Thank you for this article! This is the best explanation I have seen on the smoothing of the G6 data vs the G7 and its impact. I use a tandem pump and I usually get mid-80s TIR and now know why I may be struggling to get to 90. I have very good control and this helps explain the “diabetes is just weird sometimes” phenomenom.
and you're using a G7? So, are you hoping that switching [back to] the G6 will yield better results? Getting to 90% was literally impossible for me using the G7.
Still using the G7. And will likely stay using it. I like the small size and it feels less intrusive. But your explanations I think may help remind me to not be so over reactive to the weird little spikes. I’ve had T1D for almost 30 years and this is the best control I’ve had. I’m happy with 80-85% TIR, 5.9 A1C, good mental health and other health markers. Obsessiveness with control can be its own disease. And when you hit menopause there are soooo many other life factors that become variables in diabetes that I’m feeling good. Would I like Dexcom to be better? Do better? Change the approach? Absolutely! I can also work with what I’ve got and learn and adapt as tech continues to advance.
"Let’s be clear. The root of the problem is the mindset, not the tasks themselves. T1D is a disease and you need to treat it. Yes, that requires a lot of your attention, but that’s not “obsession”. There is—and should not be—any stigma associated with doing what you need to do to be healthy. T1D is not managed by putting in the background. You cannot be healthy that way. “Obsession” is only harmful if it’s an unhealthy task, like taking drugs or engaging in dysfunctional behaviors. Is a blind person “obsessed” with their condition if they’re constantly feeling around for things in their room?
Again, it’s a mindset. Taking care of yourself is just a mindset—a decision to do important tasks."
I suspect Freestyle Libre 3 is even “worse” than G7 with it’s MARD of 7.9% and one minute sampling rate. G7 on steroids :D I switched recently from G6 and what a ride I had yesterday when trying to fix one hypo got 3 consecutive nasty ones instead (tried to bolus after each climb out of low so that blood sugar wouldn’t skyrocket later). The readings just aren’t as predictable, they jump around and I ended up reacting too soon… But I will keep using it, who knows I might see some patterns in time and get a handle of it hopefully, I just like every minute readings too much.
Thanks for the article. I recently tried the G7 and found similar results. My Tandem pump using Control IQ seemed to struggle with the anomalies and it was frequently shutting off basal and issuing corrections.
I've been T1D since 1979 and on a Dexcom since 2008. I also have tight control and recently moved to the G7, while continuing to wear a G6. Your post was incredibly helpful in explaining the different readings between the two, accuracy vs precision and everything else. Thank you!
I agree that Dexcom allowing us to choose our algorigthm would be great. I base treatment decisions on clear trends...measurements that jump all over the place make it really hard to do so.
Thank you for this article! This is the best explanation I have seen on the smoothing of the G6 data vs the G7 and its impact. I use a tandem pump and I usually get mid-80s TIR and now know why I may be struggling to get to 90. I have very good control and this helps explain the “diabetes is just weird sometimes” phenomenom.
and you're using a G7? So, are you hoping that switching [back to] the G6 will yield better results? Getting to 90% was literally impossible for me using the G7.
Still using the G7. And will likely stay using it. I like the small size and it feels less intrusive. But your explanations I think may help remind me to not be so over reactive to the weird little spikes. I’ve had T1D for almost 30 years and this is the best control I’ve had. I’m happy with 80-85% TIR, 5.9 A1C, good mental health and other health markers. Obsessiveness with control can be its own disease. And when you hit menopause there are soooo many other life factors that become variables in diabetes that I’m feeling good. Would I like Dexcom to be better? Do better? Change the approach? Absolutely! I can also work with what I’ve got and learn and adapt as tech continues to advance.
OMG --- "obsession". Below is text directly from my article, The Four Habits of Healthy T1Ds.
https://danheller.substack.com/p/self-identity-and-the-four-habits-of-healthy-t1ds
"Let’s be clear. The root of the problem is the mindset, not the tasks themselves. T1D is a disease and you need to treat it. Yes, that requires a lot of your attention, but that’s not “obsession”. There is—and should not be—any stigma associated with doing what you need to do to be healthy. T1D is not managed by putting in the background. You cannot be healthy that way. “Obsession” is only harmful if it’s an unhealthy task, like taking drugs or engaging in dysfunctional behaviors. Is a blind person “obsessed” with their condition if they’re constantly feeling around for things in their room?
Again, it’s a mindset. Taking care of yourself is just a mindset—a decision to do important tasks."
I’ll have to read that one. Thanks.
I suspect Freestyle Libre 3 is even “worse” than G7 with it’s MARD of 7.9% and one minute sampling rate. G7 on steroids :D I switched recently from G6 and what a ride I had yesterday when trying to fix one hypo got 3 consecutive nasty ones instead (tried to bolus after each climb out of low so that blood sugar wouldn’t skyrocket later). The readings just aren’t as predictable, they jump around and I ended up reacting too soon… But I will keep using it, who knows I might see some patterns in time and get a handle of it hopefully, I just like every minute readings too much.
It would be interesting to get a follow up after six months (or sooner) if you make a final decision for yourself.
Thanks for the article. I recently tried the G7 and found similar results. My Tandem pump using Control IQ seemed to struggle with the anomalies and it was frequently shutting off basal and issuing corrections.
I've been T1D since 1979 and on a Dexcom since 2008. I also have tight control and recently moved to the G7, while continuing to wear a G6. Your post was incredibly helpful in explaining the different readings between the two, accuracy vs precision and everything else. Thank you!
I agree that Dexcom allowing us to choose our algorigthm would be great. I base treatment decisions on clear trends...measurements that jump all over the place make it really hard to do so.