Tag Archives: allarmi

GNSentry, il lettore per FreeStyle Libre che non ti aspetti

Era nell’aria da tempo, complice la necessità di avere un Libre con letture continue e allarmi, e un dispositivo piccolo, leggero e facilmente portabile senza dover fare acrobazie e usare particolari accorgimenti per evitare distacchi, disconnessioni e configurazioni complesse.

Se Blucon e MiaoMiao giungevano da noi dopo un lungo viaggio intercontinentale, GNSentry è stato prodotto in Spagna, precisamente a Valencia, ed è acquistabile da qui per ora ad un prezzo di lancio. Insomma un lettore latino, pulsante e caldo, che dietro ha una storia di amicizia e impegno. Il progetto, messo a punto dopo un lavoro lungo e prove durate tre anni, è nato per aiutare un amico con una figlia affetta da diabete di Tipo 1. Tre amici, esperti nel campo dell’informatica, hanno provato e riprovato senza sosta, hanno cercato con tenacia la migliore soluzione per dotare Libre con allarmi e letture continue. Le versioni del “braccialetto” e della sua app sono cambiate nel tempo, per arrivare a quello che oggi sembra un leggero nido per far dormire Libre e genitori.

Confezione

Il lettore, spedito a DeeBee dal produttore per i test, arriva in fretta, in una scatola munita di sigillo. Buon segno!

Contenuto

Oltre al lettore, nella scatola troviamo un cavetto micro USB (ebbene sì, si ricarica mediante la classica presa), una graffetta per resettare, simile a quelle usate per togliere la SIM dagli smartphone, le istruzioni d’uso e tre fasce di diverse misure dotate di velcro.

Non servono adesivi (che sono a rischio di allergie), né gusci, tantomeno fasce aggiuntive. Il lettore ospita il sensore Libre al suo interno, riparandolo anche da urti e strappi. Ha un foro per il reset che serve almeno la prima volta dopo averlo caricato, pronto per metterlo in funzione.

Peso e dimensioni

Se a prima vista sembra più grande dei suoi predecessori, Blucon e MiaoMiao, messo a confronto, risulta essere non solo meno ingombrante, ma una soluzione molto più facile da portare, almeno sul braccio.

MiaoMiao con Kiwi e GNSentry a confronto

Ormai la leggerezza si gioca sui grammi.

Impermeabilità

Il dispositivo, con un bel nome complicato, ma da noi già battezzato “el gato“, sembrava sensibile all’acqua visto il normalissimo lo slot di ricarica.

Invece, oltre alla certificazione CE, ha anche quella IP67. Quindi  resistente all’acqua dolce a 1 metro di profondità per 30 minuti.

Compatibilità

L’app messa a punto dal team spagnolo è compatibile con quasi tutti i cellulari Android e iOS. Per ora, come d’altronde tutti i suoi concorrenti, il lettore dialoga con FreeStyle Libre, in attesa di decriptare Libre 2, per ora disponibile solo per alcuni pazienti in Germania.

Dopo averlo caricato cominciamo a provarlo, per ora solo ed esclusivamente con la sua app.

Non resta che darci appuntamento al prossimo articolo, con i primi test sul campo…

©Riproduzione riservata
Print Friendly, PDF & Email

Vuoi parlare con le migliaia di amici che hanno già sperimentato le soluzioni proposte su DeeBee.it? Vuoi fare qualche domanda su un argomento specifico per conoscere le opinioni ed i suggerimenti di chi ci è già passato? Vuoi suggerire tu qualcosa dicendo la tua?
Non devi fare altro che iscriverti nel gruppo Nightscout Italia ed otterrai risposta ad ogni tua domanda! Nel nostro gruppo affrontiamo ogni tematica inerente il diabete (non solo tecnologia ma anche leggi, sport, alimentazione, accettazione, gestione quotidiana, L104, ecc., sia per adulti che per bambini).
Enjoy!

Dexcom G6 vs Eversense XL vs Dexcom G5. Part one.

We tested the two Dexcom top sensors and the Eversense implantable sensor. That's what happened.

Author: Mario Migliarese

Saturday is always my favorite day, working week ended, the prospect of a Sunday with my family. Perfect day to start the test. It will certainly be challenging, it will take great attention and spirit of observation, but I’m sure it will be worth it. I’ll use my faithful Eversense, Dexcom G5 and the latest arrival at Dexcom’s house, the long-awaited G6, at the same time. I had a little initial hiccup with the apps because I’m running everything on the same mobile phone.

Here they are, all together after a daring trip, in Italy and beyond. Eversense, already implanted on July 24 remains obviously in the arm, and I put the other two “guests” on the abdomen. One on each side, so to have an identical site for both of them.

Inserting the G6 is dramatically easier. One click and it’s done. Too bad there is still an impressive amount of plastic to dispose of, nothing to do with the other sensors. It is not to be underestimated, because in my opinion preserving the environment is very important.

To avoid early detachments, given my very busy lifestyle and the fairly old Dexcom G5, I preferred to use a veil of Mastisol to increase grip.

At first glance the G6 will last longer. As it was designed, very close to the patch and not tilting like its brothers born earlier, you can hardly get caught in the clothes. I may be used to Eversense, which once removed the transmitter is as if it were not there, but I must be very careful not to take the two Dexcom away drying after a shower or during a game.

I’m amazed by the initial alignment of the three sensors, I can’t believe the very few points of difference between the different technologies. I may seem exaggerated, but it’s really exciting:

Eversense: 127
Dexcom G5: 121
Dexcom G6:116

The dance of glycemic values begins to change pace when (on purpose) I eat a cookie in the middle of the morning. And this screen says it all.

Eversense: predictive warning of hyperglycemia
Dexcom G5: oblique arrow on rise
Dexcom G6: stable arrow

Eversense is immediately reactive in perceiving the ascents and descents, the G5 follows it closely and the G6 more slowly. But we’re talking about a few minutes, not more. And I don’t know if this could also depend on the sites where I inserted the two Dexcom.

But also between the two sensors of the house Dexcom I see differences: the G5 tends to be more “ready” to climb, while in the descents happens the opposite. The newcomer is more ready.

I noticed that the two Dexcom hold the rod a bit higher than Eversense, the values are a few points away, but up.

Glucometer: 110
Eversense: 106 (deviation from the glucometer: -3,5 %)
Dexcom G5: 120 (deviation from the glucometer: +9,0 %)
Dexcom G6: 134 (deviation from the glucometer: +21,8 %)

Undoubtedly, the juiciest observations are those related to out-of-range blood sugar levels. It’s interesting to see what happens during hypoglycaemias. So, I specially made a slightly abundant bolus (don’t do it!). Here is the result:

Eversense: 66
Dexcom G5: 72
Dexcom G6: 66

Note: I have only calibrated Eversense and the Dexcom G5: seeing this precision is really amazing!

And if the blood sugar levels were acceptable during the day, on Saturday evening, thanks to a dinner with friends, a prolonged hyperglycemia put the whole system to a hard testing. I let you imagine a “singing” night between Dexcom alarms and Eversense vibrations. To preserve my nervous system, we decided to remove the alarms from the two different twins and have them followed at a distance by someone else on the DeeBee team. Sick common half jubilation? Was that the saying?

But I’ll talk about this sweet night concert in the next article…

©Riproduzione riservata

Print Friendly, PDF & Email

Vuoi parlare con le migliaia di amici che hanno già sperimentato le soluzioni proposte su DeeBee.it? Vuoi fare qualche domanda su un argomento specifico per conoscere le opinioni ed i suggerimenti di chi ci è già passato? Vuoi suggerire tu qualcosa dicendo la tua?
Non devi fare altro che iscriverti nel gruppo Nightscout Italia ed otterrai risposta ad ogni tua domanda! Nel nostro gruppo affrontiamo ogni tematica inerente il diabete (non solo tecnologia ma anche leggi, sport, alimentazione, accettazione, gestione quotidiana, L104, ecc., sia per adulti che per bambini).
Enjoy!

My first two weeks with Miao Miao and his app

This article has been translated with an automatic algorithm. We are looking for volunteers to translate our free services and articles into English. If you are interested, please contact us here: info@deebee.it.

I had the opportunity to have Miao Miao a few weeks ago and realized that in order to use it immediately I would have to learn… Chinese. A language not very close to mine. Being tough in nature, I did not pull back.

I couldn’t wait; I got stuck with impunity and I did! It took a few days before I could use the app with my iPhone. Apart from the language difficulty, which can be overcome as soon as the English version is released, the app is quite complex. But it is also complete and, in addition to the usual options, gives the possibility to exchange information and compare notes with other people who use it.

Day by day, I have understood more and more and my enthusiasm has increased. Within two weeks, I had my blood sugar readings every 5 minutes, there were no problems or disconnections. And that’s not all: blood sugar values were also transferred in parallel to Apple Health.

To my surprise I realized that after two weeks and a few hours of use, the remaining capacity of the battery was 60%!

The second FreeStyle Libre in CGM is being tested with my Samsung S4 mini with xDrip + (special). After 5 days and 4 hours, the battery still shows 80%.

If the communication between xDrip + and Miao Miao remains as good and stable as the original Chinese app, it will be a really wonderful thing! And I would be even happier if Miao Miao were integrated into Glimp!

Bruno Bolli

©Riproduzione riservata
Print Friendly, PDF & Email

Vuoi parlare con le migliaia di amici che hanno già sperimentato le soluzioni proposte su DeeBee.it? Vuoi fare qualche domanda su un argomento specifico per conoscere le opinioni ed i suggerimenti di chi ci è già passato? Vuoi suggerire tu qualcosa dicendo la tua?
Non devi fare altro che iscriverti nel gruppo Nightscout Italia ed otterrai risposta ad ogni tua domanda! Nel nostro gruppo affrontiamo ogni tematica inerente il diabete (non solo tecnologia ma anche leggi, sport, alimentazione, accettazione, gestione quotidiana, L104, ecc., sia per adulti che per bambini).
Enjoy!

Glimp for Web. From today also shared statistics with diabetes therapist and much more

This article has been translated with an automatic algorithm. We are looking for volunteers to translate our free services and articles into English. If you are interested, please contact us here: info@deebee.it.

Only two weeks have passed since our readers started using Glimp for Web, the latest project by DeeBee. it, the result of careful programming work that allows us to see the FreeStyle Libre sensor’s remote blood glucose in a completely new and extremely easy way. No complicated procedures, but a simple DropBox account and sensor values will be visible from any device.

The many suggestions and the great interest (more than 5000 accesses already made on the portal) have given a new boost to our accelerator. We have added new options and services, useful for both management and data sharing. Obviously, as always, the services are free and extremely simplified, in full DeeBee spirit.

Let’s see in detail what’s new!

Stats

A new button appears in the portal: statistics button. By pressing it, you access the dashboard that provides information about the patient’s blood sugar history.

Summary

The first information is shown on the summary table, which shows the most significant values: average blood glucose, median, percentages that indicate how long we have been in hypoglycemia and hyperglycaemia, standard deviation, and the inevitable glycemia estimated. All this, divided into three columns representing the short, medium and long term.

Distribution

The percentages that, remember, give us a relative representation of the period spent in the target, are then reported visually, through three cakes concerning the last week, the last month and the last quarter.

Percentages

Very useful for correcting both the basal bands (for microinfusions) and the boluses, they follow the three graphs that report the five significant percentiles: the band between 10° and 90° in light colour, the band between 25° and 75° darker and, finally, the demarcation line of the 50th percentile of blue colour. The closer and narrower the bands are, the more homogeneous the blood sugar management is with varying days; the more bands converge towards the blood sugar target, the better the management.

Sharing with diabetes therapist

With the new service, it is possible to share these statistics with your diabetologist: simply provide him with the user and password of his Glimp system (which is based on DropBox, of which we suggest the creation of an ad hoc user). In this case, the statistics will also be available to the doctor at the following address:

www.deebee.it/glimp?mode=stats

Variable range

If your therapy has different ranges, simply access the portal settings and change the hypoglycemia and hyperglycemia thresholds.

International unit of measurement

Given the increasing diffusion of DeeBee. it and Glimp, a final pleasant surprise concerns users from countries where blood glucose values expressed in milligrams per decilitre (mg/dL) are not used, as we do. Also among the settings, it is now possible to change the units of blood glucose measurement in millimoles per litre (mmol/L) which, let’s remember, is the one adopted by the International System and, as such, represents the reference standard worldwide. If mmol/L is selected, the statistics will also be redrawn in the new unit.

Future developments: translation (and the search for translators)

What will the future hold for us? Surely, the ability to view the portal of Glimp for Web also in other languages. We take advantage of this to remind you that on Deebee. it it is already possible to choose the language of view of our articles. To do this, simply choose the language from the side menu “drop-down” in the upper left corner. If you are reading from your smartphone, you can find the “curtain” scrolling towards the bottom.

Are you interested in joining us, helping us in translations? DeeBee. it is constantly looking for volunteers of any nationality who translate articles into their native language.

Please write to us at: info@deebee.it

#inaltoinostrismartwatch

©Riproduzione riservata
Print Friendly, PDF & Email

Vuoi parlare con le migliaia di amici che hanno già sperimentato le soluzioni proposte su DeeBee.it? Vuoi fare qualche domanda su un argomento specifico per conoscere le opinioni ed i suggerimenti di chi ci è già passato? Vuoi suggerire tu qualcosa dicendo la tua?
Non devi fare altro che iscriverti nel gruppo Nightscout Italia ed otterrai risposta ad ogni tua domanda! Nel nostro gruppo affrontiamo ogni tematica inerente il diabete (non solo tecnologia ma anche leggi, sport, alimentazione, accettazione, gestione quotidiana, L104, ecc., sia per adulti che per bambini).
Enjoy!