Latest / The Healthy Diabetic / #390: Is the Dexcom G7 Getting Less Accurate — Or Is It Just Me?

Transcript

#390: Is the Dexcom G7 Getting Less Accurate — Or Is It Just Me? · The Healthy Diabetic

0:15
SPEAKER_00: Welcome back.
0:16
SPEAKER_00: This is episode number three hundred and ninety of the Healthy Diabetic Podcast.
0:22
SPEAKER_00: I'm Coach Ken.
0:23
SPEAKER_00: Joining me as always is my good partner and diabetic friend and partner in crime, Graham Hubbard.
0:30
SPEAKER_00: If you don't know much about our story, we are two type ones with almost, or I I mean, actually, yeah, we've talked about this before, more than 50 years of diabetes lived experience.
0:41
SPEAKER_00: And we hope to empower you to think differently about how you are managing this condition.
0:47
SPEAKER_00: As always, before we get started, please remember that nothing that you hear on this podcast should be sort of medical advice or otherwise.
0:52
SPEAKER_00: Please always consult your medical team before making any changes to your diabetes management.
0:59
SPEAKER_00: Okay.
0:59
SPEAKER_00: I got Graham back on the show.
1:01
SPEAKER_00: Graham, welcome back.
1:02
SPEAKER_00: As always, Graham comes on two days a week.
1:05
SPEAKER_00: I'm excited about it.
1:07
SPEAKER_00: And yeah, these are always great conversations.
1:09
SPEAKER_00: So what's up, man?
1:10
SPEAKER_00: How are you doing?
1:11
SPEAKER_02: Reporting live from where am I?
1:13
SPEAKER_00: Are you in Florida?
1:13
SPEAKER_00: Are you at your house?
1:14
SPEAKER_00: Are you in Florida?
1:15
SPEAKER_02: Why that matters?
1:15
SPEAKER_02: Do you know why that matters?
1:17
SPEAKER_00: I don't.
1:18
SPEAKER_00: Why does that even matter?
1:19
SPEAKER_02: Because I'm going to watch our Cleveland Guardians take on the Tampa Bay Rays tonight in game one of the ALCS babies.
1:33
SPEAKER_02: That's all as we as soon as we wrap up.
1:36
SPEAKER_02: That's what I'm doing.
1:37
SPEAKER_02: Headed out to Tampa, boy.
1:39
SPEAKER_00: Yeah.
1:40
SPEAKER_00: How long does it get to Tampa from Orlando?
1:42
SPEAKER_02: It's dude, as the crow as the crow flies, it shouldn't take you an hour, but with traffic, it's more like an hour and a half to two hours sometimes.
1:52
SPEAKER_00: Yeah.
1:52
SPEAKER_00: What time's the game start?
1:54
SPEAKER_00: Huh?
1:54
SPEAKER_00: What time's the game start?
1:56
SPEAKER_00: Eight o'clock.
1:57
SPEAKER_00: You're going out there early.
1:58
SPEAKER_00: Are you staying out there then?
2:00
SPEAKER_02: We have.
2:00
SPEAKER_02: No, no, no, no, no.
2:01
SPEAKER_02: No.
2:02
SPEAKER_02: Dude, I've gone to hockey games.
2:05
SPEAKER_02: I've been to bowl games at Raymond James where the Buccaneers playing like concerts.
2:13
SPEAKER_02: So we actually we went down to Miami on Saturday night and saw Ricky Martin.
2:18
SPEAKER_02: Like we did a down and back.
2:20
SPEAKER_00: Wow.
2:21
SPEAKER_00: That's a name of from the past.
2:23
SPEAKER_00: Ricky Martin.
2:25
SPEAKER_02: We are all Puerto Rican and Latino.
2:27
SPEAKER_02: So it was.
2:28
SPEAKER_02: No, yeah, yeah, yeah.
2:28
SPEAKER_00: I'm just saying that I haven't heard Ricky Martin in a long time.
2:32
SPEAKER_00: Like he was like huge when I was growing up.
2:35
SPEAKER_02: So yeah, I was pretty much I was invited to Ricky, but I had like he's to me he's like a legend.
2:42
SPEAKER_02: I wanted to see him, but it was very good, but I had the little the little phone watching the watching the uh Guardians White Sox game because that was Saturday night, man.
2:54
SPEAKER_02: We were down 0-2, came back, and then it's they go up like 2-0 in the this is game five of five, and it was just it just sat there, and oh my god, it was nerve-wracking.
3:06
SPEAKER_02: So yeah, by the time Ricky Martin concluded and I got back to the hotel and the craziness of all that, I think I maybe slept like two or three hours on on Saturday night into Sunday.
3:20
SPEAKER_02: And if you if you could believe it, my nine-year-old daughter was the one like, are we going?
3:26
SPEAKER_02: Are we going?
3:28
SPEAKER_02: So I'm taking a nine-year, yeah.
3:29
SPEAKER_02: So I'm taking a nine-year-old to the ALCS.
3:32
SPEAKER_02: Game under the ALCS.
3:33
SPEAKER_00: Is it just the two of you or is is your wife?
3:35
SPEAKER_02: Yeah, my wife happened, she's on a business trip.
3:38
SPEAKER_02: So there's like a neighbor, I already got the neighbor coming over to let the dogs out and stuff.
3:42
SPEAKER_02: But yes, to answer your question, it's pretty much about an hour both ways.
3:46
SPEAKER_02: So, like, you know, if I'm in Orlando, Daytona would be to the east, and like Tampa would be to the west.
3:52
SPEAKER_02: And it's about like a reach.
3:54
SPEAKER_02: So um, yeah.
3:56
SPEAKER_00: So you guys aren't staying in Tampa tonight after the Ginyu drive back.
3:59
SPEAKER_02: No, dude, you know, and it's game one, like you know, it's not like anything's gonna happen.
4:04
SPEAKER_02: It's more for the experience.
4:05
SPEAKER_02: Like, if we I mean, but game one is game one, man.
4:08
SPEAKER_00: This is a yeah, this is a good thing.
4:10
SPEAKER_02: I just feel like if it's if it's what I expect it to be, Tampa has had rest.
4:15
SPEAKER_02: Tampa's the better team.
4:18
SPEAKER_02: I I think by the seventh in a stretch, and they put the closers in by the eighth, like my daughter doesn't really care, but whatever.
4:25
SPEAKER_02: We're getting long-winded, but yeah, it's exciting.
4:28
SPEAKER_02: And I'm one of these people.
4:29
SPEAKER_02: I try to do like these bucket, like I call this a bucket list item for me for sure.
4:33
SPEAKER_02: Um so yeah, should be fun, man.
4:36
SPEAKER_00: For sure.
4:36
SPEAKER_00: MLB playoffs, especially ALS, yeah.
4:39
SPEAKER_00: That's that is tickets aren't that bad either, dude.
4:41
SPEAKER_02: You could you could have gotten you could have spent a hundred bucks per person on tickets and gone to this.
4:46
SPEAKER_00: Oh, that's not that's not bad at all.
4:48
SPEAKER_02: No, dude.
4:48
SPEAKER_02: That's yeah, so that's crazy.
4:50
SPEAKER_00: I'm surprised that they're that cheap.
4:52
SPEAKER_02: So yeah, should be fun.
4:55
SPEAKER_02: Should be fun.
4:56
SPEAKER_02: How about you?
4:57
SPEAKER_02: How was the weekend?
4:58
SPEAKER_00: Weekend was good.
4:59
SPEAKER_00: I got a lot of rest and sleep from just being off and on sick, really, you know, off and on sick the last week or so, last two weeks.
5:08
SPEAKER_00: So felt good to get some sleep, felt good to hang out.
5:11
SPEAKER_00: We're going to Cedar Point this weekend for Hollow Weekend, so that'd be fun.
5:16
SPEAKER_00: I've never been to Hollow Weekend, like actual Hollow Weekend.
5:19
SPEAKER_00: So that'll be fun on Saturday to go up there in the evening, stay at stay at Kelly's parents Friday, Saturday night, come back Sunday afternoon.
5:27
SPEAKER_00: So it'll be fun, yeah.
5:28
SPEAKER_02: But that's right.
5:29
SPEAKER_02: It's it's uh it's haunted house time of year, aka aka jump scares, aka after like five minutes, I'm I have a headache, and I'm like, okay, stop.
5:40
SPEAKER_02: Like I don't want to go around every freaking corner and not only looking around a corner, but then someone comes up behind you, so you're just oh I just I find that to be unnerving.
5:50
SPEAKER_02: I'm not a fan of that stuff.
5:52
SPEAKER_00: Yeah, I was never a haunted house.
5:53
SPEAKER_00: I mean, I went with my buddies and stuff.
5:55
SPEAKER_00: We went, but I was like, it was just never, it was never or has never really been my thing, but I would go.
6:02
SPEAKER_00: Just you know, if the if the girls grow up and like like that thrill, I'd go into a haunted house with them.
6:07
SPEAKER_00: I'd go into that stuff with them.
6:08
SPEAKER_01: But what about roller coasters?
6:10
SPEAKER_00: Oh my god, yes.
6:11
SPEAKER_00: I'll I'll write anything.
6:12
SPEAKER_00: You're like a junkie, though?
6:14
SPEAKER_00: I mean, not a junkie because a junkie would be like I would be up there every single weekend trying to get on roller coasters, but like if I'm at a theme park, like yeah, take me on a freaking roller coaster.
6:25
SPEAKER_02: Yeah, that's fine.
6:26
SPEAKER_02: So yeah, I'm not that I'm not that I'm not that way at all.
6:31
SPEAKER_02: I like it.
6:31
SPEAKER_00: If I'm there and I'm spending that money, let's go.
6:34
SPEAKER_00: Let's freaking go.
6:35
SPEAKER_02: That's what's cool about being here, like in Disney Universal, all the simulation rides.
6:40
SPEAKER_02: I can I can do the simulation, you know, like the sim rides.
6:43
SPEAKER_02: I can do those a lot better than the the what's the new one?
6:47
SPEAKER_02: Isn't that the new ride at Cedar Point where you're like waiting a thousand feet in the air, and then it teeter it's like teeter tottering.
6:56
SPEAKER_00: It's no, it's like so you go up this hill and then you stop like this, like you know, and then they shift the track 90%.
7:05
SPEAKER_00: So you're going vertical, and then you just Well you just like you just go up the it's part of, I mean, literally this ride is like it has to be like 15, 20 seconds.
7:13
SPEAKER_00: It's like the I have not even gone on that ride yet because it's always such a long ride, and for 15, 20 seconds I'm not waiting for an hour and a half, just for the thrill of being like completely 90 degrees, and the drop isn't even nothing.
7:30
SPEAKER_00: It's like it's like a drop and then it comes back up.
7:32
SPEAKER_00: It's not even really that that big of a drop.
7:35
SPEAKER_00: So but yeah, they have that new ride.
7:37
SPEAKER_00: I mean, it's it, but it always breaks down too.
7:39
SPEAKER_00: It kind of sucks.
7:40
SPEAKER_02: And Cedar Point is synonymous with new rides.
7:43
SPEAKER_02: Like I've met actually a lot of people in Atlanta that know about Cedar Point.
7:47
SPEAKER_00: I've met a surprisingly they come out with new rides every, I would say, two to four years.
7:52
SPEAKER_00: They'll come out with a new ride.
7:53
SPEAKER_02: Yeah, but they've also been on the list for like the the they you know, they've had they've held records and stuff along the way too.
8:00
SPEAKER_00: That's a big part.
8:01
SPEAKER_00: I mean, it's a big theme park.
8:02
SPEAKER_00: It's been up there for a long, long time.
8:04
SPEAKER_00: Now it's owned by Six Flags.
8:05
SPEAKER_00: Oh, really?
8:06
SPEAKER_00: Yeah, Six Flags owns Cedar Point and I believe Kings Island now, which is the two big big theme parks in in Ohio.
8:13
SPEAKER_00: Yeah, I thought they did for a while, but Six Flags is Six Flags just bought Cedar Point within the last year and a half to two years.
8:20
SPEAKER_02: Oh, really?
8:21
SPEAKER_02: Oh yeah.
8:21
SPEAKER_02: So it was privately owned this whole time?
8:24
SPEAKER_00: Yeah.
8:26
SPEAKER_00: Yep.
8:26
SPEAKER_00: Hmm.
8:27
SPEAKER_00: But they got a they get a good chunk of change out of that one.
8:30
SPEAKER_00: Anyways, this is diabetes, people.
8:32
SPEAKER_00: We're this is diabetes.
8:35
SPEAKER_00: How's uh how's your diabetes going?
8:38
SPEAKER_01: My diabetes is going that good, huh?
8:44
SPEAKER_02: No, I actually want to give you an honest, I want to give you a from the heart answer.
8:49
SPEAKER_02: I feel like my plate's a little bit loaded right now, man.
8:51
SPEAKER_02: Like I'm I feel like I'm trying to do a lot right now.
8:54
SPEAKER_00: Is that affecting the blood sugars?
8:57
SPEAKER_02: Well, I feel like I have like three days where I'm locked in and then I'll like have a half a day where it just it just kind of gets to me.
9:08
SPEAKER_02: And I feel like I'm maybe gonna start questioning things.
9:11
SPEAKER_02: Like, what was I doing during those three days where everything was falling into place so perfectly?
9:15
SPEAKER_02: And what have I done in this last don't even call it a half day, call it a full day.
9:20
SPEAKER_02: Like, why all of a sudden did I wake up high?
9:22
SPEAKER_02: Why did I go for a run and I'm still high?
9:25
SPEAKER_02: You know?
9:26
SPEAKER_00: Yeah.
9:26
SPEAKER_00: Any thoughts?
9:27
SPEAKER_02: Well, I think that's why I I led with what I said.
9:30
SPEAKER_00: I think my plate is too full and I'm getting I'm not having cortisol levels high, insulin resistance is being pushed a little bit.
9:38
SPEAKER_02: Yeah.
9:39
SPEAKER_02: It's not giving me direction.
9:41
SPEAKER_02: And then I and then my focus goes other places.
9:46
SPEAKER_01: You know?
9:46
SPEAKER_02: And I do the most important things.
9:50
SPEAKER_02: Always exercising, always trying to be drinking water.
9:55
SPEAKER_02: Um I don't eat a lot, but I think I eat well, you know, but uh I I'm guessing that I've had this I'm guessing that this has happened to me probably a dozen times, though, in diabetes.
10:08
SPEAKER_00: Well, I mean, yeah, it would happen.
10:09
SPEAKER_00: It would happen not frequently, but it this type of thing happens all the time.
10:14
SPEAKER_00: And this is the and that's the thing that I think people need to understand is just because this happens all the time doesn't mean that you haven't figured things out.
10:25
SPEAKER_00: Doesn't mean like that your management style isn't working the right way.
10:31
SPEAKER_00: Like it just means that things happen, right?
10:33
SPEAKER_00: That's why the first thing I asked you is, you know, like do you do you kind of have an idea of what might it might be?
10:40
SPEAKER_00: And if the o in your case, if the only thing that is out of place right now or is kind of like off, it's not like your normal routine, and it's a lot of things on your plate, that causes a lot of stress.
10:56
SPEAKER_00: And we don't realize how much stress drives insulin resistance.
11:01
SPEAKER_00: And again, it's like we always talk about insulin resistance is the main problem, right?
11:07
SPEAKER_00: There's tons of different things that we believe are problems, like with managing diabetes, but at the end of the day, if your insulin sensitivity isn't heightened, you ultimately have to take more insulin than normal, right?
11:20
SPEAKER_00: And obviously there's different, there's different levels of insulin resistance, right?
11:24
SPEAKER_00: If I'm type 2 diabetic, I probably have a way higher amount of insulin resistance than someone that has pretty good stability and is type 1 diabetic because their condition is being through is thriving off of the resistance to insulin.
11:44
SPEAKER_00: That's why they're having issues.
11:46
SPEAKER_00: So it's um this is important because the higher your insulin resistance is, the more fire, the more gasoline you're pouring on that fire, and the more it drives, right?
11:58
SPEAKER_00: So I think about insulin resistance and insulin sensitivity on this on the seesaw kind of concept, right?
12:04
SPEAKER_00: In the middle is insulin, or on one side is insulin sensitivity, and on the other side is insulin resistance.
12:10
SPEAKER_00: And your management is in the middle of the seesaw, right?
12:14
SPEAKER_00: And whichever you're putting time and energy, whichever like whichever of the factors are are impacting your blood sugars, either from the negative perspective or their positive perspective, is going to push that seesaw up or down.
12:28
SPEAKER_00: Right.
12:28
SPEAKER_00: So if I exercise, that's one thing that's gonna help push the seesaw vertical or up with insulin sensitivity.
12:37
SPEAKER_00: Right?
12:37
SPEAKER_00: If I've got high stress, now the other side's gonna come up a little bit.
12:42
SPEAKER_00: If I've got too much on my plate, now that I'm throwing moral, now the insulin resistance is gonna go higher and higher and higher and higher.
12:49
SPEAKER_00: Right.
12:49
SPEAKER_00: So that's why like pulling on the levers that it's going to drive insulin sensitivity, the the easiest are the things that should be in our habits and in our in the things that we do every single day.
13:05
SPEAKER_00: Exercising, drinking lots of water and staying hydrated, reducing cortisol levels and reducing stress.
13:13
SPEAKER_00: And that's and as a business owner, both of us are business owners, as parents, as husbands, as an adult trying to live through life, that is way easier said than done.
13:26
SPEAKER_00: 100%.
13:27
SPEAKER_00: But are those are there things every single day that you can that can help with that?
13:31
SPEAKER_00: So eating the right, and then the another one thing is like eating good quality foods.
13:37
SPEAKER_00: That's not going to drive insulin, or that's not going to drive inflammatory responses, which inflammatory responses drive insulin resistance, right?
13:44
SPEAKER_00: So thinking about what are the things that come maybe not necessarily easy to you, but things that you do on a regular basis every single day to drive the seesaw of insulin sensitivity up and not allow insulin resistance to get higher on that seesaw than insulin sensitivity.
14:03
SPEAKER_00: That's how I kind of think about it.
14:05
SPEAKER_00: Right.
14:05
SPEAKER_00: And when when I've when I haven't been doing all those things, like when someone hasn't been doing all those things and insulin resistance is higher than insulin sensitivity on that seesaw, then most people, a lot of times, you're going to see the need for an uptick in insulin.
14:24
SPEAKER_00: And that's okay.
14:25
SPEAKER_00: But for me, that's just a that's just that's just like a red flag thing.
14:29
SPEAKER_00: It's like it's a data point that I can look at.
14:31
SPEAKER_00: Oh man, the last couple days, I've been using the same insulin to carb ratio, the same correction factor, but that same insulin to carb ratio, that same correction factor hasn't been working like normal.
14:43
SPEAKER_00: Well, that's an indicator that you might need more insulin because you're more insulin resistant.
14:49
SPEAKER_00: These are things that we're never taught.
14:51
SPEAKER_00: And they're very easy things to think about when you understand the biologics of how the body kind of works.
15:00
SPEAKER_00: Biologics is not really the right word to use, but you get my point, you get my point.
15:04
SPEAKER_02: I was just laughing, laughing at my own misery, as you told.
15:08
SPEAKER_02: So, real quick.
15:09
SPEAKER_02: So I woke up at 220 and I was like, well, I haven't gone for a run in a couple, you know, I've been going to the gym.
15:16
SPEAKER_02: I'll go for a run to bring it down, go for a run.
15:18
SPEAKER_02: I come back, I'm 240.
15:21
SPEAKER_02: So I was like, all right, I'll just take two units, try to bring me down somewhere nice.
15:28
SPEAKER_02: One hour later, I'm 69.
15:30
SPEAKER_02: So I have a fig bar.
15:32
SPEAKER_02: Hold on, fig bar an hour later.
15:35
SPEAKER_02: I'm 239.
15:37
SPEAKER_02: So I waited an extra hour, which is pretty recent, and I did like some lawn work right before getting on with you.
15:44
SPEAKER_02: I'm 179.
15:46
SPEAKER_02: Like I was like, but it's, you know, maybe people don't always have an exact example.
15:51
SPEAKER_02: Like that right there, and every I assume most everybody with diabetes is laughing at that, because yeah, we've all been there a thousand.
15:58
SPEAKER_02: It's just the like, all right.
16:00
SPEAKER_02: You're I was like, you got a mind, you got a mind of your own, the excuse, like, all right, dude, you you're you're doing your own thing and you're a bad mood today, diabetes, you do your thing then, you know.
16:09
SPEAKER_00: So Yeah.
16:10
SPEAKER_00: I think the really interesting thing to that example that you just gave.
16:18
SPEAKER_00: My first inclination, if that's what's happening, like you ate that fig bar, and then all of a sudden an hour later you're 200 again.
16:27
SPEAKER_00: That fig bar probably shouldn't have jumped you that that much.
16:31
SPEAKER_00: I know why it was.
16:33
SPEAKER_00: Okay.
16:34
SPEAKER_00: My my first question is is like, well, you're you're doing a finger stick, so you don't even have a decision.
16:39
SPEAKER_00: Never mind.
16:39
SPEAKER_02: You're gonna laugh when you hear, because this is how sensitive I am.
16:44
SPEAKER_02: When I was low, I had a I had only had one coffee for the day.
16:50
SPEAKER_02: And when we were in Miami, they make these things coffee, what's it called cafecito, which is like milk and a little bit of hot milk and some sugar with your coffee.
17:00
SPEAKER_02: So I put some milk.
17:02
SPEAKER_02: I put some milk in my coffee, and I that's I was just kind of like in an effort.
17:06
SPEAKER_02: I was like, dude, whatever, like screw you.
17:08
SPEAKER_02: I just went for a run.
17:09
SPEAKER_02: I don't want to feel crappy.
17:10
SPEAKER_02: So I'm guessing I probably got a anywhere from like eight to nine to ten grams of carbs with that milk, and that probably put me up a little higher, but now I should be.
17:21
SPEAKER_02: I think okay.
17:22
SPEAKER_00: So yeah.
17:22
SPEAKER_00: So the interesting piece to all this is the if if you were using a CGM, would you have more data to make a decision faster?
17:31
SPEAKER_00: Right?
17:32
SPEAKER_00: Because you're because the reason I say that is because you're doing finger sticks, right?
17:38
SPEAKER_00: So we know finger sticks are data points in time.
17:41
SPEAKER_00: They're not like a live feed, you're not getting a live feed.
17:45
SPEAKER_00: And there I'm bringing this up because I've been dealing about with with the same type of not the same type, but a a similar thing with my diabetes the last couple days.
17:56
SPEAKER_00: I'm getting ready to make a post about it too.
17:59
SPEAKER_02: Wait, before you before you say that, can I can I like answer you and say something though, very quickly?
18:06
SPEAKER_02: Yeah.
18:07
SPEAKER_02: And I'm I mean this from the bottom of my heart, and it's a problem that I have.
18:13
SPEAKER_02: To answer your CGM question, it's all of that is obsolete because I felt it.
18:18
SPEAKER_02: Like I I could feel it the moment.
18:21
SPEAKER_00: I'm not talking about that.
18:22
SPEAKER_00: Like I'm not talking about like you being low or you being high.
18:25
SPEAKER_00: Right?
18:26
SPEAKER_00: I'm talking about could you have caught some of this with the arrow?
18:30
SPEAKER_00: Right?
18:31
SPEAKER_00: Because from the 200 or the 240 or whatever it was, to down to 60 when you took those two units, like you, you can't tell at all, because there's no feelings yet, if that was too much or too little, if you needed to take an adjustment or not.
18:49
SPEAKER_02: I can tell you, you might be this is how different we might be.
18:53
SPEAKER_02: I can tell you within 20 minutes to that.
18:58
SPEAKER_02: I was like, this my body might be like over enjoying this incident a little bit.
19:03
SPEAKER_00: Like I might, I get like I kind of just get that that like uh then did you so then the question becomes did you check and confirm that?
19:11
SPEAKER_00: That's just the that's the difference that that's what I would have done differently.
19:15
SPEAKER_00: Is like, did you confirm we can have some?
19:18
SPEAKER_00: I'm just asking questions.
19:19
SPEAKER_00: I'm just having I'm asking questions.
19:21
SPEAKER_02: I want to actually get the monitor.
19:22
SPEAKER_02: I don't I want to do this for real.
19:24
SPEAKER_02: Hold on.
19:26
SPEAKER_00: We're we're taking a pause, everybody.
19:28
SPEAKER_00: And why Grammy's doing that, I'm gonna tell my story of what's been going on with me.
19:33
SPEAKER_00: So I have I just changed my CGM three days ago.
19:39
SPEAKER_00: Hey, the right I'm telling my story real quick, okay?
19:43
SPEAKER_00: Okay, so and then we'll we'll dive into your glucose monitor.
19:46
SPEAKER_00: So I changed my CGM about well, it was two days ago, and I was on day I was on day 10.
19:53
SPEAKER_00: No, day nine.
19:55
SPEAKER_00: And I woke up in the morning.
19:59
SPEAKER_00: My CGM said I was 267.
20:02
SPEAKER_00: I'm never, I'm never above 130 in the morning when I'm when I wake up.
20:09
SPEAKER_00: I'm usually between 90 and 1, between 130, between 90 and 130 in the morning when I wake up.
20:16
SPEAKER_00: And the CGM said it was 267.
20:19
SPEAKER_00: Again, this was day nine of the CGM.
20:22
SPEAKER_00: I was like, there's no freaking way.
20:24
SPEAKER_00: I hadn't eaten, I mean, there's no freaking way.
20:26
SPEAKER_00: I hadn't eaten since probably 8 o'clock.
20:30
SPEAKER_00: I knew I had probably uh I thought I had enough insulin to deal with like the snack that I took before dinner.
20:38
SPEAKER_00: The next part of this you're gonna you're gonna realize that I didn't.
20:42
SPEAKER_00: So I was 267 according to the CGM, and then I did a finger stick twice, and I was 167.
20:50
SPEAKER_00: This motherfucker was a hundred points off.
20:55
SPEAKER_00: I don't know about everybody else that's listening to this, but for some reason, over the past year, I would say, the G7 has given me so much issues throughout the 10 days, not just the first 24, 48 hours, the whole entire 10 days.
21:14
SPEAKER_00: Just off and on.
21:15
SPEAKER_00: And it's not every single, every single CGM, and it's not every single CGM for the whole entire time.
21:21
SPEAKER_00: But at some point within that 10 days, I'm having at least one incident of one day being like really off like that, or multiple.
21:32
SPEAKER_00: And I'm just curious if everyone else has been having the same issue with Dexcom G7.
21:37
SPEAKER_00: This is the 10 day, not the 15.
21:39
SPEAKER_00: It's it's so crazy to me that it could be so accurate, and then the very next day, the very next night, whatever it is, it's off by that much.
21:50
SPEAKER_00: 267.
21:52
SPEAKER_00: Or I'm sorry, two, yeah, it was 267 till I think I was actually 260 or 160 when I did her fingers.
21:58
SPEAKER_00: And I did it twice because.
22:00
SPEAKER_00: I was like, there's no way I'm like, there's no way I'm this high.
22:03
SPEAKER_00: So I ended up being higher than I wanted to be.
22:06
SPEAKER_00: But the the the moral of the story is like, is anyone else's CGM acting this way?
22:12
SPEAKER_00: And to go to what Graham's saying, his frustration with the CGMs, the his frustration with the inaccuracy, I can 100% understand why he's doing finger sticks now.
22:25
SPEAKER_00: Graham, go ahead.
22:27
SPEAKER_02: No, I actually kind of wanted to transition slightly to what you just said.
22:31
SPEAKER_02: Do you think the how aware are the CGM companies of that?
22:37
SPEAKER_02: Because we know the truth.
22:39
SPEAKER_02: We know what the truth is.
22:41
SPEAKER_02: They know what's going on, but in their in their boardrooms, are they trying to are they doing anything they can to sweep it under the rug, or are they trying to mitigate this problem in your in your opinion?
22:52
SPEAKER_00: Because this is my opinion.
22:54
SPEAKER_00: I think one, they are aware of it because the amount of outroar and the amount of people that have a voice on social media is insane.
23:03
SPEAKER_00: Right?
23:04
SPEAKER_00: You can you can search on Instagram, you can search on TikTok, you can search on Facebook, you can search on all these platforms, and just search, you know, CGM inaccuracy.
23:16
SPEAKER_00: And I guarantee a bunch of videos pop up, a bunch of posts pop up about this.
23:22
SPEAKER_00: Even probably on Dexcom's page, because people are probably tagging Dexcom.
23:27
SPEAKER_00: So yes, they are aware of it.
23:29
SPEAKER_00: Here's the issue from I would say the business perspective of this.
23:35
SPEAKER_00: Not that this is an excuse because it's not.
23:38
SPEAKER_00: Here's the issue not everyone has problems.
23:42
SPEAKER_00: And not everyone has enough problems that they're gonna create an uproar.
23:50
SPEAKER_00: The only times that I create an uproar is on this show.
23:53
SPEAKER_00: I don't even really create uproars on social media.
23:57
SPEAKER_00: I'm not doing tons of posts when it fails.
24:00
SPEAKER_00: I'm not doing, I'm not talking about it all the time within social media.
24:03
SPEAKER_00: I'm mostly talking about it in this show.
24:06
SPEAKER_00: So it for even for me, it doesn't happen enough for me to say to myself, I need, I'm gonna stop.
24:15
SPEAKER_00: I gotta go to a different CGM, I gotta do manual or you know, glucose checks, I'm gonna do glucose monitoring, I'm gonna do finger sticks, whatever it is.
24:24
SPEAKER_00: It doesn't happen to me enough, but it does happen enough where it freaking pisses me off.
24:32
SPEAKER_00: When there's no rhyme or reason why it's a hundred points off.
24:36
SPEAKER_02: Hey, I do have to correct you on something because I knew about this in the news.
24:41
SPEAKER_00: Yeah.
24:41
SPEAKER_02: Multiple class action and individual personal hold on.
24:47
SPEAKER_02: Multiple class action and individual personal injury lawsuits have been filed against major CGM companies like 100% Dexcom and Abbott for faulty censors.
24:59
SPEAKER_02: Like I you do know that, right?
25:00
SPEAKER_02: Like 100%.
25:02
SPEAKER_02: Okay, okay, okay, yeah.
25:03
SPEAKER_02: 100%.
25:04
SPEAKER_00: I'm not I'm not saying that no one is creating uproar.
25:08
SPEAKER_00: I'm not saying that no one has taken action and tried to get legal action against these companies.
25:14
SPEAKER_00: But think about think about the millions of people that are on these CGMs.
25:19
SPEAKER_00: Not just DexCon, but all the CGMs.
25:21
SPEAKER_00: Think about the millions and millions of people.
25:24
SPEAKER_00: And now think about how different everyone's symptoms are, how different everyone's management is.
25:32
SPEAKER_00: It really, I mean, that they they can't make, they cannot make something.
25:38
SPEAKER_00: They're not gonna, I don't think, at least right now, they're not gonna make something that's 100% accurate all the time.
25:44
SPEAKER_00: But the difference is when you had something like the G5 and G6, at least for me, because this is my own personal opinion, because I can't speak for other people.
25:52
SPEAKER_00: When I was on the G5 and the G6, there was definitely times when that thing was inaccurate.
25:57
SPEAKER_00: But the frequency over the last year with the G7 has been insane.
26:03
SPEAKER_00: It was not like that.
26:04
SPEAKER_00: I've been on the G7 for probably four years, maybe five.
26:09
SPEAKER_00: And the first three years, right?
26:11
SPEAKER_00: Yeah, the first three years, really probably even four years, of using the G7, it was not like this whatsoever.
26:19
SPEAKER_00: Most of the time, I would say 90%, probably 80% of the time, maybe even closer to the 85% of the time, it was 100% accurate within the range of like being 10 to 15 milligrams per deciliter off.
26:32
SPEAKER_02: I I've said this a thousand times.
26:36
SPEAKER_02: If you're adding millions and millions of patients every year, their idea is okay, how can we bring our per unit sales down even more?
26:50
SPEAKER_02: Right?
26:51
SPEAKER_02: So DESCOM looks at their per unit sales, and they're like, it's say it's a dollar, and they're adding millions and millions of patients every year.
27:01
SPEAKER_02: They're they're doing great.
27:03
SPEAKER_02: That's not how companies think see it.
27:06
SPEAKER_02: They're gonna, they're gonna try to find how to cut, cut, cut, cut, cut cost on that per unit sale.
27:13
SPEAKER_02: As in there have never been more CGMs than ever before than there are now of the Dexcom G7 because they're just obsolete.
27:23
SPEAKER_02: They're just obsolete.
27:25
SPEAKER_02: They're just churning them out like like licorice, you know, like in a candy factory.
27:30
SPEAKER_02: It doesn't matter.
27:31
SPEAKER_02: It it's like why you call them immediately, they're like, oh, this is your warning.
27:36
SPEAKER_02: We'll send you one now.
27:37
SPEAKER_02: Like, dude, we'll send you, they'll send you replacements till the cows come home.
27:41
SPEAKER_02: That's because their per unit cost has gone down so little that it's but really quickly, really quickly, because I went all the way.
27:50
SPEAKER_02: So track this at 6.45 this morning, I was 238.
27:55
SPEAKER_02: I go for a run, do some family stuff.
27:57
SPEAKER_02: At 825, it's 2.30, like I said.
28:02
SPEAKER_02: So I took insulin.
28:04
SPEAKER_02: Two hours later on the dot, I'm 69.
28:09
SPEAKER_02: Three hours later, I'm 236.
28:13
SPEAKER_02: So a lot of my point here is a lot of time has gone by in this morning of mine, but I feel like the reactions to the Dexcom would make it a lot more complicated.
28:30
SPEAKER_00: Your reactions.
28:31
SPEAKER_00: Yeah, your reactions to the Dexcom.
28:33
SPEAKER_00: Your reactions.
28:34
SPEAKER_02: I probably instead of instead of like taking insulin once in that six or seven hour window I just described, I probably would have gotten pissed and taken it again because I would have seen a cup arrow or something, right?
28:48
SPEAKER_00: And maybe, maybe that would have fixed it.
28:51
SPEAKER_00: Maybe it wouldn't have.
28:53
SPEAKER_00: But maybe it would have fixed it.
28:55
SPEAKER_00: And that's just my whole, that's my whole thought process, or that's my whole argument about why CGMs are so powerful.
29:02
SPEAKER_00: And we can take out all the stuff that we've already talked about this today, of the inaccuracy and the bull crap about that.
29:09
SPEAKER_00: The difference is when you understand how to look at the trends and look at the data that's coming from that CGM, you can make decisions and confident decisions faster.
29:24
SPEAKER_00: 100% you can.
29:25
SPEAKER_00: Because unless you are physically pricking your finger, you have no idea what your blood sugar is.
29:30
SPEAKER_00: You could prick your finger right now and it could give you a number, but then because you have insulin on board, or because you don't have insulin on board, or because you ate and you didn't pre-balls, or whatever it is, all these factors that are involved that's going to raise or lower blood sugar, that thing could drop or rise.
29:48
SPEAKER_00: And you're waiting an hour, two hours later, and be like, oh, wait, I was 69.
29:52
SPEAKER_00: I just got a fig bar and uh and maybe eight grams of like sugar with my coffee with some milk or whatever, which what you mean what's a what's in a fig bar?
30:02
SPEAKER_00: Maybe 15, 20 grams, 25 grams, something like that.
30:05
SPEAKER_02: It's two bars and each are like 18.
30:08
SPEAKER_02: So it's like 36, yeah.
30:09
SPEAKER_00: Yeah, so 36 grams.
30:11
SPEAKER_00: I mean, should that have taken you all the way to 230 or two, something like that?
30:17
SPEAKER_00: Like I I mean, again, it's just depend on how your system reacts to that food.
30:22
SPEAKER_00: So that I think that is the interesting piece to all this, is like you you we're really talking about glucose monitors versus CGMs.
30:33
SPEAKER_00: And again, I just think that the more dominant, maybe not dominant, but the more the more better solution is something that I can see the number and react to it and or take action to it right now.
30:48
SPEAKER_00: The problem becomes, which is so what so many of us are running into, and what we're alluding to today, is is the problem is is the inaccuracy piece.
30:58
SPEAKER_00: That if you were on a CGM, right, and that thing's jumping up to 230, 240, 250, and you don't you don't believe that number, now you're having to do a finger stick, and maybe it's off, maybe it's not off.
31:11
SPEAKER_00: So the the the the glucose monitor become for me, the glucose monitor becomes the backup.
31:16
SPEAKER_00: Okay, let me let me confirm that this is actually a real number, right?
31:20
SPEAKER_00: When all the data that I have in front of me is telling me that there's no way that this is correct, which is what I was saying to myself the other day when I wake up and I'm 267, but my blood sugar actually is 167 or 160, whatever it was.
31:35
SPEAKER_00: That's a I mean, that's that's just that's a powerful thing.
31:39
SPEAKER_00: When we're supposed to be able to make dosing decisions off of what this number and the arrows are telling us, but then it's off by that much.
31:47
SPEAKER_00: And it's and it's inconsistent all the time where it's not, it's accurate, then it's not accurate.
31:55
SPEAKER_00: It's accurate, then it's not accurate.
31:57
SPEAKER_00: And yeah, we can we can listen to Dexcom make all the arguments of like, oh, well, where do you have it?
32:02
SPEAKER_00: Are you sitting on it?
32:04
SPEAKER_00: Is it compression?
32:05
SPEAKER_00: Does it have a compression?
32:06
SPEAKER_00: Are you is the is your phone away from you for more than five, 10 minutes?
32:10
SPEAKER_00: Now you've got it, you're losing the signal.
32:11
SPEAKER_00: Is your blood sugar dropping really fast?
32:13
SPEAKER_00: Is your blood sugar rising really fast?
32:15
SPEAKER_00: Like all of these other factors do 100% go into that number and the inaccuracy of that number.
32:22
SPEAKER_00: But if you're if you look at your CGM, it's stable and it's been stable for an hour, but then it's off by 100 milligrams per deciliter, that's a problem.
32:34
SPEAKER_00: If the blood, if you're, if your blood sugar on your blood sugar meter says it's 150 and you're actually 69, like that's a problem.
32:43
SPEAKER_00: If you're if your CGM meter says it's 130 or 140 going down, just a slow drop, just a nice slow drop.
32:51
SPEAKER_00: But you're actually 60, 6570 dropping, that's a problem.
32:58
SPEAKER_00: That's why there's lawsuits.
33:00
SPEAKER_00: That's why Dexcom and all these CGM companies are getting sued.
33:04
SPEAKER_00: Because the dirt the range is too high of the inaccuracies.
33:09
SPEAKER_00: And I haven't looked recently.
33:11
SPEAKER_00: Have has Dexcom, again, because we're both talking about Dexcom, Dexcom, because that's what we're the most familiar with, has Dexcom increased their variability of what they're saying it can be like of what they're saying it could be accurate to compared to a finger stick.
33:29
SPEAKER_00: From my recollection, it's always been 10 to 15 milligrams per decim.
33:32
SPEAKER_00: If it's within that range, it's accurate.
33:35
SPEAKER_02: Wait, you're you're saying are people that work for Dexcom saying that it's better than a finger stick?
33:41
SPEAKER_00: Is that oh yeah.
33:42
SPEAKER_00: I mean, I would imagine I I've never heard someone say that, but I would imagine that why would they not say that?
33:47
SPEAKER_00: It's their technology, it's their that's what they're driving.
33:51
SPEAKER_00: Like if I worked for Dexcom, that's what I would say.
33:54
SPEAKER_00: I'm saying that right now, that it's better than a finger stick.
33:58
SPEAKER_00: Even though I'm upset with the inaccuracies.
34:01
SPEAKER_00: What do you think is Excuse me?
34:03
SPEAKER_00: What is the solution to the little sense, you know, the little the little sensory dingy little thing that sits and sits in all of the That's above my pay grade, but what I can say, because I've heard this, and again, maybe this is a rumor, but I've heard this out there that when Dexcom started having issues, and they and that this is also a documented thing that they've gotten in trouble for, I believe, that the the technology of that little sensor that goes or the little plastic needle thing that goes into your uh skin and stays in your skin, and that's what reads your blood sugar, that used to be made by Dexcom.
34:44
SPEAKER_00: And then they contract contracted that out by someone else.
34:49
SPEAKER_00: And because that got contracted out by someone else, the quality of that, of that plastic needle went down.
34:58
SPEAKER_00: So they saved, they were saving money on that because it was really expensive to make that in-house.
35:02
SPEAKER_00: So they tried to contract it out and the quality decreased.
35:05
SPEAKER_00: And I believe they've gotten in trouble for this before.
35:08
SPEAKER_00: So to your to your point earlier, where you're talking about, you know, the powers that be in these companies, not necessarily just DEXCOM, but Eli Lilly, Nova Nordis, all these companies that make insulin, like well there, there's no incentive outside of their own ethical standards.
35:30
SPEAKER_00: There's no incentive for them to make the technology better.
35:34
SPEAKER_00: Because the technology's here.
35:36
SPEAKER_00: We're gonna buy that shit no matter what.
35:38
SPEAKER_00: Right?
35:39
SPEAKER_00: I'm gonna buy a deck, uh, a CGM, maybe not a DEXCOM, but a CGM.
35:44
SPEAKER_00: I will buy a CGM no matter what.
35:46
SPEAKER_00: Because it's it is literally part of my management.
35:49
SPEAKER_00: I would have to completely change up my whole entire day.
35:53
SPEAKER_00: Not my whole entire day, but I'm probably over exaggerating.
35:57
SPEAKER_00: I would have to change up my management style, my management system, the things that I have in place, how I make decisions.
36:05
SPEAKER_00: I would have to change that if I went back to doing you know finger sticks all the time and wasn't on a CGM.
36:12
SPEAKER_00: I would completely have to change how I manage my diabetes.
36:16
SPEAKER_00: To me, that's not worth the problems with inaccuracy.
36:21
SPEAKER_00: Because I have a backup.
36:22
SPEAKER_00: Now, if I didn't have a backup, right?
36:25
SPEAKER_00: Let's just say CGMs were the only thing that was out there to test your blood sugar, and glucose monitors were never invented.
36:34
SPEAKER_00: I don't have a backup.
36:35
SPEAKER_00: Now that fucking sucks.
36:37
SPEAKER_00: Because now you're always at the whim of is this right or is this wrong?
36:42
SPEAKER_00: So that's just that that's how that's what I think about about that perspective of them.
36:49
SPEAKER_00: There's no incentive for them.
36:51
SPEAKER_00: Now, I do I believe that DEXCOM, these other CGM companies, whoever it is, like, do I believe that they're just kind of like, you know, washing their hands of everything and they're just going about their business and selling this stuff?
37:05
SPEAKER_00: No, I really do think that they are trying to evolve the technology.
37:10
SPEAKER_00: And you're seeing it with all these other pump companies that are coming out.
37:13
SPEAKER_00: You're seeing it with the partnerships that these companies are are doing with Dexcom.
37:18
SPEAKER_00: The the Twist pump is now got a partnership with EverSense365 to make their pump different, to make their pump better.
37:29
SPEAKER_00: So these companies are building these systems, but the question becomes why is the inaccuracy, I feel like, a lot worse than it used to be.
37:40
SPEAKER_00: It shouldn't be getting worse, it should be getting better.
37:42
SPEAKER_00: And every person's different, so that's what I always think about.
37:45
SPEAKER_00: Okay, well, every person's different.
37:48
SPEAKER_00: So there's probably people out there that, which I know there is, there's people out there that have zero issues with inaccuracy.
37:56
SPEAKER_00: For a long, long time I did too.
37:58
SPEAKER_00: A long, long time.
37:59
SPEAKER_00: So is that something with my system, right?
38:01
SPEAKER_00: Am I putting the CGM in a place where that it's not healed properly or it's in a bad spot, it's a bad site, like whatever it is.
38:11
SPEAKER_00: The question becomes, why is some days really good and some days aren't?
38:15
SPEAKER_00: It could be a hormonal thing, it could be a blood flow thing, it could be hydration, it could be, it could be so many things, which is why all this uproar with all these technologies that we have, like, oh, this doesn't work, this never works.
38:29
SPEAKER_00: You have to think about all of the factors that are involved and that actually working the right way.
38:35
SPEAKER_02: Well, so, and the same thing goes for, you know, to to play devil's advocate and to protect Dexcom, and listen to this, this will blow your mind.
38:46
SPEAKER_02: They got a lot of things to think about.
38:48
SPEAKER_02: Here's the best one.
38:50
SPEAKER_02: In a malicious scenario, a hacker within wireless range could intercept the unencrypted signals of a CGM.
38:59
SPEAKER_02: If a person uses and listen to this, I'm not laughing, but this is just crazy.
39:04
SPEAKER_01: Yeah.
39:04
SPEAKER_02: If a person uses an automated insulin dosing system where a CGM automatically communicates with an insulin pump to deliver medicine, hacking the CGM signals to show a false high reading could trick the pump into administering a lethal dose of insulin.
39:22
SPEAKER_02: Now, this is coming directly from the National Institute of Health.
39:27
SPEAKER_02: This is coming directly from the FDA, identified vulnerabilities and their wireless communication channels.
39:34
SPEAKER_02: How about that?
39:36
SPEAKER_00: Okay, so how about how about that?
39:38
SPEAKER_00: Let keep that in mind, right?
39:39
SPEAKER_00: So Grand just brought up a very important point, right?
39:42
SPEAKER_00: This stuff can be hacked.
39:44
SPEAKER_00: Let me throw you another scenario.
39:46
SPEAKER_00: We've been we've just been talking about the inaccuracy of of the of at least the DEXCOM, because I haven't used the Abbott Libre for a long time.
39:54
SPEAKER_00: And that would be the other one I would use.
39:56
SPEAKER_00: Okay, so we just talked about the inaccuracy of the DEXCOM.
40:00
SPEAKER_00: What if I'm on an insulin pump and that thing is communicating with the with the CGM, right?
40:09
SPEAKER_00: And the CGM is making decisions based off of what that number is.
40:13
SPEAKER_00: And that number is off by 100 milligrams per deciliter.
40:16
SPEAKER_00: Right?
40:17
SPEAKER_00: That's where people get in trouble.
40:19
SPEAKER_01: Yeah.
40:20
SPEAKER_00: That's why there's a small part of me that's very fearful of going on an insulin pump and being on automated, being on these closed loop systems with how inaccurate I know my DEXCOM G7 has been.
40:36
SPEAKER_00: And again, we're not talking 15, 20 milligrams per deciliter.
40:39
SPEAKER_00: We're talking about, we're talking like 60 plus.
40:42
SPEAKER_00: And when I run my diabetes very tight anyway, if I'm off by 60 milligrams per deciliter in either direction, that could be a very serious issue, especially on the low end.
40:54
SPEAKER_00: I really don't have problems, at least physically, physically in the moment with highs.
41:00
SPEAKER_00: It's not obviously it's not good to be high all the time, right?
41:04
SPEAKER_00: You you're your increased risk of DKA, you're increased risk of complications, you're increased risks of a lot of things when you're high and you're up and down, up and down, up and down.
41:16
SPEAKER_00: But if I, again, going back to if I'm if the CGM says I'm 150, but I'm actually 60 and I'm coming down, and it's dosing me at I'm 60 and it's dosing me at 150 because it's trying to get me down to 110.
41:32
SPEAKER_00: That's the that's the protocol.
41:33
SPEAKER_00: It's just giving me a little bit of insulin, just a little bit, to bring me back down based off of what my ratio is and all and everything it's learned about me, whatever it is.
41:42
SPEAKER_00: Okay, these things are getting very smart.
41:44
SPEAKER_00: The insulin pumps are getting very, very smart.
41:46
SPEAKER_00: It's really, really cool.
41:48
SPEAKER_00: But if I'm off by 60 milligrams per deciliter, I'm 100% probably gonna go low.
41:54
SPEAKER_00: Especially if I think, if I don't have any insulin on board, right?
41:58
SPEAKER_00: I'm going into exercise.
41:59
SPEAKER_00: I'm not supposed to have insulin on board.
42:01
SPEAKER_00: I'm going into exercise.
42:03
SPEAKER_00: It says I'm 150.
42:05
SPEAKER_00: I believe it.
42:05
SPEAKER_00: I go into my exercise.
42:07
SPEAKER_00: It's actually giving me some insulin because either I didn't put it on exercise mode, or it's just, it's still trying to get me down.
42:14
SPEAKER_00: It has no idea I'm exercising.
42:17
SPEAKER_00: Okay.
42:18
SPEAKER_00: Not only am I going to go low from the little bit of insulin it's giving me to bring me back down to 100 or 110, I'm also going to go low because I went and exercised.
42:27
SPEAKER_00: So you can see how this becomes a very big problem and why it is 100%, 100% important to always have low treatment and always have a backup to test your blood sugar.
42:43
SPEAKER_00: Hopefully you don't need either of those.
42:45
SPEAKER_00: Hopefully your CGM is accurate and hopefully you don't go low and you won't need your low treatment.
42:53
SPEAKER_00: But it's still important to have a backup in your system.
42:58
SPEAKER_00: Whenever I go to play basketball, whenever I go out and I'm going to be gone for a long time, if I'm going somewhere that doesn't necessarily have food or food that I really don't want to eat, I'm bringing a banana, I'm bringing fruit snacks, I'm bringing my low treatment.
43:14
SPEAKER_00: I've got a drink with me because I know I can sip on that drink and it's going to keep me pretty steady because I'm going to be moving around and doing stuff.
43:23
SPEAKER_00: Right.
43:23
SPEAKER_00: So the planning piece of diabetes, just like life, is so, so important.
43:29
SPEAKER_02: When I was in like sixth or seventh grade over the summer, the local newspaper came and did a piece on me, and I mentioned having my backpack.
43:40
SPEAKER_02: I would always say, like, my backpack, my backpack.
43:42
SPEAKER_02: And they're like, What's this backpack?
43:44
SPEAKER_02: I was like, Oh, that's just where I keep like my snacks and things like that.
43:46
SPEAKER_02: And they're like, Oh, and they like, you know, we we referenced it a couple times, and then when they took a picture at the end, the guy's like, Why don't you get the backpack and kind of put that over your shoulder?
43:56
SPEAKER_02: And that'll be like the picture of you.
43:59
SPEAKER_02: So there's like, It's like a picture of me like leaning against a brick wall with like a backpack on, and like it's like my backpack of snacks.
44:08
SPEAKER_02: Like and that's when I was chubby.
44:10
SPEAKER_02: So they're like, Jesus, look at this, look at this kid.
44:12
SPEAKER_02: He always has an excuse to be eating.
44:16
SPEAKER_00: That's probably what they thought.
44:17
SPEAKER_00: Like, oh, he's got all these kids, all this candy and all these snacks for I had kudos bars.
44:22
SPEAKER_02: You remember kudos bars?
44:23
SPEAKER_02: Kudos?
44:24
SPEAKER_02: Remember kudos?
44:25
SPEAKER_02: KG treats?
44:25
SPEAKER_00: I never really ate them.
44:26
SPEAKER_00: I never really ate them.
44:27
SPEAKER_02: Kudo bars and back when uh Rice Krispie Treats first came out.
44:33
SPEAKER_00: Oh, Rice Krispie Treats, amazing.
44:35
SPEAKER_02: Yeah.
44:36
SPEAKER_02: Well, considering I got what I got going on, I'm probably gonna I'm gonna try to cut, I'm gonna cut this one.
44:42
SPEAKER_02: I gotta get on the uh I gotta get on the road and stuff.
44:46
SPEAKER_00: So yeah.
44:48
SPEAKER_01: Is that okay with you?
44:49
SPEAKER_00: I I yeah.
44:50
SPEAKER_00: I just I just I think that that it's just the the CGM thing pisses me off.
44:58
SPEAKER_00: It really does.
44:59
SPEAKER_00: I don't have the answer for why it's so inaccurate.
45:04
SPEAKER_00: And again, I'm sure there's tons of people that it's very inaccurate for and they don't ever have an issue.
45:10
SPEAKER_00: I probably probably can make the statement that the more like the more carbohydrates, the more insulin that you're consuming, where it's like you're gonna have a little bit of this spike, or it's gotta fight with that.
45:21
SPEAKER_00: If you're not pre-bulsing and it and it rises and it comes back down, the more up and down your CGM has to, your blood sugars are going, and your CGM has to read that, I can understand why you might have some inaccuracies because remember, it's not a live feed, it's a three to five minute download.
45:39
SPEAKER_00: So every three to five minutes it's reading your blood sugar and then updating the number.
45:44
SPEAKER_00: But even even to like think about all that, it's still crazy to me that this thing is like 60 plus, 70 plus off.
45:55
SPEAKER_00: I guess I just don't understand that piece.
45:58
SPEAKER_00: I can understand the 20, maybe, maybe even 30.
46:01
SPEAKER_00: 30 is still tough, right?
46:03
SPEAKER_00: 30 is still tough.
46:04
SPEAKER_00: I can understand it being a little bit off with all the stuff that's going on, with all the stuff that it has to fight through, but I just I don't know.
46:13
SPEAKER_00: I don't know.
46:13
SPEAKER_00: I don't know what I'm trying to say.
46:14
SPEAKER_02: Ken, you might not remember this, but it's documented on this show.
46:18
SPEAKER_02: I was really unhappy with CGM years, years before I went off of it.
46:24
SPEAKER_02: And there's a really good book about meditation, and it's titled 10%, you probably know it, 10% happier.
46:34
SPEAKER_00: I've heard of it.
46:35
SPEAKER_02: It's literally called, and it's called 10% happier because at one point the author's mom says to him, like, why do you do meditation?
46:42
SPEAKER_02: And he's like, I it like if he goes, if anything, it maybe makes me like 10% happier.
46:48
SPEAKER_02: But that 10% is what gets me.
46:50
SPEAKER_02: That's what happened to me with CGM.
46:52
SPEAKER_02: I was like, even if my blood sugars are a little bit higher, I'm happier.
46:57
SPEAKER_02: And that was an idea that has come into fruition and it's it's only grown on itself now, dude.
47:02
SPEAKER_02: I I mean, there's a lot more effort to test my blood sugar, bro, but I'm happier, man.
47:08
SPEAKER_02: I'm much happier, dude.
47:10
SPEAKER_00: Hey, and if all the other data points that you're getting, like say that it's good, it's it's good enough, or you feel like it's good enough, then who are we to to argue with that?
47:20
SPEAKER_00: Well, it's a good thing.
47:21
SPEAKER_02: I guess that's you do have to make that, but there are, you know, don't forget everybody's different.
47:26
SPEAKER_02: There are people like me that it's like you do get to an age where you you you're like, dude, if I don't change my brain at some point, I'm not gonna I'm not gonna be around.
47:35
SPEAKER_02: I'm always stressing myself out, I'm always worked up, like it just it ran its course for me in many ways, man.
47:42
SPEAKER_02: You know.
47:43
SPEAKER_00: Yeah.
47:44
SPEAKER_02: And the diabetes usually would be the the root cause, because it's like, you know, how you start your day.
47:49
SPEAKER_02: You start your day like with what I described earlier.
47:51
SPEAKER_02: It's like, bro, what the fuck?
47:53
SPEAKER_02: Were you or you find a way to deal with that?
47:56
SPEAKER_00: So yeah, because even even the time that mine was said it was 267, but it was two or it was actually 160, that still took like a while for the rest of the morning to to get like fixed.
48:11
SPEAKER_00: Because I calibrated, when it finally stabilized, I calibrated and had taken some insulin, right?
48:20
SPEAKER_00: And it took an hour for it to come back into where it should be between that 10 to 15 milligrams per deciliter.
48:26
SPEAKER_00: That's the thing that's hard because you're making the decision based off of this number.
48:31
SPEAKER_00: You feel like, okay, well, it's 2026, ZedexCon's been out for so long.
48:37
SPEAKER_00: This is the seventh version.
48:38
SPEAKER_00: I just saw a freaking post yesterday about someone trying out the G8.
48:42
SPEAKER_00: Like, so we're we're on the eighth version of this thing, really been rolling with the seventh version for the past, you know, three, four, five years, and it's still got all these problems.
48:55
SPEAKER_00: So my my hope is that they at least the an accuracy is somewhat fixed with the G8.
49:04
SPEAKER_00: They can't make it perfect, and we all have to understand that it's not gonna be perfect.
49:10
SPEAKER_00: There's gonna be times where it's gonna be really off, but that should only be what Graham's is what Graham described, that five to ten percent of the time.
49:20
SPEAKER_00: Like, that's it.
49:21
SPEAKER_00: And it shouldn't be off by 60 plus.
49:24
SPEAKER_00: It shouldn't be, because that's when real problems can happen.
49:28
SPEAKER_00: Heck, even 30 plus, because you're at a hundred and it's off by thirty, now you're at seventy coming down.
49:34
SPEAKER_00: That's different than coming down from a hundred.
49:37
SPEAKER_00: So I don't know.
49:40
SPEAKER_00: I don't know.
49:42
SPEAKER_00: Yeah.
49:42
SPEAKER_00: I hope everybody, I hope that you enjoyed this conversation.
49:45
SPEAKER_00: It's kind of a I feel like it was a negative negative negative negativity, negative conversation about CGM.
49:53
SPEAKER_00: And I want I just I want to say this one last thing, and then we'll get out of here.
49:57
SPEAKER_00: For me, saying all this, having all this negativity about CGMs and this frustration and the confusion and the being pissed off, again, it doesn't, it doesn't put me in a place yet.
50:09
SPEAKER_00: Hopefully it won't ever put me in a place where I'm gonna say I'm gonna stop be doing a CGM.
50:13
SPEAKER_00: I am getting close, I feel like, I feel like in my bones I'm getting close to just trying that's transitioning to a different CGM.
50:22
SPEAKER_00: Whether that's gonna be the Ever since 365 or whether that's gonna be the Abbott Libre 3 Plus.
50:29
SPEAKER_00: And both of those are gonna have their issues.
50:31
SPEAKER_00: So we'll just have to wait and see.
50:33
SPEAKER_00: But I don't think that CGM is something that shouldn't be in your management.
50:40
SPEAKER_00: You know, if you're someone like Graham, who just wants that 10% freedom and that 10% that it's and of inaccuracy and all the frustrations that he had with it, if if that is too much that you want to deal with and you just want to do finger sticks, 100% do it.
50:56
SPEAKER_00: 100% do it.
50:59
SPEAKER_00: Because again, at the end of the day, this is all about doing what works for you.
51:03
SPEAKER_00: And I've told Graham this so many times.
51:05
SPEAKER_00: Like, I wish he would be on a CGM because I feel like he would have tighter blood sugars, but this is his decision.
51:12
SPEAKER_00: And if he feels like he has more control because of not being so stressed out, go.
51:18
SPEAKER_00: Let's go.
51:19
SPEAKER_00: Let's freaking go.
51:21
SPEAKER_00: So I hope that helps everybody.
51:24
SPEAKER_00: Graham, thank you as always for blessing us with your presence.
51:29
SPEAKER_00: We will see you guys next time.