The price is still crazy for long-term use without insurance, especially for DexCom. The current products are still too short to use, too high to buy. Need more competitors. measure Glucose accurate is difficult but not super difficult in terms of technology. I am confident this market will be similar to electric weight scale finally.
I like how this production felt very balanced and not adversarial like many videos like this usually end up going into. This one just felt informative and direct.
Noninvasive glucose monitors are here. These will be much cheaper and be medical grade. Google Know Labs noninvasive glucose ---Know came out with their first noninvasive glucose monior.
@@JeffoparIt's about the money. Glucose bombs are key to the food industry, medical industry, etc. If people cut down starches and sugar, business and government get less revenue.
@@TehKaiser Good! And then you will start to see more healthy food options emerge and lifespans increase! Why do you need to include sugar in brown beans and red pasta sauce? Your sugar can spike from eating pizza. I understand convenience but most of the time the included sugar option is the ONLY and DEFAULT option which is so backward. Even wheat bread and the plainest cornflakes have included sugar.
Back at the turn of the century I worked as a Systems Engineer for the startup company TheraSense in Alameda, CA, which created the original Freestyle meter. I worked on their first attempt at a continuous glucose monitor, called Messenger internally. I was a test subject for 10 days, which showed me that my 'carbo-loading' diet was causing my blood sugar graph to look like a roller coaster track. (I was a long distance runner.) I credit that prototype product for changing my diet for the better. I left TheraSense before it was bought by Abbott.
It’s so much more sanitary than pricking the fingers a zillion time. We need to get rid of the prescription only requirement and lower the price to something reasonable.
The price will never drop unless china releases cheap ones for the masses. They want to milk the health insurance with the insane prices and the replace-every-2-weeks model.
The downside is that CGMs can be up to +-20% off which is a lot. Finger pricking is far more accurate if you really need precision. Using both provides continuous monitoring and accuracy.
@ so what? It will still show spikes. Knowing whether a rise to 180 vs 200 is irrelevant if you don’t have diabetes already. Real CGMs are recommended for diabetics and they can be calibrated.
I think every type 2 diabetic or over weight person should wear a CGM. It teaches you what foods spike your insulin and teach you what activities control glucose levels.
My mom was in and out of comas during my childhood until 1986 when she had a hypoglycemic seizure and flipped over on a pillow and suffocated. These devices might of saved her life. She passed this disease on to me but i mastered it thanks to great education from city of hope, better insulins, glucometers, pumps and now cgms. We've come a long way from beef/pork insulin.
This is a monitor that should be available to every single person that wants it in the world. Diabetic or not we should concentrate on the prevention of diabetes as much as we concentrate on the management of diabetes type two diabetes is a completely manageable and curable disease if more people were educated to metabolic issues then I think we could reduce the amount of type two diabetics by half within the next 10 years. A CGM is one of the best tools to do that. If I eat a potato and my blood sugar spikes to 170, and then I go ahead and eat rice and it only goes up to 120 then that gives me a lot of information on the foods that cause insulin resistance in my body. I don’t understand the hesitation to have this available off the shelf to everybody that wants to buy it and at a reasonable cost. This should not be a $10 billion industry. It should be $100 billion industry, I’m hoping that these companies take these two more main stream uses in prevention. You have a lot of people with dementia that probably have had a high sugar diet their whole lives, and have no idea that sugar is the cause of cognitive issues I would love to work for one of these companies.
Seems that they are waiting when you will develop it first 😁😁😁 and then.. vuala! Receive your monitor. 🤦♀️🤦♀️🤦♀️ seems that they didn’t hear about P-prevention of diseases.
You are absolutely right. I’m sitting at Panera Bread right now. Getting ready to order and I’m reading the comments. And I’ve been sitting here for about three or four minutes just reading through the macros on their turkey chili and like autumn squash and I was pretty shocked that Autumn squash was like 26 g of carbs And I’ve been on and off keto for about two years. I did carnivore about a month ago for two or three weeks. Now I’m kind of just back in the keto trying to keep my carbs around 20 g but all the videos that I watch on TH-cam and shorts it’s all nutrition and metabolic healthbaffles me why more people aren’t flocking to get these I actually am watching this video because I’m thinking about buying one just to prevent diabetes. I’m also a little bit afraid of seeing results.
Fantastic piece. As parent of a young T1D, I look forward to the technological advancements that make this condition easier to manage. The single unit CGM/pump closed loop system will be a significant game changer. Whoever gets there first is the winner.
Perhaps for T1D...for the majority of T2D (and pre-diabetic) users, only the sensor and readout are necessary. I concur that CGM's should be available OTC.
We need generic versions of these that are sold at cost, otherwise it will just being paying hedge funds and VC who funded for this device and this "public awareness" ad video.
But diabetes is chronic they should be covering it. In south africa we had medical aid [medical insurance] and if you go to a private doctor they will give you a script for 6 months so you can get it from pharmacy and they also give you a book to write down the levels and monitor it and show to dr on next visit. Our medical aid covers my mums strips and metformin
My doctor said no problem when she prescribed it. My insurance doesn’t cover it “because I use a long acting insulin. Therefore there is no need.” They will pay hundreds of dollars per month for insulin and other drugs but not for this technology to help reduce the need for those drugs? What is your purpose again health insurance industry?
I started doing keto for my mental health. I was counting carbs, checking urine ketones, then I got curious about glucose so I bought a ketone and glucometer in one and checked those too. I was trying to get pregnant at the time and 3 months into keto I did. My diet slowly changed to higher carb during pregnancy, and I got diagnosed with gestational diabetes. It was so much easier having had the prior knowledge of carbs and glucose monitoring, it made the whole experience not overwhelming at all. If I had to learn all that at once plus worry about baby, I imagine it would have been super difficult.
I use Libre to control my hypoglycemia through food. I’ve been able to lose 30lbs in the past year just by knowing what foods spike my blood sugar. I’ve had lows in the 40’s and am fortunate I have never had a seizure.
@@warrior100girl no I don’t have diabetes or at least that’s what my endocrinologist told me what I have is low blood sugar due to bariatric surgery in 2000. I used it specifically for weight control and it worked very well for me.
@@MoonLightOnWater1 I’ve heard that those without diabetes and just hypoglycemia will not be eligible for a CGM prescription- may I ask if you were given one or do you just use a otc biosensor?
@ I asked my doctor to prescribe it to me as it helped with my weight management and she did. Actually, that’s how I found out I had reactive hypoglycemia. And you’re right, they are not covered by my insurance…..or at least I don’t think so as I pay about $265 for six sensors at a time.
When I became type 1 diabetic 57 years, the monitoring was urine based and only told me where my blood sugar was in the past. The 1980s brought the advent of home glucose monitoring, which was a huge advancement that significantly lowered my A1C. I have been using a Dexcom G6 for 2-3? years now and it taught me the timing of how insulin injections, eating and exercise affects my blood sugar. Throw in an insulin pump and my A1Cs are in the non-diabetic range most of the time. I wouldn't wish diabetes on my worst enemy., but these advancements are God sends. There is no guarantees that that I won't get diabetic complications, but I hope to delay them as long as possible. If only the (out of pocket) price was less. Everyone should have access to these technologies. I even have to fight for insurance coverage.
57 years of type 1 diabetes with no diabetic complications! Wowzers, you are AMAZING! Congratulations, kind sir. I've had type 1 for 37 years with no significant diabetic complications either. You are such an inspiration to me. You truly are. May God continue to bless your amazing life. 😊
It seems to me that it would be in the interests of insurance companies to increase coverage for these monitors as a cost saving measure because paying for treating the adverse heath effects of diabetes left unmanaged is much more costly than patients taking preventative measures by constant glucose monitoring.
Insurance companies are in the business of healthy people. Obviously or they would have something like this available to everybody for a low-cost. It seems common sense that prevention would be what they really want but actually that’s not how the medical industry works.
The issue is that preventative care doesn’t save private insurers money. Really sick people end up on Medicare or Medicaid. We pretty much spend all our lives paying premiums to a company that won’t cover our costs or keep us healthy. And then we all pay taxes to cover all the resulting illnesses once they’re gotten 1000x more expensive to deal with. ✨how efficient ✨
I don't see why these devices are only available by prescription. Why shouldn't anyone who wants to monitor their blood sugar for whatever reason be able to buy one? It might help people who are in danger of developing type 2 diabetes get valuable information about what dietary measures they can take to keep their blood sugar in the normal range.
Literally crying! I have fibromyalgia and have been trying to figure out wtf is wrong with me. I fixed my diet and over years figured out how badly sugar affects me. Carbs are like a toxin to me. I've been desperately trying to get a glucose monitoring device because pricking my fibromyalgic finger kills me. It's torture and I just hold it all in. No one understands how awful it is. I would love to try a continuous glucose monitor. Just deal with that one time potential pain and move on with my day. My sugars aren't crazy high. Barely in the pre diabetic range, but my body responds well to monitoring my carb intake and my blood sugar. It's been LIFE CHANGING. Insurance shouldn't have control over these devices. It's not a drug. It's not a medication. It's a tool.
Exactly, if your body isn't provided a steady supply of glucose (i.e. no spikes), then all sorts of complications happen. Brain fog, lower energy levels, faster aging, etc. It's amazing how much the US healthcare system FORCES you to depend on them. It's like blocking people off from buying EEGs. If you wanted to see your brain waves to see your sleep quality or understand mental disorders to some rigorous capacity, you wouldn't be able to because it's walled off.
My aunt and uncle both have Diabetes and their medical insurance wouldn't cover one of these devices. Tells you something about the medical industrial complex.
Exactly! I was covered for one year and after being able to lower my a1c, significantly from 12 to 6.5 in a year, my insurance (BCBS) decided to drop the whole product from it's formulary. It's not medically necessary for type 2 diabetes.
@@missytechlp Pharmacies make more money when people are sick and uneducated on their condition. People changing their diet and getting a handle on their diabetes is bad for business.
That is big pharm telling the insurance companies not to cover the monitors. You do not need to use insulin if you monitor and stay in range. That is lost money for the Pharma companies.
What's interesting as an alternative use of these products is our diabetic pets are also getting these CGMs to monitor their blood sugars and keep them healthy as well.
I have been Type 1 for nearly 60 years. I have had too many brushes with death. I am now feeling the best I have ever felt because of Dexcom and Tandem paired together. It is like having a rough approximation of a closed-loop system. BTW every time Ms. Kaczor says "diabetes franchise" I want to puke. The only thing some people care about is money.
@@wungus-bongo Unfair? Unfair is getting dxd Type 1 at age six and nearly dying twice, first from hyperglycemia and then from hypoglycemia in my first month of diabetes. Words matter. She sees us diabetics as an asset from which money can be made. Big pharma like Abbott make billions off people with conditions like diabetes. My first CGM system was the Abbott Navigator. It worked well, but after three years, Abbott "pulled the plug" and ended production of the Navigator in the U.S., but continued to produce it in other countries. No explanation, no help provided. Are you diabetic? If yes, you should understand. If no, you will never understand.
@@thunderb00m I was hoping to learn something new. When you are diabetic, you look for every bit of info that might help. This vid did not help, it just confirmed what I already knew. Most people, especially in business, do not care about other people, even about people who are hurting. We are just "cash cows." I will say Dexcom is different. Yes, they must make money to succeed, but they do show compassion for patients. Their CGM systems have changed my life. I have used Dexcom for 11 years and I am in the best shape of my life because of it. Abbott and Medtronic are evil. Abbott cut me off by ending the production of the Navigator with no explanation. No one called, no one helped. They are truly "big pharma." Medtronic, even though they have made insulin pumps for many years (I used their pumps for 20 years before switching to Tandem), cannot make a sensor that reliably works. A company with billions in cash that cannot compete with a smaller company (Dexcom) is either inept or does not care. Either way, they lost me and many others as we switched to Tandem+Dexcom.
"We'll never lose our focus on people with diabetes" BULL! As a T1D I cant get my hands on the Libre 3 due to shortages & people playing with them just for fun. If you want to expand to diet programs as well....GREAT. But how about you make sure diabetics have access first. SHAME ON YOU ABBOTT.....greed is a sad thing & could cost lives.
The issue is that insurance won’t cover for someone who’s prediabetic trying to stop from developing type 2. There’s needs to be push to use these as preventive tools…
CGMs could be the key to preventing diabetes, not just managing it. They're not a health fad - they give you invaluable information about your metabolic health. Hopefully, they will be cheaper in the future, last longer and give you more information about other metabolic markers as well.
This is exactly correct. As soon as a patient is identified as "prediabetic", they should be given a prescription for a CGM and full information about low carbohydrate diets. I was so diagnosed, studied widely, identified low carbohydrate intake as the route to CURING (or "putting into remission") my slide into Type 2 diabetes. I browbeat my primary care physician into giving me a prescription for a Freestyle Libre 3 CGM. After a year, I have lost sixty pounds, and my glucose levels and A1C are now "nondiabetic". The policy by government and insurers to restrict CGMs to diagnosed diabetics is simply asinine.
Ya. They could negatively affect the food industry as well as medical industry. When people start using them seriously to see how food behaves out goes that food pyramid along with their standard American Diet recommendations. I mean my diet changed a lot with three years of Libre wearing. Cgm wearing has turned a 215 pound 5’4 to 140 in a year and a half. That’s why I think the agricultural sector has talked the FDA into limiting it to prescriptions for Diabetics. They definitely don’t want the public consumers to know 3/4 of an entire store should never go down your silly neck.
To be fair, both the Abbott and Dexcom representatives were talking about helping patients and benefits to health. It was the William Blair investment bank representative that was talking about the patients as a market and the billions of dollars
Everyone should have access to glucose monitors whether continuous or otherwise. I've been invited to try a CGM through the Levels company, but I don't want to have to go through a doctor to do it.
That's what I did, once I got the first rx filled, I called my local pharmacy to have it transferred there. Now I pay only 140/mo and the rx was for a years worth.
I'm type 1 for close to 40 years. I refused the Dexcom when offered one from my doctor even though my insurance pays 100%. . I didn't think i needed it because my a1c was under 7. I finally gave in and would've go without it now
Type 1 hubby is having a terrible time getting his refills and once the needle broke off in his arm. We can't find it to get it out. We have to have this monitor to wake him up when his sugar gets too low. This has been a nightmare.
At some point they will realize MRI’s ability to determine glucose concentration can be used to create a noninvasive CGM. The basic principle is within a magnetic field the spins of protons in water molecules will become aligned. By pulsing with radio waves of specific frequencies you can “knock” the spin down. The “recovery” in the spin is dictated by the local environment of the protons. The glucose concentration influences this such that a correlation can me made and glucose concentration determined. I see no reason this cannot be miniaturized to a small device that creates a small region of magnetic field at the wrist to perform this process at a “micro” level.
As a Diabetic, I find it frustrating the lack of interest my Doctors take in utilizing any of the data collected by my devices (CGM/Pumo). Their focus is almost entirely on A1C.
I currently use Medtronic’s Guardian 4 CGM because it connects with their 780G insulin pump for a hybrid closed-loop system. They have just released their newest CGM called Simplera, which I’m getting in about a month. My hospital is currently switching all Guardian 4 users over to the Simplera CGM because it’s better. I can’t wait, I’m so excited, lol.
Senseonics has a 90 day glucose monitor while the rest dont come close to that range. Senseonics is currently working on their 365 range monitor. I feel there ahould have been more coverage about what is available to patients. Not just talking about Dexcom and Abbott. Senseonics is also cheaper out of pocket than the other brands.
Couldn't agree more I think Eversence is the best CGM in the world cuz I use it I've tried both Abbott and dexcom and now it's not just 90 days it's 180 and the 365 will be out in less than 1 year and nobody will ever be able to touch that in my opinion 😊
CGM is a Biiiiig Data catcher! Wonderful! We might finally grasp all this collective data, cross it and get new knowledge about diabetes. Great for mankind!
Both FreeStyle Libre 3 and Dexcom g7 have higher out of pocket price with united health insurance in the USA than the quoted in this material. At least for me the prices are considerably higher
Same for me, using Freestyle Libre 2. However, my pharmacy recently told me that if my Dr. wrote the prescription for 94 days, rather than the 90 days he usually writes it for, it would be a lot cheaper. They told me by way of a note on the prescription paperwork that was stapled to the bag, and I didn't see the note until I got home. I'm going to ask the pharmacy about this again before I have my Dr. write the next script..
My dad lives in a nursing home. They are still using glucose meter. I wonder when they will be able to adopt and be benefited from the newer CGM technology.
I was told a year ago I was diabetic, I'm mid 50's now. When I was diagnosed my A1C was 13.7. I immediately went cold turkey cutting suger wherever I could. I was uneducated to diabetes. On my 3 month check Dr. Was almost shocked at my A1C, which dropped to 5.7 (almost pre diabetes) level. I lost 35 lbs in the process. I recently had another Dr visit almost a year later. I dropped down to 5.4. I've still not sure how my meds and which foods effect me the most. I have asked for this device but was told it only for type 1 and ppl who give themselves 4 shots of insulin a day. I think it would give invaluable information and help me regulate my my eating and meds. Hopefully they will become affordable and available to anyone who needs it.
@Marek Giedyk im am type 2 , the symptoms I felt were thirst even when I had been drinking water non stop it seems. And my vision changed over a 2 month period. My prescription glasses were useless and when my vision turned around back to my normal. For a few hours my vision was incredible. But it eventually returned back to what was my normal. The eye Dr. Said the eye linse is effected by suger, changing the thickness of it and that was the reason for vision change. When I went in and had my finger pricked my suger level was 350 plus. And A1C of 13.7. I am native and as I understand we have a high tolerance for high sugar level. I was later told a white boy would have been in diabetic coma if there suger was that high. I am thankful I have some self control and was able to turn my diet around. I was a suger snacker, constantly eating sweets. I still have craving but I'm able to resist until I can find a non sweet substitute. But what I eat is always at the forefront of my mind and constantly thinking about my suger level. So that's what led me to asking about the CGM ( constant glucose monter) I would feel more in control if I had that device and would be able to make better choices. The only way to do that now is to poke my finger 50x a day. It's not bad but more than a few times a day your finger get sore from it. I hope I answered your question.?..
We all have high tolerance until the equipment breaks. Start getting into good habits now and these things won't affect you. A glucose meter is cheap - less than $10 here - best way to monitor and def cheapest.
It still blows my mind that obesity just by itself, which is a chronic condition that causes a host of problems, isn't enough to get insurance coverage for things like this. Do I have to develop diabetes in order to start getting better?
It's such a pain that it's so hard to get a CGM without a diabetes diagnosis in the US. I've been pre-diabetic three times now and nearly all my relatives are diabetic (Type 1 and Type 2). If my A1c goes up one more point, I can get a diabetes diagnosis and easier access to CGM. But, I really want to avoid this, and data from a CGM could help.
Live in US..Been using Abbott libre 2 for many months. Visited Uk recently and the last one I had went bad (as they do) although Abbott sells them there the same receiver/phone app does not work on one bought in Uk. It was super frustrating as I had to go back to finger sticking. Why oh why can’t my phone scan either purchases? Big draw back if you travel. I couldn’t buy a $400 receiver (absurd price) either as there are none to be had according to rep from Abbott I spoke to.
I think for a documentary, it fails to explain the basic introduction such as “Does user need to needle themselves every time putting the sensor on? Or does it have needle to stay inside the body for 24-7? Etc”
@Machin Truc It's a small plastic tube that collects the blood sugar, although it doesn't directly sit inside a blood vessel. It's not a sharp needle sitting in your arm 24/7
I can only comment on the Abbot Freestyle Libre 2, but it only uses the needle to initially puncture your skin. The center of the needle is hollow and contains a filament. That filament is what stays inserted for the 2 weeks and it is what transmits the glucose measurement from your interstitial fluid to the electronics inside of the CGM. Even the mfr. of my particular CGM did not explain this and I was "terrified" that there would be a stiff metal needle in my arm for that 2-week period. It was not until I removed my first CGM that I discovered how everything truly works. The filament is kind of on the stiff side, but very flexible. It's almost like flat-ish fishing line. Looking at the hollow needle in the applicator still freaks me out, but I never feel anything when the spring of the applicator momentarily shoots it into my arm to insert the filament.
I have exercise hypoglycemia and I needed a CGM before I bonk in a marathon but only can be attained from a prescription. I don’t have diabetes but I know when I measure my blood glucose after a long 15 mile run, I see my glucose in a low level 40s.
Dexcom is used for TD1, and on the other hand Libre is used for TD2 because of the price. Kaiser doesn't cover my CGM. If you're with TD2, you should avoid the stingy insurance.
Wasn't looking too deep in to how these devices are built, but I'd assume they are throw away after 14 days, instead of recharge battery, replace sensor and disinfect in home setting Having 2 devices and 14 days to disinfect charge and replace parts is quite feasible Drastically lowering cost for both sides of equation
Why is this something that would not need replacement? The way that cgm sensor works nowadays makes your suggestion not a viable option. 1. It’s battery powered, the simplest and cheapest way to manufacture is to have a built in battery that is not rechargeable. 2. Its directly inserted underneath your skin with a thin metal wire that measures your glucose level. Having this permanent would increase the risk of infection. 3. Generally it’s good to switch places as to where you are inserting the cgm sensor to ensure proper measurement.
The CGM needs replacing because for one thing, it contains chemicals that get used up. You are wearing a tiny laboratory on your arm. There's also a battery in there.
Your prices are waaaay off. The insurance company's are ripping us Non insulin users off BIG TIME. I use libre 3 and I have to pay out of pocket.. I am lucky CVS sells me two senors for 84 dollars. They last me 4 weeks. The reason is the insurance company's say you have to be attached to a insulin pump before they pay for it.. I have today my CGM has saved my life.. I did not know my numbers was crashing at night while I slept. I was I the mid to low 40s.
A person without diabetes has a very tight sugar control loop, where the blood glucose is always kept within a tight window. Monitoring the blood sugar levels of an healthy individual make no sense and can't be of any real help. In an healthy person, the item to monitor would be insulin levels, but there is no technology for this. Instead, for diabetic people, the use of a CGM should be made mandatory. It change completely their life outlooks. But, of course, CGM manufacturers will try to improve profits, not the public knowledge of the problems. Only recently Abbott made the sugar level monitored continuously over Bluetooth; until few months ago, we had to make an NFC scan every time we needed the correct sugar level. Finally the hardware device and the Software Application have reached the necessary level of maturity, and now the National Health Systems of EU/UK countries must distribute the device to each diabetic person. Merry Christmas,
I’ve been dealing with blood sugar stuff for a while, but unswt has made it so much easier to figure out what works for me. The AI sugar tracker shows me exactly how different foods affect my levels, and it’s been a game changer. If you’re looking for something easy and helpful, definitely give it a go!
I was prescribed many off label pharmaceuticals for bipolar disorder in my youth, many of which contributed to metabolic dysfunction. As a sufferer of ovarian cysts and low blood sugar anxiety and tendency towards elevated fasting blood glucose levels, I wish these companies would get health insurance companies to cover off label use of CGMs to help patients like me! I am aware treating diabetes and Alzheimer’s is a huge business, but could preventing diabetes and Alzheimer’s be a bigger business? Expand the market! Get the health insurance companies to pay for these for more people!!!
Been using the Abbot FSL 2 for about a year now. I'm not sure what the definition of "accuracy" is in the medical world, but I do not consider the FSL 2 to be accurate as it rarely is close to the reading I get with a finger stick. I even noticed that I routinely get higher readings when the CGM is on my right arm, vs my left. I have had readings that vary by more than 20% when compared to a finger stick. I only find the CGM useful to see trends as the numbers themselves do not seem very usable as "data". Kind of alarming that someone might have their insulin pump using the CGM as a basis for when to automatically provide insulin if the CGM is not very accurate. Also, if you use your phone as the reader for the FSL 2, Abbot seems to be caught continually off-guard by iPhone software updates, almost as if they are not aware that there are beta versions of iOS to use for testing. They always put a notice on the screen that their software has not yet been tested with the new iOS updates, but they never notify you when they have been tested, if ever. For this reason alone, I can't wait for Apple to figure this out. I just hope there's a way to do it accurately. Also, this report stated that one of the companies was going to add a test for ketones to their CGM because elevated ketones is a sign of ketoacidosis. While not exactly a false statement, it is only true when ketones are very high, and in the presence of very high glucose levels. I spend nearly 100% of my time in nutritional ketosis by avoiding carbohydrates. Doing this via a medically managed ketogenic diet has allowed me to reverse my T2D and remain off of all diabetes meds. The treatment was proposed, and paid for, by my health insurance company.
I use the freestyle Libre 3. It usually runs 20 points lower than finger sticks. That said, I’ve had finger sticks vary that much using the same finger within a minute of the last test. The CGM helps me by showing me what food causes big spikes and what food doesn’t, so I eat healthier.
I think if this helps lower costs to diabetics by helping with economies of scale and the people who don't need to wear one 24/7 pay more than what someone with diabetes has to pay, let them in on the game and let that help real diabetics get lower costs, even if it's a discount program you have to apply for. Just looking at the online pricing, a G6 sensor is $70-$94 (~$73.40 USD on Canada site) ish and a G6 transmitter is $176 ($212 USD on their Canada site) . The first thing they can do to bring costs down is to make the transmitter rechargeable, even if that only takes it from ~3 months to ~1 year, that would be ~$14.67/mo for the sensor vs the current ~$58.67/mo. If people are not hacking these to change the batteries or to charge them, you should. The sensors at ~$219.44/mo (~$7.32/day) are a bit nutty, It looks like every sensor comes with an applicator, finding a way to be able to reuse an applicator could see some costs being cut. I don't know the lifespan of something that probably has to have a needle in you, so I can't really speak to making that last longer. It does look like they have a generic cash discount with Amazon Pharmacy to bring 3 G7 sensor/transmitter devices from $377.73 to 177.73 if your insurance won't cover it, but it's not as good as the estimated insurance cost of $47. It also looks like they have made the sensor and transmitter, so that kinda kills the idea of making them rechargeable.
Expansion of indications for prescription of CGM would also be welcome. I've had a reactive hypoglycemia diagnosis for years now, and you can bet I would rather know my blood sugar is getting too low before it really crashes and I get symptomatic. The technology is interesting, and I'd be happy to provide pilot data.
I had to pay out of pocket from a company using the Freestyle Libre so I could have this data. At $200/month, I was out of pocket because my type 2 diabetes wasn't bad enough for the VA to prescribe me a CGM. I'm glad these are available more and more because knowing how to analyze the data is crucial to the management of diabetes.
There's a lot of talk about profits from the companies in the interview. Glad to hear they are still able to make increasing profits off of a condition someone has to live with. Smh. It's still very difficult for those who have Diabetes to get their meds covered in the US by insurance...to stay alive.
If they made it so they didn't need a prescription, pre diabetics might use it to take care of themselves and then insulin manufacturers will lose a lot of potential customers. Hence, they won't let it be available for prevention.
What must I do to get it to work. To inform me of my sugar count. Thanks I need all the help I can get. The phone is new to me, to which I do not know how to work😢😢 From Timothy or Plexy
just keep eating those carbs from the Standard American Diet, aka SAD. Even without having full blown diabetes, many of the diseases come from a carb dominant diet
They need to think beyond glucose. Create a device that can measure all kinds of blood chemistry. That’s how you survive when Apple takes over with their watch.
Ph of stomach in processing foods a factor in blood sugar readings? Have you tested different solutions on the blood meter, I’m sure other things besides sugar are being read.
I love mine, ground braking tec. Mine keep falling off UNTILL I started using.a product "skin prep" and it leaves a film behind that helps make the tag stay on better. And one other thing os the use of skin glue.
Yeah, it’s the FDA and food industry fault - go look at the freaking amount of sugar they putting in drinks and process foods!! What a freaking scam food and pharmaceutical companies big money 💰
Most important thing you can do is to stop eating processed sugar and perform intermittent fasting along with keto, exercise and lose weight: Don’t get Diabetes. Take control.
So why aren’t talking about more ways of preventing the issue for those of us that are borderline close to becoming diabetic. Discussing the financial “growth” perspective of the company making money from this is disconcerting to overall health care industry.
The problem, as usual is the cost. In 2024, if on Medicare and not taking insulin, they are not covered by insurance and the cost is $200 to $300 per month. That's a pity because we're missing the opportunity to prevent insulin resistant people from progressing to full diabetes and the associated additional healthcare cost.
This product is undeniably great, but innovation in the field of blood sugar measurement is crucial. These companies should strive to discover new methods for testing, revolutionizing the way we monitor glucose levels. Constantly pushing the boundaries of technology will lead to even better solutions for managing diabetes and improving the lives of millions.
One passing mention of Senseonics at 5:01? A 365 day implantable subcutaneous CGM up for FDA approval w a 180 day already available… thats the future baby!
Don't underestimate the # of people who just don't do doctors, drugs, or waste money on health insurance. If you can sell your device so the customer doesn't have to go to an effing doctor you will sell a lot more. Some people want to improve their health through diet and exercise and a CGM can help with that. Of course then there will be fewer diabetic customers in the future.
Ever watch Martha Stewart’s food prep and recipes ? Sugar poison in every scoop and step. Just pray and hope your beta cells are working properly otherwise you are so screwed.
I am not one for devices and this and that. But if I could stick something on my arm and it could tell me my blood pressure heart rate blood sugar if I'm low on iron magnesium if you know there's something wrong with me that I don't realize like I would wear that!!!
One thing to note. I called the Freestyle Libre support for 2 failed sensors. I was immediately told never to use their device for deciding how much insulin to take. Even they admit it cant be trusted. I could get into the occasional failed sensor, or the fact that all your data gets sent to them, no way to opt out. Worse, the one part of the data their servers do not receive are the serial numbers and error codes. This forces you to use their buggy phone service to get the replacements. The won't automate this. But they do work when they work, thank god for having insurance on these devices with only a 20% co-pay.
In addition, it can be difficult to keep the sensor on past 8 or so days, often so after 10-11. Why is it that Bayer has a 10 day limit per sensor in Europe but they force those in North America to use them for 14 days per unit. Those last 4 days are why I have to keep 'Tegaderm' bandages in stock, sometimes it takes a 2nd one just to keep that sensor on the arm.
![165 - AMA #24 [sneak peek]: Deep dive into blood glucose: why it matters, metrics to track, CGM data](/img/n.gif)
Been a Type 1 for 35 years. I am so glad 10's of millions of non-diabetics are using these devices & driving costs down!
The price is still crazy for long-term use without insurance, especially for DexCom. The current products are still too short to use, too high to buy. Need more competitors. measure Glucose accurate is difficult but not super difficult in terms of technology. I am confident this market will be similar to electric weight scale finally.
it's OTC in Brazil as well...
I have Lyme disease, the new continuous monitoring gadgets help me stay low / no carb... which in turn does wonders form my symptoms
I like how this production felt very balanced and not adversarial like many videos like this usually end up going into. This one just felt informative and direct.
Despite what people may think about mainstream media, this channel is a little green in the pile of rubbish.
Noninvasive glucose monitors are here. These will be much cheaper and be medical grade. Google Know Labs noninvasive glucose ---Know came out with their first noninvasive glucose monior.
I don't like the way they hid the true cost through the "with insurance the price is...".
Should be over the counter. Ridiculously hard to get one. Would make it so much easier to track my blood sugar and learn what really spikes it.
Creation of scarcity is a marketing tactic that supports higher pricing.
They are over the counter in the UK. I used them there to optimize my health. Its insane that they are not widely available in the US.
Correct - I got one off Amazon UK last month (albeit they are expensive)
@@JeffoparIt's about the money. Glucose bombs are key to the food industry, medical industry, etc. If people cut down starches and sugar, business and government get less revenue.
@@TehKaiser Good! And then you will start to see more healthy food options emerge and lifespans increase! Why do you need to include sugar in brown beans and red pasta sauce? Your sugar can spike from eating pizza. I understand convenience but most of the time the included sugar option is the ONLY and DEFAULT option which is so backward. Even wheat bread and the plainest cornflakes have included sugar.
Back at the turn of the century I worked as a Systems Engineer for the startup company TheraSense in Alameda, CA, which created the original Freestyle meter. I worked on their first attempt at a continuous glucose monitor, called Messenger internally. I was a test subject for 10 days, which showed me that my 'carbo-loading' diet was causing my blood sugar graph to look like a roller coaster track. (I was a long distance runner.) I credit that prototype product for changing my diet for the better. I left TheraSense before it was bought by Abbott.
@acceleronics tell us more about it
My Dexcom has drastically improved my A1C and not having to stab my fingertips 8x a day is amazing
probably your A1C improved by the changes you made, not by a CGM.
@@andres-gu8yu of course!
It’s so much more sanitary than pricking the fingers a zillion time. We need to get rid of the prescription only requirement and lower the price to something reasonable.
The price will never drop unless china releases cheap ones for the masses. They want to milk the health insurance with the insane prices and the replace-every-2-weeks model.
The downside is that CGMs can be up to +-20% off which is a lot. Finger pricking is far more accurate if you really need precision. Using both provides continuous monitoring and accuracy.
@ so what? It will still show spikes. Knowing whether a rise to 180 vs 200 is irrelevant if you don’t have diabetes already. Real CGMs are recommended for diabetics and they can be calibrated.
I think every type 2 diabetic or over weight person should wear a CGM. It teaches you what foods spike your insulin and teach you what activities control glucose levels.
My mom was in and out of comas during my childhood until 1986 when she had a hypoglycemic seizure and flipped over on a pillow and suffocated. These devices might of saved her life. She passed this disease on to me but i mastered it thanks to great education from city of hope, better insulins, glucometers, pumps and now cgms. We've come a long way from beef/pork insulin.
Noninvasive glucose monitors are on the horizon. These will be much cheaper and be medical grade. Google Know Labs noninvasive glucose.
ok to adopt or use crispr
So sad.
This is a monitor that should be available to every single person that wants it in the world. Diabetic or not we should concentrate on the prevention of diabetes as much as we concentrate on the management of diabetes type two diabetes is a completely manageable and curable disease if more people were educated to metabolic issues then I think we could reduce the amount of type two diabetics by half within the next 10 years. A CGM is one of the best tools to do that. If I eat a potato and my blood sugar spikes to 170, and then I go ahead and eat rice and it only goes up to 120 then that gives me a lot of information on the foods that cause insulin resistance in my body. I don’t understand the hesitation to have this available off the shelf to everybody that wants to buy it and at a reasonable cost. This should not be a $10 billion industry. It should be $100 billion industry, I’m hoping that these companies take these two more main stream uses in prevention. You have a lot of people with dementia that probably have had a high sugar diet their whole lives, and have no idea that sugar is the cause of cognitive issues I would love to work for one of these companies.
Unfortunately there is more money in sick people. Our health industry has no interest in actually creating healthy people.
Well said. I agree 100%
Seems that they are waiting when you will develop it first 😁😁😁 and then.. vuala! Receive your monitor. 🤦♀️🤦♀️🤦♀️ seems that they didn’t hear about P-prevention of diseases.
@lag2755 Yoh are so populistic, are you from India?
You are absolutely right. I’m sitting at Panera Bread right now. Getting ready to order and I’m reading the comments. And I’ve been sitting here for about three or four minutes just reading through the macros on their turkey chili and like autumn squash and I was pretty shocked that Autumn squash was like 26 g of carbs And I’ve been on and off keto for about two years. I did carnivore about a month ago for two or three weeks. Now I’m kind of just back in the keto trying to keep my carbs around 20 g but all the videos that I watch on TH-cam and shorts it’s all nutrition and metabolic healthbaffles me why more people aren’t flocking to get these I actually am watching this video because I’m thinking about buying one just to prevent diabetes. I’m also a little bit afraid of seeing results.
Fantastic piece. As parent of a young T1D, I look forward to the technological advancements that make this condition easier to manage. The single unit CGM/pump closed loop system will be a significant game changer. Whoever gets there first is the winner.
Perhaps for T1D...for the majority of T2D (and pre-diabetic) users, only the sensor and readout are necessary. I concur that CGM's should be available OTC.
The thing is medical insurance doesn't cover even half the cost of these items.
We need generic versions of these that are sold at cost, otherwise it will just being paying hedge funds and VC who funded for this device and this "public awareness" ad video.
Mine does!
Mine does too. They did not used to but at some point they had to switch to it being Durable Medical Equipment and the coverage increased.
But diabetes is chronic they should be covering it. In south africa we had medical aid [medical insurance] and if you go to a private doctor they will give you a script for 6 months so you can get it from pharmacy and they also give you a book to write down the levels and monitor it and show to dr on next visit. Our medical aid covers my mums strips and metformin
My doctor said no problem when she prescribed it. My insurance doesn’t cover it “because I use a long acting insulin. Therefore there is no need.” They will pay hundreds of dollars per month for insulin and other drugs but not for this technology to help reduce the need for those drugs? What is your purpose again health insurance industry?
I started doing keto for my mental health. I was counting carbs, checking urine ketones, then I got curious about glucose so I bought a ketone and glucometer in one and checked those too. I was trying to get pregnant at the time and 3 months into keto I did. My diet slowly changed to higher carb during pregnancy, and I got diagnosed with gestational diabetes. It was so much easier having had the prior knowledge of carbs and glucose monitoring, it made the whole experience not overwhelming at all. If I had to learn all that at once plus worry about baby, I imagine it would have been super difficult.
I use Libre to control my hypoglycemia through food. I’ve been able to lose 30lbs in the past year just by knowing what foods spike my blood sugar. I’ve had lows in the 40’s and am fortunate I have never had a seizure.
So did u use it for diabetes or just weight control?
@@warrior100girl no I don’t have diabetes or at least that’s what my endocrinologist told me what I have is low blood sugar due to bariatric surgery in 2000. I used it specifically for weight control and it worked very well for me.
@@MoonLightOnWater1 I’ve heard that those without diabetes and just hypoglycemia will not be eligible for a CGM prescription- may I ask if you were given one or do you just use a otc biosensor?
@ I asked my doctor to prescribe it to me as it helped with my weight management and she did. Actually, that’s how I found out I had reactive hypoglycemia. And you’re right, they are not covered by my insurance…..or at least I don’t think so as I pay about $265 for six sensors at a time.
When I became type 1 diabetic 57 years, the monitoring was urine based and only told me where my blood sugar was in the past. The 1980s brought the advent of home glucose monitoring, which was a huge advancement that significantly lowered my A1C. I have been using a Dexcom G6 for 2-3? years now and it taught me the timing of how insulin injections, eating and exercise affects my blood sugar. Throw in an insulin pump and my A1Cs are in the non-diabetic range most of the time.
I wouldn't wish diabetes on my worst enemy., but these advancements are God sends.
There is no guarantees that that I won't get diabetic complications, but I hope to delay them as long as possible.
If only the (out of pocket) price was less. Everyone should have access to these technologies. I even have to fight for insurance coverage.
57 years of type 1 diabetes with no diabetic complications! Wowzers, you are AMAZING! Congratulations, kind sir. I've had type 1 for 37 years with no significant diabetic complications either. You are such an inspiration to me. You truly are. May God continue to bless your amazing life. 😊
Both of you… TEACH ME YOUR WAYS! 😂 I NEED TO KNOW THIS DISEASE IS AWFUL AND THE WAY ITS GOING ITS NOT LOOKING GOOD FOR ME
Type 1 diabetic since 2010, Hearing that you've gone almost 6 decades with no complications is inspirational!
It seems to me that it would be in the interests of insurance companies to increase coverage for these monitors as a cost saving measure because paying for treating the adverse heath effects of diabetes left unmanaged is much more costly than patients taking preventative measures by constant glucose monitoring.
Insurance companies are in the business of healthy people. Obviously or they would have something like this available to everybody for a low-cost. It seems common sense that prevention would be what they really want but actually that’s not how the medical industry works.
At $800 for the system plus $30-40 a month for years insurers would rather have people die.
@@sw6118 More like 100-200 dollar a month.
@@magyararon6918 interesting, it just creates more of an incentive to let people die.
The issue is that preventative care doesn’t save private insurers money. Really sick people end up on Medicare or Medicaid. We pretty much spend all our lives paying premiums to a company that won’t cover our costs or keep us healthy. And then we all pay taxes to cover all the resulting illnesses once they’re gotten 1000x more expensive to deal with. ✨how efficient ✨
I don't see why these devices are only available by prescription. Why shouldn't anyone who wants to monitor their blood sugar for whatever reason be able to buy one? It might help people who are in danger of developing type 2 diabetes get valuable information about what dietary measures they can take to keep their blood sugar in the normal range.
Literally crying! I have fibromyalgia and have been trying to figure out wtf is wrong with me. I fixed my diet and over years figured out how badly sugar affects me. Carbs are like a toxin to me. I've been desperately trying to get a glucose monitoring device because pricking my fibromyalgic finger kills me. It's torture and I just hold it all in. No one understands how awful it is. I would love to try a continuous glucose monitor. Just deal with that one time potential pain and move on with my day. My sugars aren't crazy high. Barely in the pre diabetic range, but my body responds well to monitoring my carb intake and my blood sugar. It's been LIFE CHANGING. Insurance shouldn't have control over these devices. It's not a drug. It's not a medication. It's a tool.
Exactly, if your body isn't provided a steady supply of glucose (i.e. no spikes), then all sorts of complications happen. Brain fog, lower energy levels, faster aging, etc. It's amazing how much the US healthcare system FORCES you to depend on them.
It's like blocking people off from buying EEGs. If you wanted to see your brain waves to see your sleep quality or understand mental disorders to some rigorous capacity, you wouldn't be able to because it's walled off.
I assume it's getting close to maybe not needing an Rx within years because they can make even more $$$ $$
My aunt and uncle both have Diabetes and their medical insurance wouldn't cover one of these devices. Tells you something about the medical industrial complex.
Exactly! I was covered for one year and after being able to lower my a1c, significantly from 12 to 6.5 in a year, my insurance (BCBS) decided to drop the whole product from it's formulary. It's not medically necessary for type 2 diabetes.
@@missytechlp Pharmacies make more money when people are sick and uneducated on their condition. People changing their diet and getting a handle on their diabetes is bad for business.
Same experience. Said: You have insulin, this isn’t necessary.
That is big pharm telling the insurance companies not to cover the monitors. You do not need to use insulin if you monitor and stay in range. That is lost money for the Pharma companies.
Yeah, insurers want them sick or dead
I’m pre diabetic and would love to have access to this to see what my numbers are. Why isn’t this used for preventing diabetes.
We really need to increase these devices availability in Indian market. Most of the times the sensors are available, but the no devices.
What's interesting as an alternative use of these products is our diabetic pets are also getting these CGMs to monitor their blood sugars and keep them healthy as well.
I have been Type 1 for nearly 60 years. I have had too many brushes with death. I am now feeling the best I have ever felt because of Dexcom and Tandem paired together. It is like having a rough approximation of a closed-loop system.
BTW every time Ms. Kaczor says "diabetes franchise" I want to puke. The only thing some people care about is money.
I would love to talk to you, I have had type 1 for 43 years with the same "too many brushes with death". I need support from other long time diabetics
My mom had type 1, may she rest in peace. I have type 2 but its because im fat and lazy
Lol its cnbc. Its literally a business channel. I hate the money bags attitude too but what else did you expect.
@@wungus-bongo Unfair? Unfair is getting dxd Type 1 at age six and nearly dying twice, first from hyperglycemia and then from hypoglycemia in my first month of diabetes.
Words matter. She sees us diabetics as an asset from which money can be made. Big pharma like Abbott make billions off people with conditions like diabetes. My first CGM system was the Abbott Navigator. It worked well, but after three years, Abbott "pulled the plug" and ended production of the Navigator in the U.S., but continued to produce it in other countries. No explanation, no help provided.
Are you diabetic? If yes, you should understand. If no, you will never understand.
@@thunderb00m I was hoping to learn something new. When you are diabetic, you look for every bit of info that might help. This vid did not help, it just confirmed what I already knew. Most people, especially in business, do not care about other people, even about people who are hurting. We are just "cash cows."
I will say Dexcom is different. Yes, they must make money to succeed, but they do show compassion for patients. Their CGM systems have changed my life. I have used Dexcom for 11 years and I am in the best shape of my life because of it.
Abbott and Medtronic are evil. Abbott cut me off by ending the production of the Navigator with no explanation. No one called, no one helped. They are truly "big pharma."
Medtronic, even though they have made insulin pumps for many years (I used their pumps for 20 years before switching to Tandem), cannot make a sensor that reliably works. A company with billions in cash that cannot compete with a smaller company (Dexcom) is either inept or does not care. Either way, they lost me and many others as we switched to Tandem+Dexcom.
"We'll never lose our focus on people with diabetes" BULL! As a T1D I cant get my hands on the Libre 3 due to shortages & people playing with them just for fun. If you want to expand to diet programs as well....GREAT. But how about you make sure diabetics have access first. SHAME ON YOU ABBOTT.....greed is a sad thing & could cost lives.
The issue is that insurance won’t cover for someone who’s prediabetic trying to stop from developing type 2. There’s needs to be push to use these as preventive tools…
CGMs could be the key to preventing diabetes, not just managing it. They're not a health fad - they give you invaluable information about your metabolic health. Hopefully, they will be cheaper in the future, last longer and give you more information about other metabolic markers as well.
This is exactly correct. As soon as a patient is identified as "prediabetic", they should be given a prescription for a CGM and full information about low carbohydrate diets. I was so diagnosed, studied widely, identified low carbohydrate intake as the route to CURING (or "putting into remission") my slide into Type 2 diabetes. I browbeat my primary care physician into giving me a prescription for a Freestyle Libre 3 CGM. After a year, I have lost sixty pounds, and my glucose levels and A1C are now "nondiabetic".
The policy by government and insurers to restrict CGMs to diagnosed diabetics is simply asinine.
Ya. They could negatively affect the food industry as well as medical industry. When people start using them seriously to see how food behaves out goes that food pyramid along with their standard American Diet recommendations. I mean my diet changed a lot with three years of Libre wearing. Cgm wearing has turned a 215 pound 5’4 to 140 in a year and a half.
That’s why I think the agricultural sector has talked the FDA into limiting it to prescriptions for Diabetics. They definitely don’t want the public consumers to know 3/4 of an entire store should never go down your silly neck.
This saves a lot of future heart/kidney/eye treatment which cost huge amount of medical $.
It sucks that the company goals are measured in terms of the billions of dollars… not the millions of patients that will benefit from the device
To be fair, both the Abbott and Dexcom representatives were talking about helping patients and benefits to health. It was the William Blair investment bank representative that was talking about the patients as a market and the billions of dollars
Everyone should have access to glucose monitors whether continuous or otherwise. I've been invited to try a CGM through the Levels company, but I don't want to have to go through a doctor to do it.
That's what I did, once I got the first rx filled, I called my local pharmacy to have it transferred there. Now I pay only 140/mo and the rx was for a years worth.
I'm type 1 for close to 40 years. I refused the Dexcom when offered one from my doctor even though my insurance pays 100%. . I didn't think i needed it because my a1c was under 7. I finally gave in and would've go without it now
My dad recently got his and he loves it
Type 1 hubby is having a terrible time getting his refills and once the needle broke off in his arm. We can't find it to get it out. We have to have this monitor to wake him up when his sugar gets too low. This has been a nightmare.
At some point they will realize MRI’s ability to determine glucose concentration can be used to create a noninvasive CGM. The basic principle is within a magnetic field the spins of protons in water molecules will become aligned. By pulsing with radio waves of specific frequencies you can “knock” the spin down. The “recovery” in the spin is dictated by the local environment of the protons. The glucose concentration influences this such that a correlation can me made and glucose concentration determined. I see no reason this cannot be miniaturized to a small device that creates a small region of magnetic field at the wrist to perform this process at a “micro” level.
As a Diabetic, I find it frustrating the lack of interest my Doctors take in utilizing any of the data collected by my devices (CGM/Pumo). Their focus is almost entirely on A1C.
You should be focused on working out big boy 😂
Because an A1C is very accurate and doesn’t require them to look at a ton of data, it’s one number that gives them the average they need.
that's cuz you're not a type 1- its a different beast all together
@@jerridombrowski6017 Type 1 since 1967.
@@penitenttangent7346 and my doctor should be focussed on my number
I currently use Medtronic’s Guardian 4 CGM because it connects with their 780G insulin pump for a hybrid closed-loop system. They have just released their newest CGM called Simplera, which I’m getting in about a month. My hospital is currently switching all Guardian 4 users over to the Simplera CGM because it’s better. I can’t wait, I’m so excited, lol.
Senseonics has a 90 day glucose monitor while the rest dont come close to that range. Senseonics is currently working on their 365 range monitor. I feel there ahould have been more coverage about what is available to patients. Not just talking about Dexcom and Abbott. Senseonics is also cheaper out of pocket than the other brands.
Couldn't agree more I think Eversence is the best CGM in the world cuz I use it I've tried both Abbott and dexcom and now it's not just 90 days it's 180 and the 365 will be out in less than 1 year and nobody will ever be able to touch that in my opinion 😊
CGM is a Biiiiig Data catcher! Wonderful! We might finally grasp all this collective data, cross it and get new knowledge about diabetes. Great for mankind!
Both FreeStyle Libre 3 and Dexcom g7 have higher out of pocket price with united health insurance in the USA than the quoted in this material. At least for me the prices are considerably higher
Same for me, using Freestyle Libre 2. However, my pharmacy recently told me that if my Dr. wrote the prescription for 94 days, rather than the 90 days he usually writes it for, it would be a lot cheaper. They told me by way of a note on the prescription paperwork that was stapled to the bag, and I didn't see the note until I got home. I'm going to ask the pharmacy about this again before I have my Dr. write the next script..
My dad lives in a nursing home. They are still using glucose meter. I wonder when they will be able to adopt and be benefited from the newer CGM technology.
I was told a year ago I was diabetic, I'm mid 50's now. When I was diagnosed my A1C was 13.7. I immediately went cold turkey cutting suger wherever I could. I was uneducated to diabetes. On my 3 month check Dr. Was almost shocked at my A1C, which dropped to 5.7 (almost pre diabetes) level. I lost 35 lbs in the process. I recently had another Dr visit almost a year later. I dropped down to 5.4. I've still not sure how my meds and which foods effect me the most. I have asked for this device but was told it only for type 1 and ppl who give themselves 4 shots of insulin a day. I think it would give invaluable information and help me regulate my my eating and meds. Hopefully they will become affordable and available to anyone who needs it.
Are u type two or one? If type 2 i wonder how people dont go to the doctors with symptons. i am pre disvetic And already felt a lot symptoms
@Marek Giedyk im am type 2 , the symptoms I felt were thirst even when I had been drinking water non stop it seems. And my vision changed over a 2 month period. My prescription glasses were useless and when my vision turned around back to my normal. For a few hours my vision was incredible. But it eventually returned back to what was my normal. The eye Dr. Said the eye linse is effected by suger, changing the thickness of it and that was the reason for vision change. When I went in and had my finger pricked my suger level was 350 plus. And A1C of 13.7. I am native and as I understand we have a high tolerance for high sugar level. I was later told a white boy would have been in diabetic coma if there suger was that high. I am thankful I have some self control and was able to turn my diet around. I was a suger snacker, constantly eating sweets. I still have craving but I'm able to resist until I can find a non sweet substitute. But what I eat is always at the forefront of my mind and constantly thinking about my suger level. So that's what led me to asking about the CGM ( constant glucose monter) I would feel more in control if I had that device and would be able to make better choices. The only way to do that now is to poke my finger 50x a day. It's not bad but more than a few times a day your finger get sore from it. I hope I answered your question.?..
We all have high tolerance until the equipment breaks. Start getting into good habits now and these things won't affect you. A glucose meter is cheap - less than $10 here - best way to monitor and def cheapest.
I was referring to the CGM ( the one that's sticks on your arm)
Apple about to eat their lunch with non-intrusive cgm on the watch
It still blows my mind that obesity just by itself, which is a chronic condition that causes a host of problems, isn't enough to get insurance coverage for things like this. Do I have to develop diabetes in order to start getting better?
40% of america is obese, this thing cost like 100-300 dollar per month. Thats a lot of money...
It's such a pain that it's so hard to get a CGM without a diabetes diagnosis in the US. I've been pre-diabetic three times now and nearly all my relatives are diabetic (Type 1 and Type 2). If my A1c goes up one more point, I can get a diabetes diagnosis and easier access to CGM. But, I really want to avoid this, and data from a CGM could help.
Live in US..Been using Abbott libre 2 for many months. Visited Uk recently and the last one I had went bad (as they do) although Abbott sells them there the same receiver/phone app does not work on one bought in Uk. It was super frustrating as I had to go back to finger sticking. Why oh why can’t my phone scan either purchases? Big draw back if you travel. I couldn’t buy a $400 receiver (absurd price) either as there are none to be had according to rep from Abbott I spoke to.
I think for a documentary, it fails to explain the basic introduction such as “Does user need to needle themselves every time putting the sensor on? Or does it have needle to stay inside the body for 24-7? Etc”
Yes, as far as I understand it you get a needle in your arm 24/7
@Machin Truc It's a small plastic tube that collects the blood sugar, although it doesn't directly sit inside a blood vessel. It's not a sharp needle sitting in your arm 24/7
I can only comment on the Abbot Freestyle Libre 2, but it only uses the needle to initially puncture your skin. The center of the needle is hollow and contains a filament. That filament is what stays inserted for the 2 weeks and it is what transmits the glucose measurement from your interstitial fluid to the electronics inside of the CGM. Even the mfr. of my particular CGM did not explain this and I was "terrified" that there would be a stiff metal needle in my arm for that 2-week period. It was not until I removed my first CGM that I discovered how everything truly works. The filament is kind of on the stiff side, but very flexible. It's almost like flat-ish fishing line. Looking at the hollow needle in the applicator still freaks me out, but I never feel anything when the spring of the applicator momentarily shoots it into my arm to insert the filament.
I have exercise hypoglycemia and I needed a CGM before I bonk in a marathon but only can be attained from a prescription. I don’t have diabetes but I know when I measure my blood glucose after a long 15 mile run, I see my glucose in a low level 40s.
Everyone should has that device to monitor the glucose level.
Dexcom is used for TD1, and on the other hand Libre is used for TD2 because of the price. Kaiser doesn't cover my CGM. If you're with TD2, you should avoid the stingy insurance.
Wasn't looking too deep in to how these devices are built, but I'd assume they are throw away after 14 days, instead of recharge battery, replace sensor and disinfect in home setting
Having 2 devices and 14 days to disinfect charge and replace parts is quite feasible
Drastically lowering cost for both sides of equation
I’m hoping we can start using CGM for gestational diabetes.
Why do you have to replace the CGM every 10-14 days? This should be something that doesn't need replacement!
Why is this something that would not need replacement? The way that cgm sensor works nowadays makes your suggestion not a viable option.
1. It’s battery powered, the simplest and cheapest way to manufacture is to have a built in battery that is not rechargeable.
2. Its directly inserted underneath your skin with a thin metal wire that measures your glucose level. Having this permanent would increase the risk of infection.
3. Generally it’s good to switch places as to where you are inserting the cgm sensor to ensure proper measurement.
The CGM needs replacing because for one thing, it contains chemicals that get used up. You are wearing a tiny laboratory on your arm. There's also a battery in there.
Sensonics has a 180 day sensor, currently working on FDA approval for 365 day sensor.
Your prices are waaaay off. The insurance company's are ripping us Non insulin users off BIG TIME.
I use libre 3 and I have to pay out of pocket.. I am lucky CVS sells me two senors for 84 dollars. They last me 4 weeks. The reason is the insurance company's say you have to be attached to a insulin pump before they pay for it..
I have today my CGM has saved my life.. I did not know my numbers was crashing at night while I slept. I was I the mid to low 40s.
Are you on insulin
A person without diabetes has a very tight sugar control loop, where the blood glucose is always kept within a tight window. Monitoring the blood sugar levels of an healthy individual make no sense and can't be of any real help.
In an healthy person, the item to monitor would be insulin levels, but there is no technology for this.
Instead, for diabetic people, the use of a CGM should be made mandatory. It change completely their life outlooks.
But, of course, CGM manufacturers will try to improve profits, not the public knowledge of the problems.
Only recently Abbott made the sugar level monitored continuously over Bluetooth; until few months ago, we had to make an NFC scan every time we needed the correct sugar level. Finally the hardware device and the Software Application have reached the necessary level of maturity, and now the National Health Systems of EU/UK countries must distribute the device to each diabetic person.
Merry Christmas,
I used to pay $35 for 2 monitors then after a year CVS/caremark requires prior authorization for me to get a cgm. Now I can’t get it at all.
I wonder why Pod (by Insulet) was not mentioned
They were talking about sensing devices and not pumps or injection devices in this episode.
I’ve been dealing with blood sugar stuff for a while, but unswt has made it so much easier to figure out what works for me. The AI sugar tracker shows me exactly how different foods affect my levels, and it’s been a game changer. If you’re looking for something easy and helpful, definitely give it a go!
I was prescribed many off label pharmaceuticals for bipolar disorder in my youth, many of which contributed to metabolic dysfunction. As a sufferer of ovarian cysts and low blood sugar anxiety and tendency towards elevated fasting blood glucose levels, I wish these companies would get health insurance companies to cover off label use of CGMs to help patients like me! I am aware treating diabetes and Alzheimer’s is a huge business, but could preventing diabetes and Alzheimer’s be a bigger business? Expand the market! Get the health insurance companies to pay for these for more people!!!
Food companies are terrified of this gaining mass market.
The Abbott and dexcom cgm is only good for 2 weeks max.been using Senseonics cgm that is accurate and lasts 6 months!!!
Noninvasive glucose monitoring gets over this 2 week maximum and will be much much cheaper. Google Know Labs glucose monitoring
Been using the Abbot FSL 2 for about a year now. I'm not sure what the definition of "accuracy" is in the medical world, but I do not consider the FSL 2 to be accurate as it rarely is close to the reading I get with a finger stick. I even noticed that I routinely get higher readings when the CGM is on my right arm, vs my left. I have had readings that vary by more than 20% when compared to a finger stick. I only find the CGM useful to see trends as the numbers themselves do not seem very usable as "data". Kind of alarming that someone might have their insulin pump using the CGM as a basis for when to automatically provide insulin if the CGM is not very accurate. Also, if you use your phone as the reader for the FSL 2, Abbot seems to be caught continually off-guard by iPhone software updates, almost as if they are not aware that there are beta versions of iOS to use for testing. They always put a notice on the screen that their software has not yet been tested with the new iOS updates, but they never notify you when they have been tested, if ever. For this reason alone, I can't wait for Apple to figure this out. I just hope there's a way to do it accurately.
Also, this report stated that one of the companies was going to add a test for ketones to their CGM because elevated ketones is a sign of ketoacidosis. While not exactly a false statement, it is only true when ketones are very high, and in the presence of very high glucose levels. I spend nearly 100% of my time in nutritional ketosis by avoiding carbohydrates. Doing this via a medically managed ketogenic diet has allowed me to reverse my T2D and remain off of all diabetes meds. The treatment was proposed, and paid for, by my health insurance company.
I use the freestyle Libre 3. It usually runs 20 points lower than finger sticks. That said, I’ve had finger sticks vary that much using the same finger within a minute of the last test.
The CGM helps me by showing me what food causes big spikes and what food doesn’t, so I eat healthier.
I think if this helps lower costs to diabetics by helping with economies of scale and the people who don't need to wear one 24/7 pay more than what someone with diabetes has to pay, let them in on the game and let that help real diabetics get lower costs, even if it's a discount program you have to apply for.
Just looking at the online pricing, a G6 sensor is $70-$94 (~$73.40 USD on Canada site) ish and a G6 transmitter is $176 ($212 USD on their Canada site) . The first thing they can do to bring costs down is to make the transmitter rechargeable, even if that only takes it from ~3 months to ~1 year, that would be ~$14.67/mo for the sensor vs the current ~$58.67/mo. If people are not hacking these to change the batteries or to charge them, you should. The sensors at ~$219.44/mo (~$7.32/day) are a bit nutty, It looks like every sensor comes with an applicator, finding a way to be able to reuse an applicator could see some costs being cut. I don't know the lifespan of something that probably has to have a needle in you, so I can't really speak to making that last longer.
It does look like they have a generic cash discount with Amazon Pharmacy to bring 3 G7 sensor/transmitter devices from $377.73 to 177.73 if your insurance won't cover it, but it's not as good as the estimated insurance cost of $47. It also looks like they have made the sensor and transmitter, so that kinda kills the idea of making them rechargeable.
We will never lose our focus keeping us rich and customers poor.
I want one that measures ketones.
Expansion of indications for prescription of CGM would also be welcome. I've had a reactive hypoglycemia diagnosis for years now, and you can bet I would rather know my blood sugar is getting too low before it really crashes and I get symptomatic. The technology is interesting, and I'd be happy to provide pilot data.
This should be scaled up for all people to have access to it
I had to pay out of pocket from a company using the Freestyle Libre so I could have this data. At $200/month, I was out of pocket because my type 2 diabetes wasn't bad enough for the VA to prescribe me a CGM. I'm glad these are available more and more because knowing how to analyze the data is crucial to the management of diabetes.
There's a lot of talk about profits from the companies in the interview. Glad to hear they are still able to make increasing profits off of a condition someone has to live with. Smh. It's still very difficult for those who have Diabetes to get their meds covered in the US by insurance...to stay alive.
If they made it so they didn't need a prescription, pre diabetics might use it to take care of themselves and then insulin manufacturers will lose a lot of potential customers.
Hence, they won't let it be available for prevention.
What must I do to get it to work. To inform me of my sugar count. Thanks I need all the help I can get. The phone is new to me, to which I do not know how to work😢😢 From Timothy or Plexy
can it monitor ketones too? esp for fasting effectiveness
just keep eating those carbs from the Standard American Diet, aka SAD. Even without having full blown diabetes, many of the diseases come from a carb dominant diet
I would not be shocked if Apple solved this problem and came out with a non-invasive CGM smart watch capability before 2030.
they have been working on it for 10 years and no where near completing it yet, if they do I will buy an apple watch and phone .
I'm a type 2 diabetic since last year and I've been constantly taking medications like Rybelsus and Glipizide to help manage Blood Sugar Levels.
Type 1 diabetics are dealing with a different beast
You don't need medications. Just cut down (or out) carbs in your diet. That plus CGM data is all you need.
@@warthog733 You're not a doctor, so I am not listening to you.
@@SoraFan23 Your prerogative (actually, I "am" a "doctor", just not an MD..PhD Chemistry....now retired).
They need to think beyond glucose. Create a device that can measure all kinds of blood chemistry. That’s how you survive when Apple takes over with their watch.
Glucose is where the money is.
@@rlendore65 the healthcare industry is where the money is. No one robs people as much as them.
That is exactly what Know Labs in doing. over 100 Analytes. Google Noninvasive glucose monitor 159 patents and number one ahead of all including Apple
For Type 2 diabetes early detection, they really need to push for more insulin level testing.
Ph of stomach in processing foods a factor in blood sugar readings? Have you tested different solutions on the blood meter, I’m sure other things besides sugar are being read.
I love mine, ground braking tec. Mine keep falling off UNTILL I started using.a product "skin prep" and it leaves a film behind that helps make the tag stay on better. And one other thing os the use of skin glue.
Thank you.
I don't get it. If it's only doctor prescribed, how are non-diabetics getting this? Thank you
Yeah, it’s the FDA and food industry fault - go look at the freaking amount of sugar they putting in drinks and process foods!! What a freaking scam food and pharmaceutical companies big money 💰
The least expensive I can find it is about $125/month. Medicare won't cover it because I dont yet meet the criteria.
Most important thing you can do is to stop eating processed sugar and perform intermittent fasting along with keto, exercise and lose weight: Don’t get Diabetes. Take control.
So why aren’t talking about more ways of preventing the issue for those of us that are borderline close to becoming diabetic. Discussing the financial “growth” perspective of the company making money from this is disconcerting to overall health care industry.
We should have the outlook of these companies one day extinct AFTER serving a purpose to humanity as whole
This report is disturbing and bleak to understanding how the future of is dark
The problem, as usual is the cost. In 2024, if on Medicare and not taking insulin, they are not covered by insurance and the cost is $200 to $300 per month. That's a pity because we're missing the opportunity to prevent insulin resistant people from progressing to full diabetes and the associated additional healthcare cost.
How much it costs to buy this device!?
How to order this
Amazing prise plz avelbe in pakistan yes or no
This product is undeniably great, but innovation in the field of blood sugar measurement is crucial. These companies should strive to discover new methods for testing, revolutionizing the way we monitor glucose levels. Constantly pushing the boundaries of technology will lead to even better solutions for managing diabetes and improving the lives of millions.
4: gold is not a good investment as it's more volatile and has more risk of not providing the required returns at the time of goal realisation.
Now we must make it accessible to all but as we all know greed kills more people than whisky
How do I use my phone to check my monitoring
Make a dual sensor for blood sugar and lactate. You will explode the fitness market.
Can you wear a continuous glucose monitor if you are allergic to metal?
One passing mention of Senseonics at 5:01? A 365 day implantable subcutaneous CGM up for FDA approval w a 180 day already available… thats the future baby!
Would you pay $1,000 each for Senseonics?
Don't underestimate the # of people who just don't do doctors, drugs, or waste money on health insurance. If you can sell your device so the customer doesn't have to go to an effing doctor you will sell a lot more. Some people want to improve their health through diet and exercise and a CGM can help with that. Of course then there will be fewer diabetic customers in the future.
The Abbot guy would do well to start using his own product.
hahaha, Miss a t. Abbot is a monk.
Affordability and insurance dont go together. They have an inverse correlation
Some day devices like the Apple Watch will be able to do this.
Actually Know Labs is way ahead of Apple building medical grade noninvasive glucose monitor
By that time diabetes will be cured hopefully.
Ever watch Martha Stewart’s food prep and recipes ? Sugar poison in every scoop and step. Just pray and hope your beta cells are working properly otherwise you are so screwed.
I am not one for devices and this and that. But if I could stick something on my arm and it could tell me my blood pressure heart rate blood sugar if I'm low on iron magnesium if you know there's something wrong with me that I don't realize like I would wear that!!!
One thing to note. I called the Freestyle Libre support for 2 failed sensors. I was immediately told never to use their device for deciding how much insulin to take. Even they admit it cant be trusted. I could get into the occasional failed sensor, or the fact that all your data gets sent to them, no way to opt out. Worse, the one part of the data their servers do not receive are the serial numbers and error codes. This forces you to use their buggy phone service to get the replacements. The won't automate this. But they do work when they work, thank god for having insurance on these devices with only a 20% co-pay.
In addition, it can be difficult to keep the sensor on past 8 or so days, often so after 10-11. Why is it that Bayer has a 10 day limit per sensor in Europe but they force those in North America to use them for 14 days per unit. Those last 4 days are why I have to keep 'Tegaderm' bandages in stock, sometimes it takes a 2nd one just to keep that sensor on the arm.
Correction. The best thing you can do to manage diabetes is to change your heating habits.
USA health care and insurance needs 3 months after check A1C and glucose . Medicare and medicade.