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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    2. Health Nerd‏Verified account @GidMK 17 Oct 2019
      Replying to @DoctorTro

      I think the issues with overscreening are a really hard thing for most doctors to get, because they are extremely counterintuitive. @venkmurthy has some excellent tweetorials on issues similar to the (potential) overuse of CGM

      3 replies 0 retweets 4 likes
    3. Miriam Berchuk MD‏ @MiriamBerchuk 17 Oct 2019
      Replying to @GidMK @DoctorTro @venkmurthy

      Does CGM qualify as "screening"? Isn't screening looking for something relatively rare? Metabolic dysfunction isn't rare and often goes undiagnosed. Gid - wasn't that exactly what was observed in the data you collected on "healthy" people presenting to hospital?

      1 reply 0 retweets 1 like
      Health Nerd‏Verified account @GidMK 17 Oct 2019
      Replying to @MiriamBerchuk @DoctorTro @venkmurthy

      True, but the patient group we looked at was an acute sample in an unhealthy population. The issue with screening is that it is all dependent on the denominator I'd have less issue with more use of CGM if it was only used by people with pre-diabetes/diabetes, for example

      5:21 PM - 17 Oct 2019
      1 reply 0 retweets 0 likes
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        2. Health Nerd‏Verified account @GidMK 17 Oct 2019
          Replying to @GidMK @MiriamBerchuk and

          (In fact, we are advocating for more use of CGM for people with T2DM based on some prelim data that should be published soon. Not the same as general use for everyone though!)

          1 reply 0 retweets 1 like
        3. Miriam Berchuk MD‏ @MiriamBerchuk 17 Oct 2019
          Replying to @GidMK @DoctorTro @venkmurthy

          If I had to summarize how I see the conflict between the "CGM camps", it's a philosophical disagreement: those who believe that until threshold of HbA1c of 6 is reached, no intervention is required. Versus those who believe HbA1c represents a continuum of risk.

          1 reply 0 retweets 1 like
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