Been struggle with T1 for the last 6 months, controlled it not to bad for the first 6 years while living a fast life. I’ve just had a freestyle libra fitted and it’s great, results are 46 above 43 in target and 11 below. Is that a bad as i think it is?
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What should time in target be?
- Thread starter Thefarmer
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Hello @Thefarmer
Welcome to the forum!m
The important thing is to treat this as information rather than judgement. Just use it to try to make small adjustments and improvements.
The international consensus in Time In Range suggested that ideally most people should aim for 70% ‘in range’ with no more than 4% of readings below 4.0mmol/L.
You can have approx 30% of readings above target, and still get an on-target HbA1c.
My suggestion would be to work on the low end of your results first. Try to reduce them by half to start with. You could well find that without hypo rebounds a bunch of your high readings would disappear too.
Welcome to the forum!m
The important thing is to treat this as information rather than judgement. Just use it to try to make small adjustments and improvements.
The international consensus in Time In Range suggested that ideally most people should aim for 70% ‘in range’ with no more than 4% of readings below 4.0mmol/L.
You can have approx 30% of readings above target, and still get an on-target HbA1c.
My suggestion would be to work on the low end of your results first. Try to reduce them by half to start with. You could well find that without hypo rebounds a bunch of your high readings would disappear too.
Bruce Stephens
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Just to complete the advice: range is 3.9 to 10.0 mmol/L, <5% below 3.9, >70% in range, <20% over 10.0 and below (I think) 13.5 and <5% over 13.5. (It may not be quite 13.5, but then when you're that high the Libre (and domestic blood tests) aren't very accurate either. So it's more <25% over 10.0 and try and stray just a bit over 10.0.)
And yes, I think the usual advice is to worry about the lower than 3.9 first.
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Here’s a thread with a bit more detail, including a link to the study.
https://forum.diabetes.org.uk/boards/threads/time-in-range-useful-for-libre-cgm-wearers.82080/
https://forum.diabetes.org.uk/boards/threads/time-in-range-useful-for-libre-cgm-wearers.82080/
Flower
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There was information on the board at my pump clinic along the lines above advising Libre users to set target at 4 - 10 mmol/L, aim for 65% or higher in target for an HbA1c of 53 mmol/mol or less, scan every 4 hours apart from through the night and aim for minimum of 10 scans a day.
The Libre provides far, far more and better, info than can be gained from finger stabbing. It's so easy to monitor BG after meals. However it's also maybe a bit too easy to become obsessed about the occasional divergences from "the straight and narrow" parameters we or our HCP team set. My target levels are 4 to 10 and I do tend to get a bit upset when I go high (fairly often) or low (not so often).But if I relax, look at time on target, and average BG I find that I'm actually doing rather well on the whole, and a hell of a lot better than before i started with the Libre.
One thing that I've found had helped me immensely is maintaining a written log as it lets me note comments and observations that the Libre reader (or phone app) doesn't. I found the tip about keeping a written log in Gary Scheiner's excellent book - Think Like a Pancreas.
One thing that I've found had helped me immensely is maintaining a written log as it lets me note comments and observations that the Libre reader (or phone app) doesn't. I found the tip about keeping a written log in Gary Scheiner's excellent book - Think Like a Pancreas.
Amity Island
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Amity Island
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The thing with the Libre is, the doctors and nurses spend all their time looking at the graph. That's like owning a car and only looking at the speedometer.🙄 What about the freedom a car gives you? the journeys you can go on, the experiences, the convenience of having a car? Using the Libre is just the same for me, of course I try not to break the speed limits (10mph) and try not to go too (s)low 3.9mph, but as others have said, aim for 70% plus in range, my last consultant appointment said my time in range was 87%, which he said was very good. My current time in range (past 2 weeks) is only 69%, 31% above and 0% below. It's also worth mentioning that there is time above and there is time above!. If your above time is still around the 10mmol mark then that's not bad at all, if your time above range is in the 20's that's not as good.
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