Continuous Glucose Monitors, Use and Experiences

Yep, as I mentioned, my plan is to measure with all three on my next UCLA visit. Re: hand washing - yes, I’m very careful with that, as any oils and impurties throw off the readings. Also, alcohol wipes throw off readings, soap and water only, thoroughly rinse, don’t wipe with towel, wick away wth absorbant tissue.

Re: Libre - noted. Re: Contour Next - based on your recommendation, I just ordered it off Amazon. A few years back, Accu-Chek was the accuracy champ, which is why I bought it originally. Since Contour is #1 right now, I’ll get on that… but this time I’ll keep checking to see if some other brand might surpass it. Wrt. Libre, I guess I’ll need a prescription, bit of a drag.

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Yes. My experience with Libre 3 was to ignore the readings for at least 24 hours. I really didn’t get comfortable with the readings for 48 hours. But then I felt it was measuring the fluctuations well. The baseline seems a bit high but I didn’t test it with a finger stick.

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FWIW, I’m taking off my Lingo CGM. Last night I had trouble sleeping, because of itching at the site has increased. The device is useless, or at least this particular sensor (or maybe something went wrong in installing), and the risk of infection is not worth it, seeing as there appear to be no advantages to keeping it on any longer. I installed it on 09/28/24, taking off 10/06/24, so somewhat short of the 14 days it’s supposed to last.

What do I do with the rest of this mess, since like a moron I bought the 12 week $249 version. My current plan is to give it one more shot, under the theory that perhaps the sensor was defective, or the installation faulty.

I am discouraged by adssx’s point about the dismal accuracy of the Lingo, so one might wonder what’s the use trying again, but here’s the issue - I have my yearly physical and blood test coming up 10/23, which is too little time for me to manage a switch to a prescription CGM (getting the prescription, shipping etc.), and I do want to do the triple test comparison CGM, venous, fingerprick (with new glucose monitor Contour Next).

Given the accuracy issues with CGMs, I wonder if that’s a device suitable for my purposes, and perhaps I need to stick to regular glucose monitors, ouch.

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Thanks, great post! I had assumed, probably like most people, that Abbott would use their latest tech (Libre 3) in a newly released product (Lingo) but apparently not. How stupid! Can’t imagine why anyone would buy the Lingo, better to get the Dexcom Stelo or the Libre 3 if you can get a prescription. After a google search, it appears that very few sites give this information…almost like a cover-up by Abbott.

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Location is a big thing. With my current location i can go to bed completely pissed and have no problem. I prefer Dexcom but abbot does work.

A friend who is diabetic and who has used these types of devices has told me to just use the CGM but each morning calibrate it (or get a feel for how far off it is) by doing the finger prick test when you’re just getting up in the morning. Then mentally adjust as you go along during the day. Perhaps do a finger prick test a few times a day the first day (or on the second day) to understand how far off it actually is.

I use this product, which tracks your blood glucose on an app, making it easy to do long term trend analysis: CONTOUR NEXT ONE Blood Glucose Monitoring System.

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Well, the deed is done. I took it off… not easy!! My skin at 66, is not a supple twenty year old’s so it’s like pulling spaghetti. I threw the sensor in the garbage, and then pulled out my iPhone put my hand in the trash can and took one last revenge reading… updating… updating… updating… “your current glucose level is 69 mg/dl”. Courtesy of the marvellous Lingo from Abbott. Allrighty then.

Also f**k Abbott for putting their less accurate sensor in their OTC offering. Had I known this I’d have noped out of this sh|t sandwich. I suppose that’s on me as I should have distrusted Abbott on principle and not assumed the best from these companies. Caveat emptor strikes again.

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I have been using the libre2 cgm for over a year now. I have found it overall very informative and consistent in is readings. I cross check against a keto mojo finger stick. The first day or two, the readings tend to run higher than expected, but by day three they typically run as expected based on finger sticks and based on my 12 mo + experience. The 90 day average correlates well with my HgA1c (mid 90s to a1c of 5.2).

Occasionally, you do get a lemon/did of a sensor that gives you readings that make no sense. Hopefully that’s what happened in your case. I do think it’s worth trying again esp since you already purchased several more weeks worth. A Mard score of 9 vs 8 is not a big difference btw. The dexcom 6 has a Mard of 9.9 and was used by diabetics for years with great reviews. That was also Attia’s goto cgm for years.

Anyway, hope your next sensor works well.

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I would agree with the comment here that @CronosTempi should try another sensor. It may be a one-off. The implant location can also be an issue.

I changed my sensor yesterday. I am getting readings considerably lower than the previous sensor but
a) That is consistent with rapamycin continuing to leave my system and my body having increased insulin production to try to deal with the hepatic insulin resistance that rapamycin causd
b) I find the sensor variations useful anyway and if it turns out some of the variation is the sensor I will still be happy with the outcome.

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Ok guys you’ve done a good job in convincing me to buy a glucose monitor system/device which i had zero intention in doing so, but I’m ONLY interested in the one where you prick your finger. Not literate enough on the sensor ones and their mechanisms of work, but I have my doubt for all of them in terms of accuracy, I just can’t quite wrap my head around the idea that some sensor can “accurately” measure the chemical makeup of blood (Of course I could be very wrong).

Anyway, the finger pricking ones make total sense though and it is not a big deal to do it couple times per day (after all that is way better than doing it once per year at LabCorp LOL), so would appreciate suggestions on which one’s you guys think work best? (i.e. people that use it and compared the results to those of an actual blood work)
Thanks,

p.s @CronosTempi thank god you finally threw it in the garbage, hopefully we won’t hear about it no longer :joy::joy:

All systems have some inaccuracy.

Glucose also moves up and down a lot and very quickly at times.

Have you looked at the charts I have posted on the forum?

I hear you but I don’t consider myself to be in high (nor even moderate) risk category for diabetes. I literally don’t know of any family member past or present (close nor distant) that is diabetic nor pre. My G seemed a bit elevated at 104 because I do abuse (till now at least) with sweets. So, because of that I’d like to do “minor” monitoring once in a while especially to see an hour or so after eating sweets to get the max reading, and then some morning when I wake up. Hence, my question still stands, the best option for an occasional finger prick glucose check?

I know from my results that I am a long way off from diabetes. Every so often I track glucose partly to give a baseline and partly to understand what is going on. I started the current session just before taking a reasonably large dose of Rapamycin to see what the effect on glucose is.

I have done this before, but not with such a big dose of Rapamycin. The charts are here:

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Search is over lol went with this one since it had good reviews on amazon, plus @RapAdmin seems like the guy that does his homework before he decides on something.

Like promised I did the 3-way test of blood sugar at UCLA. I warned the nurse phlebotomist of what I was going to do, and she was intrigued and very supportive and accomodating. First I washed my hands with soap, rinsed thoroughly and air dried them - I wrapped one of the fingers of my left hand with tissue paper, so as not to contaminate it by touching anything by accident.

The nurse took me to a different station, because I asked her to leave me there for another 20 minutes after the test for me to complete all Lingo readings, that way she could continue with other patients while I was free to sit in the same place as my vein reading, and therefore there was no danger that my moving about would affect the readings. I laid out my glucose monitor and lancet next to me, with everything ready so that I can do the finger test ASAP. The nurse stuck the needle into my arm and I took a screenshot of my Lingo app reading purely out of curiosity as to how it looked 15 minutes prior. It took some 3 minutes to complete the blood draw, and during this time, every minute I took screenshots of my Lingo app reading. Immediately after the needle was pulled from my arm, I put the strip into the monitor, took off the protective tissue from my finger, obtained a blood drop and tested it - all in less than a minute after the nurse took out the needle. I obtained the reading from my Accu-Chek - it was 99. I used the Accu-Chek, because I already had several years of records using Accu-Chek and I wanted to see how much variance there was from a vein reading, so that when looking at old data, I can correct for that.

I remained in my seat, now just watching the Lingo app and taking screenshots every minute for the next 20 minutes - this way, I could see the timestamp of each reading. Fortunately for me, since I took the first reading simultaneous with the needle going into my arm, the Lingo reading oscillated around 71-74. At minute 6 after the needle was pulled from my arm, the reading climbed to 80, and then quickly declined over the next two minutes to 73. By minute 10, the Lingo was showing 72. There it stayed in the 72-74 channel for the next 5 minutes, hitting exactly 74 at minute 15. Over the following 5 minutes (taking me to 20 minutes after the needle was pulled), it stayed in a slightly broader channel of 71-74.

To sum up. My Accu-Chek showed 99 less than a minute after the needle was pulled from my arm. The Lingo showed: 72 at 10 minutes past needle being pulled out, to 74 at exactly 15 minutes, to 73 at exactly 20 minutes past needle being pulled out.

The vein fasted blood glucose reading from the lab came back as 107.

What to conclude? The Accu-Check undercounted my FBG by 8 points, so approx. 7.5% or about what the fault tolerance for the device indicated (around +/-8%). Meanwhile, the Lingo, at 15 minutes was 33 points off or about 31% fault. The readings on both sides of the 15 minutes by 5 minute margins, so 10 and 20 minutes were not substantiall different. Conclusion: the Lingo is off by some 31% in this test in my case.

Additional notes. The glucose strips and lancets for the Accu-Check were freshly purchased 2 weeks ago, and I installed a new battery. I also did a few tests on the same finger a week ago, just to see if there is consistency between the tests (about 20 seconds apart). The Lingo sensor was a new sensor I installed Saturday 10/19, carefully following instructions. The blood drawing at UCLA and the tests were on 10/23, so 4 days after the new Lingo was installed.

Conclusions. The Accu-Chek, though not exactly a star, performed within claimed margins, even though an undercounting of 7.5% is not exactly fantastic. The Abbott Lingo is dogsh|t, and I struggle to understand what way I could possibly use it that would have any value to me.

Meanwhile today I received an email from Abbott telling me that the next two sensors are on their way, as I already paid the $249 for 6 sensors, thus reminding me, as if I needed it, that I am a stone cold idiot for buying the whole package sight unseen. I should’ve bought the $49 trial and seeing the result, I’d be forewarned. But, no use crying over spilt milk. Now the question is what to do with the sensors coming. Perhaps a re-direction of the unopened package straight into the dumpster. Or, being ever the eternally optimistic fool, perhaps give the next two sensors a try, under the theory that maybe the first two were faulty. Btw. the Lingo app continues to be utter trash, no improvement over the past couple of weeks.

I can only hope that your experiences with Abbott’s OTC CGM offering is better than mine has been. All I can say, is that based on my one rat trial, it is comprehensively worthless. YMMV.

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I tried Abbot. I think it was Libre 2 (I have posted some of the charts). I have also tried Dexcom G6, G7 and One+.

I have not recently tried calibrating against a finger stick. I have had some blood drawn glucose tested, but I am concerned as to what metabolism delay there may be in the testing results there. OTOH the blood glucose was not far off from the CGM.

I only bought 3 original One+ sessions, but I have bought another three. I will be using them probably at a key point during my next high dose rapamycin where I am looking for the material drop in glucose averages.

I have now looked at the measurements in mmol/L on the CGM and from the blood test (I note the time of the blood draw and can look up the values) and I get these

Blood CGM
4.27 6.3
5.03 6.4
6 7.2
5.46 5.3
5.67 6

It may be I should add 15 mins for interstitial fluid, but given all the other difficulties with the comparison I will sit with the results.

My problem is that blood metabolises in a sample. Hence the time that the sample is actually tested affects the result. Because I don’t know the time the samples are tested I cannot make an adjustment for that and my view is that it varies as to the amount of delay.

On the basis of reasonableness knowing when I had breakfast I think the results from the CGM are reasonable. The 4.27 figure for 90 minutes after breakfast is far too low. It should be something like the 6 mark normally and with the effects of rapamycin 7.2 as the CGM reports on one day is reasonable.

Ideally I would have the blood tested immediately after the blood draw. In the end, however, I trust the values that the CGM gives in terms of relative movements. They fit with the real world events.

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Did a blood test last week with my Dexcom G7 CGM on: 5.2 mmol/L on the device vs 4.3 according to the blood test. Go figure…

I am inclined to rely more on the changes on the CGM than the absolute values. However, fingersticks vary as well as glucose in blood draws metabolises.