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  #1   ^
Old Fri, May-17-24, 04:04
JEY100's Avatar
JEY100 JEY100 is online now
Posts: 13,562
 
Plan: P:E/DDF
Stats: 225/150/169 Female 5' 9"
BF:45%/28%/25%
Progress: 134%
Location: NC
Default CGMs will be OTC in US

Announcement by DEXCOM that a new CGM sensor will be available soon in the US without a prescription. Stelo, from the makers of the most accurate prescription CGM on the market now, Dexcom 7.
This CGM will open the market beyond the premium companies like Levels, etc through which you can get CGMs but at a significant cost with telehealth prescription.
I have not seen estimated pricing.It will likely still be less expensive and more accurate to use an OTC glucometer like the Contour One, but this opens a new market for overweight and pre-diabetics who want to improve their diet to avoid insulin.

Details here: https://www.dexcom.com/stelo

Quote:
What is Stelo?
Stelo is a small, wearable sensor worn on the back of the upper arm. It delivers glucose readings 24/7 directly to a smartphone† for up to 15 days,‡

Who is Stelo for? The Stelo Glucose Biosensor System is an over-the-counter (OTC) integrated Continuous Glucose Monitor (iCGM) intended to continuously measure, record, analyze, and display glucose values in people 18 years and older not on insulin. The Stelo Glucose Biosensor System helps to detect normal (euglycemic) and low or high (dysglycemic) glucose levels. The Stelo Glucose Biosensor System may also help the user better understand how lifestyle and behavior modification, including diet and exercise, impact glucose excursion. The user is not intended to take medical action based on the device output without consultation with a qualified healthcare professional.


One issue for anyone planning to use a CGM is that they don’t know how to use all the data! Two articles to help you follow.

CGM Data Demystified: Your Path to Metabolic Health revealing powerful and personalized insights about glucose health.

https://optimisingnutrition.com/con...nitor-cgm-data/

How to Use a Continuous Glucose Monitor (CGM) for Weight Loss

https://optimisingnutrition.com/con...or-weight-loss/

Last edited by JEY100 : Fri, May-17-24 at 04:10.
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  #2   ^
Old Fri, May-17-24, 10:48
Ms Arielle's Avatar
Ms Arielle Ms Arielle is offline
Senior Member
Posts: 19,366
 
Plan: atkins, carnivore 2023
Stats: 225/224/163 Female 5'8"
BF:
Progress: 2%
Location: Massachusetts
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Hurray!!!!!

I hate the old finger prick method. That has been otc for 25 years. About time the CGM are,too.
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  #3   ^
Old Fri, May-17-24, 11:18
JEY100's Avatar
JEY100 JEY100 is online now
Posts: 13,562
 
Plan: P:E/DDF
Stats: 225/150/169 Female 5' 9"
BF:45%/28%/25%
Progress: 134%
Location: NC
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I’m guessing Stelo will be expensive, in line with a Levels CGM type package, and inserting a CGM is not painless. False compression lows during sleep is a drawback. Needing to understand and adjust for the differences between capillary blood, venous blood and interstial fluid. Time lags, and reaction to non food stress events…lack of sleep, illness, etc. Although stable and lower blood glucose levels are a positive marker of metabolic health, merely treating the symptom (i.e. elevated blood sugar) rather than addressing the cause (i.e. insulin resistance, energy toxicity and excess body fat) doesn’t help.


The finger prick method doesn’t bother me, but I’d like to see what happens over the course of a day, during the night, after exercise, etc. By using a simple, inexpensive glucometer and tracking pre-meal BG, not relying on "hacks" I was able to correct the pre-diabetic HbA1c I had on the keto diet.

Last edited by JEY100 : Sat, May-18-24 at 08:20.
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  #4   ^
Old Mon, May-27-24, 06:59
JEY100's Avatar
JEY100 JEY100 is online now
Posts: 13,562
 
Plan: P:E/DDF
Stats: 225/150/169 Female 5' 9"
BF:45%/28%/25%
Progress: 134%
Location: NC
Default

In USA Today:
Quote:
Dexcom plans to make Stelo available this summer. A company spokesperson declined to provide pricing estimates, but said the device would be competitive. Dexcom’s current prescription-required device, the Dexcom G7, costs $377.73 for a 30-day supply without insurance on Amazon, though Amazon estimates the monthly supply drops to $51 with insurance.

1. You may need a diabetes diagnosis to get that insurance coverage?
2. Warning in the fine print, always check with a glucometer if symptoms don’t match the CGM number. Recent post, a TD1 had 193 on the CGM and 61 on glucometer! Glucometers are more accurate.

Some people are squeamous about using the fingerpick method. I use the side of six fingers, and rotate site. But there are also alternate sites, Marty and family use the back of the forearm, the thumb pad is another. I posted a new interview in my journal today with The Meat Medic which discusses how to use other painless sites.

Last edited by JEY100 : Tue, May-28-24 at 06:10.
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  #5   ^
Old Wed, Jun-05-24, 14:03
GRB5111's Avatar
GRB5111 GRB5111 is offline
Senior Member
Posts: 4,083
 
Plan: Very LC, Higher Protein
Stats: 227/186/185 Male 6' 0"
BF:
Progress: 98%
Location: Herndon, VA
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Visiting the Dexcom website for Stelo, it indicates a prescription will not be required. You can sign up to be notified when it's generally available:

https://www.dexcom.com/stelo

I'm hoping it's priced reasonably for the short term.

The currently available Signos Dexcom G7 is being offered at $143/mo. for a 6-month plan. Signos is similar to Levels and requires a prescription and authorization to collect one's data during the subscription period. Both Signos and Levels will refer those interested to an online medical practitioner to provide the prescription.

For those who don't have diabetes and simply want to learn what spikes their BG, I'm hoping the Dexcom Stelo offers reasonable 3- and 6-month plans. That's about enough to experience "life" and monitor one's BG responses to make adjustments.
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  #6   ^
Old Fri, Jun-07-24, 06:19
WereBear's Avatar
WereBear WereBear is offline
Senior Member
Posts: 14,840
 
Plan: Carnivore & LowOx
Stats: 220/130/150 Female 67
BF:
Progress: 129%
Location: USA
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I'm sure some people will do better when confronted with some stark feedback.
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