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Libre Vs Dexcom - My experiences

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DuncTheGeek

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Hi.

I was only diagnosed T2 in August so it's all still very new for me. But as a Geek by training & inclination, I wanted to get a better visualisation of what my sugars were doing.

The Practice Nurse poo-poo'd my telling her that I'd bought a finger test machine in her 'Welcome to Diabetes' consultation. Her attitude was "Why put your fingers through that when we'll do another A1c in 3 months?, just give up sugar..."

Err well, having that info might just help me get the A1c down!! To be fair she also did a foot check, suggested changing to sourdough & said her family was basically vegan so had few other suggestions... (A month later, I got on a seminar with the local diabetes team which was much better - but I've had much more info & an action plan to reduce carbs from this & other reputable sites it must be said so I was able to hit the ground running after the headf**k of the first week or two!)

Anyway, I thought I'd try a CGM, I very much like the idea of having that much information to work with so went for a trial of the Libre2+ and the Dexcom One+.

I was quite unhappy with the Libre, it consistently over read when compared to finger pricks (allowing for a time delay), anywhere from 20 - 40%!

Libre agreed to replace it. They did. And then rang a few days later to say they'd sent the wrong sensor! A Libre 2 and not a Libre2+. Credit to them for spotting it & getting in touch.

So I'm currently using an L2+, which again seems to be over reading some of the time. Varying from -1% to +24% (mean of +16.2%) compared with finger prick. Not too bad I guess, I think +/- 20% is the industry expectation.

After that finishes I've got an L2 to use that they wrongly sent - might as well use it given the cost of them! And even if I don't quite trust the absolute numbers, the graph shape is a good indicator of what's going on. (Although if eBay allowed it, I'd probably sell the unused L2 and go straight to Dexcom).

In between the original trial L2+ and its replacement, I went for a trial of the Dexcom ONE+. I noticed it too had a tendancy to err on the over read but not as significantly and what I really liked was the ability to calibrate it to a finger prick. With my electronics/instrumentation background, I do like things that be calibrated!

Does anyone know how long it retains that calibration? Do you need to do it every day or does it retain it & refine its calibration curves as you add more cal points in?

Any better deals than their quarterly subscription does anyone know? Can't see any discount codes on Bluelight for example ☹

It's interesting that some folk report greater accuracy from Libre and others, like me, from the Dexcom. I wonder if it's some feature of physiology that accounts for that?
 
Not sure about the 20%. All stuff has to work with MARD. That’s 15% max discrepancy I think. So if finger prick 15% low, and Cgm high there’s quite a discrepancy, and you don’t know which is right. Comparison is only really useful if you feel one way and reading shows another. A sanity check can be helpful.
 
Bear in mind that MARD is not difference between CGM and finger prick.
MARD is between CGM and laboratory measured BG.
A variation of 20% between your finger prick and CGM could mean that your finger prick meter is also inaccurate (it too only has to abide by 15% accuracy with laboratory tests).

I read people complaining that their CGM is always reading lower than finger prick. It is equally possible that their finger prick is reading high.
 
Does anyone know how long it retains that calibration? Do you need to do it every day or does it retain it & refine its calibration curves as you add more cal points in?

I’m not sure I know the definitive answer (and I used Dex G6, not Dex 1+), but in the 4 years I used Dex mostly they didn’t need calibrating at all. I was measuring against a Contour NeXT meter, which generally comes out in benchtests as one of the higher performing / more consistent BG meters.

Some would drift a little during wear, but once pulled back into line with a calibration (or two or three) they seemed to perform pretty well after that and not need further / regular top-ups.

It helped my Dexs to keep well hydrated. And calibrations were far better if BGs were stable. If rising / falling, or very early after starting calibrations didn’t seem to ‘take’.

Sometimes I’d to a nudge in the right direction while things were a bit wobbly, then set a reminder to do a ‘stable’ calibration once things were just pootling along again.
 
Any better deals than their quarterly subscription does anyone know? Can't see any discount codes on Bluelight for example ☹

When I was self funding the G6 for 3 years I restarted each sensor (the transmitter was a separate on the G6, and I was able to use the ‘transmitter disconnect’ method).

It’s very much ‘off label’ and not recommended, but it was literally the only way I could afford it.

Stretching each sensor to 2x its length, and buying in 3 month bundles with an occasional extra transmitter saved hundreds of £ over my self-funding
 
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