Here's what we found from the five day trial. Josh only had one overnight low that we would have missed - in the high 60s. Night time lows were one thing CGMS seemed to find the most when people starting wearing them. Josh's low came, not surprisingly, on day when he had lots of exercise.
&nbs...
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Josh and Cgms
Dr. Fran Cogen
Friday, March 20, 2009 at 04:35 PM
Kim: great blog!! I totally concur on the use of CGMS for diagnostic purposes ideally for those difficult areas you discussed above (growth spurts, unexplained hyperglycemia etc)and especially in young children and in teens. Indeed, our Diabetes Team at Children's National does have a protocol in place that uses several continuous glucose sensors (MM, Navigator and Dexcom) for just that purpose: as a diagnostic tool. We, too, have found amazing information especially in regard to food (BAGELS and Cereal as well as "neon sign foods") and the need to bolus before meals as much as possible to match the carbohydrate excursion. Thanks for sharing your experience.
DrC
Kim: great blog!! I totally concur on the use of CGMS for diagnostic purposes ideally for those difficult areas you discussed above (growth spurts, unexplained hyperglycemia etc)and especially in young children and in teens. Indeed, our Diabetes Team at Children's National does have a protocol in place that uses several continuous glucose sensors (MM, Navigator and Dexcom) for just that purpose: as a diagnostic tool. We, too, have found amazing information especially in regard to food (BAGELS and Cereal as well as "neon sign foods") and the need to bolus before meals as much as possible to match the carbohydrate excursion. Thanks for sharing your experience.
DrC