I've started thinking about getting a CGMS for Grace. Probably because a graph of her numbers looks more like the Swiss Alps lately than the flat pancake we strive for. So I've started a pros and cons list:
* The most obvious - we'd be able to see a more complete picture of her blood sugar numbers
* We could get a more accurate picture of how Humalog works in her body - how soon it starts to work and when it peaks
* Catch and treat highs and lows before they get out of control
* Identify how to better bolus for problem foods (yes you, cheeseburger!)
* I don't know if insurance would cover it
* Grace is so tiny, and doesn't have much real estate for another implanted medical device
* Still would require finger sticks. When Grace thought a CGM would fully replace sticks she was all for it. After I told her we'd still check her blood from her fingers just as often, she quickly changed her mind.
* Accuracy, or lack thereof. I've heard it's questionable and I'm leery of subjecting Grace to the burden of wearing a CGM if it's not going to give me numbers I can count on.
I guess I feel like, for now, wearing the pump is enough to ask. She loves the pump and wouldn't go back to shots for anything. But if I ask her to also wear a CGM, is she going to start to feel over-burdened? I don't want her to think about her diabetes all the time.
On the other hand, her numbers have been so erratic lately that maybe a CGM could help me figure out what's going on.
How did you decided to CGM or not?
The apache wars by paul hutton
21 hours ago