Tuesday, December 2, 2014

November 2014 results

November 2014

The November results are out. No dramatic changes since October.

At first sight, lows have increased significantly: there are three reasons behind that increase.

The first one is treatment related: we have increased our typical Lantus from 16-17 to 17-18 U. That led to a small increase in the late evening lows due to the Lantus peaks we observe. At the same time, it also led to a slight decrease in the early morning averages. If that was the only factor, I would probably lower the Lantus dose back to 17-18 U

The second one is sensor location related: the Dexcom sensor was moved from the back of the arm to the lower back and this led to more compression events. During the second half of the month, we ran the G4 concurrently with a Freestyle Libre(*) on the back of the arm. Significantly less lows were reported by the Libre.

The third one is exercise related:  we've added a few hours of tennis practice, some of them extremely intensive, and have increased our post-exercise lows a bit.

Highs above 150 mg/dl have also increased a bit: most of them occurred after the morning snack and would fall into the "user error" category, in other words, excessive snacking. While I am never happy with a high, especially if I woke up early to prevent a strong dawn phenomenon, they are understandable.

* yes, there will be more info about the Dexcom vs Libre comparison and the Libre raw data, hopefully soon.

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