Continuing the discussion from Inserting Medtronic Enlite CGM in upper arm — How did that work for you?:
While I have bumped into the concept of a these one-shot, medical practice owned, CGMs before, I have never looked into them in any depth. In all honesty, I still have not done that. However, this is what I think I learned from Googling the phrase “Professional CGM”.
First off, I bumped into both the Dexcom & Medtronic sites where they are apparently trying to sell their professional CGM systems to doctors.
Both systems appear to essentially take a company’s individual CGM and then repurpose it as a device which (1) is used with multiple patients and (2) is sold to and owned by “healthcare professionals” i.e. a medical practice not an individual person.
Note: Apparently it is required to be tediously disinfected before it is used by a different patient. This is something which rather surprised me. Cleaning it, yes, I would expect that. But throwing away the inserter after only a single use ostensibly to prevent cross contamination? Nope, I did not see THAT one coming. (Frankly, it strikes me as just a rather crude way to make a few more bucks selling insertion devices. )
Both systems expect the sensor/transmitter to be inserted at the doctor’s office. And both are intended to be used for only a short period of a few days and then returned “to the office for download”. For the Medtronic iPro2 this period is apparently from 3 to 5 days while for the Dexcom G4 PLATINUM it is “a period of 7 days”.
The big difference between the two devices is patient involvement. With the Medtronic iPro 2 all the patient gets is the sensor and an (apparently modified) transmitter. They do not get a monitor allowing them to see what is happening. The iPro 2 is described as a device for “blinded” or “masked” collection of glucose data. “Patients do not receive glucose alerts and only see the CGM data after it’s been analyzed by the healthcare professional.”
With the Dexcom PLATINUM the patient gets both a sensor/transmitter and a monitor. Dexcom’s description of this is “data is collected and shown to the patient, which aids in their understanding of the impact between behavior and glucose activity”.
Since I am curious about how this process works in the real world I decided to ask if anyone out there (besides @hljp ) has ever used one of these devices? If so, what was the experience like? Did you get anything out of it? If so, what?
If you could also mention whether you get your care inside the U.S. or outside of it, that might also be a possibly interesting difference.