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  #1   ^
Old Fri, May-17-24, 04:04
JEY100's Avatar
JEY100 JEY100 is offline
Posts: 13,505
 
Plan: P:E/DDF
Stats: 225/150/169 Female 5' 9"
BF:45%/28%/25%
Progress: 134%
Location: NC
Default CGMs will be OTC in US

Announcement by DEXCOM that a new CGM sensor will be available soon in the US without a prescription. Stelo, from the makers of the most accurate prescription CGM on the market now, Dexcom 7.
This CGM will open the market beyond the premium companies like Levels, etc through which you can get CGMs but at a significant cost with telehealth prescription.
I have not seen estimated pricing.It will likely still be less expensive and more accurate to use an OTC glucometer like the Contour One, but this opens a new market for overweight and pre-diabetics who want to improve their diet to avoid insulin.

Details here: https://www.dexcom.com/stelo

Quote:
What is Stelo?
Stelo is a small, wearable sensor worn on the back of the upper arm. It delivers glucose readings 24/7 directly to a smartphone† for up to 15 days,‡

Who is Stelo for? The Stelo Glucose Biosensor System is an over-the-counter (OTC) integrated Continuous Glucose Monitor (iCGM) intended to continuously measure, record, analyze, and display glucose values in people 18 years and older not on insulin. The Stelo Glucose Biosensor System helps to detect normal (euglycemic) and low or high (dysglycemic) glucose levels. The Stelo Glucose Biosensor System may also help the user better understand how lifestyle and behavior modification, including diet and exercise, impact glucose excursion. The user is not intended to take medical action based on the device output without consultation with a qualified healthcare professional.


One issue for anyone planning to use a CGM is that they don’t know how to use all the data! Two articles to help you follow.

CGM Data Demystified: Your Path to Metabolic Health revealing powerful and personalized insights about glucose health.

https://optimisingnutrition.com/con...nitor-cgm-data/

How to Use a Continuous Glucose Monitor (CGM) for Weight Loss

https://optimisingnutrition.com/con...or-weight-loss/

Last edited by JEY100 : Fri, May-17-24 at 04:10.
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  #2   ^
Old Fri, May-17-24, 10:48
Ms Arielle's Avatar
Ms Arielle Ms Arielle is offline
Senior Member
Posts: 19,292
 
Plan: atkins, carnivore 2023
Stats: 225/224/163 Female 5'8"
BF:
Progress: 2%
Location: Massachusetts
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Hurray!!!!!

I hate the old finger prick method. That has been otc for 25 years. About time the CGM are,too.
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  #3   ^
Old Fri, May-17-24, 11:18
JEY100's Avatar
JEY100 JEY100 is offline
Posts: 13,505
 
Plan: P:E/DDF
Stats: 225/150/169 Female 5' 9"
BF:45%/28%/25%
Progress: 134%
Location: NC
Default

I’m guessing Stelo will be expensive, in line with a Levels CGM type package, and inserting a CGM is not painless. False compression lows during sleep is a drawback. Needing to understand and adjust for the differences between capillary blood, venous blood and interstial fluid. Time lags, and reaction to non food stress events…lack of sleep, illness, etc. Although stable and lower blood glucose levels are a positive marker of metabolic health, merely treating the symptom (i.e. elevated blood sugar) rather than addressing the cause (i.e. insulin resistance, energy toxicity and excess body fat) doesn’t help.


The finger prick method doesn’t bother me, but I’d like to see what happens over the course of a day, during the night, after exercise, etc. By using a simple, inexpensive glucometer and tracking pre-meal BG, not relying on "hacks" I was able to correct the pre-diabetic HbA1c I had on the keto diet.

Last edited by JEY100 : Sat, May-18-24 at 08:20.
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