Eversense the 180-day Continuous Glucose Monitor (CGM)
ฝัง
- เผยแพร่เมื่อ 11 มิ.ย. 2024
- The implantable 180-day Eversense E3 CGM just recently got FDA approved and is now commercially available in the US, so I thought it would be fun to do a deep dive on it.
I’ll go over what makes Eversense unique, discuss some of the Eversense pros and cons and finally talk a bit about the costs of this system. And since I know you’ll ask, I’ll round off the video by answering the question I’ve been asked a lot lately, will or will I not try Eversense E3.
Since I haven’t used the product myself I asked Paul from @TypeOneOutdoors, who is a big fan of the Eversense CGM to share his experience, and I’ll include that in this video as well.
This is NOT a paid promotion, non of this content is endorsed by Ascensia Diabetes Care
00:00 Introduction
2:12 What is the 180-day Eversense (E3) CGM
5:20 Pros and cons of Eversense CGM
5:30 Pro #1 Eversense CGM 180-day wear time
6:08 Pro #2 Eversense CGM transmitter
8:17 Pro #3 Eversense CGM accuracy
9:04 Pro #4 Eversense CGM initial cost
9:40 Con #1 Eversense CGM insertions
11:03 Con #2 Eversense CGM timing inconvenience
11:37 Con #3 Eversense CGM 24-hour warm-up period and daily calibrations
12:09 Con #4 Eversense CGM pump or pen integration
14:12 Eversense E3 CGM Costs
16:20 Am I ready to try Eversense E3 CGM?
Where to find Paul
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DISCLAIMER: I’m not a medical professional, never stop your current treatment without consulting with your doctor
This is by far the best sensor! Also the most accurate! Would recommend this system anyone who’s active and wants more freedom!
So glad you like it 👏🏽
I think Paul did an awesome job! What's not to like - a fellow hiker and a T1D way cool. I have used Eversense on a week long backpacking trip and it worked like a charm! If Dexcom slipped off It would have been catastrophic but with Eversense no biggie just slip it back on in a second. I agree with the calibration but when I was on Dexcom since it wasn't as accurate I calibrated several times a day to make sure my Dexcom reading was good anyway. Now all insurance companies cover it and the 365 day will be out soon with only 1 calibration per week what's not to love?
Thank you for this video. Very informative. You gave me all the up,s, and down. Thanks.
Glad it was helpful!
Thanks for the information. 💜
I imagine that this would be the best cgm for veterinary use with cats and dogs. I would want to get this when they eventually come out with the 1 year version, mainly because I hate adhesive and would want to wear the transmitter with an armband. Also nice to take it off for showers and swimming
Yeah, I see being able to take it off at any time as an upside as well. And a 1-year version would be interesting
Thanks for another informative video!
You’re welcome, thank you for watching
Thank you for the valuable information.
Glad it was helpful!
Thanks for this useful information, hopefully it will be ok in airports when body scanned, technology gets better then hopefully cheaper, many thanks lovely lady,
Sounds interesting...I'd try it!
Thank you for the indepth comparison.
Good information, thanks. My question is can you strength train with the sensor implanted? Once it heals obviously, but other than that is that okay or is it going to affect how it works? My other observation would be since I currently stick my finger 6 to 8 times a day anyway, going down to once or twice a day is going to be a treat. It's all in your perspective. Thank you to both of you for a really informative video.
Yes, resistance training is not an issue once it's healed. And you're right, all in the perspective
With the dexcom and freestyle Libre you don’t have to stick yourself at all unless you have to just check accuracy
I would love to get this!
Thanks for the video, it did answer most of my questions. The challenge that brought me looking for more information is probably not unique to me. I have the Dexcom G6, and when it works it's awesome, but the when it works part is part of my problem. Out of a 3 pack of sensors one of those is guaranteed to fail for unknown reasons halfway through it's life, and out of the remaining 2 there is a very high chance of it getting knocked or ripped off, or if I'm in a hurry putting it on because I'm late I forget to remove the paper backing and waste the sensor. Which leaves me with one good sensor a month, and I have to pay out of pocket for replacements since Insurance currently only covers 1 pack of sensors and 1 transmitter a year. The other problem I have is accuracy, since the beginning the Dexcom is notoriously been inaccurate. For the first 2-3 days of a new sensor I need to calibrate 4 times a day and then once a day thereafter to maintain the accuracy. My medication is on a sliding scale so I need the readings to be as precise as possible. If the price is about the same as what I'm spending now, then the only challenge is the health care professional to do the insertion which may or may not be difficult. My last question is about reliability, for any of those who have the Eversense or know someone who does, what is the failure rate of the sensors/transmitters? Is there a refund/replace policy for failed sensors?
I've been on Eversense for a couple of years and have also tried dexcom and I think Eversence is by far superior not only the environmental waste that every 14-day plunger which is ridiculous but the accuracy and reliability of the Eversence E3 180 is off the charts in my opinion I can take it off and put it back on without costing me one penny as much as I want The only one that you can do that with and now all insurance companies as far as I know it do cover it and it also has an on-body alarm which again is the only sensor in the world that has that feel free to ask me any other questions if you like GL
@@KrackerJack5586 I haven’t heard a word about the failure rate. I too had so many problems with the G7 staying on regardless of where I insert it. Currently on vacation and brought 3 with me for 14 days. Have one left 😒 Do you have problems with it failing and if so, what do you do?
That having to calibrate every day isn’t something I’m going to remember to do, unless it reminds you. I was bad at remembering to check it daily and before meals except when I was pregnant, but I decided to used a CGM to get away from having to do so many finger sticks.
As someone who hs been doing a minimum of 8-10 fingersticks a day since 1981 of need for daily fingerstick calibration is no problem. What is a problem is the potential for sensor malfunction! If i had a dollar for every Libre 2 sensor that hs failed me I'd be rich. At $300 a procedure to replace a faulty sensor I'd be broke!
That’s an interesting question. I wonder if they’d pick up the doctor bill if a sensor fails. And I don’t know the answer to that
They even plan on having once a week finger stick calibration with their future sensors
@@205.BRABUS Bro I think me and you are on Stocktwits together 😂😂😂
@@j2ruflipr lmaooo yup that’s me on there😅💪
Libre piece of pure garbage so is their c service, found g6 dexcom much more reliable. Im still on the hunt for an infra red sensors. Willing to invest commercially.
How is marked so accurate if it relies on calibration from less accurate pin prick method daily
The thing I like most about my dexcom is that I don’t have to wear it on my arm. In my line of work, I find it was getting bumped a lot and I was always worried about it getting pulled off. After switching it to my stomach I’ve noticed it really stays put. I also can’t imagine having to calibrate so much. Right now I calibrate my dexcom twice per sensor. I also feel like dexcom is very easy to insert with no pain. I would be curious about how much pain is felt after inserting the e3 as it’s healing
I don’t believe there’ll be pain after it’s healed, unless it gets infected of course. And I agree that it’s nice to be able to place Dexcom where I want. I have seen another Eversense user who gets the sensor inserted in other places than the arm, so I guess if the medical professional doing the insertion is up for it, you can have it placed on your torso as well
Their future sensors plan on having calibration once per week.
Eversense really has No pain as a topical anesthetic Lidocaine 10% (cream) is placed on the skin to numb the skin.
But everyone is different (insertion should not hurt).
I am a Registered Nurse of 38 years.
I love my Dexcom because I rarely have to calibrate it and don't have to go see a trained doctor to deploy the sensor for me. Plus it is not as invasive.
Gotta go replace my senaor!!!!!
Will the Eversense E3 send an update every 5 or 10 min. to my Samsung phone (or an iPhone), or an iWatch? That would be very important to me.
Yes, every 5 minutes to either phone or watch
I was told by Eversense that you have to get updates on their website but that was quite some time ago.
Best CGM! 🙌
I like that there is a lot less plastic waste than with both Dexcom and Libre. But I am not ready to switch yet either.
That’s an excellent point!
The company never called me back when I contacted them about the Eversense CGM. I gave them my personal info and I never heard back from them. The one thing that needs to be asked is, does the sensor implant get damaged by going through security scanners like the ones at the airport? the Libre sensor gets damaged by X-Rays and security scanners.
Excellent question. Also if the sensor cannot be worn during a MRI session?
Ok, frustrating you haven’t heard back… I wonder if they’re being flooded with requests. Let us know if they end up reaching out (I’m just being nosy 🙃). I found this language on their website about airport scanners: It is safe for you to wear your sensor and smart transmitter when you go through metal detectors at airports. While flying, the smart transmitter performs similarly to any other Bluetooth® device. Be sure to follow the specific safety guidelines mandated by the airline.
I also found this paragraph on the Eversense website about MRI:
Non-clinical testing has demonstrated the Eversense® E3 Sensor is MR Conditional. A patient with this device can be safely scanned in an MR system meeting the following conditions:
Static magnetic field of 1.5T or 3.0T
Maximum spatial field gradient of 2000 gauss/cm (20 T/m).
Maximum MR system reported, whole body averaged specific absorption rate (SAR) of 4 W/kg (First Level Controlled Operating Mode).
@@DiabetesStrong I would suggest then contacting the MRI testing facility before having this implanted for those of us that have this procedure done on a regular basis. These things don't come to mind until one is asked before having the procedure done which could affect a treatment decision. Thanks for doing the research. One thing I find annoying is that medical device providers frequently don't test these devices for X-rays (i.e.airport security) when it has been standard procedure since 2001!
@@dwightl5863 agreed! On both things you mention. At least this one is cleared for metal detectors
wish there were one that mesures temperature as well and gps and it tells if you are pregnant but i'll have this one
And what about scar tissue build up after 20 - 30 years.
Good question. Since it hasn’t been on the market that long that is something we’ll learn down the road I guess
That is a very costly procedure for the insertion and removal. Here in the Netherlands it costs a little less than 100 euros to insert the sensor.
I think the total cost here will depend on the type of insurance people have. My guess is that some will be able to get it at that cost here as well
That's the United States Healthcare System for you. Everything is exorbitantly expensive and can even vary from state to state...
I wonder if you'd have to carry a medical card or something of information when being scanned going through an airport that's funny as it may sound since it may or may not be cleared for certain MRI machines
Since it's safe for MRI (as long as you take off the transmitter) I don't think so, but I don't know
I like it for following reasons 10 min daily charge on transmitter, accuracy, removable and if bumped just stick it back on & vibrate on arm with notifications or alarms. here's where you lost me cost even with insurance you don't want to have to pull out a second mortgage for a CGM device. Cost to insert and cost to remove. So if I'm thinking right going to have to set two appointments one for inserting and one for removal. Because you don't want to remove a sensor until you get the other one working which is going to take 3 to 5 days to heal. Or you would be going 3 to 5 days without a sensor so in your one-armed woman constantly be monitoring and then when the other sensor has healed then you can have the other sensor removed plus finding a doctor to perform procedures, possible infection and scaring I don't want to look like a drug user who shoots up and daily calibration. if you have a sensor failure within 180 days you could be paying more money from your budget because you're going to have to be paying for another sensor and the two procedures. I am neutral on 3-5 days to heal time. At this time I would not entertain this system
The way I scar, that would be a no for me, unless the VA switches away from the Libre systems. I'm about to transfer from the 14 day, to the Libre 2.
I hear you. Hope you’ll like the Libre 2
@Engelbert Humperdinck do you have personal experience with this, or any VA hospital? If you don't, I wouldn't be so very quick to smear the medical care that they're providing to tens of thousands of veterans in the greater Cincinnati area! The vast majority of caregivers, doctors, nurses, healthcare technicians across all the many departments go out of their way to give their very best to every veteran in their care! I say this having been treated in a number of VA hospitals and outpatient facilities.
While I'll admit that the care I've received in some of them wasn't very good, that was usually the fault of 1 doctor, but sometimes it was a administration problem.
I've received lifesaving medical care numerous times at different VA hospitals, and I honestly wouldn't be alive today except for that excellent medical care!
Are you even aware of the incredible medical research being done in some of the VA facilities across the country? They're leading the nation in the care of people who have spinal cord disfunction, no matter if it's from disease or injury. They're also leading the way in research for the care of traumatic brain injuries.
Medical school students and interns are seeing, and treating veterans with such a wide variety of medical issues, a variety that they'd seldom see in most civilian hospital rotations.
Yes, the VA health care system, the largest health care system in the country, isn't perfect. Then again, there are a number of civilian hospitals who've had some serious problems, everything from malpractice, to personnel issues, and staff shortages.
No system is perfect. At least the VA is trying very hard to correct the problems when they come up.
@Engelbert Humperdinck in other words, no, you don't have personal experience with the VA health care system! As for being able to sue for malpractice, that's not accurate, military personal and veterans can sue for malpractice. BTW, it sounds like you're bringing up cases that happened in the military health care system in response to my question to you about if you have personal experience with the Cincinnati, or any other VA health care system. It would appear that you're ducking my question.
BTW, just for the record, the ability to sue military physicians changed back in the late 80's. I don't remember the actual year, but I know it did, a couple years after I left the service, due to my service connected injury.
@Engelbert Humperdinck you're still dodging my question. I'm sick and tired of people who've no connection with the VA system, as a patient, or immediate family of such a veteran trashing the VA!!! You're not out to help make it a better system, just to trash it.
Yes, mistakes have been made, but once again, show me another large health care system that hasn't at some point had such issues. As for USA Today, and other such news sources, they make big money with their sensational headlines, as the saying goes "if it bleeds, it leads".
Now, since you've already proven my point, with your refusal to answer my 1 direct question to you, I'm done with this conversation.
I will no longer feed the troll.
That is "Too rich for my blood", as goes the cliché!
😮
Like I mentioned in my earlier comment I am looking forward to infrared technology especially the Apple Watch 7 series.
It’s about 700 usd. Anybody has any news about these infra red watches, they claim to be more accurate than cam technology.
The Apple Watch 7 series only measures heart rate, even the blood pressure feature isn't expected until 2024. I don't know if they have a promised date for potential blood sugar measurements
One sensor six months, how exciting...... specially when you find out the price.
I just found out about this. Why don't more people know about this? It's like a secret.
Yeah, it’s not as widely used as the other CGMs
probably because most people dont want an incision 2 to 3 times a year that could cause bigger problems. i definitely would never opt for this. too brutal.
Why would i want to do so many calibrations? The whole point of using a CGM is to avoid the finger pricking!!
I hear you
Not sure it’s worth getting at this time since COVID is on the rise and sounds too invasive . And what if you have an issue you have to get it surgically removed 😦 we will see how this product progresses
Yeah, I find that the need to have access to a medical professional is a little problematic as well
The product was made about 10 yrs ago, they have Medicare approval, a little more accurate than Dexcom, but I hate Dexcom. Do you get teeth cleaned? Do you go to stores for shopping? Those are were you have a better chance of getting Covid.
At 4:10 I was instantly a not for me kind of thing. Ill stick with my dexcom!
Too much speed bumps on the road I will just stick to my current system.
I like it because it will go to higher temperatures than Dexcom, my Dexcom broke within 3 days here, unusable. But Eversence Does not service my small city(300,000) no one is here to insert it. I am a brittle diabetic. Dexcom had sent me a sensor they had used on someone else. I hate Dexcom. this I can take off and leave in the house. Wanted to use a watch instead of a cell phone, they use the most expensive watches possible.
I wouldn't either . But it's still an expensive option for those who are NOT diabetic YET since Insurance won't cover it. But , we can hope that this technology will be easier and more universally available in the future. After all , the DIABETES money machine needs to be fed !
Fortunately in EU and Italy all of this us free, I have my free style 1 and I am happy with it, even is not the 2 or 3 model. I hate to kill my finger, so for me, no way, I don't calibrate nothing, it means us not for me this product and insert like that, is not my best solution for me, so, a big no, I don't want to try it.. There are readers laser removed because big Pharma cannot to charge and get money if we use those, it is proved.. Need to sale often new products, the laser reader is once, this is why is vanished.. Business.. Thanks for the video 📹 but for me, I stay with what I have for free, and no insurance by the way, the government pay it fir me here in Italy 😊
Glad to hear your happy with your Libre and getting that you don’t have to pay for it (!)
It’s only that accurate because you have to calibrate a.k.a. do fingersticks multiple times a day every day at least with the Dexcom and the freestyle. You only have to calibrate if your readings don’t feel correct. Not just that to have to be cut every six months for those to be inserted as everyone knows diabetics do not heal all that great so with being cut open, no matter how big or how small the area is you are now susceptible to infection.
Way to much trouble and way too expensive.
I know what you mean
No way. Way too expensive, chance of infection is too risky too often. And MORE doctor appts. And MORE finger sticks. No thank you. This is for someone rich. IMHO
Fair points, and as you know I’m not up for more finger sticks either
Dexcom is more expensive than this. Only 2 sensors per year and soon to be just 1 with their next sensor. As well as once a week calibration in the future too.
Talk about this comment every 14 days then tell us how you feel .
24 HOUR WARM UP??? That alone isn't worth it. I'm out.
This system blows