CGMs and DXA scans

H

helli

Well-Known Member
Relationship to Diabetes
Type 1
Due to my recent elbow fracture, it was recommended that I had a DXA scan to check my bone density. However, I received a letter which said (typos are not mine)
Unfortunately we are currently unable to provide a DXA scan for this patient. This is due to receipt of a field safety notice from the manufacturer dated 03/07/24 regarding electromagneticcompatibility non- conformance. We have been advised that we should notscan patients that have active implanted medical devices, including but not limited to neurostimulators, pacemakers, cardiac defibrillators,continuous glucose monitors, or other bio-wearable sensors. Nor should we scan patients that are currently being treated with an electronic medical device.
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Has anyone else heard ( or read) about this and know whether I could just remove my CGM and, presumably my pump, for the scan or does the final sentence suggest the effect of the scan lasts longer?
Although I have no reason to believe I have any issues with bone density ( the recent fracture happened because my elbow hit the very hard road at quite a force), I would like peace of mind of the DXA scan to confirm this.
 
helli said:
Has anyone else heard ( or read) about this and know whether I could just remove my CGM and, presumably my pump, for the scan or does the final sentence suggest the effect of the scan lasts longer?
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I have no direct experience, but judging by https://www.nhs.uk/conditions/dexa-scan/ it's a low dose X-ray. As you suggest, you'll likely have to remove the CGM and pump but I can't imagine there's any problem other than that.

I've no idea why they're so worried. Maybe some confusion about whether pumps can be removed for the required time?
 
If you want @helli i can ask my sister she is a radiographer/radiologist (I’m not 100% sure what she calls herself) but one thing I know is
she specialises in DEXA scans, so if you want if you wanted I can ask her for you
 
goodybags said:
If you want @helli i can ask my sister she is a radiographer/radiologist (I’m not 100% sure what she calls herself) but one thing I know is
she specialises in DEXA scans, so if you want if you wanted I can ask her for you
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Hey @goodybags, if you could find out more from your sister, that would be fabulous. I will ask at my next fracture clinic but being pre-informed would be great.
 
helli said:
Due to my recent elbow fracture, it was recommended that I had a DXA scan to check my bone density. However, I received a letter which said (typos are not mine)

Has anyone else heard ( or read) about this and know whether I could just remove my CGM and, presumably my pump, for the scan or does the final sentence suggest the effect of the scan lasts longer?
Although I have no reason to believe I have any issues with bone density ( the recent fracture happened because my elbow hit the very hard road at quite a force), I would like peace of mind of the DXA scan to confirm this.
Click to expand...
I recently did a full scan research session for Biobank, which involved an MRI of my head and one of my chest, and a full DEXA scan. I was just told I’d have to remove my CGM for the scans, and have a new one ready to put on afterwards, nothing more.
It sounds to me as if whoever wrote that doesn’t realise you can take them off.
 
Robin said:
I recently did a full scan research session for Biobank, which involved an MRI of my head and one of my chest, and a full DEXA scan. I was just told I’d have to remove my CGM for the scans, and have a new one ready to put on afterwards, nothing more.
It sounds to me as if whoever wrote that doesn’t realise you can take them off.
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I was invited to the BioBank scan. Unfortunately, I could not participate - another reason I would not recommend a broken arm. You never know when you will get an invitation to such a thing.
 
helli said:
Hey @goodybags, if you could find out more from your sister, that would be fabulous. I will ask at my next fracture clinic but being pre-informed would be great.
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Hope you get some helpful information @helli
 
Had a dexa scan several weeks back, scan was focused around pelvis area @helli & made radiographer aware that had insulin pump & dexcom sensor attached, she said that was fine & had no issues with either device afterwards.
 
helli said:
Hey @goodybags, if you could find out more from your sister, that would be fabulous. I will ask at my next fracture clinic but being pre-informed would be great.
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Hi @helli I dis ask my sister
she said she couldn’t see why your sensor would be of concern as apparently a dexa scan would usually be looking at bone mineral density from an image of your lumbar spine and a hip joint,
or if you requiring the scan because of, I think she called it primary hyperparathyroidism
then a scan of the forearm is included but only the forearm
so as @nonethewiser commented, you shouldn’t need to be concerned
 
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