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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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    1. Protik Islam-Jakobsson‏ @ikitorp 17 Oct 2019
      Replying to @DoctorTro @venkmurthy @GidMK

      Yes, this is both an excellent illustration of the perils of double counting and the perils of overconfidence in behavioral interventions. The list of indications is over-broad & misrepresented; the practical utility of monitoring (ie. will it work as intended) is overestimated.

      1 reply 0 retweets 1 like
    2. Dr. Tro‏ @DoctorTro 17 Oct 2019
      Replying to @ikitorp @venkmurthy @GidMK

      No citation or clinical experience, no argument.pic.twitter.com/9CYSDG0LWs

      2 replies 0 retweets 0 likes
    3. Protik Islam-Jakobsson‏ @ikitorp 17 Oct 2019
      Replying to @DoctorTro @venkmurthy @GidMK

      Yes, pls provide citations for your bombastic claim that at least 80% of the population will benefit from CGM based on your selective clinical experience with its use in a tiny non-representative fraction of the population. No citations and no relevant clinical exp = no argument.

      1 reply 0 retweets 2 likes
    4. Dr. Tro‏ @DoctorTro 17 Oct 2019
      Replying to @ikitorp @venkmurthy @GidMK

      Evidence is the literature is there https://www.ncbi.nlm.nih.gov/m/pubmed/29380542/ … The rest is clinical experience which I do have and you don’t have

      2 replies 0 retweets 1 like
    5. Health Nerd‏Verified account @GidMK 17 Oct 2019
      Replying to @DoctorTro @ikitorp @venkmurthy

      Interesting strawman there - no one is arguing about the utility of CGM for T2DM I'd love to see the evidence for benefit in people with, say, pre-diabetes

      1 reply 0 retweets 1 like
    6. Dr. Tro‏ @DoctorTro 17 Oct 2019
      Replying to @GidMK @ikitorp @venkmurthy

      Ahh yes it makes plenty of clinical sense that an a1c of 6.49 wouldn’t benefit and an a1c of 6.5 would It was clearly written the rest is “clinical experience” Please explain how that would be a strawman... you people are exhausting

      1 reply 0 retweets 0 likes
    7. Health Nerd‏Verified account @GidMK 17 Oct 2019
      Replying to @DoctorTro @ikitorp @venkmurthy

      Well, in this case "clinical experience" is basically taking your word for it. I don't know you nor your experience That being said, I'm optimistic for the use of CGM for some people with pre-diabetes, but even then the evidence isn't there yet

      2 replies 0 retweets 2 likes
    8. Health Nerd‏Verified account @GidMK 17 Oct 2019
      Replying to @GidMK @DoctorTro and

      Also, yet another strawman - I never said that there'd be a benefit for people with HbA1c 6.5 but not 6.49 Not sure if you're aware, but pre-diabetes is a range. I can refer you to the WHO or ADA criteria if you'd like 👍

      1 reply 0 retweets 2 likes
    9. Dr. Tro‏ @DoctorTro 17 Oct 2019
      Replying to @GidMK @ikitorp @venkmurthy

      Okay great so you agree that the utility of a cgm may no different at 6.49 prediabetes and 6.5 diabetes .... glad we cleared that up

      1 reply 0 retweets 0 likes
    10. Health Nerd‏Verified account @GidMK 17 Oct 2019
      Replying to @DoctorTro @ikitorp @venkmurthy

      Probably much less useful for an HbA1c of 5.9 tho 😉

      1 reply 0 retweets 2 likes
      Health Nerd‏Verified account @GidMK 17 Oct 2019
      Replying to @GidMK @DoctorTro and

      (Or at least, far less of a measurable benefit that you could use to justify the expense)

      7:34 PM - 17 Oct 2019
      • 2 Likes
      • Venk Murthy Protik Islam-Jakobsson
      1 reply 0 retweets 2 likes
        1. New conversation
        2. Dr. Tro‏ @DoctorTro 17 Oct 2019
          Replying to @GidMK @ikitorp @venkmurthy

          That was one of the main reasons against the glucometer in 1978... expense 🤔

          1 reply 0 retweets 0 likes
        3. Health Nerd‏Verified account @GidMK 17 Oct 2019
          Replying to @DoctorTro @ikitorp @venkmurthy

          It remains a valid and reasonable argument against many expensive and useless methodologies today

          1 reply 0 retweets 2 likes
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