"Trust you CGM", you have no idea of what you wrote, I'm no diabetic and I did a test using the Abbott's FreeStyle while I did a 3hrs glucose curve in lab, the result compared with the lab was that the CGM was non linear, the numbers FreeStyle gave me were all wrong and was no possible to establish a relationship between the glucose in blood and the interstitial glucose measured by the CGM because its non linearity.
Most of the comercial CGM like FreeStyle are useless, I told this to ABBOTT and they gave me 2 sensors for free that I never used because the readings are useless.
Interesting. I’ve definitely noticed problems with home vs lab tests, but I stand by what I said that the CGM trumps the Hba1c. You raise the important need to validate in-lab against glucose.
The CGM values are useless, if your Hba1c reading is not convincing, do a 3 hrs glucose curve test, sometimes the Hba1c value is not correct because the lab have not calibrated correctly the machine or the reagents has problems, for confirmation, the glucose curve is the gold standard.
I see the trend of using acronyms without explanation is getting rampant. It doesn’t cost anything to be more efficient unless you still send stuff off to the “typesetter”. Your subscription isn’t cheap and your advice should be top of the line. Faster isn’t better. Rushing to make deadlines makes shortcuts that add nothing to the process. Add more…not less.
The 'short answers' paired to each are fantastic. Some things I want to delve into, but other times I just want your 30 second hot take. 🔥
I have been following you for years now and am so glad you are also on substack...... you are a rockstar!!!!
Thank you!!!
Such useful info. Thank you for your amazing insight and analysis. My friend, a pediatric neurologist at Harvard agrees. Good work!!
Thanks!
"Trust you CGM", you have no idea of what you wrote, I'm no diabetic and I did a test using the Abbott's FreeStyle while I did a 3hrs glucose curve in lab, the result compared with the lab was that the CGM was non linear, the numbers FreeStyle gave me were all wrong and was no possible to establish a relationship between the glucose in blood and the interstitial glucose measured by the CGM because its non linearity.
Most of the comercial CGM like FreeStyle are useless, I told this to ABBOTT and they gave me 2 sensors for free that I never used because the readings are useless.
Interesting. I’ve definitely noticed problems with home vs lab tests, but I stand by what I said that the CGM trumps the Hba1c. You raise the important need to validate in-lab against glucose.
The CGM values are useless, if your Hba1c reading is not convincing, do a 3 hrs glucose curve test, sometimes the Hba1c value is not correct because the lab have not calibrated correctly the machine or the reagents has problems, for confirmation, the glucose curve is the gold standard.
Yes I agree with that. I should have said that. Thank you. However, I stand by the biochemical criticism of HbA1c.
I see the trend of using acronyms without explanation is getting rampant. It doesn’t cost anything to be more efficient unless you still send stuff off to the “typesetter”. Your subscription isn’t cheap and your advice should be top of the line. Faster isn’t better. Rushing to make deadlines makes shortcuts that add nothing to the process. Add more…not less.
What acronyms are you referring to?
Sometimes they are necessary in titles because long titles don't fit as email subjects. They are almost always explained in the full text/audio.