Flash glucose monitoring use associated with a reduction in diabetes distress

[Bruce Stephens]

This is another study looking at UK people before and after getting Libre, and again shows improvements in everything they measured (HbA1c, GOLD score of hypo awareness, etc.).

Flash glucose monitoring use associated with a reduction in diabetes distress | The Association of British Clinical Diabetologists

abcd.care

 

[mikeyB]

What a strange parameter to choose to highlight. The Libre shines a light on what is going on through the day, rather than just edited highlights via fingerprick.

I think they are mixing up annoyance at not knowing, and “distress”. I’m familiar with that feeling, but I’ve never been distressed.

Mind you, describing that as such will I suppose promote the use of the Libre, which will please Abbott, who paid for the study.

 

[Bruce Stephens]

What a strange parameter to choose to highlight. The Libre shines a light on what is going on through the day, rather than just edited highlights via fingerprick.

The paper describes what they mean well enough, I think:

Diabetes-related distress (DRD) is increasingly recognized as an important determinant of suboptimal glycaemic control and complication risk in people living with type 1 diabetes (T1D).1-6 DRD is distinct from depression and anxiety and is a product of dealing with the unrelenting demands and limitations that diabetes imposes on the life of a person with diabetes.1, 7-9 DRD arises from the demands of self-care associated with diabetes and is the product of emotional adjustments.1 DRD in T1D is also distinct from DRD in type 2 diabetes, given the demands of multiple daily insulin injections, frequent blood glucose monitoring, hypoglycaemia, and general burnout due to the incessant management needs of T1D.​

(Maybe that's not easily (or usefully) measurable, but it feels important enough to try, and seems significant independent of obviously measurable things like HbA1c.)

 

[trophywench]

Well Diabetes is a drag, a damn nuisance at times. Always has been and always will be until I lose my marbles/drop dead, which oh yes can be distressing, IF I let it distress me. So, I don't let it.

 

[mikeyB]

Diabetes is a small part of the way I live, at least in my mind. It's just a routine - look at the food you are planning to eat, calculate the insulin and carry on. I also have have to estimate the fat and protein for the Creon dosage, representing another failure of the pancreas. That's just a routine too. So is looking at, say, a hotel to stay in - is it wheelchair accessible?

Of course, these are all open to mistakes or missteps, which are a nuisance, (or a distinct pest getting the Creon wrong) but I don't let it distress me, other me saying Oh f*** every now and then.