabetes.This makes for very interesting reading, not least from a cost perspective. For me, some of the highlights are:In the period 2010/2011, the hospitals admissions statistics showed there were 21,116 admissions due to DKA.For Hypoglycaemia, the - [#freestylelibre - The UK accuracy study is complete... #DPC2015](https://www.diabettech.com/freestylelibre-the-uk-accuracy-study-is-complete-dpc2015/) - I spoke with the representatives on the Libre stand at #DPC2015 who informed me that the Libre Accuracy study is now complete, and that the data is in the public domain. Whilst my friend Google didn't reveal anything, I was told that the study had returned a MARD of 11% over 13,000 readings over 28 - [Clinical Diabetes care. Are all the experts at #DPC2015 or are some elsewhere #DOC?](https://www.diabettech.com/clinical-diabetes-care-are-all-the-experts-at-dpc2015-or-are-some-elsewhere-doc/) - Having spent some time at the Diabetes Professional Care conference yesterday, I found it presented me with two observations:The reassurance that there are some healthcare professionals out there that have a forward looking view and understand that we, as patients, are interested in our healthcare and want to be involved in ensuring that how it - [The place of social media in Diabetes care #dpc2015](https://www.diabettech.com/the-place-of-social-media-in-diabetes-care-dpc2015/) - Ahead of the session today at the Diabetes Professional Care conference, I thought it would be an interesting post to round up the various areas of Social Media and what they mean to Diabetes and Medical care in general.For me, social media stems from blogging (and boy there is a huge Diabetes Blogosphere, which I - [Da da da da da... Dawn Phenomenon.... Da da da da](https://www.diabettech.com/da-da-da-da-da-dawn-phenomenon-da-da-da-da/) - Sometimes Diabetes can be a frustrating beast. Dawn Phenomenon being a case in point. I know it exists, I've seen it on occasions, and it's a pain in the bum when it happens. And pumping is supposed to make life easier with it.But for pumping to make life easier with it, there needs to be - [Slow gastric transit - an unpleasant and hidden complication of Diabetes](https://www.diabettech.com/slow-gastric-transit-an-unpleasant-and-hidden-complication-of-diabetes/) - If you believe the American Diabetes Association, something in the order of 50%of diabetics suffer from slow gastric transit in one form or another, and it is directly a consequence of high blood glucose levels.BackgroundThis extends from simply food taking longer to get through the body than normal, to full on Gastroparesis. And sadly, far - [Days in the Life of some T1Ds...](https://www.diabettech.com/days-in-the-life-of-some-t1ds/) - On November 16th, I'm trying to get as many T1Ds to record their "Diabetic Life" as possible. I'm looking to get these posted in the Diabetes.co.uk forum and if anyone on there is interested, the Diabetes UK Forum.The idea is to make a record of just how much in a single day, T1Ds think abotu - [A perfect pump... What would it look like?](https://www.diabettech.com/a-perfect-pump-what-would-it-look-like/) - Having been looking at insulin pumps for about a year now, it's plainly obvious that there are different standards in operation globally regarding healthcare sign off, but equally, different manufacturers have targeted different features for different audiences. There is, however, one truism about the insulin pump.What it does is, very simply, pump small increments of - [Bolusing guidelines - using the #freestylelibre to show why many NHS recommendations appear wrong](https://www.diabettech.com/bolusing-guidelines-using-the-freestylelibre-to-show-why-many-nhs-recommendations-appear-wrong/) - Apologies to anyone following this for the sudden burst of activity meaning that you have to read a load of posts that you weren't expecting. I've had a bit of a brainstorm and generated a bunch of titles that all need addressing for Diabetes Awareness Month, and as T1, awareness of us, the 10% is - [#freestylelibre - A whole year! Time to update to just another insulin delivery system...](https://www.diabettech.com/freestylelibre-a-whole-year-time-to-update-to-just-another-insulin-delivery-system/) - Having had the Libre for a whole year now, being able to successfully visualise my glucose level movements and properly understand the actions of insulin, food and exercise, I had embarked on a dynamic management model. My efforts to move to a low cost pseudo-Dexcom model have so far failed due to issues hacking the - [Pumping Insulin... a poor showing from the UK.](https://www.diabettech.com/pumping-insulin-a-poor-showing-from-the-uk/) - After what has been a week of a new experience, I felt it was time to add some conversation about Insulin Pumping in the UK.In order to get a pump in the UK, NICE guidelines are everything and there are many hoops to jump through. The DAFNE (Dose Adjustment for Normal Eating) course must be - [Dario - the Phone-linked fingerprick system](https://www.diabettech.com/dario-the-phone-linked-fingerprick-system/) - Having spent a bit of time (200 or so test strips) getting to know Dario over the past couple of weeks, I've come to find that it's actually a pretty nice system to work with. The app is available in the iOs App store - I'm not too sure of the availability on Android. The system - [#freestylelibre - a Phone app is on the way...](https://www.diabettech.com/freestylelibre-a-phone-app-is-on-the-way/) - News in the wild (well on Facebook at least) is that Abbott will shortly be releasing an Android app for use with the Libre sensor. They are reaching out to those who signed up to the PIP recently, and I assume that said they had an Android phone, with a participation agreement for a trial - [Blood Glucose Testing strips... A rip-off of monumental proportions?](https://www.diabettech.com/blood-glucose-testing-strips-a-rip-off-of-monumental-proportions/) - All type 1 diabetics know that blood testing strips are an essential part of living with injecting insulin. Many type 2s also see them as essential to understanding how food affects their levels. And yet, these tiny pieces of plastic, metal and chemicals vary dramatically in cost, with the cheapest costing £6.99 per 50 and - [Hypoband - a little bit of security for overnight hypo sufferers](https://www.diabettech.com/hypoband-a-little-bit-of-security-for-overnight-hypo-sufferers/) - UVia the diabetes.co.uk website and forum, I'm participating in a public trial of the Hypoband. This little devices detects cold sweats and alerts you or someone in your contact list to the fact that you are having a hypo.It's designed for use overnight specifically, but not being someone who always pays attention to instructions, I'm - [Replacing the #freestylelibre - building the DIY CGM](https://www.diabettech.com/replacing-the-freestylelibre-building-the-diy-cgm/) - There's a kind of thrill to deciding to build your own bits and pieces of technology. It's a bit of a challenge and knowing what should be in place once complete is exciting.And there are further reasons for doing this given some of the issues that Abbott is now experiencing with delivering Libre supplies. It - [The interconnected diabetic - Sugar Surfing to the power of n!](https://www.diabettech.com/the-interconnected-diabetic-sugar-surfing-to-the-power-of-n/) - Whilst Google has recently been in the news a lot in relation to Diabetes, one of the lesser news items that has been published talks about their investment in Oscar, a relatively small health insurance company in the US. But why is this interesting?"Oscar positions itself as the technology-driven, consumer-focused alternative to the big health - [One in the eye for sick days - Sugar Surf through it!](https://www.diabettech.com/one-in-the-eye-for-sick-days-sugar-surf-through-it/) - As a T1, having a cold comes with a number of additional aspects that most non-diabetics don't see. These are as a consequence of your body reacting to things slightly differently.First up there is the early warning, where you have randomly elevated blood glucose levels that don't have any apparent cause. The only way to - [Recycling a Dexcom Transmitter - the hidden risks...](https://www.diabettech.com/recycling-a-dexcom-transmitter-the-hidden-risks/) - I have now received the majority of the parts for my xDrip - a few bits of wire remain. Getting on to this and building it looks like it will be a relatively straightforward process. Just need to get those skills back on the soldering side.A different question has come to mind though, in the - [#freestylelibre - More than 14 days? Glimp - A third party Libre reader app with a difference](https://www.diabettech.com/freestylelibre-more-than-14-days-glimp-a-third-party-libre-reader-app-with-a-difference/) - Many of us have been using the Libre for some time, but someone has, at last, created what seems to be a credible app for using it on an Android phone. The Glimp software can be found here: https://play.google.com/store/apps/details?id=it.ct.glicemiaIt seems to need activating with the Libre reader, but then it reads the raw data without doing - [#freestylelibre - Time to move on to bigger and better: DIY CGM - the next step](https://www.diabettech.com/freestylelibre-time-to-move-on-to-bigger-and-better-diy-cgm-the-next-step/) - Having used the Libre for the best part of a year so far, I've decided that it's time to take the next steps and try and build a DIY CGM. But how am I going to do this I hear people asking?Well, it looks fairly straightforward. A few simple electronic bits and pieces, some soldering - [Gone in 60 Runs - I still can't quite believe it...](https://www.diabettech.com/gone-in-60-runs-i-still-cant-quite-believe-it/) - I can't have a blog with Cricket as a theme without mention of the incredible scenes from yesterday at Trent Bridge. As a regular clubbie who doesn't play enough and an avid fan, it is possibly one of the most incredible days of cricket that I could have witnessed. Let's be clear, I wasn't there, - [#freestylelibre - Why is pump treatment favoured over CGM on the NHS when the costs just don't add up?](https://www.diabettech.com/freestylelibre-why-is-pump-treatment-favoured-over-cgm-on-the-nhs-when-the-costs-just-dont-add-up/) - An interesting question without a good answer is my initial reaction. But why do I say this? Well, if we take the NICE guidance at face value, it says the following about Continuous Subcutaneous Insulin Infusion (pump therapy):In summary, there is little evidence from the RCTs of a significant difference between CSII and MDI therapy - [Diabetes Clinic Appointments - Harrumph...](https://www.diabettech.com/diabetes-clinic-appointments-harrumph/) - Why Harrumph?. Sometimes they feel like an inordinate waste of time. Take mine today as an example. It was what I'd describe as frustrating and underwhelming. I'm pretty sure the guy I saw was a registrar, because if he was a consultant he was very uninformed.It didn't start off well...After being given a 9.40 appointment - [Injection Ports - The Big Decision!](https://www.diabettech.com/injection-ports-the-big-decision/) - Having now interspersed two 6mm i-Ports and two Insuflons, I've come to the realisation that the 9mm i-Ports will never go near my body. The 6mm are only just short enough, so I can imagine how using perpendicular sets for people with less body fat than I have could be a struggle. I definitely don't - [Injection ports - onto the second type...](https://www.diabettech.com/injection-ports-onto-the-second-type/) - I removed the i-Port last night after five days use. I'm confident it would have lasted for a good 2-3 more days, but decided to take it out anyway. It has been replaced with an Insuflon device, which is very similar to a pump set and anyone who has been on an intravenous drip will - [#SugarSurfing on MDI - a solution to the down side... Injection Ports](https://www.diabettech.com/sugarsurfing-on-mdi-a-solution-to-the-down-side-injection-ports/) - As I've mentioned before, I eat a low carb, higher protein diet such that I inject far more frequently than the three times daily bolus that MDI is supposed to be. With the gain of the LIbre, I inadvertently found myself sugar surfing, and only discovered that it had a name earlier this year, thanks - [Multi-Factor treatment of Type 1 Diabetes - how far off it are we?](https://www.diabettech.com/multi-factor-treatment-of-type-1-diabetes-how-far-off-it-are-we/) - Since getting my hands on my Freestyle Libre, I've been able to gain a whole new insight into how my diabetes works, and how my body functions, playing with inputs and seeing how the variations occur in my outputs. Some of these have lead to me undertaking some further research to determine what is going - [#freestylelibre - Patterns of sensor readings - how to get the best out of it](https://www.diabettech.com/freestylelibre-patterns-of-sensor-readings-how-to-get-the-best-out-of-it/) - I think, after six months or so, that I'm learning to get the best out of the libre and the patterns of use that occur with the sensors. But what do I mean?Throughout using it, there are times when the interstitial readings and the blood readings seem to violently diverge. There are also times where they - [#lowcarb - Low Carb Coconut Macaroons... Lush](https://www.diabettech.com/lowcarb-low-carb-coconut-macaroons-lush/) - Having a craving for cake on Sunday afternoon, I thought I'd give this a shot, knowing how simple Coconut Macaroons are. And this is the end result. While they would probably be even better with the bases dipped in dark chocolate, they did a great job of satisfying the cake cravings at only 1.6g of - [Giving up on Android...? Really?](https://www.diabettech.com/giving-up-on-android-really/) - During the period my Z3 was away with the faeries - sorry, being repaired, I bit the bullet and bought an iPhone 6+. The Insurance2Go service wasn't bad, the repair ended up being a replacement and the replacement took around three weeks to happen. All in all I had no problems with the service. However... - [#freestylelibre - What does drinking beer do to blood glucose levels? A visual blog...](https://www.diabettech.com/freestylelibre-what-does-drinking-beer-do-to-blood-glucose-levels-a-visual-blog/) - The "fun" that can be had with a Freestyle Libre. On Friday night, with the help of the Libre, I undertook an experiment to demonstrate the impact of beer and how it affects glucose levels. Well, what i really mean is, I wanted a few beers and it gave me an opportunity to collect data and - [#freestylelibre - CGM is the most effective method for monitoring and treating diabetes](https://www.diabettech.com/freestylelibre-cgm-is-the-most-effective-method-for-monitoring-and-treating-diabetes/) - Having reviewed the data that my Libre has generated over the weekend (and for these purposes the Libre is a cgm), I put forward the hypothesis in the title.From my admittedly small sample size of one, since I started with the Libre I can see that my average glucose level has reduced, my likelihood of - [Insurance 2 Go - a performance review...](https://www.diabettech.com/insurance-2-go-a-performance-review/) - My Z3 bust took place on 7th February. That meant I had to wait for 36 hours before being able to make a claim.Wrong, there is a website version of the claim form and you can do this on line! So off I trotted and did so. There then follows a game of email ping - [#freestylelibre - up, down, round and round](https://www.diabettech.com/freestylelibre-up-down-round-and-round/) - Once again, I'm falling out with this device that I continually spend a significant proportion of cash on. There are four pieces of technology I interact with on a regular basis. My phone, my diabetes monitoring technology, my camera and my PC at work.I've come to expect that there will be bugs and issues with - [#freestylelibre - Here I go again!!!](https://www.diabettech.com/freestylelibre-here-i-go-again/) - The last sensor on the Libre was truly fantastic. Almost spot on and worked really well. I was able to reduce my fingerpricking to almost nothing. It expired and I stuck the new one in. It has a shaky first 24 hours (I was late applying it so it didn't have time to settle), but - [A bit of a Z3 whoopsie...](https://www.diabettech.com/a-bit-of-a-z3-whoopsie/) - Having had the Z3 for four months now, I've enjoyed using it, however, on Saturday evening, I committed the gravest of sins and dropped it from my ear.I am rapidly coming to the conclusion that the gym and mobile phones do not go together well in my world.This second instance of gym hands resulted in - [Levemir: Should I call you Mr Smooth? A basal change update...](https://www.diabettech.com/levemir-should-i-call-you-mr-smooth-a-basal-change-update/) - Finally downloaded the libre data and a look at the reports. The results are really quite interesting.The Libre has revealed some surprising results. On the Lantus, the 10th-90th percentile breadth of readings is significantly wider than on Levemir (there are more higher and lower readings, and the higher ones are significantly higher.From what I can - [#freestylelibre - Closing the feedback loop](https://www.diabettech.com/freestylelibre-closing-the-feedback-loop/) - Up until recently, I'd been putting my sensor in 24 hours ahead of when I needed it to give my body a chance to chill it out and for both of us to get used to each other, mostly based on the feedback from the various groups that had seen the early measurements end up - [#freestylelibre - An insight into NovoRapid action and how my body reacts](https://www.diabettech.com/freestylelibre-an-insight-into-novorapid-action-and-how-my-body-reacts/) - One of the great things about the Libre is your ability to test things like correction doses and whether they are right. But in tandem, you can also discover interesting things about the insulins you use... This morning, my overnight level was higher than I wanted it to be, all be it flat (the Levemir doing - [Basal Insulin - The Outcome](https://www.diabettech.com/basal-insulin-the-outcome/) - Since 7th January, I've been getting myself familiarised with Levemir, having changed my basal insulin. The reasons for this were documented here: http://www.diabetes.co.uk/forum/threads/lantus-users.67760/#post-749779Essentially the mechanism by which Lantus operates has been found to be less reliable than many of us would like it to be, and can cause sudden, unexpected, hypos with a massive magnitude (think - [#freestylelibre - back to black...](https://www.diabettech.com/freestylelibre-back-to-black/) - After the trials and tribulations of the last couple of sensors, I seem to have on now that is a much happier beastie. But first removal and return of the old ones.The last sensor I removed had three days remaining on it when it was unceremoniously removed and sent back to Abbott. It didn't give - [Life with the @SonyXperia Z3. A cracking phone....](https://www.diabettech.com/life-with-the-sonyxperia-z3-a-cracking-phone/) - ...in most senses of the term cracking. I've been using the Z3 now for nearly six months. It's my day to day work horse and pops in and out of various pockets, bags, onto table tops and all sorts. It is used to watch videos, listen to music, check email, in fact, pretty much everything - [#freestylelibre - the only way is up! Or down, or maybe up...](https://www.diabettech.com/freestylelibre-the-only-way-is-up-or-down-or-maybe-up/) - Making no apologies for ripping off Yazz songs, that somes up what I've found over the last week of data. But first things first.I took off the old sensor yesterday once it had expired, fully expecting to see some form of welt on my arm. Fortunately, there was nothing showing, and the removal process was - [#freestylelibre - Livin' la Libre loca......*](https://www.diabettech.com/freestylelibre-livin-la-libre-loca/) - Why fingerprick when you can scan? The question asked of us by Abbott when they launched the Libre. In a sentence, "Because you must.' may be the answer.But these things are marvellous, they have great reviews. and yes they do, but there are sensors out in the wild that really don't behave themselves. I've always - [#freestylelibre - Whoops there goes Hypo gravity!](https://www.diabettech.com/freestylelibre-whoops-there-goes-hypo-gravity/) - Just to provide a level of confusion, the newer sensor seems to have almost regained its mojo, after spending a day away with the fairies. The same can't be said for my blood glucose. After a glass of wine last night, the Levemir seems to be being a little more effective....Still, the older sensor spent - [#freestylelibre - Inconsistently fabulous](https://www.diabettech.com/freestylelibre-inconsistently-fabulous/) - I'm starting to have a bit of a love hate relationship with my Libre. I love the trend information. It makes the whole process of basal testing and understanding how your body works so much easier and allows you to understand what to do to make changes in a way that blood testing simply can't - [#freestylelibre - Seriously? Not again?....](https://www.diabettech.com/freestylelibre-seriously-not-again/) - I started running two sensors simultaneously to do a little test on inaccuracies between sensors after hearing others issues. I thought that this would be straightforward, and yet as so often seems to be the case with these devices, it has turned out not to be.My older sensor (the one that is supposed to be - [Freestyle Libre - really a public BETA?](https://www.diabettech.com/freestyle-libre-really-a-public-beta/) - Given some of the issues observed with the Freestyle Libre, the costs involved and the precious lack of information available from Abbott in relation to the in depth testing undertaken, I decided to add to the knowledge base.Being in the unusual position of having an additional sensor and reader, I thought I'd give Abbott a - [Basal switch part 3.](https://www.diabettech.com/basal-switch-part-3/) - End of day number 5, and I've not eaten anything carby since about 3pm, as can be seen in the picture. Dinner involved pork belly and salad and there has been no spike from the pork belly protein, which I sometimes see. Instead I've had a slow climb, for which I bolused 1u, but hit - [Oh dear, the Freestyle Libre sensor is playing up... Rather a lot!](https://www.diabettech.com/oh-dear-the-freestyle-libre-sensor-is-playing-up-rather-a-lot/) - Well I finally seem to have got my hands on a crazy sensor. Six days left and it has managed to display all the issues others have seen within 24 hours. The reading have been out by 20%, it seems to think I spent half the night with a glucose level below 2.2 in spite - [The Basal change - II](https://www.diabettech.com/the-basal-change-ii/) - Day number 2 of the change over to Levemir and it appears that my body sees Levemir as a more efficient insulin. Let's start with the overnight scan!What does this tell us, and what is the background?I went to the gym yesterday night and given previous experiences with Lantus, decided that my decision to reduce - [Changing Basal Insulin - I suppose it's Biotechnology....](https://www.diabettech.com/changing-basal-insulin-i-suppose-its-biotechnology/) - For a slightly different take on technology, let's go and look at biotechnology and its relation to me. I'm diabetic and recently took the decision to change my slow acting basal insulin due to issues I had been experiencing with Lantus. Here's where the technology bit kicks in.The engineering (see what I did there) of Lantus (Insulin - [Low Carb Higher Fat part two... Where have I got to?](https://www.diabettech.com/low-carb-higher-fat-part-two-where-have-i-got-to/) - Pre-Christmas I checked in for a review of my body transformation, to see where my body fat had got to. Measuring in at 89kg, my body fat turned out to be 13.1%, just in time for a Christmas glutton-fest.A slight loss in muscle gains had occurred alongside, but it was still a pretty effective measure. - [The Abbott Freestyle Libre part II... Whoopsie Time!](https://www.diabettech.com/the-abbott-freestyle-libre-part-ii-whoopsie-time/) - And it had all been going so well. I have to admit to loving having the Libre. It's amazing to be able to track your blood sugars like this and gives you so much more control. And having the scan and strip tester in one device reduces the amount of stuff you have to carry - [Is it really so long? My view of the Abbott Freestyle Libre flash monitoring system.](https://www.diabettech.com/is-it-really-so-long-my-view-of-the-abbott-freestyle-libre-flash-monitoring-system/) - Although I've not made too much of it on here, I'm an Insulin Dependent Diabetic and have been for 26 years. In that time I've taken loads of insulin, performed thousands of fingerprick blood glucose (BG) tests and been for numerous Hba1C tests. And this year, for the first time an affordable alternative to fingerpricking - [The Low Carb High Fat diet, or how to grow a six pack...](https://www.diabettech.com/the-low-carb-high-fat-diet-or-how-to-grow-a-six-pack/) - Since the beginning of September, I've been doing a programme designed to "reshape my body" and give me a six pack, all in eight weeks. And the key part of this programme? The diet.As someone who has never put themselves on a diet, this became a bit of a challenge. Essentially, cut a load of ## Pages - [Diabettech](https://www.diabettech.com/) - Welcome to Diabettech - now you've found this page, you're on the path to finding out more about various aspects of Diabetes technology, with a information about CGM systems, DIY Closed Loops, forthcoming insulins and a variety of other aspects. From here you can also find guides and information pertaining to user experiences on a - [Diabettech AI](https://www.diabettech.com/ai/) - Welcome to Diabettech AI. Please enjoy the opportunity to delve into more than ten years of content from Diabettech.com via our LLM interface. Diabettech AI is for informational purposes. Consult your clinic for medical advice. - [Notices](https://www.diabettech.com/notices/) - Withdrawal Notice Diabettech has withdrawn the article “Beta Bionics iLet and the MAUDE Red Flag: The Severe Hypo Signal You Can’t Ignore”. Following further internal review of our analysis of FDA MAUDE data, we concluded the article did not meet our verification standards and have removed it. We regret any confusion this may have caused. - [The Daily Bolus](https://www.diabettech.com/the-daily-bolus/) - [Continuous Glucose Monitoring - Clinical Trial data quality review](https://www.diabettech.com/user-resources/continuous-glucose-monitoring-clinical-trial-data-quality-review/) - This page contains two tables, created in association with John Pemberton, showing CGM devices for Adult and Paediatric use. The tables colour code the systems based on the clinical trial data provided by the manufacturers, highlighting where there may be quality issues in the clinical trial used, as described here. They also show compatibility with - [Closed Loop Outcomes Survey](https://www.diabettech.com/closed-loop-outcomes-survey/) - Ahead of a presentation that is being given at the ATTD 2023 conference at the end of February, I would like to find out how the various "fully closed loop" systems have performed for users. The data collected is anonymous and will be presented in aggregate in a presentation at the ATTD conference. Please answer - [Characteristics of Automated Insulin Delivery systems available in the UK](https://www.diabettech.com/welcome/aid-options-available-in-the-uk/) - The following table outlines the characteristics of the various AID systems that are or will soon be available in the UK. All data in the table is taken from user manuals and manufacturer trials and safety information. If you'd like further information comparing the clinical trials the manufacturers undertook, please follow this link. If you - [Boost Users' Survey](https://www.diabettech.com/boost-users-survey/) - Hi, as a user of Boost, I'm trying to assess the effectiveness of Boost amongst those who have chosen to use it. In order to do so, please can you fill out this brief survey providing some details of your use and metrics associated with your time on Boost. We will hopefully be publishing this - [Looping. What is it?](https://www.diabettech.com/looping-a-guide/what-is-it/) - looping - to use an automated insulin delivery system to maintain optimal glucose levels; an explanation and overview - [How to get started with DIY "Artificial Pancreas" systems](https://www.diabettech.com/looping-a-guide/) - A guide to the open and closed loop systems available via open source projects. OpenAPS, Loop, AndroidAPS, HAPP - [Disclosures](https://www.diabettech.com/disclosures/) - Where I've been provided stuff or paid for things. - [T1D Rise of the Machines III: Taking Control](https://www.diabettech.com/events/t1d-rise-of-the-machines/t1d-rise-of-the-machines-iii-taking-control/) - Rise of the Machines 3: Taking Control took place on Saturday 29th February at TechUK in London. The slides for the event can be found here: RoTM3 - Final The programme was: You can also watch again: This year's event had a major focus on helping people with diabetes get into and get the best out - [T1D Rise of the Machines - Scotland 2019](https://www.diabettech.com/events/t1d-rise-of-the-machines/t1d-rise-of-the-machines-scotland/) - Taking place at Edinburgh Central Hall Speakers include: Event Programme: The event is sponsored by: Although tickets have now all gone, you can join the wait list at: T1DRomScot@outlook.com - [T1D - Rise of the Machines 3 - Feedback](https://www.diabettech.com/events/t1d-rise-of-the-machines/t1d-rise-of-the-machines-iii-taking-control/t1d-rise-of-the-machines-3-feedback/) - Feedback form for Rise of the Machines 3. - [T1D Rise of the Machines](https://www.diabettech.com/events/t1d-rise-of-the-machines/) - T1D Rise of the Machines is a series of events being run across the UK between people with Diabetes, industry and NHS representatives to provide those with diabetes the opportunity to learn more about technologies that are currently available and what people with Diabetes are doing themselves to overcome the gaps. Coming Soon Rise of - [Preparation for DIY Artificial Pancreas build event](https://www.diabettech.com/user-resources/preparation-for-diy-artificial-pancreas-build-event/) - This details the steps needed to prepare for building your own APS system at the event we are running on 18th November 2017. - [Living with Looping](https://www.diabettech.com/events/living-with-looping/) - An event to help DIY APS users to better manage living with a hybrid closed loop, looking at common factors that are handled differently for those using a DIY APS compared to traditional therapy. 70 people (plus four kids) turned up at Birkbeck College (University of London) to learn more about how best to manage - [Events](https://www.diabettech.com/events/) - Find links to a variety of Diabetes related events in the UK that will be taking place this year. T1D - Rise of the Machines A series of events looking at Diabetes technology Living with Looping An event providing assistance to users of DIY hybrid closed loops to better manage their system. Talking About Diabetes - [](https://www.diabettech.com/user-resources/uk-closed-loop-users-survey/3781-2/) - C Thanks for completing the UK DIY hybrid closed loop survey. Results will be published at the end of May. Click here to return to the homepage. - [Comparing #Loop and #OpenAPS - looking at how the algorithms work](https://www.diabettech.com/looping-a-guide/comparing-the-loop-and-openaps-algorithms/) - Looking at the core algos of Loop and oref0 side by side to understand the differences and how they work. - [DIY hybrid closed loops: an overview for Healthcare Professionals](https://www.diabettech.com/user-resources/hcp-loop-guide/) - A webpage providing a list of resources to help Healthcare Professionals learn more about DIY hyrbid closed loops. - [About](https://www.diabettech.com/welcome/about/) - I'm a Type 1 Diabetic of more than 30 years. I've spent my life travelling, playing cricket, taking photos, and doing loads of things. I'm a technophile and think like an engineer, even if I don't do a job like that anymore. In this blog, I pull together both the Diabetes and the Technology to - [Marketplace](https://www.diabettech.com/swapshop/) - This marketplace is provided to allow those with loopable pumps and supplies to make them available to others. The owners of this site take no responsibility for the content of the adverts nor the items for sale. Any purchase is an agreement solely between the supplier and the purchaser. Please do the appropriate due diligence - [Show Ad](https://www.diabettech.com/swapshop/show-ad/) - [Reply To Ad](https://www.diabettech.com/swapshop/reply-to-ad/) - [Edit Ad](https://www.diabettech.com/swapshop/edit-ad/) - [Place Ad](https://www.diabettech.com/swapshop/place-ad/) - [Renew Ad](https://www.diabettech.com/swapshop/renew-ad/) - [Browse Ads](https://www.diabettech.com/swapshop/browse-ads/) - [Search Ads](https://www.diabettech.com/swapshop/search-ads/) - [Payment Thank You](https://www.diabettech.com/swapshop/payment-thank-you/) - [Cancel Payment](https://www.diabettech.com/swapshop/cancel-payment/) - [#OpenAPS and #AndroidAPS: A real world comparison](https://www.diabettech.com/looping-a-guide/openaps-and-androidaps-a-real-world-comparison/) - A comparison of using AndroidAPS and OpenAPS from a long term OpenAPS user. - [Real-time continuous glucose data recording: An analysis of end user self-reported experiences](https://www.diabettech.com/user-resources/real-time-continuous-glucose-data-recording-an-analysis-of-end-user-self-reported-experiences/) - Real-time continuous glucose data recording: An analysis of end users self-reported experiences from 551 responses. - [User Resources](https://www.diabettech.com/user-resources/) - The pages linked from here are resources for users to take advantage of as they see fit. If you'd like to see anything here, please let me know. Fiasp Experience submission form Summary of Fiasp user experiences Build Event Preparation directions - [Privacy Policy](https://www.diabettech.com/disclosures/privacy-policy/) - What we do with your data. - [User experiences of Fiasp](https://www.diabettech.com/user-resources/user-experiences-of-fiasp/) - the details from various users of Fiasp that have shared their experiences of the new insulin to make it easier for those who are looking to start on it. ## Categories - [Uncategorized](https://www.diabettech.com/category/uncategorized/) - [CGM](https://www.diabettech.com/category/cgm/) - [Medtronic](https://www.diabettech.com/category/medtronic/) - [Patch Pump](https://www.diabettech.com/category/patch-pump/) - [Medtrum](https://www.diabettech.com/category/medtrum/) - [artificial pancreas](https://www.diabettech.com/category/artificial-pancreas/) - [Smartguard](https://www.diabettech.com/category/smartguard/) - [EasyCare CGM](https://www.diabettech.com/category/easycare-cgm/) - [TouchCare system](https://www.diabettech.com/category/touchcare-system/) - 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[insulin pump](https://www.diabettech.com/tag/insulin-pump/) - [forthcoming](https://www.diabettech.com/tag/forthcoming/) - [loopguide](https://www.diabettech.com/tag/loopguide/) - [mealtimes](https://www.diabettech.com/tag/mealtimes/) - [Living with Looping](https://www.diabettech.com/tag/living-with-looping/) - [looptips](https://www.diabettech.com/tag/looptips/) - [settings](https://www.diabettech.com/tag/settings/) - [workshop](https://www.diabettech.com/tag/workshop/) - [DIYAPS](https://www.diabettech.com/tag/diyaps/) - [apsguide](https://www.diabettech.com/tag/apsguide/) - [MiaoMiao](https://www.diabettech.com/tag/miaomiao/) - [DIY CGM](https://www.diabettech.com/tag/diy-cgm/) - [DIY APS User](https://www.diabettech.com/tag/diy-aps-user/) - [May 2019](https://www.diabettech.com/tag/may-2019/) - [S6](https://www.diabettech.com/tag/s6/) - [S7](https://www.diabettech.com/tag/s7/) - [short life](https://www.diabettech.com/tag/short-life/) - [Misuse](https://www.diabettech.com/tag/misuse/) - [Ethics](https://www.diabettech.com/tag/ethics/) - [regulation](https://www.diabettech.com/tag/regulation/) - [regulatory bodies](https://www.diabettech.com/tag/regulatory-bodies/) - [GMC](https://www.diabettech.com/tag/gmc/) - [Glastonbury Festival 2019](https://www.diabettech.com/tag/glastonbury-festival-2019/) - [Festival looping](https://www.diabettech.com/tag/festival-looping/) - [DIY Hybrid Closed Loop](https://www.diabettech.com/tag/diy-hybrid-closed-loop/) - [think](https://www.diabettech.com/tag/think/) - [fun](https://www.diabettech.com/tag/fun/) - [food](https://www.diabettech.com/tag/food/) - [cider](https://www.diabettech.com/tag/cider/) - [ProsulPump](https://www.diabettech.com/tag/prosulpump/) - [misuse of DIY diabetes terms](https://www.diabettech.com/tag/misuse-of-diy-diabetes-terms/) - [pump](https://www.diabettech.com/tag/pump/) - [Chris Fardmanesh](https://www.diabettech.com/tag/chris-fardmanesh/) - [Dapagliflozin](https://www.diabettech.com/tag/dapagliflozin/) - [Forxiga](https://www.diabettech.com/tag/forxiga/) - [SGLT2](https://www.diabettech.com/tag/sglt2/) - [urine](https://www.diabettech.com/tag/urine/) - [glucose](https://www.diabettech.com/tag/glucose/) - [pee more](https://www.diabettech.com/tag/pee-more/) - [780G](https://www.diabettech.com/tag/780g/) - [Tidepool](https://www.diabettech.com/tag/tidepool/) - [DIY](https://www.diabettech.com/tag/diy/) - [Bluetooth](https://www.diabettech.com/tag/bluetooth/) - [LibreLink](https://www.diabettech.com/tag/librelink/) - [LibreLink Patch](https://www.diabettech.com/tag/librelink-patch/) - [Libre2](https://www.diabettech.com/tag/libre2/) - [European Software Directive](https://www.diabettech.com/tag/european-software-directive/) - [Blucon](https://www.diabettech.com/tag/blucon/) - [Droplet](https://www.diabettech.com/tag/droplet/) - [patched app](https://www.diabettech.com/tag/patched-app/) - [Sunscreen](https://www.diabettech.com/tag/sunscreen/) - [Lack of adhesion](https://www.diabettech.com/tag/lack-of-adhesion/) - [Cannulas](https://www.diabettech.com/tag/cannulas/) - [swimming pools](https://www.diabettech.com/tag/swimming-pools/) - [water](https://www.diabettech.com/tag/water/) - [sand](https://www.diabettech.com/tag/sand/) - [clubs](https://www.diabettech.com/tag/clubs/) - [Ibiza](https://www.diabettech.com/tag/ibiza/) - [SMBG](https://www.diabettech.com/tag/smbg/) - [blood test strips](https://www.diabettech.com/tag/blood-test-strips/) - [accuracy](https://www.diabettech.com/tag/accuracy/) - [CUD](https://www.diabettech.com/tag/cud/) - [cost accuracy analysis](https://www.diabettech.com/tag/cost-accuracy-analysis/) - [Parth Kar](https://www.diabettech.com/tag/parth-kar/) - [SmartPen](https://www.diabettech.com/tag/smartpen/) - [connected](https://www.diabettech.com/tag/connected/) - [InPen](https://www.diabettech.com/tag/inpen/) - [Esysta](https://www.diabettech.com/tag/esysta/) - [Pendiq](https://www.diabettech.com/tag/pendiq/) - [Echo plus](https://www.diabettech.com/tag/echo-plus/) - [Insulclock](https://www.diabettech.com/tag/insulclock/) - [Clipsulin](https://www.diabettech.com/tag/clipsulin/) - [smart pen adapters](https://www.diabettech.com/tag/smart-pen-adapters/) - [connected glucose monitors](https://www.diabettech.com/tag/connected-glucose-monitors/) - [MDI](https://www.diabettech.com/tag/mdi/) - [integration](https://www.diabettech.com/tag/integration/) - [decision support systems](https://www.diabettech.com/tag/decision-support-systems/) - [bolus calculator](https://www.diabettech.com/tag/bolus-calculator/) - [smart pens](https://www.diabettech.com/tag/smart-pens/) - [data transfer](https://www.diabettech.com/tag/data-transfer/) - [data logging](https://www.diabettech.com/tag/data-logging/) - [basic settings adjustment](https://www.diabettech.com/tag/basic-settings-adjustment/) - [sensor behaviour](https://www.diabettech.com/tag/sensor-behaviour/) - [third party add-on](https://www.diabettech.com/tag/third-party-add-on/) - [Afrezza](https://www.diabettech.com/tag/afrezza/) - [Utlra-Rapid insulin](https://www.diabettech.com/tag/utlra-rapid-insulin/) - [URLi](https://www.diabettech.com/tag/urli/) - [Ultra Rapid Lispro](https://www.diabettech.com/tag/ultra-rapid-lispro/) - [fast acting](https://www.diabettech.com/tag/fast-acting/) - [ultra-rapid insulin](https://www.diabettech.com/tag/ultra-rapid-insulin/) - [commercial](https://www.diabettech.com/tag/commercial/) - [Lilly](https://www.diabettech.com/tag/lilly/) - [Control:IQ](https://www.diabettech.com/tag/controliq/) - [Could it be magic](https://www.diabettech.com/tag/could-it-be-magic/) - [Quin](https://www.diabettech.com/tag/quin/) - [Vuzix](https://www.diabettech.com/tag/vuzix/) - [Echo](https://www.diabettech.com/tag/echo/) - [Foodvisor](https://www.diabettech.com/tag/foodvisor/) - [APS](https://www.diabettech.com/tag/aps/) - [Futurology](https://www.diabettech.com/tag/futurology/) - [Diabetes futures](https://www.diabettech.com/tag/diabetes-futures/) - [Dana Lewis](https://www.diabettech.com/tag/dana-lewis/) - [new release](https://www.diabettech.com/tag/new-release/) - [most advanced algorithm](https://www.diabettech.com/tag/most-advanced-algorithm/) - [Red Light Therapy](https://www.diabettech.com/tag/red-light-therapy/) - [light therapy](https://www.diabettech.com/tag/light-therapy/) - [ulcers](https://www.diabettech.com/tag/ulcers/) - [venous ulcers](https://www.diabettech.com/tag/venous-ulcers/) - [Sugarbeat](https://www.diabettech.com/tag/sugarbeat/) - [Infinovo](https://www.diabettech.com/tag/infinovo/) - [Glunovo](https://www.diabettech.com/tag/glunovo/) - [i3](https://www.diabettech.com/tag/i3/) - [Aidex](https://www.diabettech.com/tag/aidex/) - [Agamatrix](https://www.diabettech.com/tag/agamatrix/) - [Cascade](https://www.diabettech.com/tag/cascade/) - [Waveform](https://www.diabettech.com/tag/waveform/) - [NHSE](https://www.diabettech.com/tag/nhse/) - [NHS BSA](https://www.diabettech.com/tag/nhs-bsa/) - [Dexccom G6](https://www.diabettech.com/tag/dexccom-g6/) - [Hot Yoga](https://www.diabettech.com/tag/hot-yoga/) - [effects of heat and strain](https://www.diabettech.com/tag/effects-of-heat-and-strain/) - [Ascensia Contour](https://www.diabettech.com/tag/ascensia-contour/) - [Weight loss](https://www.diabettech.com/tag/weight-loss/) - [Low Carb](https://www.diabettech.com/tag/low-carb/) - [calorie deficit](https://www.diabettech.com/tag/calorie-deficit/) - [get fit](https://www.diabettech.com/tag/get-fit/) - [improve resting heart rate](https://www.diabettech.com/tag/improve-resting-heart-rate/) - [reduced basal needs](https://www.diabettech.com/tag/reduced-basal-needs/) - [spinning](https://www.diabettech.com/tag/spinning/) - [bikram yoga](https://www.diabettech.com/tag/bikram-yoga/) - [weight training](https://www.diabettech.com/tag/weight-training/) - [RT-CGM](https://www.diabettech.com/tag/rt-cgm/) - [n=1](https://www.diabettech.com/tag/n1/) - [Pigs with diabetes](https://www.diabettech.com/tag/pigs-with-diabetes/) - [Jaeb study](https://www.diabettech.com/tag/jaeb-study/) - [ATTD2020](https://www.diabettech.com/tag/attd2020/) - [CamAPS FX](https://www.diabettech.com/tag/camaps-fx/) - [Automated Insulin Delivery](https://www.diabettech.com/tag/automated-insulin-delivery/) - [first impressions](https://www.diabettech.com/tag/first-impressions/) - [CamAPS](https://www.diabettech.com/tag/camaps/) - [Set Changes](https://www.diabettech.com/tag/set-changes/) - [DanaRS](https://www.diabettech.com/tag/danars/) - [infusion sets](https://www.diabettech.com/tag/infusion-sets/) - [Rule of 1800](https://www.diabettech.com/tag/rule-of-1800/) - [rule of 500](https://www.diabettech.com/tag/rule-of-500/) - [diabetes paradigms](https://www.diabettech.com/tag/diabetes-paradigms/) - [John Walsh](https://www.diabettech.com/tag/john-walsh/) - [AID](https://www.diabettech.com/tag/aid/) - [Omnipod 5](https://www.diabettech.com/tag/omnipod-5/) - [Medtronic 780G](https://www.diabettech.com/tag/medtronic-780g/) - [Long acting insulin](https://www.diabettech.com/tag/long-acting-insulin/) - [IA287](https://www.diabettech.com/tag/ia287/) - [Insulin Icodec](https://www.diabettech.com/tag/insulin-icodec/) - [Once weekly insulin](https://www.diabettech.com/tag/once-weekly-insulin/) - [GlucoMen](https://www.diabettech.com/tag/glucomen/) - [GlucoMen Day CGM](https://www.diabettech.com/tag/glucomen-day-cgm/) - [Menarini](https://www.diabettech.com/tag/menarini/) - [Waveform Cascade](https://www.diabettech.com/tag/waveform-cascade/) - [Continuous Glucose Monitoring](https://www.diabettech.com/tag/continuous-glucose-monitoring/) - [MARD](https://www.diabettech.com/tag/mard/) - [painless insertion](https://www.diabettech.com/tag/painless-insertion/) - [minute-by-minute readings](https://www.diabettech.com/tag/minute-by-minute-readings/) - [almost as bad as Medtrum A6](https://www.diabettech.com/tag/almost-as-bad-as-medtrum-a6/) - [Lyumjev](https://www.diabettech.com/tag/lyumjev/) - [Autotune](https://www.diabettech.com/tag/autotune/) - [Supersapiens](https://www.diabettech.com/tag/supersapiens/) - [Abbott Libre Sense Glucose Sport Biosensor](https://www.diabettech.com/tag/abbott-libre-sense-glucose-sport-biosensor/) - [Libre Sense](https://www.diabettech.com/tag/libre-sense/) - [Libre3](https://www.diabettech.com/tag/libre3/) - [Dexcom G7](https://www.diabettech.com/tag/dexcom-g7/) - [Luyumjev](https://www.diabettech.com/tag/luyumjev/) - [working](https://www.diabettech.com/tag/working/) - [Treprostinil](https://www.diabettech.com/tag/treprostinil/) - [learn from the past](https://www.diabettech.com/tag/learn-from-the-past/) - [NHS Funding](https://www.diabettech.com/tag/nhs-funding/) - [NHS organisation](https://www.diabettech.com/tag/nhs-organisation/) - [CCGs](https://www.diabettech.com/tag/ccgs/) - [Waiting](https://www.diabettech.com/tag/waiting/) - [Approve once available everywhere](https://www.diabettech.com/tag/approve-once-available-everywhere/) - [basal rates](https://www.diabettech.com/tag/basal-rates/) - [single basal rate](https://www.diabettech.com/tag/single-basal-rate/) - [circadian basal rate](https://www.diabettech.com/tag/circadian-basal-rate/) - [variable ISF](https://www.diabettech.com/tag/variable-isf/) - [CR](https://www.diabettech.com/tag/cr/) - [Lifestyle CGM use](https://www.diabettech.com/tag/lifestyle-cgm-use/) - [non-diabetic](https://www.diabettech.com/tag/non-diabetic/) - [Level](https://www.diabettech.com/tag/level/) - [flat basal](https://www.diabettech.com/tag/flat-basal/) - [circadian ISF](https://www.diabettech.com/tag/circadian-isf/) - [FreeAPSX](https://www.diabettech.com/tag/freeapsx/) - [Free IT](https://www.diabettech.com/tag/free-it/) - [service levels](https://www.diabettech.com/tag/service-levels/) - [non-functional needs](https://www.diabettech.com/tag/non-functional-needs/) - [Fully Closed Loop](https://www.diabettech.com/tag/fully-closed-loop/) - [non-invasive CGM](https://www.diabettech.com/tag/non-invasive-cgm/) - [type 2 diabetes](https://www.diabettech.com/tag/type-2-diabetes/) - [u100](https://www.diabettech.com/tag/u100/) - [u200](https://www.diabettech.com/tag/u200/) - [NHSEngland](https://www.diabettech.com/tag/nhsengland/) - [Closed Loop Trial](https://www.diabettech.com/tag/closed-loop-trial/) - [watch](https://www.diabettech.com/tag/watch/) - [Lemfo](https://www.diabettech.com/tag/lemfo/) - [Lem12 Pro](https://www.diabettech.com/tag/lem12-pro/) - [Pancreas on your wrist](https://www.diabettech.com/tag/pancreas-on-your-wrist/) - [DexcomONE](https://www.diabettech.com/tag/dexcomone/) - [full closed loop](https://www.diabettech.com/tag/full-closed-loop/) - [Omnipod5](https://www.diabettech.com/tag/omnipod5/) - [Medtrum Nano](https://www.diabettech.com/tag/medtrum-nano/) - [myLife Ypsopump](https://www.diabettech.com/tag/mylife-ypsopump/) - [Ogluo](https://www.diabettech.com/tag/ogluo/) - [Diahelp](https://www.diabettech.com/tag/diahelp/) - [AndroidAPSv3](https://www.diabettech.com/tag/androidapsv3/) - [DynamicISF](https://www.diabettech.com/tag/dynamicisf/) - [Boost](https://www.diabettech.com/tag/boost/) - [Dash](https://www.diabettech.com/tag/dash/) - [insulin only closed loop](https://www.diabettech.com/tag/insulin-only-closed-loop/) - [intervention free](https://www.diabettech.com/tag/intervention-free/) - [Luna Diabetes](https://www.diabettech.com/tag/luna-diabetes/) - [Automated Injections](https://www.diabettech.com/tag/automated-injections/) - [Afon Technology](https://www.diabettech.com/tag/afon-technology/) - [Non-invasive continuous glucose monitoring](https://www.diabettech.com/tag/non-invasive-continuous-glucose-monitoring/) - [ATTD2022](https://www.diabettech.com/tag/attd2022/) - [Pharmasens](https://www.diabettech.com/tag/pharmasens/) - [combined CGM pump](https://www.diabettech.com/tag/combined-cgm-pump/) - [Integrated Medical Sensors](https://www.diabettech.com/tag/integrated-medical-sensors/) - [ATTD](https://www.diabettech.com/tag/attd/) - [new sensor tech](https://www.diabettech.com/tag/new-sensor-tech/) - [Underwhelming](https://www.diabettech.com/tag/underwhelming/) - [Inaccurate](https://www.diabettech.com/tag/inaccurate/) - [accuracy studies](https://www.diabettech.com/tag/accuracy-studies/) - [Mechanical bits](https://www.diabettech.com/tag/mechanical-bits/) - [tech/human interface](https://www.diabettech.com/tag/tech-human-interface/) - [tubes](https://www.diabettech.com/tag/tubes/) - [Glastonbury Festival 2022](https://www.diabettech.com/tag/glastonbury-festival-2022/) - [Glucomen Day](https://www.diabettech.com/tag/glucomen-day/) - [GlucoRX Aidex](https://www.diabettech.com/tag/glucorx-aidex/) - [Dexcom One](https://www.diabettech.com/tag/dexcom-one/) - [Abbott Freestyle Libre2](https://www.diabettech.com/tag/abbott-freestyle-libre2/) - [application](https://www.diabettech.com/tag/application/) - [getting started](https://www.diabettech.com/tag/getting-started/) - [Comparing](https://www.diabettech.com/tag/comparing/) - [factors](https://www.diabettech.com/tag/factors/) - [ONE](https://www.diabettech.com/tag/one/) - [Six of the Best](https://www.diabettech.com/tag/six-of-the-best/) - [Error grid](https://www.diabettech.com/tag/error-grid/) - [Restart](https://www.diabettech.com/tag/restart/) - [15/15](https://www.diabettech.com/tag/15-15/) - [inaccuracy when below range](https://www.diabettech.com/tag/inaccuracy-when-below-range/) - [more statistics](https://www.diabettech.com/tag/more-statistics/) - [BioXensor](https://www.diabettech.com/tag/bioxensor/) - [NICGM](https://www.diabettech.com/tag/nicgm/) - [non-invasive glucose monitoring](https://www.diabettech.com/tag/non-invasive-glucose-monitoring/) - [Afon](https://www.diabettech.com/tag/afon/) - [Cardiff University](https://www.diabettech.com/tag/cardiff-university/) - [rtCGM](https://www.diabettech.com/tag/rtcgm/) - [ICS](https://www.diabettech.com/tag/ics/) - [Clinical Network](https://www.diabettech.com/tag/clinical-network/) - [Activity](https://www.diabettech.com/tag/activity/) - [steps](https://www.diabettech.com/tag/steps/) - [diatribe.](https://www.diabettech.com/tag/diatribe/) - [NICE](https://www.diabettech.com/tag/nice/) - [Abbott freestyle Libre3](https://www.diabettech.com/tag/abbott-freestyle-libre3/) - [c Continuous Glucose Monitoring](https://www.diabettech.com/tag/c-continuous-glucose-monitoring/) - [BattleRoyale](https://www.diabettech.com/tag/battleroyale/) - [G7](https://www.diabettech.com/tag/g7/) - [Jitter](https://www.diabettech.com/tag/jitter/) - [noise](https://www.diabettech.com/tag/noise/) - [Tidepool Loop](https://www.diabettech.com/tag/tidepool-loop/) - [Insulet](https://www.diabettech.com/tag/insulet/) - [unsafe](https://www.diabettech.com/tag/unsafe/) - [Inreda](https://www.diabettech.com/tag/inreda/) - [Bruce Kovatchev](https://www.diabettech.com/tag/bruce-kovatchev/) - [iCare](https://www.diabettech.com/tag/icare/) - [DECS](https://www.diabettech.com/tag/decs/) - [eye screening](https://www.diabettech.com/tag/eye-screening/) - [retinopathy](https://www.diabettech.com/tag/retinopathy/) - [glucagon](https://www.diabettech.com/tag/glucagon/) - [microdosing](https://www.diabettech.com/tag/microdosing/) - [Roger Unger](https://www.diabettech.com/tag/roger-unger/) - [triple drug therapy](https://www.diabettech.com/tag/triple-drug-therapy/) - [GABA](https://www.diabettech.com/tag/gaba/) - [L-Theanine](https://www.diabettech.com/tag/l-theanine/) - [Activity Monitoring](https://www.diabettech.com/tag/activity-monitoring/) - [stepcount](https://www.diabettech.com/tag/stepcount/) - [sensitivity](https://www.diabettech.com/tag/sensitivity/) - [smartwatch](https://www.diabettech.com/tag/smartwatch/) - [step count](https://www.diabettech.com/tag/step-count/) - [machine learning](https://www.diabettech.com/tag/machine-learning/) - [LGBM](https://www.diabettech.com/tag/lgbm/) - [rubbish](https://www.diabettech.com/tag/rubbish/) - [tat](https://www.diabettech.com/tag/tat/) - [Biocorp](https://www.diabettech.com/tag/biocorp/) - [Datapen](https://www.diabettech.com/tag/datapen/) - ["AID for pens"](https://www.diabettech.com/tag/aid-for-pens/) - [Glastonbury Festival 2023](https://www.diabettech.com/tag/glastonbury-festival-2023/) - [SiBio](https://www.diabettech.com/tag/sibio/) - [Continuous Ketone Monitor](https://www.diabettech.com/tag/continuous-ketone-monitor/) - [CKM](https://www.diabettech.com/tag/ckm/) - [Ketones](https://www.diabettech.com/tag/ketones/) - 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