FLATLINERS CLUB

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FLATLINERS CLUB

A club to share your successful and not so successful trends (graphs) from your CGM or Glucose Meters....

Members: 230
Latest Activity: 9 hours ago

The most elite Diabetes club on the net ;)

Below you will find FIVE different discussions to chose from to post your trends (Please do not post them on the main page)....

 

1. Flatline 12-24 hours (trends that you are proud to share).

 

2. Flatline 1-11 hours (trends that you are proud to share)

 

3. Rocky Mountains (low and high blood sugar peaks).- Days where we have very low blood sugars and the highest of high blood sugar peaks.

 

4. Rollercoaster- "lines that aren't flatlines, but aren't exactly Himalayas/Rocky mountains either" this is the in between area

 

5. What in the World? This is the area for those things that just are'nt right with your CgM trends.

 

Post your trends, don't be bashful. There's not many things better in a diabetics life than discussing glucose trends (good or bad) with other diabetics. Remember, the bottom line is this group is for support, not in anyway a competition.

 

 


Diabetes Forum

12-24 Hour Flatline

Started by Danny. Last reply by Kim S. (onesaint) Jan 1. 2188 Replies

The below 24 hr trend is from Nate, a 15 year old type 1 Diabetic... with a little help from his mom Emily, they are achieving some of the most inspiring trends to date. A 15 year old producing 24 hr Flatlines??? wow! Need I say more?"WOW, a little…Continue

1-11 Hour Flatline

Started by Danny. Last reply by Terry May 29, 2014. 546 Replies

Kate, AKA Queen of the 1-11 hour Flatline area strikes again. She has managed to pull off a perfectly level 3 hour Flatline this time.... not an easy task to achieve. Good morning Sunshine indeed!Reply by Kate on May 24, 2011 at 4:44am"Good Morning,…Continue

Rocky Mountains (low valleys and HIGH peaks)

Started by Danny. Last reply by Terry May 18, 2014. 652 Replies

70-140 Range 11/14/2010 I had friends and family over and went a little crazy. I'm human! Does it look more like the Himalayas or Rocky Mountains? Hmm..  Post your not so flatline (low and high peaks) like photo's within this discussion. I…Continue

Rollercoasters

Started by FHS. Last reply by Aitrus72 Mar 3. 492 Replies

So, there has to be a category for lines that aren't flatlines, but aren't exactly Himalayas either. I thought, maybe, Appalachians, but I'm not sure if I'm even spelling the word correctly. How about just, 'Rollecoasters". Here's my attempt to…Continue

What in the world??

Started by Kim S. (onesaint). Last reply by Terry Jun 5, 2014. 153 Replies

This is the area for those things that just are'nt right. For instance from yesterday to today my Dexcom sensor has been off. If I fingerstick 100 the Dex says 180, if Im 150 the Dex says 260! So, the PG expression is "what in the world?" Normally,…Continue

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Comment by Terry on November 21, 2014 at 10:21am

A pleasant overnight surprise

This line runs from 8:23 p.m. last evening to 7:48 a.m. today, an 11 hour and 25 minute stretch. The blood glucose ranged from 75-100 mg/dl (4.2-5.6 mmol/L).

I had a dinner of scrambled eggs and tomatoes about 6:00 p.m. yesterday and gave myself an immediate insulin dose of 1.75 units to cover the carbs and 1.5 units over 1.5 hours to metabolize the protein and fat. I also gave myself 2 units of insulin to account for my dessert of a chocolate covered macadamia nut.

I walked from 7:00-7:30 p.m. Interestingly, I also changed my infusion site at 9:30 p.m., something I ordinarily avoid so close to bedtime. I placed this site on my side/back above the belt, an unused area for me. I wonder how much of a role that fresh site played in my overnight control.

I've been making increases to my overnight basal rates over the last few weeks. I think I've found the right combination for now. How long will it last this time?

I don't see this every night, of course, but I like to celebrate the victories when they occur!

Comment by Terry on November 10, 2014 at 1:15pm

Ralph - Impressive 11/4 flatline! Your 4.4-6 mmol/L (77-108 mg/dl) target is narrower than my 65-140 mg/dl (3.6-7.8 mmol/L), an ambitious goal.

Your Libre ambulatory glucose profile (AGP) is illuminating. One of the reasons that I'm interested in the Libre is due to its integrated AGP report. It's one of the best ways, I think, to display data and make it actionable. Your median is within your tight target. Your 25th percentile, however, crosses your lower 4.3 mmol/L threshold between midnight and 3:00 a.m. That indicates a marked risk of hypoglycemia during those hours, if my understanding is correct. Do you have any plans to modify your basal rates leading up to this 12-3 a.m. period?

Your control on the upper limit is very good since you've set that threshold relatively low.

Thanks for posting the AGP report. I think this report has the potential to help clinicians as well as patients understand blood glucose trends and being able to see the bigger picture.

Keep up the great work!

Are you aware of any way for someone like me to buy a Libre system. Abbott UK has blocked internet access from IP addresses outside of the UK. Did your doctor have to prescribe it? How did you order it? Online or via the phone?

Comment by Ralph on November 8, 2014 at 2:03am

The Libre is fantastic in every aspect - except accuracy at present (which is of course the most important thing). Would be much easier to use than the Nav or fingersticks but on evidence of this first sensor it won't be able to replace them as tho the trend can be helpful, it is not reliable enough to tell me my blood sugar. Still, it is early days yet! Here is another report which seems to average all the days readings and put error limits on - a nice way of smoothing out the bad days to show an average!
Best wishes, R

Comment by Ralph on November 8, 2014 at 1:45am

So agree with Terry re the hard work and the personal delight in getting a flat line. Further to my comment below, I managed to get a Libre. It is much easier to use than the Nav but against this you can't calibrate it and my sensor seems to run between 0.5 (9mg/dl) and 1.3 (24 mg/dl) higher than my Accuchek. (Pretty unusual as all Abbott meters tend to read lower than the Accuchek which I felt (on no evidence just my supposition) was to try and prevent hypos when using the Nav etc). Early days yet so I don't know if it is the sensor or what but it does make the system inaccurate as I don't know whether to take away 9 or 24 mg/dl from my reading so am finger sticking as much as normal to cross check!
They have sorted data output tho - great software that just charts immediately (I could not do this with the Nav hence my posts were photos of the NAv screen!). Anyhow here is an early pic

Comment by Terry on November 5, 2014 at 11:42am
Thanks, Clare. By the way, this Dex sensor is finishing day 14 and looks like it's got some life left.
Comment by Clare on November 5, 2014 at 9:58am

No reason not to pat yourself on the back with lines like that Terry. Congratulations, I think we all realize the amount of work that goes into getting a nice smooth line. It's nice to see all the hard work pay off.

Comment by Terry on November 5, 2014 at 9:34am

Lines like this fuel my long game

The relentlessness of diabetes can really get us down. It never ends, no matter how well you do today, tomorrow you have to earn it again. So many things can erode our blood glucose performance: a degrading absorption from an infusion site, a missed insulin dose, an insulin miscalculation on a dinner out. The list goes on and on and on ...

There are a hundred reasons why our BGs range out of control. That's why I take pleasure in a day like yesterday. I met the balancing act challenge and rode a very good line for 24 hours. It wasn't perfect; it started out a little high due to over-treatment of a low near bedtime the night before. But overall, I take this as a victory.

We all struggle with maintaining our motivation to continue the fight, day after day after day. The thing that I've discovered that motivated me the most is success. It's human nature, we all like to win! I need days like yesterday to give me the ongoing drive to keep on keeping on. I don't enjoy this kind of line every day; I have bad and volatile BG days, too. That's why I need to savor the success when it happens. It gets me through the tough days.

I don't post here to massage my ego; I hope that others can see this and realize that they may be able to do this, too. That's what inspired me over two years ago when I discovered this little corner of the diabetes online community. I'm hoping we can make this a more active corner of the DOC!

Summary

Time in range: 98% (Goal: >= 80%, 65 mg/dl - 140 mg/dl))

Time low: 1% (Goal <= 5%)

Average: 100 mg/dl (Goal <= 110 mg/dl)

Standard Deviation: 20 (Goal <= 30)

Blood glucose range: 62-144 mg/dl

Comment by Terry on November 3, 2014 at 5:04pm

Overnight 8 hour 45 minutes, a good night's sleep

This line ranged from 101 to 121 mg/dl, from 9:19 p.m. to 6:04 a.m. I've been having trouble with this overnight segment and recently bumped my after-midnight basal rates up by 0.1 units/hour.

Now my challenge is to see if I can reproduce this tonight.

I've observed before that once I can get into a good groove like this, providing I don't make any drastic food or exercise changes, it tends to be "sticky.". I think the metabolism likes to repeat recent history.

Comment by Terry on October 28, 2014 at 11:00am

Ralph - I'm a big fan of the Abbott Freestyle Libre, the flash glucose monitoring system. I'd love to get the kit but Abbott has placed some significant roadblocks for people like me, in the US, to acquire it.

I see it as a great replacement to fingerstick meters. It does not, however, replace CGM technology since it lacks the critical alarm function.

Comment by Ralph on October 27, 2014 at 1:07pm

Oh wow, further to the comment below re Navigator not being available in USA, I have just seen Abbott's latest! See http://www.freestylelibre.co.uk/ or Google Freestyle Libre. Fantastic / unbelieveable!

 

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