How do we feel about the new recommendations for BG management?
Are those primarily for closed loop systems, or for everybody?
A couple things that my Doc said were new and unusual. I would like some perspective from you guys.
1.) A1c doesn’t matter. He’s fine with anything (as long as its below 7) that meets the newly proposed standards for different TIR categories of ‘Normal,’ ‘Low,’ ‘High.’ (I feel like is kinda abrupt change from the last 25 years of endocrinological care).
2.) Sensor accuracy - Dexcom G6 (he says) is said to be ‘Far More’ accurate than traditional finger sticks. So, Dexcom data takes precedence over finger stick data. How does this jive when we see significant error between Dexcom results and lab results? What is our ‘gold standard’ in data? When different devices collect different data results, which one do we assume is correct? (Using sensor data also seems like a dramatic shift.)
More complicated question - At what point is it reasonable for a Doc to claim that you are too disabled to work and support yourself and drive a car? At what point should they simply put you into a group home? What are those criteria? I’m uncomfortable with them holding an axe over my head that simply says, "You are a diabetic and you may sometime get low blood sugar. Therefore, you must not be allowed to make your own, informed medical decisions. You must not be allowed to drive a car if you do not meet all elements of the new standards.’ That seems like a tall order.
P.S. I can’t ever find the standards when I need them. If anyone has them, please post a link. I should re-read.