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It doesn't have to be all that accurate. FDA approved OTC glucometers only have to be within 15% of a lab result.
 
My father was a type 1 since 6 and never took care of himself. He was an investment banker who worked between London and NYC - he put his work and our ”lifestyle” above everything else. Towards the end he lost he legs from infection and was in a wheelchair for years then lost eyesight in his left eye and could barely use his hands. All the money in the world can’t save oneself from self destruction.

I weight train 5-6 times a week, cardio with supersets and interval training, don’t eat carbs, and test daily with my CGM and even 24/7 systems you still need to test a few times a day to ensure the device is giving accurate readings. No CGM is 100% prick free regardless of any claims. I’ve had a few instances in which the tiny wire wasn’t properly inserted by the mechanism and my readings were off. Only testing to verify caught it.

I have personally seen what happens and I am scared to death if I don’t do everything to ensure my health is taken care of. Even with the best care and proper maintenance type 1 diabetics will have late life medical conditions in some form. i will not become my father. More to the point, as a former field agent for 10+ years being a type 1 diabetic is rare and I had to work twice as hard to prove my ability in the field.
Thanks and sorry to hear about your father. Sounds like you are doing everything possible and that's awesome. All of us T1's are different and my experience with the G6 is 100% prick free as I've found finger pricks to be as variable as my G6. My last a1c was 5.4% with zero pricks. It is possible, but it's up to the individual and what they are comfortable with. Continued success with your health, CJ.
 
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. No CGM is 100% prick free regardless of any claims. I’ve had a few instances in which the tiny wire wasn’t properly inserted by the mechanism and my readings were off. Only testing to verify caught it.

I guess the confusion comes from “I still test 10-12 times a day even with a Dexcom”. Do you read your CGM many times a day and then prick 10-12 times a day on top of that?
 
Thanks and sorry to hear about your father. Sounds like you are doing everything possible and that's awesome. All of us T1's are different and my experience with the G6 is 100% prick free as I've found finger pricks to be as variable as my G6. My last a1c was 5.4% with zero pricks. It is possible, but it's up to the individual and what they are comfortable with. Continued success with your health, CJ.
Thanks and 5.4 is perfect! Great work! I keep mine at the exact same but recently had a 6.1 which is the first time I have ever been over 5.6. Unfortunately I’ve been stuck in NY as I was stateside visiting family when the EU ban went into effect. I left my position last year and as I was gov working on US soil in Berlin even though I own a home there and have lived there for 7 years I am now considered a US citizen with a residence in Germany. I haven’t been able to return even if I quarantine. Gyms were banned in NYS so I have been stuck trying to keep up my routine at my home in upstate NY.

Interestingly, I was sick with what I thought was the flu in Dec 2019-Jan 2020. I had appendicitis in June that my body was apparently fighting for years until it gave out - took four surgeons 4-5 hours to remove my appendix and 3 baseball sized abscesses around my midsection then another surgery Nov 25th 2019 to remove the mesh behind my navel and scar tissue etc around my abdomen (yes it was also cosmetic - I don’t work hard for a six pack for nothing lol).

exactly a week later I was sick for a week, then felt fine. Then sick again for four weeks - sleeping nonstop, aches, blood sugars ran above 500 some days and I wasn’t eating, etc. Months later as part of a Covid-19 task force in the tri-State area we had preliminary antibody testing and as a type 1 diabetic i participated. At the time they were 30-40% effective and I tested positive for ~70% of the tests. Once the results for testing were above 90% I tested positive for almost all of them. I remember everybody I knew was sick with the same thing. At the end of that 4-5 time I lost my sense of taste and smell and assumed it was a sinus infection from a bad flu. Now I know better.

I swear we entered a parallel universe sometime in 2016 cause, yeah.

Be safe!
 
I think if it just gives me some indication of which way my blood is heading, up or down, then that would accompany my normal finger pricks brilliant.
This is the key, at least for type 1 diabetics. Currently there are two types of meters:

There is the finger pricking kind that are reasonably accurate. Problem is they don't monitor your glucose continuously and you can't be pricking your finger every few minutes. This means that if your glucose level suddenly changes up or down (can be many reasons) you won't know about it.

Then there is the conginuous meters (CGM) that are taped to your skin with a thin thread penetrating. They aren't quite as accurate but you get a good idea of whether your glucose levels are going up or down which is the critical issue. They are also cumbersome to replace every week or so and not fun to have on your belly or elsewhere. You still need to finger prick daily to calibrate and compare.

I think a watch solution would replace the CGM even if were to be somewhat less accurate. Pricking your finger a couple times a day to calibrate or for comparison is no big deal.
 
This is the key, at least for type 1 diabetics. Currently there are two types of meters:

There is the finger pricking kind that are reasonably accurate. Problem is they don't monitor your glucose continuously and you can't be pricking your finger every few minutes. This means that if your glucose level suddenly changes up or down (can be many reasons) you won't know about it.

Then there is the conginuous meters (CGM) that are taped to your skin with a thin thread penetrating. They aren't quite as accurate but you get a good idea of whether your glucose levels are going up or down which is the critical issue. They are also cumbersome to replace every week or so and not fun to have on your belly or elsewhere. You still need to finger prick daily to calibrate and compare.

I think a watch solution would replace the CGM even if were to be somewhat less accurate. Pricking your finger a couple times a day to calibrate or for comparison is no big deal.
I've been wearing a CGM for years and disagree with your statement on them. Mine is extremely accurate and not cumbersome in the least. Also your statement "You still need to finger prick daily to calibrate and compare" is incorrect when it comes to the Dexcom G6 as it requires no fingerstick calibration. I've been wearing a G6 for 2 1/2 years and have not pricked my finger once in that time.

I'm all for a watch, but would not trade my Dexcom for a watch that is not FDA approved for dosing decisions and that would require finger sticks to calibrate/ensure accuracy. That would be a step back for me.
 
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Then there is the conginuous meters (CGM) that are taped to your skin with a thin thread penetrating. They aren't quite as accurate but you get a good idea of whether your glucose levels are going up or down which is the critical issue. They are also cumbersome to replace every week or so and not fun to have on your belly or elsewhere. You still need to finger prick daily to calibrate and compare.
I wouldn’t say that’s true. Manufacturers advise that you occasionally prick just to see if it’s off, but not on a daily basis at all. Every time you replace the sensor is probably fine.
 
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I wouldn’t say that’s true. Manufacturers advise that you occasionally prick just to see if it’s off, but not on a daily basis at all. Every time you replace the sensor is probably fine.
I'll say it again, Dexcom G6 requires no finger stick calibration.
 
Just wish they would bring the ECG and other features that are missing to Australia over the last two years that were promised before bringing any new features that we seem to never get anyway I won’t be buying another Apple Watch until they add these features just a waste of money Seems like anything can get past in the US and a lot of other countries without any real process.. I have a son with diabetes and this would be great but I wouldn’t recommend that this would happen in Australia for at least another five years if ever so over the promises of Apple and then never delivering except for the US.
Maybe it too is being held up indefinitley by the visa processing unit of your immigration authorities? If so, I'd give it another 10-15 years... :D
 
I'll say it again, Dexcom G6 requires no finger stick calibration.
I use a G6 and that‘s not entirely true. Occasional meter readings are necessary when first using the system and a new sensor is inserted to ensure accuracy. I’ve had a few instances in which the sensor wasn’t properly inserted by the plunger and meter reads caught it. My endocrinologist and Dexcom rep have emphasized no CGM is entirely meter free but you will certainly test less.

 
I use a G6 and that‘s not entirely true. Occasional meter readings are necessary when first using the system and a new sensor is inserted to ensure accuracy. I’ve had a few instances in which the sensor wasn’t properly inserted by the plunger and meter reads caught it. My endocrinologist and Dexcom rep have emphasized no CGM is entirely meter free but you will certainly test less.

Hey CJ - directly from Dexcom site as well : "With the Dexcom G6 Continuous Glucose Monitoring (CGM) System, you can know your glucose number and where it's headed at a glance, helping to empower you to make more informed decisions about your diabetes management. And with no fingersticks or calibrations required*, the future of continuous glucose monitoring is finally here."

You can choose to do finger sticks with the G6 but it is not required. I'm telling you I have not performed one single finger stick in almost 2 and a half years.

Some people may require or feel more comfortable doing sticks and some (like myself) don't feel the need. With the G5 and previous generations, finger sticks were required for the sensor to give numbers.
 
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How do you figure that?

Chronic high blood sugar causes obesity and type 2 diabetes.

If people become more aware of how their diet impacts their blood sugar, they will be empowered to make better decisions.

I used to drive as fast as possible whenever possible. Then I bought a hybrid car with a fuel economy indicator. Because I could see how my driving behavior directly impacted my fuel economy, I completely changed my driving style.
 
Chronic high blood sugar causes obesity and type 2 diabetes.

If people become more aware of how their diet impacts their blood sugar, they will be empowered to make better decisions.

I used to drive as fast as possible whenever possible. Then I bought a hybrid car with a fuel economy indicator. Because I could see how my driving behavior directly impacted my fuel economy, I completely changed my driving style.
Very well put and likely the best application (save for FDA approval for dosing decisions) of said BS measurement if it makes it into the watch at any point.
 
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Is this going to be yet another inaccurate/useless medical sensor (in addition to EKG and blood oxygen)? All this gimmicky stuff adds to the cost without providing any value.
Nobody is forcing anybody to buy any Apple product that doesn't have the right price to function ratio. However, the way I see it, it could cut down on finger pricks for blood testing if you are diabetic. And possibly provide real time trending of one's glucose so diabetics can take corrective action quickly.

Other than that, your post is spot on. /s
 
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