To CGM or Not To CGM
Continuous Glucose Monitoring (CGM) Gadgets
It's hard to believe that just over a month ago, I was despaired at ever having peace of mind when Jack's alone with the kids. And now, I feel as if I've hit the jackpot (not quite gold, but at least silver).
Just over this short period of time, not one, but two CGM gadgets have received FDA approval. After comparing available options, it's clear they each have their benefits and shortcomings. But I'm excited about Dexcom. These are the characteristics that I care about*:
- The FreestyleNavigator seems to have the most potential, but it's still awaiting FDA approval after three years. Listen to the informative presentation from the 2004 Diabetes Symposium.
- The MiniMed Paradigm REAL-Time System is a step closer to the artificial pancreas, but come on folks, it costs $1000 plus $35 (or $40?) per 3-day sensor.
- The Dexcom transmitter has the smallest footprint, and at $500, a lot more affordable. The 3-day sensors each cost $35, but rumors say it's possible to wear them up to 7 days (Abbott is currently seeking FDA approval for the longer use). Matt Vogel's blog about using it
Jack's (Mental) Challenges
Anyway, I've been subtly making all of this information available to Jack, trying not to cram it down his throat. His reaction? (1) He doesn't see the benefit of getting glucose readings every 10 minutes instead of every 2-3 hours. (2) The gadgets are too expensive.
Well, I think, I'm quite sure I didn't marry a stupid man. Someone actually awarded him a PhD once, and he sounds reasonably intelligent in normal conversations. Although, my boss has a theory that PhD's are so focused on the esoteric that the logic of pedestrian life passes them by. Hmmm. Anyway, my crack rebuttals go like this:
(1) It'll be easier to catch highs and lows before they happen.
(2) CGM will help to keep his BG within normal range. Yes, his HB1Ac is always around 5.3, but that only measures his average BG, not how widely they diverge from the norm.
(3) He's ok spending thousands (and I mean thousands, although I steadfastly refuse to know exactly how many thousands) of dollars on two speakers for his beloved/treasured/idolized stereo system, but he complains that a few hundred bucks is too much for the improvement of his health? Hah! Got you there!
More discussions after I get home tonight. We'll see how that goes...
* I guess I should do the disclaimer blah blah: I'm not compensated in any way by Dexcom, nor am I making any recommendations for treatment or gadgets!